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CMS Price Transparency Data Hospital file updated: 2025-09-09

Drug screening test

Facility: Mainehealth Stephens Hospital

Billing Code: G0480 (HCPCS)

Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Above Fair Market · Negotiate
$120Fair BaseRate (1.12× Market)
Position vs. 1.00× Fair Price+12% Above Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

This hospital's typical commercial price is $134 compared to the $120 fair price benchmark.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).86/100 · Verified
86/100Hover Any Check Below to See How Prices Were Audited
File Completeness90Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic88Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment86Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing83Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount84Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.High Quality · Fair Price
CMS Star Rating4/5 StarsOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety Score78/100Composite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER WaitNo ER DataMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

4-Star CMS clinical quality rating paired with 1.12× fair market pricing.

The BaseRate · fair price high confidence
A fair price for this
$120
about 1.1× the $114 Medicare rate · typically $63–$166
modeled estimate · not a bill or quote
What this hospital charges insurers
$134
About the fair price
about $14 over the fair price · 1.2× Medicare
Medicare pays $114 Fair price $120 This hospital $134 Cash price $184 Hospital's list price $184

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 $75 Priciest $134

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

A fair price for a Drug screening test is about $120 (about 1.1× the $114 Medicare rate). Mainehealth Stephens Hospital charges insurers about $134, or about $184 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

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumana 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 $21 - $409 18%
Blue Cross Blue Shieldmajor $21 - $398 18%
Aetnamajor $21 - $390 18%
Cignamajor $49 - $398 43%
Humanamajor $21 - $166 18%
Harvard Pilgrim $46 - $414 40%
WellCare $21 - $173 18%
+ 1 smaller / regional plan $50 - $405
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

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Facility Profile & Credentials

  • Address: 181 Main Street, Norway, ME 04268
  • CMS Rating: 4 / 5 Stars
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals

Other Procedures at Mainehealth Stephens Hospital

Compare: Drug screening test at other ME hospitals

Insurance negotiated median for the same procedure, sorted lowest first.

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 36.3%

Audit a Bill or Quote at Mainehealth Stephens Hospital (Zero PHI Required)

CMS CCN: 201315
HCPCS G0480
Fair BaseRate™ $120
Medicare Rate $114
Self-Pay Cash $184
Insurer Median $134
Pre-filled with Mainehealth Stephens Hospital’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
2026 FPL: $15,650 + $5,500 per additional person
Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $67 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $67

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 = $67).

Step 2 · Cash vs. Insurance Arbitrage Published Cash: $184

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Mainehealth Stephens Hospital's published 45 CFR § 180 self-pay cash rate is $184 (vs. $134 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$64 Above Fair BaseRate

Negotiate Toward $120 Fair BaseRate ($114 Medicare)

Your bill ($184) is $64 above the denoised Fair BaseRate ($120) and 1.6× the $114 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, HCPCS code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.
CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall4/5 Stars (4/5)

Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

45 CFR § 180 Primary-Source Lineage & Federal Verification Verified CMS CCN 201315

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (010238552-1346299815_mainehealth_standardcharges.csv) Verify on CMS Medicare.gov (CCN 201315) ↗ CMS HCRIS Cost Reports ↗
Published MRF File010238552-1346299815_mainehealth_standardcharges.csv
Publication / Vintage2025-09-09 · 66.78 MB
Validated Rate Rows655,251 (CMS v3.0.0)
File Integrity Digest643b43047edcabe948b0…

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.

Submit MRF Update Correction Policy