CMS Price Transparency Data

CT scan, pelvis

Facility: Mainehealth Stephens Hospital

Billing Code: 72192 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$136
about 1.3× the $107 Medicare rate · typically $106–$467
modeled estimate · not a bill or quote
What this hospital charges insurers
$140
About the fair price
about $4 over the fair price · 1.3× Medicare
Medicare pays $107 Fair price $136 This hospital $140 Cash price $887 Hospital's list price $887

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

Highest price of the 9 ME hospitals we have prices for — worth calling around.

Cheapest $95 Priciest $140

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, pelvis is about $136 (about 1.3× the $107 Medicare rate). Mainehealth Stephens Hospital charges insurers about $140, or about $887 in cash — about the fair price. Located in Norway, ME.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $59 - $852 55%
Blue Cross Blue Shieldmajor $51 - $829 48%
Aetnamajor $51 - $811 48%
Cignamajor $827 774%
Humanamajor $59 - $346 55%
Harvard Pilgrim $98 - $861 92%
WellCare $61 - $360 57%
+ 1 smaller / regional plan $104 - $843
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 181 Main Street, Norway, ME 04268
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals