How many shoppable procedure prices are published for Mount Desert Island Hospital?

Mount Desert Island Hospital in Bar Harbor, ME currently has 102 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 25 Beds · rural Updated: 7/8/2026

Mount Desert Island Hospital

10 Wayman Lane, Bar Harbor, ME 04609 · 102 Priced Procedures · 92% Patient Recommendation

CMS Overall Rating No CMS Rating

Near Fair BaseRate Benchmark

1.00×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

64/100 · Caution

64/100Self-Pay Cash Beats Insurance 31% of the Time

File Completeness61

Price Logic82

Peer Alignment40

Clean Billing85

Real Cash Discount46

Regional Value Leader

5-Star CMS clinical quality rating paired with 1.00× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Mount Desert Island Hospital prices routine shoppable procedures near 4.4× Medicare (p50 1.00×) while skewing captive emergency, lab, and upper-quartile codes to 7.6× Medicare (p75 1.28×, +28% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

Regional Benchmark in MEU.S. National Reference Pool

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 31% of shoppable procedures (46/100 Cash Honesty)
5-Star CMS clinical rating with 92% patient recommendation (83/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (48.7% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.3× markup over Medicare rates
Captive ER (6.4×) & laboratory (7.3×) services average 1.73× higher multiples than routine shoppable care (4.4×)
Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
Unnegotiated chargemaster list prices average 6.5× Medicare (24¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

4.4× Medicare

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

Back-Door Captive & ER1.73× Divergence

7.6× Medicare

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

Quantile Tail Spread+28% Upper Tail

Q25 0.78× · Q50 1.00× · Q75 1.28×

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

4.4× MedicareWatchout

Outpatient Surgery & ORBack-Door Captive

2.3× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.0× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

6.4× MedicareWatchout

Inpatient Lab & PathologyBack-Door Captive

7.3× MedicareWatchout

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

3.8× MedicareElevated

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

31% Cash Edge · 46/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

5 CMS · 83/100Good

Procedure Prices at Mount Desert Island Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 102 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Colonoscopy (diagnostic) CPT Code: `45378`	$4,424	$4,424	$981	4.5×
C-section delivery (full package) CPT Code: `59510`	$3,544	$3,544	$2,975	1.2×
Total knee replacement CPT Code: `27447`	$3,195	$3,195	$13,523	0.2×
Vaginal delivery (full package) CPT Code: `59400`	$3,037	$3,037	$2,680	1.1×
Colonoscopy with biopsy CPT Code: `45380`	$2,634	$2,634	$1,256	2.1×
CT scan, pelvis CPT Code: `72192`	$2,373	$2,373	$163	14.6×
Bunion correction surgery CPT Code: `28296`	$2,365	$2,365	$3,446	0.7×
Hepatitis B immune globulin HCPCS Code: `90371`	$1,924	$1,924	$151	12.7×
Breast lump removal CPT Code: `19120`	$1,857	$1,857	$3,875	0.5×
Total hip replacement CPT Code: `27130`	$1,403	$1,403	$13,413	0.1×
Cataract surgery with lens implant CPT Code: `66984`	$1,263	$1,263	$2,540	0.5×
Inguinal hernia repair CPT Code: `49505`	$1,261	$1,261	$3,629	0.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,007	$1,007	$134	7.5×
Physical therapy (manual therapy) CPT Code: `97140`	$693	$693	$34	20.4×
Group therapy session CPT Code: `90853`	$711	$711	$100	7.1×
X-ray, hip CPT Code: `73502`	$678	$678	$93	7.3×
Family therapy session CPT Code: `90847`	$648	$648	$173	3.7×
MRI, brain (no contrast) CPT Code: `70551`	$553	$553	$343	1.6×
Upper endoscopy with biopsy CPT Code: `43239`	$570	$570	$987	0.6×
MRI, lower back (no contrast) CPT Code: `72148`	$539	$539	$338	1.6×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$500	$500	$148	3.4×
Speech therapy (group session) CPT Code: `92508`	$457	$457	$27	16.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$417	$417	$258	1.6×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$401	$401	$6,109	0.1×
X-ray, chest (single view) CPT Code: `71045`	$353	$353	$92	3.8×
CT scan, chest (no contrast) CPT Code: `71250`	$357	$357	$167	2.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$362	$362	$201	1.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$380	$380	$448	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$333	$333	$169	2.0×
MRI, knee or other leg joint CPT Code: `73721`	$348	$348	$369	0.9×
CT scan, sinuses CPT Code: `70486`	$299	$299	$166	1.8×
Psychiatric evaluation (first visit) CPT Code: `90791`	$314	$314	$185	1.7×
CT scan, head (with contrast) CPT Code: `70460`	$313	$313	$242	1.3×
Psychological testing by technician CPT Code: `96138`	$323	$323	$395	0.8×
CT scan, head (no contrast) CPT Code: `70450`	$283	$283	$160	1.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$279	$279	$168	1.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$272	$272	$511	0.5×
Screening mammogram (both breasts) CPT Code: `77067`	$229	$229	$123	1.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$171	$171	$64	2.7×
Care planning with family CPT Code: `90887`	$185	$185	$107	1.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$188	$188	$123	1.5×
Ultrasound, pelvis CPT Code: `76856`	$192	$192	$130	1.5×
Psychotherapy session (45 minutes) CPT Code: `90834`	$196	$196	$166	1.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$192	$192	$272	0.7×
New patient office visit (30-44 min) CPT Code: `99203`	$165	$165	$110	1.5×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$166	$166	$303	0.5×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$181	$181	$583	0.3×
Occupational therapy (self-care training) CPT Code: `97535`	$137	$137	$38	3.6×
Psychotherapy session (60 minutes) CPT Code: `90837`	$149	$149	$181	0.8×
Blood transfusion CPT Code: `36430`	$140	$140	$498	0.3×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$93	$93	$25	3.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$115	$115	$38	3.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$112	$112	$132	0.8×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$127	$127	$3,372	0.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$85	$85	$40	2.1×
Psychological testing evaluation CPT Code: `96136`	$102	$102	$128	0.8×
Typhoid vaccine HCPCS Code: `90675`	$1,051	$1,051	$347	3.0×
Blood antibody screen CPT Code: `86850`	$835	$835	$46	18.2×
Culture, blood CPT Code: `87040`	$513	$513	$11	46.6×
Blood test, vitamin B12 CPT Code: `82607`	$522	$522	$16	32.6×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$324	$324	$203	1.6×
Pneumococcal vaccine HCPCS Code: `90732`	$295	$295	$140	2.1×
Blood test, lipase CPT Code: `83690`	$265	$265	$7	37.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$286	$286	$111	2.6×
Blood test, calcium CPT Code: `82310`	$189	$189	$5	37.8×
Blood test, potassium CPT Code: `84132`	$182	$182	$5	36.4×
Blood test, basic metabolic panel CPT Code: `80048`	$188	$188	$9	20.9×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$182	$182	$10	18.2×
Blood test, vitamin D CPT Code: `82306`	$158	$158	$31	5.1×
Blood test, magnesium CPT Code: `83735`	$121	$121	$7	17.3×
Blood test, ferritin (iron stores) CPT Code: `82728`	$111	$111	$14	7.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$131	$131	$56	2.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$89	$89	$5	17.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$72	$72	$5	14.4×
Culture, bacterial CPT Code: `87070`	$76	$76	$9	8.4×
Hepatitis C antibody test CPT Code: `86803`	$83	$83	$15	5.5×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$76	$76	$14	5.4×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$93	$93	$39	2.4×
Drug screening test HCPCS Code: `G0480`	$85	$85	$116	0.7×
Blood test, hemoglobin CPT Code: `85018`	$30	$30	$3	10.0×
Blood test, sodium CPT Code: `84295`	$33	$33	$5	6.6×
Blood test, amylase CPT Code: `82150`	$42	$42	$7	6.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$58	$58	$19	3.1×
Hepatitis B vaccine HCPCS Code: `90744`	$83	$83	$37	2.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$78	$78	$35	2.2×
Flu vaccine injection HCPCS Code: `G0008`	$58	$58	$48	1.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	$79	$79	$87	0.9×
X-ray, shoulder CPT Code: `73030`	$63	$63	$92	0.7×
X-ray, lower back CPT Code: `72110`	$59	$59	$112	0.5×
Blood test, complete blood count (CBC) CPT Code: `85025`	$26	$26	$8	3.3×
Blood test, thyroid (TSH) CPT Code: `84443`	$42	$42	$18	2.3×
Flu vaccine (high dose) HCPCS Code: `90656`	$44	$44	$25	1.8×
Pneumonia vaccine injection HCPCS Code: `G0009`	$53	$53	$49	1.1×
X-ray, ankle CPT Code: `73610`	$45	$45	$93	0.5×
X-ray, chest (two views) CPT Code: `71046`	$43	$43	$93	0.5×
X-ray, neck (cervical spine) CPT Code: `72040`	$42	$42	$93	0.5×
Blood test, clotting time (PTT) CPT Code: `85730`	$15	$15	$6	2.5×
Colorectal cancer screening HCPCS Code: `G0010`	$27	$27	$49	0.6×
X-ray, hand CPT Code: `73130`	$39	$39	$93	0.4×
X-ray, pelvis CPT Code: `72170`	$39	$39	$110	0.4×
X-ray, foot CPT Code: `73630`	$21	$21	$92	0.2×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	—	—	$4	—

Showing top 25 high-impact procedures of 102 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 48.7%

Audit a Bill or Quote at Mount Desert Island Hospital (Zero PHI Required)

CMS CCN: 201304

CPT 45378

Select Procedure to Audit:

Fair BaseRate™ $981

Medicare Rate $950

Self-Pay Cash $4,424

Insurer Median $4,424

1. Amount on Your Bill or Quote ($) Pre-filled with Mount Desert Island 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: $2,392 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $2,392

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (48.7% of gross = $2,392).

Step 2 · Cash vs. Insurance Arbitrage Save $492 Paying Cash

Self-Pay Cash Rate ($4,424) Beats Your Bill

Mount Desert Island Hospital's published 45 CFR § 180 self-pay cash rate is $4,424 (vs. $4,424 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$3,935 Above Fair BaseRate

Negotiate Toward $981 Fair BaseRate ($950 Medicare)

Your bill ($4,916) is $3,935 above the denoised Fair BaseRate ($981) and 5.2× the $950 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: 010211797

Filing Period: 194012

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 (48.7% 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

CMS Overall5/5 Stars (5/5)

Safety Composite83/100

Would Recommend92%

Rated 9 or 10 (HCAHPS)88%

Median ER Wait130 min

Left ER Before Seen0%

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

CMS Price Transparency Administrative Enforcement Log

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

2026-04-01·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (118 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

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Mount Desert Island Hospital.

Price Index: 1.00× regional baseline

Quality: 86/100 CMS composite

Median Household Income$69,630U.S. Census ACS

Local Uninsured Share10.2%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 64/100 · Caution CMS CCN 201304 EIN 010211797

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 201304) ↗ Verify IRS Form 990 (EIN 010211797) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage7/8/2026

Validated Rate Rows2,900 (CMS v3.0.0)

File Integrity DigestVerified · CCN 201304

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