Does Millinocket Regional Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Millinocket Regional Hospital. In a medical emergency, call 911.

Where is Millinocket Regional Hospital?

200 Somerset Street, Millinocket, ME 04462, in Penobscot County, Maine.

What is the phone number of Millinocket Regional Hospital?

(207) 723-5161, as listed by Medicare (CMS).

What is the Medicare star rating of Millinocket Regional Hospital?

CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Millinocket Regional Hospital

Quick answers

Does Millinocket Regional Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Millinocket Regional Hospital. In a medical emergency, call 911.
Where is Millinocket Regional Hospital?: 200 Somerset Street, Millinocket, ME 04462, in Penobscot County, Maine.
What is the phone number of Millinocket Regional Hospital?: (207) 723-5161, as listed by Medicare (CMS).
What is the Medicare star rating of Millinocket Regional Hospital?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^{[5][11][12][13]}

Conditions treated^{[5][11][15][17]}

Treatments^{[5][11][12][17]}

Physical Therapy
Occupational Therapy
Infusions and Injections
Diagnostic Imaging/Radiology
Chemotherapy
Blood transfusions
Intravenous immunoglobulin (IVIG)
Hydration
Central line maintenance
X-ray guided pain injections
Nerve blocks and epidural pain management
Sedation for endoscopy
Insulin adjustment and pump training
Continuous glucose monitoring
Nebulizer treatments
Non-invasive ventilation
Smoking cessation

Procedures^{[12][13][14][15]}

Colonoscopy
Upper endoscopy (EGD)
Laparoscopic cholecystectomy
Hernia repair
Colectomy
Mastectomy
Lumpectomy
Breast biopsy
Lesion removal
Knee arthroscopy
Joint replacement
Hand surgery (carpal tunnel, trigger finger)
Fracture surgery (ankle, wrist, hip)
Fracture casting and splinting
Digital 3D mammography
MRI
CT
Ultrasound
Nuclear medicine cardiac studies
DEXA bone density
EKG
Holter monitoring
Stress tests
Pulmonary function testing
Take-home sleep studies
Ambulatory blood pressure monitoring

Programs and centers^[5][10][11]

Diabetes Education
Smoking Cessation
Swing Bed Services
Walk-In Care
Critical Care Transport
Cancer Care clinic
Occupational Therapy
Physical Therapy
Sexual assault nurse examiner response in the Emergency Department

Emergency care (hospital website)^[5][8][10]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	Visiting hours 7 a.m.-7 p.m.; up to two visitors at a time^[6]
Patient portal	Meditech Patient Portal

Recognition^[13]

American College of Radiology accredited mammography department (first in Maine)

Doctors and clinicians (75)

75 doctors and other clinicians list Millinocket Regional Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 51 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Penobscot Valley Hospital23 mi · Lincoln, ME · Critical Access Hospital
Northern Light Mayo Hospital41 mi · Dover Foxcroft, ME · Critical Access Hospital
Northern Light C A Dean Hospital45 mi · Greenville, ME · Critical Access Hospital
Houlton Regional Hospital53 mi · Houlton, ME · Critical Access Hospital
St Joseph Hospital58 mi · Bangor, ME · Acute Care Hospital

Other hospitals nearby

Northern Light Acadia Hospital58 mi · Bangor, ME · Psychiatric Hospital

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

Katahdin Health Care LLC1.0 mi · Millinocket, ME · 5 of 5 stars

All nursing homes in the state →

Dialysis facilities

DaVita Lincoln Lakes Regional Dialysis17 mi · Lincoln, ME · 3 of 5 stars

All dialysis facilities in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Katahdin Valley Health Center Millinocket0.4 mi · Millinocket, ME · Community health center
Katahdin Nursing Home1.0 mi · Millinocket, ME · Community health center
Han Medway9.6 mi · Medway, ME · Community health center

Clinics and urgent care

Penobscot Valley Hospital17 mi · Lincoln, ME · Rural health clinic

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Millinocket Regional Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics)	Not reported to Medicare
Overall rating of the hospital	Not reported to Medicare
Would recommend the hospital	Not reported to Medicare
Nurses communicated well	Not reported to Medicare
Doctors communicated well	Not reported to Medicare
Staff explained medicines	Not reported to Medicare
Information about recovery at home	Not reported to Medicare
Room and bathroom kept clean	Not reported to Medicare
Quiet at night	Not reported to Medicare
Rated the hospital 9 or 10 out of 10	82%National average: 72%
Would definitely recommend the hospital	73%National average: 71%
Nurses “always” communicated well	93%National average: 80%
Doctors “always” communicated well	89%National average: 80%
Staff “always” explained medicines before giving them	81%National average: 62%
Were given information about recovery at home	88%National average: 86%
Room and bathroom “always” clean	84%National average: 74%
Area around the room “always” quiet at night	66%National average: 60%
Completed surveys	79Response rate: 32%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	Not reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients	13.9%
Deaths within 30 days: heart failure patients	Too few cases to report
Deaths within 30 days: pneumonia patients	Too few cases to report
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	Too few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Not reported to Medicare
Complications after hip or knee replacement	Too few cases to report

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Too few cases to report
Readmitted within 30 days: heart failure	Too few cases to report
Readmitted within 30 days: pneumonia	16.4%
Readmitted within 30 days: COPD	20.3%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Too few cases to report

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Average (median) time patients spent in the emergency room before leaving (OP-18b)	Not reported to Medicare
Patients who left the emergency room before being seen (OP-22)	Not reported to Medicare
Sepsis patients who got all the recommended early care (SEP-1)	Not reported to Medicare

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in Maine

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 60 common services exactly as Millinocket Regional Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: OFFICE VISIT-NEW DETAILED	$279	$251.10	$120.30 – $250.51
New patient office visit (about 30–44 minutes): rates for 6 insurance plans Aetna — Default: $248.31 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $122.76 Harvard Pilgrim HealthCare — All Plans: $250.51 Humana Advantage Care Plans Med Advantage — Default: $121.50 Medicare A ME JK — Default: $120.30 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $120.30
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: OFF/OP CONSLT NEW/EST PT LOW	$326	$293.40	$140.57 – $292.72
New patient office visit (about 30–44 minutes): rates for 6 insurance plans Aetna — Default: $290.14 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $143.44 Harvard Pilgrim HealthCare — All Plans: $292.72 Humana Advantage Care Plans Med Advantage — Default: $141.98 Medicare A ME JK — Default: $140.57 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $140.57
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: DRESSING CHANGE NEW PT COMPLEX	$145	$130.50	$62.52 – $134.27
New patient office visit (about 45–59 minutes): rates for 8 insurance plans Aetna — Default: $129.05 Blue Cross Blue Shield of ME Anthem — All Plans: $128.60 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $63.80 Cigna — All Plans: $134.27 Harvard Pilgrim HealthCare — All Plans: $130.20 Humana Advantage Care Plans Med Advantage — Default: $63.15 Medicare A ME JK — Default: $62.52 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $62.52
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OFFICE VISIT-NEW COMPREHENSIVE	$362	$325.80	$156.09 – $325.04
New patient office visit (about 45–59 minutes): rates for 6 insurance plans Aetna — Default: $322.18 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $159.28 Harvard Pilgrim HealthCare — All Plans: $325.04 Humana Advantage Care Plans Med Advantage — Default: $157.65 Medicare A ME JK — Default: $156.09 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $156.09
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OFF/OP CONSLT NEW/EST PT MOD	$447	$402.30	$192.75 – $401.36
New patient office visit (about 45–59 minutes): rates for 6 insurance plans Aetna — Default: $397.83 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $196.68 Harvard Pilgrim HealthCare — All Plans: $401.36 Humana Advantage Care Plans Med Advantage — Default: $194.68 Medicare A ME JK — Default: $192.75 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $192.75
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: TELEHLTH OV-NEW HIGH	$416	$374.40	$172.73 – $385.22
New patient office visit (about 60–74 minutes): rates for 7 insurance plans Aetna — Default: $370.24 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $176.26 Cigna — All Plans: $385.22 Harvard Pilgrim HealthCare — All Plans: $373.53 Humana Advantage Care Plans Med Advantage — Default: $174.46 Medicare A ME JK — Default: $172.73 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $172.73
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OFFICE VISIT-NEW HIGH	$452	$406.80	$194.90 – $405.85
New patient office visit (about 60–74 minutes): rates for 6 insurance plans Aetna — Default: $402.28 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $198.88 Harvard Pilgrim HealthCare — All Plans: $405.85 Humana Advantage Care Plans Med Advantage — Default: $196.85 Medicare A ME JK — Default: $194.90 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $194.90
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OFF/OP CONSLT NEW/EST PT HIGH	$546	$491.40	$235.44 – $490.25
New patient office visit (about 60–74 minutes): rates for 6 insurance plans Aetna — Default: $485.94 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $240.24 Harvard Pilgrim HealthCare — All Plans: $490.25 Humana Advantage Care Plans Med Advantage — Default: $237.79 Medicare A ME JK — Default: $235.44 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $235.44
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: EST PT INTERMEDIATE	$74	$66.60	$31.91 – $68.52
Established patient office visit (about 20–29 minutes): rates for 8 insurance plans Aetna — Default: $65.86 Blue Cross Blue Shield of ME Anthem — All Plans: $65.63 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $32.56 Cigna — All Plans: $68.52 Harvard Pilgrim HealthCare — All Plans: $66.44 Humana Advantage Care Plans Med Advantage — Default: $32.23 Medicare A ME JK — Default: $31.91 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $31.91
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: DRSSG CHANGE EST PT INTRMD W/P	$74	$66.60	$31.91 – $68.52
Established patient office visit (about 20–29 minutes): rates for 8 insurance plans Aetna — Default: $65.86 Blue Cross Blue Shield of ME Anthem — All Plans: $65.63 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $32.56 Cigna — All Plans: $68.52 Harvard Pilgrim HealthCare — All Plans: $66.44 Humana Advantage Care Plans Med Advantage — Default: $32.23 Medicare A ME JK — Default: $31.91 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $31.91
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: TELEHLTH OV-EST DETAILED	$110	$99	$62.47 – $101.86
Established patient office visit (about 20–29 minutes): rates for 7 insurance plans Aetna — Default: $97.90 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $63.74 Cigna — All Plans: $101.86 Harvard Pilgrim HealthCare — All Plans: $98.77 Humana Advantage Care Plans Med Advantage — Default: $63.09 Medicare A ME JK — Default: $62.47 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $62.47
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: REMOVAL GASTROSTOMY TUBE	$314	$282.60	$135.40 – $290.76
Established patient office visit (about 30–39 minutes): rates for 8 insurance plans Aetna — Default: $279.46 Blue Cross Blue Shield of ME Anthem — All Plans: $278.49 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $138.16 Cigna — All Plans: $290.76 Harvard Pilgrim HealthCare — All Plans: $281.94 Humana Advantage Care Plans Med Advantage — Default: $136.75 Medicare A ME JK — Default: $135.40 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $135.40
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: INSULIN PUMP RECHECK	$154	$138.60	$66.40 – $142.60
Established patient office visit (about 30–39 minutes): rates for 8 insurance plans Aetna — Default: $137.06 Blue Cross Blue Shield of ME Anthem — All Plans: $136.58 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $67.76 Cigna — All Plans: $142.60 Harvard Pilgrim HealthCare — All Plans: $138.28 Humana Advantage Care Plans Med Advantage — Default: $67.06 Medicare A ME JK — Default: $66.40 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $66.40
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: EST PT EXTENDED	$102	$91.80	$43.98 – $94.45
Established patient office visit (about 30–39 minutes): rates for 8 insurance plans Aetna — Default: $90.78 Blue Cross Blue Shield of ME Anthem — All Plans: $90.46 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $44.88 Cigna — All Plans: $94.45 Harvard Pilgrim HealthCare — All Plans: $91.59 Humana Advantage Care Plans Med Advantage — Default: $44.42 Medicare A ME JK — Default: $43.98 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $43.98
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient In the file: OFF/OP CONSLT NEW/EST PT LOW	$299	$269.10	$266.11 – $276.87
Office consultation with a specialist (moderate): rates for 3 insurance plans Aetna — Default: $266.11 Cigna — All Plans: $276.87 Harvard Pilgrim HealthCare — All Plans: $268.47
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient In the file: OFF/OP CONSLT NEW/EST PT MOD	$447	$402.30	$397.83 – $413.92
Office consultation with a specialist (moderate to high): rates for 3 insurance plans Aetna — Default: $397.83 Cigna — All Plans: $413.92 Harvard Pilgrim HealthCare — All Plans: $401.36
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: NEW PV 18-39 YRS	$241	$216.90	$103.92 – $216.39
Preventive checkup, new patient, age 18–39: rates for 6 insurance plans Aetna — Default: $214.49 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $106.04 Harvard Pilgrim HealthCare — All Plans: $216.39 Humana Advantage Care Plans Med Advantage — Default: $104.96 Medicare A ME JK — Default: $103.92 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $103.92
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: NEW PV 40-64 YEARS	$270	$243	$116.42 – $242.43
Preventive checkup, new patient, age 40–64: rates for 6 insurance plans Aetna — Default: $240.30 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $118.80 Harvard Pilgrim HealthCare — All Plans: $242.43 Humana Advantage Care Plans Med Advantage — Default: $117.58 Medicare A ME JK — Default: $116.42 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $116.42
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: ER LEVEL III	$735	$661.50	$316.93 – $735
Emergency room visit (moderate): rates for 8 insurance plans Aetna — Default: $654.15 Blue Cross Blue Shield of ME Anthem — All Plans: $735 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $323.40 Cigna — All Plans: $680.61 Harvard Pilgrim HealthCare — All Plans: $659.96 Humana Advantage Care Plans Med Advantage — Default: $320.10 Medicare A ME JK — Default: $316.93 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $316.93
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ER VISIT MODERATE COMPLEXITY	$364	$327.60	$74.61 – $337.06
Emergency room visit (moderate): rates for 7 insurance plans Aetna — Default: $323.96 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $76.13 Cigna — All Plans: $337.06 Harvard Pilgrim HealthCare — All Plans: $86.97 Humana Advantage Care Plans Med Advantage — Default: $75.36 Medicare A ME JK — Default: $74.61 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $74.61
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: PA LIMITED-LEVEL3	$364	$327.60	$74.61 – $337.06
Emergency room visit (moderate): rates for 7 insurance plans Aetna — Default: $323.96 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $76.13 Cigna — All Plans: $337.06 Harvard Pilgrim HealthCare — All Plans: $86.97 Humana Advantage Care Plans Med Advantage — Default: $75.36 Medicare A ME JK — Default: $74.61 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $74.61
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: ER LEVEL IV	$1,254	$1,128.60	$540.72 – $1,254
Emergency room visit (moderately high): rates for 8 insurance plans Aetna — Default: $1,116.06 Blue Cross Blue Shield of ME Anthem — All Plans: $1,254 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $551.76 Cigna — All Plans: $1,161.20 Harvard Pilgrim HealthCare — All Plans: $1,125.97 Humana Advantage Care Plans Med Advantage — Default: $546.13 Medicare A ME JK — Default: $540.72 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $540.72
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ER VISIT DETAILED	$453	$407.70	$126.92 – $419.48
Emergency room visit (moderately high): rates for 7 insurance plans Aetna — Default: $403.17 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $129.51 Cigna — All Plans: $419.48 Harvard Pilgrim HealthCare — All Plans: $148.39 Humana Advantage Care Plans Med Advantage — Default: $128.19 Medicare A ME JK — Default: $126.92 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $126.92
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: PA INTERMEDIATE-LEVEL 4	$453	$407.70	$126.92 – $419.48
Emergency room visit (moderately high): rates for 7 insurance plans Aetna — Default: $403.17 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $129.51 Cigna — All Plans: $419.48 Harvard Pilgrim HealthCare — All Plans: $148.39 Humana Advantage Care Plans Med Advantage — Default: $128.19 Medicare A ME JK — Default: $126.92 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $126.92
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: ER LEVEL V	$1,458	$1,312.20	$628.69 – $1,458
Emergency room visit (high): rates for 8 insurance plans Aetna — Default: $1,297.62 Blue Cross Blue Shield of ME Anthem — All Plans: $1,458 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $641.52 Cigna — All Plans: $1,350.11 Harvard Pilgrim HealthCare — All Plans: $1,309.14 Humana Advantage Care Plans Med Advantage — Default: $634.98 Medicare A ME JK — Default: $628.69 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $628.69
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ER VISIT COMPREHENSIVE	$541	$486.90	$184.32 – $500.97
Emergency room visit (high): rates for 7 insurance plans Aetna — Default: $481.49 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $188.08 Cigna — All Plans: $500.97 Harvard Pilgrim HealthCare — All Plans: $215.17 Humana Advantage Care Plans Med Advantage — Default: $186.16 Medicare A ME JK — Default: $184.32 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $184.32
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: PA EXTENDED-LEVEL 5	$541	$486.90	$184.32 – $500.97
Emergency room visit (high): rates for 7 insurance plans Aetna — Default: $481.49 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $188.08 Cigna — All Plans: $500.97 Harvard Pilgrim HealthCare — All Plans: $215.17 Humana Advantage Care Plans Med Advantage — Default: $186.16 Medicare A ME JK — Default: $184.32 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $184.32

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BASIC METABOLIC PANEL	$108	$97.20	$46.57 – $100.01
Basic metabolic panel (blood test): rates for 8 insurance plans Aetna — Default: $96.12 Blue Cross Blue Shield of ME Anthem — All Plans: $68.85 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $47.52 Cigna — All Plans: $100.01 Harvard Pilgrim HealthCare — All Plans: $96.97 Humana Advantage Care Plans Med Advantage — Default: $47.04 Medicare A ME JK — Default: $46.57 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $46.57
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMPREHENSIVE METABOLIC PANEL	$187	$168.30	$80.63 – $173.16
Comprehensive metabolic panel (blood test): rates for 8 insurance plans Aetna — Default: $166.43 Blue Cross Blue Shield of ME Anthem — All Plans: $86.01 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $82.28 Cigna — All Plans: $173.16 Harvard Pilgrim HealthCare — All Plans: $167.91 Humana Advantage Care Plans Med Advantage — Default: $81.44 Medicare A ME JK — Default: $80.63 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $80.63
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PANEL	$94	$84.60	$40.53 – $94
Cholesterol panel (lipid panel): rates for 8 insurance plans Aetna — Default: $83.66 Blue Cross Blue Shield of ME Anthem — All Plans: $94 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $41.36 Cigna — All Plans: $87.04 Harvard Pilgrim HealthCare — All Plans: $84.40 Humana Advantage Care Plans Med Advantage — Default: $40.94 Medicare A ME JK — Default: $40.53 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $40.53
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENAL FUNCTION PANEL	$122	$109.80	$52.61 – $112.97
Kidney function panel: rates for 8 insurance plans Aetna — Default: $108.58 Blue Cross Blue Shield of ME Anthem — All Plans: $70.63 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $53.68 Cigna — All Plans: $112.97 Harvard Pilgrim HealthCare — All Plans: $109.54 Humana Advantage Care Plans Med Advantage — Default: $53.14 Medicare A ME JK — Default: $52.61 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $52.61
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HEPATIC FUNCTION PANEL	$101	$90.90	$43.55 – $93.53
Liver function panel: rates for 8 insurance plans Aetna — Default: $89.89 Blue Cross Blue Shield of ME Anthem — All Plans: $66.45 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $44.44 Cigna — All Plans: $93.53 Harvard Pilgrim HealthCare — All Plans: $90.69 Humana Advantage Care Plans Med Advantage — Default: $43.99 Medicare A ME JK — Default: $43.55 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $43.55
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: Urinalysis w/ Microscopic	$36	$32.40	$15.52 – $33.34
Urine test (automated, with microscope): rates for 8 insurance plans Aetna — Default: $32.04 Blue Cross Blue Shield of ME Anthem — All Plans: $25.79 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $15.84 Cigna — All Plans: $33.34 Harvard Pilgrim HealthCare — All Plans: $32.32 Humana Advantage Care Plans Med Advantage — Default: $15.68 Medicare A ME JK — Default: $15.52 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $15.52
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: SPECIFIC GRAVITY	$17	$15.30	$7.33 – $17
Urine test (manual, without microscope): rates for 8 insurance plans Aetna — Default: $15.13 Blue Cross Blue Shield of ME Anthem — All Plans: $17 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $7.48 Cigna — All Plans: $15.74 Harvard Pilgrim HealthCare — All Plans: $15.26 Humana Advantage Care Plans Med Advantage — Default: $7.40 Medicare A ME JK — Default: $7.33 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $7.33
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: UA AUTOMATED WO MICROSCOPY	$23	$20.70	$9.92 – $21.30
Urine test (automated, without microscope): rates for 8 insurance plans Aetna — Default: $20.47 Blue Cross Blue Shield of ME Anthem — All Plans: $18.27 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $10.12 Cigna — All Plans: $21.30 Harvard Pilgrim HealthCare — All Plans: $20.65 Humana Advantage Care Plans Med Advantage — Default: $10.02 Medicare A ME JK — Default: $9.92 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $9.92
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: Urine Screen	$23	$20.70	$9.92 – $21.30
Urine test (automated, without microscope): rates for 8 insurance plans Aetna — Default: $20.47 Blue Cross Blue Shield of ME Anthem — All Plans: $18.27 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $10.12 Cigna — All Plans: $21.30 Harvard Pilgrim HealthCare — All Plans: $20.65 Humana Advantage Care Plans Med Advantage — Default: $10.02 Medicare A ME JK — Default: $9.92 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $9.92
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: Urinalysis w/o Microscopic	$23	$20.70	$9.92 – $21.30
Urine test (automated, without microscope): rates for 8 insurance plans Aetna — Default: $20.47 Blue Cross Blue Shield of ME Anthem — All Plans: $18.27 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $10.12 Cigna — All Plans: $21.30 Harvard Pilgrim HealthCare — All Plans: $20.65 Humana Advantage Care Plans Med Advantage — Default: $10.02 Medicare A ME JK — Default: $9.92 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $9.92
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA DIAGNOSTIC	$78	$70.20	$33.63 – $78
PSA (prostate specific antigen) blood test: rates for 8 insurance plans Aetna — Default: $69.42 Blue Cross Blue Shield of ME Anthem — All Plans: $78 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $34.32 Cigna — All Plans: $72.23 Harvard Pilgrim HealthCare — All Plans: $70.04 Humana Advantage Care Plans Med Advantage — Default: $33.97 Medicare A ME JK — Default: $33.63 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $33.63
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA REFLEX T0 FREE	$98	$88.20	$42.26 – $98
PSA (prostate specific antigen) blood test: rates for 8 insurance plans Aetna — Default: $87.22 Blue Cross Blue Shield of ME Anthem — All Plans: $98 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $43.12 Cigna — All Plans: $90.75 Harvard Pilgrim HealthCare — All Plans: $87.99 Humana Advantage Care Plans Med Advantage — Default: $42.68 Medicare A ME JK — Default: $42.26 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $42.26
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA, REFLEX TO FREE PSA	$82	$73.80	$35.36 – $82
PSA (prostate specific antigen) blood test: rates for 8 insurance plans Aetna — Default: $72.98 Blue Cross Blue Shield of ME Anthem — All Plans: $82 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $36.08 Cigna — All Plans: $75.93 Harvard Pilgrim HealthCare — All Plans: $73.63 Humana Advantage Care Plans Med Advantage — Default: $35.71 Medicare A ME JK — Default: $35.36 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $35.36
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: TSH	$78	$70.20	$33.63 – $78
Thyroid stimulating hormone (TSH) test: rates for 8 insurance plans Aetna — Default: $69.42 Blue Cross Blue Shield of ME Anthem — All Plans: $78 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $34.32 Cigna — All Plans: $72.23 Harvard Pilgrim HealthCare — All Plans: $70.04 Humana Advantage Care Plans Med Advantage — Default: $33.97 Medicare A ME JK — Default: $33.63 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $33.63
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: REFLEX TSH	$78	$70.20	$33.63 – $78
Thyroid stimulating hormone (TSH) test: rates for 8 insurance plans Aetna — Default: $69.42 Blue Cross Blue Shield of ME Anthem — All Plans: $78 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $34.32 Cigna — All Plans: $72.23 Harvard Pilgrim HealthCare — All Plans: $70.04 Humana Advantage Care Plans Med Advantage — Default: $33.97 Medicare A ME JK — Default: $33.63 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $33.63
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC - AUTO DIFF	$62	$55.80	$26.73 – $62
Complete blood count (CBC) with differential: rates for 8 insurance plans Aetna — Default: $55.18 Blue Cross Blue Shield of ME Anthem — All Plans: $62 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $27.28 Cigna — All Plans: $57.41 Harvard Pilgrim HealthCare — All Plans: $55.67 Humana Advantage Care Plans Med Advantage — Default: $27 Medicare A ME JK — Default: $26.73 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $26.73
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PROTHROMBIN TIME / INR	$42	$37.80	$18.11 – $38.89
Blood clotting time test (prothrombin time, PT): rates for 8 insurance plans Aetna — Default: $37.38 Blue Cross Blue Shield of ME Anthem — All Plans: $31.97 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $18.48 Cigna — All Plans: $38.89 Harvard Pilgrim HealthCare — All Plans: $37.71 Humana Advantage Care Plans Med Advantage — Default: $18.29 Medicare A ME JK — Default: $18.11 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $18.11
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTHROMBIN TIME/INR	$42	$37.80	$18.11 – $38.89
Blood clotting time test (prothrombin time, PT): rates for 8 insurance plans Aetna — Default: $37.38 Blue Cross Blue Shield of ME Anthem — All Plans: $31.97 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $18.48 Cigna — All Plans: $38.89 Harvard Pilgrim HealthCare — All Plans: $37.71 Humana Advantage Care Plans Med Advantage — Default: $18.29 Medicare A ME JK — Default: $18.11 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $18.11
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: PTT	$62	$55.80	$26.73 – $57.41
Blood clotting test (partial thromboplastin time, PTT): rates for 8 insurance plans Aetna — Default: $55.18 Blue Cross Blue Shield of ME Anthem — All Plans: $48.80 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $27.28 Cigna — All Plans: $57.41 Harvard Pilgrim HealthCare — All Plans: $55.67 Humana Advantage Care Plans Med Advantage — Default: $27 Medicare A ME JK — Default: $26.73 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $26.73

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT HEAD W/O CONTRAST	$1,350	$1,215	$582.12 – $1,250.10
CT scan of the head or brain, without contrast: rates for 8 insurance plans Aetna — Default: $1,201.50 Blue Cross Blue Shield of ME Anthem — All Plans: $1,059.11 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $594 Cigna — All Plans: $1,250.10 Harvard Pilgrim HealthCare — All Plans: $1,212.16 Humana Advantage Care Plans Med Advantage — Default: $587.94 Medicare A ME JK — Default: $582.12 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $582.12
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI HEAD W&W/O CONTRAST	$2,324	$2,091.60	$1,002.11 – $2,324
MRI of the brain, before and after contrast: rates for 8 insurance plans Aetna — Default: $2,068.36 Blue Cross Blue Shield of ME Anthem — All Plans: $2,324 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $1,022.56 Cigna — All Plans: $2,152.02 Harvard Pilgrim HealthCare — All Plans: $2,086.72 Humana Advantage Care Plans Med Advantage — Default: $1,012.13 Medicare A ME JK — Default: $1,002.11 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $1,002.11
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: CHEST DECUBITUS 2V	$272	$244.80	$117.29 – $251.87
Chest X-ray, 2 views: rates for 8 insurance plans Aetna — Default: $242.08 Blue Cross Blue Shield of ME Anthem — All Plans: $119.89 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $119.68 Cigna — All Plans: $251.87 Harvard Pilgrim HealthCare — All Plans: $244.23 Humana Advantage Care Plans Med Advantage — Default: $118.46 Medicare A ME JK — Default: $117.29 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $117.29
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: CHEST, TWO VIEWS	$272	$244.80	$117.29 – $251.87
Chest X-ray, 2 views: rates for 8 insurance plans Aetna — Default: $242.08 Blue Cross Blue Shield of ME Anthem — All Plans: $119.89 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $119.68 Cigna — All Plans: $251.87 Harvard Pilgrim HealthCare — All Plans: $244.23 Humana Advantage Care Plans Med Advantage — Default: $118.46 Medicare A ME JK — Default: $117.29 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $117.29
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: LUMBAR SPINE, MIN 4V	$612	$550.80	$229.30 – $566.71
X-ray of the lower spine, at least 4 views: rates for 8 insurance plans Aetna — Default: $544.68 Blue Cross Blue Shield of ME Anthem — All Plans: $229.30 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $269.28 Cigna — All Plans: $566.71 Harvard Pilgrim HealthCare — All Plans: $549.51 Humana Advantage Care Plans Med Advantage — Default: $266.53 Medicare A ME JK — Default: $263.89 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $263.89
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI LUMBAR SPINE W/O CONTRAST	$1,650	$1,485	$711.48 – $1,650
MRI of the lower back (lumbar spine), without contrast: rates for 8 insurance plans Aetna — Default: $1,468.50 Blue Cross Blue Shield of ME Anthem — All Plans: $1,650 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $726 Cigna — All Plans: $1,527.90 Harvard Pilgrim HealthCare — All Plans: $1,481.54 Humana Advantage Care Plans Med Advantage — Default: $718.59 Medicare A ME JK — Default: $711.48 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $711.48
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT PELVIS W/ CONTRAST	$2,152	$1,936.80	$927.94 – $1,992.75
CT scan of the pelvis, with contrast: rates for 8 insurance plans Aetna — Default: $1,915.28 Blue Cross Blue Shield of ME Anthem — All Plans: $1,607.25 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $946.88 Cigna — All Plans: $1,992.75 Harvard Pilgrim HealthCare — All Plans: $1,932.28 Humana Advantage Care Plans Med Advantage — Default: $937.22 Medicare A ME JK — Default: $927.94 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $927.94
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: MRI RT LE JOINT W/O CONTRAST	$1,814	$1,632.60	$782.20 – $1,814
MRI of a leg joint (such as the knee), without contrast: rates for 8 insurance plans Aetna — Default: $1,614.46 Blue Cross Blue Shield of ME Anthem — All Plans: $1,814 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $798.16 Cigna — All Plans: $1,679.76 Harvard Pilgrim HealthCare — All Plans: $1,628.79 Humana Advantage Care Plans Med Advantage — Default: $790.02 Medicare A ME JK — Default: $782.20 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $782.20
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: MRI LT LE JOINT W/O CONTRAST	$1,814	$1,632.60	$782.20 – $1,814
MRI of a leg joint (such as the knee), without contrast: rates for 8 insurance plans Aetna — Default: $1,614.46 Blue Cross Blue Shield of ME Anthem — All Plans: $1,814 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $798.16 Cigna — All Plans: $1,679.76 Harvard Pilgrim HealthCare — All Plans: $1,628.79 Humana Advantage Care Plans Med Advantage — Default: $790.02 Medicare A ME JK — Default: $782.20 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $782.20
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT Abd/Pel with cont	$2,992	$2,692.80	$1,290.15 – $2,770.59
CT scan of the abdomen and pelvis, with contrast: rates for 8 insurance plans Aetna — Default: $2,662.88 Blue Cross Blue Shield of ME Anthem — All Plans: $1,615.97 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $1,316.48 Cigna — All Plans: $2,770.59 Harvard Pilgrim HealthCare — All Plans: $2,686.52 Humana Advantage Care Plans Med Advantage — Default: $1,303.05 Medicare A ME JK — Default: $1,290.15 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $1,290.15
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US ABD COMPLETE	$858	$772.20	$369.97 – $794.51
Ultrasound of the abdomen, complete: rates for 8 insurance plans Aetna — Default: $763.62 Blue Cross Blue Shield of ME Anthem — All Plans: $574.30 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $377.52 Cigna — All Plans: $794.51 Harvard Pilgrim HealthCare — All Plans: $770.40 Humana Advantage Care Plans Med Advantage — Default: $373.67 Medicare A ME JK — Default: $369.97 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $369.97
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: US PELVIS TRANSVAGINAL	$563	$506.70	$242.77 – $521.34
Transvaginal ultrasound: rates for 8 insurance plans Aetna — Default: $501.07 Blue Cross Blue Shield of ME Anthem — All Plans: $513.20 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $247.72 Cigna — All Plans: $521.34 Harvard Pilgrim HealthCare — All Plans: $505.52 Humana Advantage Care Plans Med Advantage — Default: $245.20 Medicare A ME JK — Default: $242.77 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $242.77
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: UNI DIAG MAMMO RT	$751	$675.90	$323.83 – $695.43
Diagnostic mammogram, one breast: rates for 8 insurance plans Aetna — Default: $668.39 Blue Cross Blue Shield of ME Anthem — All Plans: $575.87 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $330.44 Cigna — All Plans: $695.43 Harvard Pilgrim HealthCare — All Plans: $674.32 Humana Advantage Care Plans Med Advantage — Default: $327.07 Medicare A ME JK — Default: $323.83 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $323.83
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: UNI DIAG MAMMO LT	$751	$675.90	$323.83 – $695.43
Diagnostic mammogram, one breast: rates for 8 insurance plans Aetna — Default: $668.39 Blue Cross Blue Shield of ME Anthem — All Plans: $575.87 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $330.44 Cigna — All Plans: $695.43 Harvard Pilgrim HealthCare — All Plans: $674.32 Humana Advantage Care Plans Med Advantage — Default: $327.07 Medicare A ME JK — Default: $323.83 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $323.83
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: MAMMOGRAPHY, BILAT DIAG	$967	$870.30	$416.97 – $895.44
Diagnostic mammogram, both breasts: rates for 8 insurance plans Aetna — Default: $860.63 Blue Cross Blue Shield of ME Anthem — All Plans: $736.63 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $425.48 Cigna — All Plans: $895.44 Harvard Pilgrim HealthCare — All Plans: $868.27 Humana Advantage Care Plans Med Advantage — Default: $421.14 Medicare A ME JK — Default: $416.97 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $416.97
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MAMMOGRAPHY, SCREENING	$399	$359.10	$82.11 – $399
Screening mammogram, both breasts: rates for 8 insurance plans Aetna — Default: $355.11 Blue Cross Blue Shield of ME Anthem — All Plans: $399 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $83.79 Cigna — All Plans: $369.47 Harvard Pilgrim HealthCare — All Plans: $358.26 Humana Advantage Care Plans Med Advantage — Default: $82.93 Medicare A ME JK — Default: $82.11 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $82.11
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MAMMO UNI SCREENING LT	$399	$359.10	$82.11 – $399
Screening mammogram, both breasts: rates for 8 insurance plans Aetna — Default: $355.11 Blue Cross Blue Shield of ME Anthem — All Plans: $399 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $83.79 Cigna — All Plans: $369.47 Harvard Pilgrim HealthCare — All Plans: $358.26 Humana Advantage Care Plans Med Advantage — Default: $82.93 Medicare A ME JK — Default: $82.11 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $82.11
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MAMMO UNI SCREENING RT	$399	$359.10	$82.11 – $399
Screening mammogram, both breasts: rates for 8 insurance plans Aetna — Default: $355.11 Blue Cross Blue Shield of ME Anthem — All Plans: $399 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $83.79 Cigna — All Plans: $369.47 Harvard Pilgrim HealthCare — All Plans: $358.26 Humana Advantage Care Plans Med Advantage — Default: $82.93 Medicare A ME JK — Default: $82.11 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $82.11

