How many shoppable procedure prices are published for St Mary's Regional Medical Center?

St Mary's Regional Medical Center in Lewiston, ME currently has 119 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do St Mary's Regional Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, St Mary's Regional Medical Center's median negotiated commercial rate is 2.0× the regionally adjusted fair BaseRate benchmark.

What is St Mary's Regional Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns St Mary's Regional Medical Center an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Church 140 Beds · urban Updated: 4/1/2026

St Mary's Regional Medical Center

93 Campus Avenue - Po Box 291, Lewiston, ME 04243 · 119 Priced Procedures · 78% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

High Markup · Shop Alternatives

2.01×vs. Fair Market Price

Typical commercial prices here are +101% above the fair benchmark (2.01×) even after accounting for local nurse/doctor wages and patient complexity.

76/100 · Corroborated

76/100Self-Pay Cash Beats Insurance 6% of the Time

File Completeness100

Price Logic56

Peer Alignment61

Clean Billing66

Real Cash Discount100

High-Markup · Check Safety

4-Star CMS clinical quality rating paired with 2.01× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 5,937), St Mary's Regional Medical Center commands a 2.01× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#24 of 27 in ME · 85th State Percentile#3,076 of 3,385 in U.S. · 90th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.33× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 6% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 78% patient recommendation (77/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (12.8% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (2.01× 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 2.13× Fair BaseRate (2.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (2.01× 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.
Consolidated metro market (HHI 5,937) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

2.6× Medicare

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

Back-Door Captive & ER0.81× Divergence

2.1× Medicare

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

Quantile Tail Spread+6% Upper Tail

Q25 1.33× · Q50 2.13× · Q75 2.25×

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

2.6× MedicareFair

Outpatient Surgery & ORBack-Door Captive

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.1× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.0× MedicareGood

