Office visit, established patient (30-39 min)
Facility: Mainehealth Franklin Hospital
Billing Code: 99214 (CPT)
A typical price — 4 charge more and 4 charge less, among the 9 ME hospitals compared.
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 Office visit, established patient (30-39 min) is about $137 (about 1.0× the $136 Medicare rate). Mainehealth Franklin Hospital charges insurers about $129, or about $460 in cash — about the fair price. Located in Farmington, 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 | $109 - $410 | 80% |
| Blue Cross Blue Shieldmajor | $109 - $559 | 80% |
| Aetnamajor | $95 - $351 | 70% |
| Cignamajor | $230 - $385 | 170% |
| Harvard Pilgrim | $116 - $387 | 86% |
| WellCare | $109 - $142 | 80% |
| + 1 smaller / regional plan | $197 - $401 |
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 Mainehealth Franklin Hospital
Compare: Office visit, established patient (30-39 min) at other ME hospitals
- Millinocket Regional Hospital · Millinocket $93
- York Hospital · York $114
- Mainehealth Pen Bay Hospital · Rockport $127
- Mainehealth Mid Coast Hospital · Brunswick $128
- Penobscot Valley Hospital · Lincoln $132
- Northern Maine Medical Center · Fort Kent $132
- Houlton Regional Hospital · Houlton $149
- Lincolnhealth · Damariscotta $154
Insurance negotiated median for the same procedure, sorted lowest first.