Review of medical records for care
Facility: Northern Light Sebasticook Valley Hospital
Billing Code: 90889 (CPT)
This hospital's typical commercial price is $93 compared to the $88 fair price benchmark.
2-Star CMS clinical quality rating paired with 1.06× fair market pricing.
One of the lower prices — 5 of 8 other ME hospitals charge more for the same procedure.
Black dot = this hospital, among the 9 ME hospitals with a price for this procedure. Full list below.
A fair price for a Review of medical records for care is about $88. Northern Light Sebasticook Valley Hospital charges insurers about $93 — about the fair price. Located in Pittsfield, 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
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 | $111 | — |
| Blue Cross Blue Shieldmajor | $62 | — |
| Aetnamajor | $75 | — |
| Cignamajor | $154 | — |
| + 1 smaller / regional plan | $151 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Northern Light Sebasticook Valley Hospital
Compare: Review of medical records for care at other ME hospitals
- Northern Light Eastern Maine Medical Center · Bangor $77
- Northern Light Mercy Hospital · Portland $93
- Northern Light A R Gould Hospital · Presque Isle $93
- Northern Light Acadia Hospital · Bangor $94
- Northern Light Maine Coast Hospital · Ellsworth $111
- Northern Light Blue Hill Memorial Hospital · Blue Hill $111
- Northern Light C A Dean Hospital · Greenville $111
- Northern Light Mayo Hospital · Dover Foxcroft $112
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Northern Light Sebasticook Valley Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $81
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $81).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Northern Light Sebasticook Valley Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $88 Fair BaseRate ($51 Medicare)
Your bill ($223) is $135 above the denoised Fair BaseRate ($88) and 4.4× the $51 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.