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

0.9× MedicareGood

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

6% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 77/100Fair

Procedure Prices at St Mary's Regional Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 119 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$41,973	$30,775	1.4×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$25,239	$19,087	1.3×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$25,062	$19,432	1.3×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$22,907	$17,936	1.3×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$10,129	$8,223	1.2×
Cataract surgery with lens implant CPT Code: `66984`	—	$9,125	$2,540	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	$4,656	$5,697	$6,109	0.9×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$5,645	$3,372	1.7×
Inguinal hernia repair CPT Code: `49505`	—	$5,645	$3,629	1.6×
Bunion correction surgery CPT Code: `28296`	—	$4,569	$3,446	1.3×
Breast lump removal CPT Code: `19120`	—	$4,569	$3,875	1.2×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$3,998	$981	4.1×
Upper endoscopy with biopsy CPT Code: `43239`	—	$3,998	$987	4.1×
Colonoscopy with biopsy CPT Code: `45380`	—	$3,998	$1,256	3.2×
Injection procedure for pain management HCPCS Code: `G0260`	—	$2,983	$855	3.5×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,758	$1,758	$448	3.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,685	$1,685	$511	3.3×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,630	$1,630	$1,021	1.6×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,387	$1,387	$303	4.6×
MRI, lower back (no contrast) CPT Code: `72148`	$1,124	$1,124	$338	3.3×
MRI, brain (no contrast) CPT Code: `70551`	$1,124	$1,124	$343	3.3×
MRI, knee or other leg joint CPT Code: `73721`	$1,124	$1,124	$369	3.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$979	$979	$258	3.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$796	$796	$168	4.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$784	$784	$169	4.6×
CT scan, pelvis CPT Code: `72192`	$709	$709	$163	4.3×
CT scan, chest (no contrast) CPT Code: `71250`	$707	$707	$167	4.2×
CT scan, head (with contrast) CPT Code: `70460`	$715	$715	$242	3.0×
CT scan, sinuses CPT Code: `70486`	$648	$648	$166	3.9×
CT scan, head (no contrast) CPT Code: `70450`	$601	$601	$160	3.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$612	$612	$583	1.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$514	$514	$272	1.9×
Blood transfusion CPT Code: `36430`	$501	$501	$498	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$413	$413	$134	3.1×
Ultrasound, pelvis CPT Code: `76856`	$378	$378	$130	2.9×
X-ray, lower back CPT Code: `72110`	$330	$330	$112	2.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$349	$349	$126	2.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$309	$309	$132	2.3×
Psychological testing by technician CPT Code: `96138`	$304	$304	$395	0.8×
Neurobehavioral status check CPT Code: `96116`	$240	$240	$231	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$190	$190	$86	2.2×
X-ray, hand CPT Code: `73130`	$201	$201	$93	2.2×
X-ray, shoulder CPT Code: `73030`	$195	$195	$92	2.1×
X-ray, neck (cervical spine) CPT Code: `72040`	$195	$195	$93	2.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$212	$212	$148	1.4×
X-ray, foot CPT Code: `73630`	$185	$185	$92	2.0×
X-ray, chest (two views) CPT Code: `71046`	$185	$185	$93	2.0×
X-ray, ankle CPT Code: `73610`	$184	$184	$93	2.0×
X-ray, hip CPT Code: `73502`	$183	$183	$93	2.0×
Screening mammogram (both breasts) CPT Code: `77067`	$185	$185	$123	1.5×
X-ray, chest (single view) CPT Code: `71045`	$156	$156	$92	1.7×
X-ray, pelvis CPT Code: `72170`	$176	$176	$110	1.6×
Psychiatric evaluation (first visit) CPT Code: `90791`	$168	$168	$185	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$176	$176	$201	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$140	$140	$64	2.2×
Group therapy session CPT Code: `90853`	$122	$122	$100	1.2×
New patient office visit (30-44 min) CPT Code: `99203`	$101	$101	$110	0.9×
Psychological testing evaluation CPT Code: `96136`	$97	$97	$128	0.8×
Psychotherapy session (45 minutes) CPT Code: `90834`	$122	$122	$166	0.7×
Family therapy session CPT Code: `90847`	$122	$122	$173	0.7×
Psychotherapy session (60 minutes) CPT Code: `90837`	$122	$122	$181	0.7×
Speech therapy (group session) CPT Code: `92508`	$94	$94	$27	3.5×
Typhoid vaccine HCPCS Code: `90675`	$743	$743	$347	unverified
Blood test, vitamin B12 CPT Code: `82607`	$124	$124	$16	7.8×
Blood test, vitamin D CPT Code: `82306`	$112	$112	$31	3.6×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$103	$103	$203	unverified
Drug screening test HCPCS Code: `G0480`	$111	$111	$116	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$82	$82	$14	5.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$73	$73	$14	5.2×
Blood test, amylase CPT Code: `82150`	$40	$40	$7	5.7×
Blood test, calcium CPT Code: `82310`	$26	$26	$5	5.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$50	$50	$10	5.0×
Hepatitis C antibody test CPT Code: `86803`	$71	$71	$15	4.7×
Blood test, PSA (prostate screen) CPT Code: `84153`	$73	$73	$19	3.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$71	$71	$35	2.0×
Occupational therapy (self-care training) CPT Code: `97535`	$75	$75	$38	2.0×
Physical therapy (manual therapy) CPT Code: `97140`	$67	$67	$34	2.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$75	$75	$40	1.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$71	$71	$38	1.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$68	$68	$38	1.8×
Orthotic fitting and training CPT Code: `97760`	$72	$72	$51	1.4×
Prosthetic fitting and training CPT Code: `97761`	$62	$62	$45	1.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$49	$49	$49	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$59	$59	$87	0.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$72	$72	$123	0.6×
Electrical stimulation therapy HCPCS Code: `G0283`	$38	$38	$14	2.7×
Blood test, clotting time (PTT) CPT Code: `85730`	$68	$14	$6	2.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$39	$18	$8	2.3×
Culture, bacterial CPT Code: `87070`	$28	$20	$9	2.2×
Blood test, thyroid (TSH) CPT Code: `84443`	$73	$38	$18	2.1×
Physical therapy (gait training) CPT Code: `97116`	$56	$56	$33	1.7×
Culture, blood CPT Code: `87040`	$82	$23	$11	2.1×
Diagnostic procedure preparation HCPCS Code: `G0279`	$34	$34	$35	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$17	$17	$20	0.8×
Flu vaccine injection HCPCS Code: `G0008`	$38	$38	$48	0.8×
Colorectal cancer screening HCPCS Code: `G0010`	$38	$38	$49	0.8×
Behavioral health day program HCPCS Code: `H2012`	$53	$53	$100	0.5×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$41	$7	$3	2.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$82	$24	$11	2.2×
Blood test, magnesium CPT Code: `83735`	$48	$15	$7	2.1×
Blood test, basic metabolic panel CPT Code: `80048`	$80	$19	$9	2.1×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$32	$32	$56	unverified
Blood test, hemoglobin CPT Code: `85018`	$15	$5	$3	1.7×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$27	$27	$25	1.1×
Blood antibody screen CPT Code: `86850`	$85	$22	$46	0.5×
Hospital observation (per hour) HCPCS Code: `G0378`	$33	$33	$86	0.4×
Blood test, liver function panel CPT Code: `80076`	$63	$19	$9	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$19	$12	$5	unverified
Blood test, lipase CPT Code: `83690`	$37	$37	$7	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$43	$43	$111	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$52	$52	$140	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$3	$3	$4	unverified
Blood test, potassium CPT Code: `84132`	$25	$11	$5	unverified
Blood test, sodium CPT Code: `84295`	$25	$11	$5	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$28	$9	$4	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$29	$10	$5	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$22	$22	$25	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$14	$14	$39	unverified
Hepatitis B vaccine HCPCS Code: `90744`	$19	$19	$37	unverified

Showing top 25 high-impact procedures of 119 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 12.8%

Audit a Bill or Quote at St Mary's Regional Medical Center (Zero PHI Required)

CMS CCN: 200034

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $41,973

1. Amount on Your Bill or Quote ($) Pre-filled with St Mary's Regional 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 501(r) AGB Cap: $12,914 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $12,914

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (12.8% of gross = $12,914).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask St Mary's Regional 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 +$69,960 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($100,735) is $69,960 above the denoised Fair BaseRate ($30,775) and 4.3× the $23,504 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: 010211551

Filing Period: 196912

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 (12.8% 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 Overall4/5 Stars (4/5)

Safety Composite77/100

Would Recommend78%

Rated 9 or 10 (HCAHPS)72%

Median ER Wait142 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 Infectionbetter

Source: CMS Hospital Care Compare (304 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 Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for St Mary's Regional Medical Center.

Price Index: 1.06× regional baseline

Quality: 72/100 CMS composite

Median Household Income$67,298U.S. Census ACS

Local Uninsured Share6.8%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 76/100 · Corroborated CMS CCN 200034 EIN 010211551

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 200034) ↗ Verify IRS Form 990 (EIN 010211551) ↗ CMS HCRIS Cost Reports ↗

Published MRF File010211551_st-mary-_s-regional-medical-center_standardcharges.csv

Publication / Vintage4/1/2026 · 5.38 MB

Validated Rate Rows32 (CMS v3.0.0)

File Integrity Digestc31a8ff60c91fba33a85…

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