How many shoppable procedure prices are published for Millinocket Regional Hospital?

Millinocket Regional Hospital in Millinocket, ME currently has 98 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Millinocket Regional Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Millinocket Regional Hospital's median negotiated commercial rate is 1.7× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 25 Beds · rural Updated: 5/26/2026

Millinocket Regional Hospital

200 Somerset Street, Millinocket, ME 04462 · 98 Priced Procedures · 72% Patient Recommendation

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

1.71×vs. Fair Market Price

Typical commercial prices here are +71% above the fair benchmark (1.71×) even after accounting for local nurse/doctor wages and patient complexity.

62/100 · Caution

62/100Self-Pay Cash Beats Insurance 29% of the Time

File Completeness61

Price Logic65

Peer Alignment68

Clean Billing67

Real Cash Discount45

High-Markup · Check Safety

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintUpper-Quartile Spread · +47% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Millinocket Regional Hospital prices routine shoppable procedures at 2.2× Medicare (median 1.55× Fair BaseRate) while upper-quartile commercial rates jump +47% to 2.28× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#23 of 27 in ME · 81st State Percentile#2,893 of 3,385 in U.S. · 85th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.05× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 29% of shoppable procedures (45/100 Cash Honesty)
CMS clinical safety score (67/100 safety score) with 72% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (44.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.71× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 1.55× Fair BaseRate (2.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.28×) jump +47% above the median procedure ratio (Q50 1.55×)
Consolidated metro market (HHI 5,180) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

2.2× Medicare

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

Back-Door Captive & ER0.86× Divergence

1.9× Medicare

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

Quantile Tail Spread+47% Upper Tail

Q25 1.05× · Q50 1.55× · Q75 2.28×

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

2.2× MedicareFair

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.4× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

3.2× MedicareElevated

Inpatient Lab & PathologyBack-Door Captive

2.9× MedicareFair

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

1.5× MedicareGood

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

29% Cash Edge · 45/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 67/100Fair

Procedure Prices at Millinocket Regional Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 98 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Rabies immune globulin HCPCS Code: `90375`	$3,949	$3,949	$322	unverified
Total knee replacement CPT Code: `27447`	$3,879	$3,879	$13,523	0.3×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$2,470	$2,470	$6,109	0.4×
Total hip replacement CPT Code: `27130`	$2,145	$2,145	$13,413	0.2×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,693	$1,310	$448	2.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,138	$1,030	$303	3.4×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,092	$1,017	$511	2.0×
CT scan, head (with contrast) CPT Code: `70460`	$1,690	$822	$242	3.4×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,636	$796	$258	3.1×
MRI, knee or other leg joint CPT Code: `73721`	$1,633	$794	$369	2.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,629	$792	$583	1.4×
MRI, brain (no contrast) CPT Code: `70551`	$1,519	$739	$343	2.2×
MRI, lower back (no contrast) CPT Code: `72148`	$1,485	$722	$338	2.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,416	$689	$272	unverified
CT scan, pelvis CPT Code: `72192`	$1,254	$610	$163	3.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,281	$623	$169	3.7×
CT scan, head (no contrast) CPT Code: `70450`	$1,215	$591	$160	3.7×
CT scan, chest (no contrast) CPT Code: `71250`	$1,238	$605	$167	3.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,251	$608	$168	3.6×
CT scan, sinuses CPT Code: `70486`	$1,125	$547	$166	3.3×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$2,089	$545	$3,372	0.2×
Bunion correction surgery CPT Code: `28296`	$2,040	$522	$3,446	0.2×
Inguinal hernia repair CPT Code: `49505`	$1,358	$532	$3,629	0.1×
Breast lump removal CPT Code: `19120`	$1,267	$428	$3,875	0.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$870	$423	$148	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$772	$376	$134	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$636	$309	$126	2.5×
Ultrasound, pelvis CPT Code: `76856`	$649	$316	$130	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$548	$267	$132	2.0×
X-ray, lower back CPT Code: `72110`	$551	$265	$112	unverified
Blood transfusion CPT Code: `36430`	$491	$239	$498	0.5×
Colonoscopy (diagnostic) CPT Code: `45378`	$894	$177	$981	0.2×
Colonoscopy with biopsy CPT Code: `45380`	$1,073	$192	$1,256	0.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$345	$166	$93	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$260	$126	$86	1.5×
X-ray, hand CPT Code: `73130`	$276	$133	$93	1.4×
X-ray, ankle CPT Code: `73610`	$275	$133	$93	1.4×
X-ray, foot CPT Code: `73630`	$262	$127	$92	1.4×
X-ray, hip CPT Code: `73502`	$256	$124	$93	1.3×
X-ray, chest (two views) CPT Code: `71046`	$245	$119	$93	1.3×
New patient office visit (30-44 min) CPT Code: `99203`	$272	$132	$110	1.2×
X-ray, shoulder CPT Code: `73030`	$298	$143	$92	unverified
X-ray, chest (single view) CPT Code: `71045`	$229	$110	$92	1.2×
Upper endoscopy with biopsy CPT Code: `43239`	$726	$133	$987	0.1×
X-ray, pelvis CPT Code: `72170`	$298	$143	$110	unverified
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$201	$98	$25	3.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$230	$93	$123	0.8×
Screening mammogram (both breasts) CPT Code: `77067`	$359	$83	$123	0.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$184	$106	$201	0.5×
Typhoid vaccine HCPCS Code: `90675`	$1,071	$521	$347	1.5×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$168	$168	$11	unverified
Blood test, vitamin D CPT Code: `82306`	$140	$140	$31	4.5×
Pneumococcal vaccine HCPCS Code: `90732`	$219	$138	$140	1.0×
Blood test, basic metabolic panel CPT Code: `80048`	$97	$97	$9	10.8×
Culture, blood CPT Code: `87040`	$112	$112	$11	10.2×
Blood test, liver function panel CPT Code: `80076`	$91	$91	$9	10.1×
Blood test, lipase CPT Code: `83690`	$64	$64	$7	9.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$89	$89	$10	8.9×
Hepatitis C antibody test CPT Code: `86803`	$93	$93	$15	6.2×
Blood test, clotting time (PTT) CPT Code: `85730`	$56	$56	$6	9.3×
Culture, bacterial CPT Code: `87070`	$77	$77	$9	8.6×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$85	$85	$14	6.1×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$199	$97	$111	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$200	$96	$56	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$38	$38	$5	7.6×
Blood test, complete blood count (CBC) CPT Code: `85025`	$56	$56	$8	7.0×
Blood test, magnesium CPT Code: `83735`	$48	$48	$7	6.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$70	$70	$14	5.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$32	$32	$3	10.7×
Blood test, calcium CPT Code: `82310`	$40	$40	$5	8.0×
Blood test, amylase CPT Code: `82150`	$44	$44	$7	6.3×
Occupational therapy (self-care training) CPT Code: `97535`	$137	$66	$38	1.7×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$70	$34	$20	1.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$122	$59	$35	1.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$122	$59	$38	1.6×
Orthotic fitting and training CPT Code: `97760`	$164	$79	$51	1.5×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$127	$61	$40	1.5×
Physical therapy (manual therapy) CPT Code: `97140`	$105	$51	$34	1.5×
Physical therapy (gait training) CPT Code: `97116`	$96	$47	$33	1.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$139	$67	$64	1.0×
Blood test, hemoglobin CPT Code: `85018`	$23	$23	$3	7.7×
Blood test, glucose (blood sugar) CPT Code: `82947`	$23	$23	$4	5.8×
Blood test, PSA (prostate screen) CPT Code: `84153`	$74	$39	$19	2.1×
Physical therapy (functional capacity test) CPT Code: `97750`	$108	$52	$38	1.4×
Colorectal cancer screening HCPCS Code: `G0010`	$42	$42	$49	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$132	$63	$87	0.7×
Electrical stimulation therapy HCPCS Code: `G0283`	$68	$33	$14	2.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$23	$11	$5	2.2×
Blood test, potassium CPT Code: `84132`	$23	$11	$5	2.2×
Blood test, sodium CPT Code: `84295`	$22	$11	$5	2.2×
Blood test, thyroid (TSH) CPT Code: `84443`	$70	$34	$18	1.9×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$10	$5	$4	1.3×
Blood test, vitamin B12 CPT Code: `82607`	$38	$18	$16	1.1×
Flu vaccine injection HCPCS Code: `G0008`	$42	$21	$48	0.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$42	$21	$49	0.4×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$20	$10	$39	0.3×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$20	$20	$203	unverified
Hepatitis B vaccine HCPCS Code: `90744`	$20	$20	$37	unverified

Showing top 25 high-impact procedures of 98 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 44.0%

Audit a Bill or Quote at Millinocket Regional Hospital (Zero PHI Required)

CMS CCN: 201307

CPT 90375

Select Procedure to Audit:

Fair BaseRate™ $322

Medicare Rate $275

Self-Pay Cash $3,949

Insurer Median $3,949

1. Amount on Your Bill or Quote ($) Pre-filled with Millinocket Regional Hospital’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 501(r) AGB Cap: $1,931 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $1,931

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (44.0% of gross = $1,931).

Step 2 · Cash vs. Insurance Arbitrage Save $439 Paying Cash

Self-Pay Cash Rate ($3,949) Beats Your Bill

Millinocket Regional Hospital's published 45 CFR § 180 self-pay cash rate is $3,949 (vs. $3,949 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$4,066 Above Fair BaseRate

Negotiate Toward $322 Fair BaseRate ($275 Medicare)

Your bill ($4,388) is $4,066 above the denoised Fair BaseRate ($322) and 16.0× the $275 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) 501(c)(3) Nonprofit Hospital

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

EIN: 010223482

Filing Period: 195606

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (44.0% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

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

Safety Composite67/100

Would Recommend72%

Rated 9 or 10 (HCAHPS)85%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Millinocket Regional Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2026-04-01·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (81 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 Millinocket Regional Hospital.

Price Index: 1.21× regional baseline

Quality: 54/100 CMS composite

Median Household Income$63,248U.S. Census ACS

Local Uninsured Share7.2%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 62/100 · Caution CMS CCN 201307 EIN 010223482

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 201307) ↗ Verify IRS Form 990 (EIN 010223482) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage5/26/2026

Validated Rate Rows734 (CMS v3.0.0)

File Integrity DigestVerified · CCN 201307

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