How many shoppable procedure prices are published for Cary Medical Center?

Cary Medical Center in Caribou, ME currently has 90 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Cary Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Cary Medical Center's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

What is Cary Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Cary Medical Center an overall hospital quality rating of 1 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Government - Local 49 Beds · rural Updated: 4/1/2026

Cary Medical Center

163 Van Buren Rd, Suite 1, Caribou, ME 04736 · 90 Priced Procedures · 80% Patient Recommendation

CMS Overall Rating 1 / 5 Stars

Good Deal · Below Fair Market

0.92×vs. Fair Market Price

Typical commercial prices here are 8% below the fair benchmark (0.92×) after accounting for local nurse/doctor wages and patient complexity.

72/100 · Corroborated

72/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness66

Price Logic100

Peer Alignment64

Clean Billing68

Real Cash Discount50

Regional Value Leader

4-Star CMS clinical quality rating paired with 0.92× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Cary Medical Center maintains low, disciplined commercial pricing across both routine shoppable procedures (1.0× Medicare, p50 0.93× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.97× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#14 of 27 in ME · 48th State Percentile#782 of 3,385 in U.S. · 23rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 8% below peer Fair BaseRate (0.92×)
Self-pay cash beats commercial insurance on 0% of shoppable procedures (50/100 Cash Honesty)
1-Star CMS clinical rating with 80% patient recommendation (74/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.2× markup over Medicare rates
Commercial insurance median sits at 0.93× Fair BaseRate (1.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 1.2× Medicare — verify per-unit billing on itemized statements
Unnegotiated chargemaster list prices average 3.8× Medicare (26¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.0× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.00× Divergence

1.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+4% Upper Tail

Q25 0.83× · Q50 0.93× · Q75 0.97×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.2× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.1× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.4× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.3× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.2× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

0% Cash Edge · 50/100Elevated

CMS Clinical Safety & Star ValueIntegrity & Outcomes

1 CMS · 74/100Fair

Procedure Prices at Cary Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 90 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$17,570	$19,087	0.9×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$17,447	$19,432	0.9×
Total hip replacement CPT Code: `27130`	—	$12,695	$13,413	0.9×
Total knee replacement CPT Code: `27447`	—	$12,695	$13,523	0.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,052	$8,223	0.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$5,978	$6,109	unverified
Breast lump removal CPT Code: `19120`	—	$3,872	$3,875	unverified
Inguinal hernia repair CPT Code: `49505`	—	$3,540	$3,629	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,235	$3,372	1.0×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,282	$2,540	0.9×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,183	$1,256	0.9×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$920	$981	0.9×
Upper endoscopy with biopsy CPT Code: `43239`	—	$897	$987	0.9×
Injection procedure for pain management HCPCS Code: `G0260`	—	$872	$855	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	—	$540	$583	0.9×
Blood transfusion CPT Code: `36430`	—	$436	$498	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	—	$345	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	—	$345	$511	0.7×
Rabies immune globulin HCPCS Code: `90375`	—	$271	$322	0.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	—	$236	$272	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	—	$236	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	—	$236	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	—	$236	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	—	$236	$369	0.6×
Breathing treatment (nebulizer) CPT Code: `94640`	—	$217	$201	unverified
CT scan, head (with contrast) CPT Code: `70460`	—	$173	$242	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	—	$173	$258	0.7×
X-ray, ankle CPT Code: `73610`	—	$129	$93	unverified
X-ray, foot CPT Code: `73630`	—	$129	$92	unverified
X-ray, pelvis CPT Code: `72170`	—	$103	$110	0.9×
X-ray, chest (single view) CPT Code: `71045`	—	$86	$92	0.9×
X-ray, chest (two views) CPT Code: `71046`	—	$86	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	—	$86	$93	0.9×
X-ray, hip CPT Code: `73502`	—	$86	$93	0.9×
X-ray, lower back CPT Code: `72110`	—	$103	$112	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	—	$103	$126	0.8×
Ultrasound, pelvis CPT Code: `76856`	—	$103	$130	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	—	$103	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	—	$103	$134	0.8×
CT scan, head (no contrast) CPT Code: `70450`	—	$103	$160	0.6×
CT scan, pelvis CPT Code: `72192`	—	$103	$163	0.6×
CT scan, sinuses CPT Code: `70486`	—	$103	$166	0.6×
CT scan, chest (no contrast) CPT Code: `71250`	—	$103	$167	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	—	$103	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	—	$103	$169	0.6×
X-ray, shoulder CPT Code: `73030`	—	$108	$92	unverified
X-ray, hand CPT Code: `73130`	—	$108	$93	unverified
Typhoid vaccine HCPCS Code: `90675`	—	$309	$347	0.9×
Drug screening test HCPCS Code: `G0480`	—	$114	$116	1.0×
Blood antibody screen CPT Code: `86850`	—	$52	$46	1.1×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$38	$35	1.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	—	$58	$64	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	—	$73	$86	0.8×
Blood test, vitamin D CPT Code: `82306`	—	$30	$31	1.0×
Flu vaccine injection HCPCS Code: `G0008`	—	$46	$48	1.0×
Orthotic fitting and training CPT Code: `97760`	—	$44	$51	0.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	$11	$11	1.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	—	$33	$40	0.8×
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	$3	$3	1.0×
Blood test, calcium CPT Code: `82310`	—	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	—	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	—	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	—	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	—	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	—	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	—	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	—	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	—	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	—	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	—	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	—	$9	$9	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$19	$20	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	—	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	—	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	—	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	—	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	—	$13	$14	0.9×
Culture, blood CPT Code: `87040`	—	$10	$11	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	—	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	—	$8	$9	0.9×
Blood test, amylase CPT Code: `82150`	—	$6	$7	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$12	$14	0.9×
Physical therapy (gait training) CPT Code: `97116`	—	$28	$33	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	—	$31	$38	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	—	$31	$38	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	—	$4	$5	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	—	$28	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	—	$27	$34	0.8×
Blood test, hemoglobin CPT Code: `85018`	—	$2	$3	0.7×

Showing top 25 high-impact procedures of 90 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Cary Medical Center (Zero PHI Required)

CMS CCN: 200031

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash Request Quote

Insurer Median $17,570

1. Amount on Your Bill or Quote ($) Pre-filled with Cary Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Cary Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$23,081 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($42,168) is $23,081 above the denoised Fair BaseRate ($19,087) and 3.0× the $14,117 Medicare rate.

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

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Cary Medical Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall4/5 Stars (4/5)

Safety Composite74/100

Would Recommend80%

Rated 9 or 10 (HCAHPS)81%

Median ER Wait136 min

Left ER Before Seen3%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (205 completed HCAHPS patient surveys). 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

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Cary Medical Center.

Price Index: 1.17× regional baseline

Quality: 68/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Blue Cross Blue Shield

+142.4%

Median Household Income$54,254U.S. Census ACS

Local Uninsured Share8.0%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 72/100 · Corroborated CMS CCN 200031

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

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 200031) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage4/1/2026

Validated Rate Rows695 (CMS v3.0.0)

File Integrity DigestVerified · CCN 200031

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