CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Houlton Regional Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$142
about 1.0× the $136 Medicare rate · typically $82–$221
modeled estimate · not a bill or quote
What this hospital charges insurers
$149
About the fair price
about $7 over the fair price · 1.1× Medicare
Medicare pays $136 Fair price $142 This hospital $149 Cash price $224 Hospital's list price $236

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

On the higher side — 7 of 8 other ME hospitals charge less.

Cheapest $93 Priciest $154

Black dot = this hospital, among the 9 ME hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (30-39 min) is about $142 (about 1.0× the $136 Medicare rate). Houlton Regional Hospital charges insurers about $149, or about $224 in cash — about the fair price. Located in Houlton, ME.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $204 - $323 150%
Blue Cross Blue Shieldmajor $95 - $287 70%
Aetnamajor $96 - $151 71%
Cignamajor $196 - $309 145%
WellCare $96 - $149 71%
+ 2 smaller / regional plans $110 - $299
Government programs also on file: Military & VA.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 20 Hartford Street, Houlton, ME 04730
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals