CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Northern Maine Medical Center

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$88
about 0.9× the $95 Medicare rate · typically $55–$160
modeled estimate · not a bill or quote
What this hospital charges insurers
$93
About the fair price
about $5 over the fair price · 1.0× Medicare
Medicare pays $95 Fair price $88 This hospital $93 Cash price $30 Hospital's list price $93

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

One of the lower prices — 6 of 8 other ME hospitals charge more for the same procedure.

Cheapest $63 Priciest $125

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

A fair price for a Office visit, established patient (20-29 min) is about $88 (about 0.9× the $95 Medicare rate). Northern Maine Medical Center charges insurers about $93, 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 $38 - $110 40%
Blue Cross Blue Shieldmajor $39 - $105 41%
Aetnamajor $38 - $108 40%
Cignamajor $67 - $113 70%
Humanamajor $38 - $64 40%
Harvard Pilgrim $61 - $103 64%
WellCare $38 - $64 40%
+ 6 smaller / regional plans $38 - $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