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: ECG	$223	$200.70	$96.16 – $206.50
Electrocardiogram (ECG/EKG) with reading: rates for 8 insurance plans Aetna — Default: $198.47 Blue Cross Blue Shield of ME Anthem — All Plans: $197.78 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $98.12 Cigna — All Plans: $206.50 Harvard Pilgrim HealthCare — All Plans: $200.23 Humana Advantage Care Plans Med Advantage — Default: $97.12 Medicare A ME JK — Default: $96.16 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $96.16

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: THERAPEUTIC EXERCISE EA 15 MIN	$127	$114.30	$54.76 – $117.60
Physical therapy: therapeutic exercise (each 15 minutes): rates for 7 insurance plans Aetna — Default: $113.03 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $55.88 Cigna — All Plans: $117.60 Harvard Pilgrim HealthCare — All Plans: $114.03 Humana Advantage Care Plans Med Advantage — Default: $55.31 Medicare A ME JK — Default: $54.76 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $54.76
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: THER EXERCISE EA 15 MIN	$145	$130.50	$62.52 – $134.27
Physical therapy: therapeutic exercise (each 15 minutes): rates for 7 insurance plans Aetna — Default: $129.05 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $63.80 Cigna — All Plans: $134.27 Harvard Pilgrim HealthCare — All Plans: $130.20 Humana Advantage Care Plans Med Advantage — Default: $63.15 Medicare A ME JK — Default: $62.52 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $62.52
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: EVALUATION PHYS THER LOW COMPL	$247	$222.30	$106.51 – $228.72
Physical therapy evaluation (low complexity): rates for 7 insurance plans Aetna — Default: $219.83 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $108.68 Cigna — All Plans: $228.72 Harvard Pilgrim HealthCare — All Plans: $221.78 Humana Advantage Care Plans Med Advantage — Default: $107.58 Medicare A ME JK — Default: $106.51 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $106.51
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: EVALUATION PHYS THER MODERATE	$301	$270.90	$129.79 – $278.73
Physical therapy evaluation (moderate complexity): rates for 7 insurance plans Aetna — Default: $267.89 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $132.44 Cigna — All Plans: $278.73 Harvard Pilgrim HealthCare — All Plans: $270.27 Humana Advantage Care Plans Med Advantage — Default: $131.09 Medicare A ME JK — Default: $129.79 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $129.79
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: EVALUATION PHYS THER HIGH COMP	$357	$321.30	$153.94 – $330.58
Physical therapy evaluation (high complexity): rates for 7 insurance plans Aetna — Default: $317.73 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $157.08 Cigna — All Plans: $330.58 Harvard Pilgrim HealthCare — All Plans: $320.55 Humana Advantage Care Plans Med Advantage — Default: $155.48 Medicare A ME JK — Default: $153.94 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $153.94

