CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Northern Maine Medical Center

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$115
about 1.0× the $118 Medicare rate · typically $72–$190
modeled estimate · not a bill or quote
What this hospital charges insurers
$116
About the fair price
about $1 over the fair price · 1.0× Medicare
Medicare pays $118 Fair price $115 This hospital $116 Cash price $30 Hospital's list price $116

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

One of the lower prices — 7 of 8 other ME hospitals charge more for the same procedure.

Cheapest $102 Priciest $151

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

A fair price for a New patient office visit (30-44 min) is about $115 (about 1.0× the $118 Medicare rate). Northern Maine Medical Center charges insurers about $116, or about $30 in cash — about the fair price. Located in Fort Kent, 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 $64 - $110 54%
Blue Cross Blue Shieldmajor $65 - $105 55%
Aetnamajor $64 - $108 54%
Cignamajor $113 96%
Humanamajor $64 54%
Harvard Pilgrim $103 88%
WellCare $64 54%
+ 6 smaller / regional plans $64 - $116
Government programs also on file: Medicaid, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 194 E Main Street, Fort Kent, ME 04743
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals