CMS Price Transparency Data

Total hip replacement

Facility: Northern Maine Medical Center

Billing Code: 27130 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$3,384
about 0.3× the $13,117 Medicare rate · typically $1,392–$11,322
modeled estimate · not a bill or quote
What this hospital charges insurers
$13,596
Well above the fair price
about $10,212 over the fair price · 1.0× Medicare
Medicare pays $13,117 Fair price $3,384 This hospital $13,596 Cash price $30 Hospital's list price $38,536

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

Highest price of the 7 ME hospitals we have prices for — worth calling around.

Cheapest $2,331 Priciest $13,596

Black dot = this hospital, among the 7 ME hospitals with a price for this procedure. Full list below.

A fair price for a Total hip replacement is about $3,384 (about 0.3× the $13,117 Medicare rate). Northern Maine Medical Center charges insurers about $13,596, or about $30 in cash — well above the fair price. Located in Fort Kent, ME.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $3,384. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $21,195 - $36,609 162%
Blue Cross Blue Shieldmajor $21,619 - $34,721 165%
Aetnamajor $21,195 - $35,838 162%
Cignamajor $36,224 - $37,380 276%
Humanamajor $21,195 162%
Harvard Pilgrim $34,181 261%
WellCare $21,195 162%
+ 6 smaller / regional plans $13,596 - $36,609
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.

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