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: EXC BREAST MASS/DUCT LESION	$1,408	$1,267.20	$423.96 – $1,303.81
Removal of breast growth (open surgery): rates for 7 insurance plans Aetna — Default: $1,253.12 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $432.61 Cigna — All Plans: $1,303.81 Harvard Pilgrim HealthCare — All Plans: $1,264.24 Humana Advantage Care Plans Med Advantage — Default: $428.20 Medicare A ME JK — Default: $423.96 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $423.96
Total hip replacement CPT 27130 · Inpatient or outpatient In the file: ASSIST ARTHROPLASTY ACETAB/PRO	$1,317	$1,185.30	$1,172.13 – $1,241.78
Total hip replacement: rates for 7 insurance plans Aetna — Default: $1,172.13 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $1,241.78 Cigna — All Plans: $1,219.54 Harvard Pilgrim HealthCare — All Plans: $1,182.53 Humana Advantage Care Plans Med Advantage — Default: $1,229.11 Medicare A ME JK — Default: $1,216.94 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $1,216.94
Total hip replacement CPT 27130 · Inpatient or outpatient In the file: TOTAL HIP ARTHROPLASTY	$3,449	$3,104.10	$1,216.94 – $3,193.77
Total hip replacement: rates for 7 insurance plans Aetna — Default: $3,069.61 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $1,241.78 Cigna — All Plans: $3,193.77 Harvard Pilgrim HealthCare — All Plans: $3,096.86 Humana Advantage Care Plans Med Advantage — Default: $1,229.11 Medicare A ME JK — Default: $1,216.94 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $1,216.94
Total knee replacement CPT 27447 · Inpatient or outpatient In the file: ASSIST ARTHROPLASTY KNEE CONDY	$2,695	$2,425.50	$1,214.51 – $2,495.57
Total knee replacement: rates for 7 insurance plans Aetna — Default: $2,398.55 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $1,239.30 Cigna — All Plans: $2,495.57 Harvard Pilgrim HealthCare — All Plans: $2,419.84 Humana Advantage Care Plans Med Advantage — Default: $1,226.66 Medicare A ME JK — Default: $1,214.51 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $1,214.51
Total knee replacement CPT 27447 · Inpatient or outpatient In the file: ARTHROPLASTY KNEE MED & LAT	$5,926	$5,333.40	$1,214.51 – $5,487.48
Total knee replacement: rates for 7 insurance plans Aetna — Default: $5,274.14 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $1,239.30 Cigna — All Plans: $5,487.48 Harvard Pilgrim HealthCare — All Plans: $5,320.96 Humana Advantage Care Plans Med Advantage — Default: $1,226.66 Medicare A ME JK — Default: $1,214.51 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $1,214.51
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient In the file: ASSIST DECOMPRESS SUBACROMIAL	$659	$593.10	$155.39 – $610.23
Shoulder arthroscopy: shaving of shoulder bone: rates for 7 insurance plans Aetna — Default: $586.51 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $158.56 Cigna — All Plans: $610.23 Harvard Pilgrim HealthCare — All Plans: $591.72 Humana Advantage Care Plans Med Advantage — Default: $156.94 Medicare A ME JK — Default: $155.39 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $155.39
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient In the file: DECOMPRESS SUBACROMIAL SPACE	$3,292	$2,962.80	$155.39 – $3,048.39
Shoulder arthroscopy: shaving of shoulder bone: rates for 7 insurance plans Aetna — Default: $2,929.88 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $158.56 Cigna — All Plans: $3,048.39 Harvard Pilgrim HealthCare — All Plans: $2,955.89 Humana Advantage Care Plans Med Advantage — Default: $156.94 Medicare A ME JK — Default: $155.39 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $155.39
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient In the file: ASSIST ARTHROSCOPY W/MENISC ME	$1,527	$1,374.30	$539.63 – $1,414
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 7 insurance plans Aetna — Default: $1,359.03 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $550.64 Cigna — All Plans: $1,414 Harvard Pilgrim HealthCare — All Plans: $1,371.09 Humana Advantage Care Plans Med Advantage — Default: $545.03 Medicare A ME JK — Default: $539.63 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $539.63
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient In the file: ARTHROSCOPY W/MENISCECT MED/LA	$3,115	$2,803.50	$539.63 – $2,884.49
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 7 insurance plans Aetna — Default: $2,772.35 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $550.64 Cigna — All Plans: $2,884.49 Harvard Pilgrim HealthCare — All Plans: $2,796.96 Humana Advantage Care Plans Med Advantage — Default: $545.03 Medicare A ME JK — Default: $539.63 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $539.63
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: UPPER GASTROINTENSTINAL ENDOSC	$714	$642.60	$118.08 – $661.16
Upper GI endoscopy (diagnostic): rates for 7 insurance plans Aetna — Default: $635.46 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $120.49 Cigna — All Plans: $661.16 Harvard Pilgrim HealthCare — All Plans: $641.10 Humana Advantage Care Plans Med Advantage — Default: $119.26 Medicare A ME JK — Default: $118.08 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $118.08
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: UPPER GI ENDO W/BX	$807	$726.30	$132.13 – $747.28
Upper GI endoscopy with biopsy: rates for 7 insurance plans Aetna — Default: $718.23 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $134.83 Cigna — All Plans: $747.28 Harvard Pilgrim HealthCare — All Plans: $724.61 Humana Advantage Care Plans Med Advantage — Default: $133.45 Medicare A ME JK — Default: $132.13 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $132.13
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: UPPER GI ENDO W/BX	$807	$726.30	$132.13 – $747.28
Upper GI endoscopy with biopsy: rates for 7 insurance plans Aetna — Default: $718.23 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $134.83 Cigna — All Plans: $747.28 Harvard Pilgrim HealthCare — All Plans: $724.61 Humana Advantage Care Plans Med Advantage — Default: $133.45 Medicare A ME JK — Default: $132.13 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $132.13
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: COLONOSCOPY FLEXIBLE	$993	$893.70	$175.71 – $919.52
Colonoscopy (diagnostic): rates for 7 insurance plans Aetna — Default: $883.77 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $179.30 Cigna — All Plans: $919.52 Harvard Pilgrim HealthCare — All Plans: $891.61 Humana Advantage Care Plans Med Advantage — Default: $177.47 Medicare A ME JK — Default: $175.71 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $175.71
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: COLONOSCOPY W BIOPSY	$1,192	$1,072.80	$189.98 – $1,103.79
Colonoscopy with biopsy: rates for 7 insurance plans Aetna — Default: $1,060.88 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $193.86 Cigna — All Plans: $1,103.79 Harvard Pilgrim HealthCare — All Plans: $1,070.30 Humana Advantage Care Plans Med Advantage — Default: $191.88 Medicare A ME JK — Default: $189.98 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $189.98
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: COLONOSCOPY W REMOVAL SNARE	$1,332	$1,198.80	$239.39 – $1,233.43
Colonoscopy with removal of polyps (snare): rates for 7 insurance plans Aetna — Default: $1,185.48 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $244.28 Cigna — All Plans: $1,233.43 Harvard Pilgrim HealthCare — All Plans: $1,196 Humana Advantage Care Plans Med Advantage — Default: $241.78 Medicare A ME JK — Default: $239.39 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $239.39
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: COLORECT SCRN-NOT HI RISK	$993	$893.70	$175.95 – $919.52
Screening colonoscopy (not high risk): rates for 7 insurance plans Aetna — Default: $883.77 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $179.54 Cigna — All Plans: $919.52 Harvard Pilgrim HealthCare — All Plans: $891.61 Humana Advantage Care Plans Med Advantage — Default: $177.71 Medicare A ME JK — Default: $175.95 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $175.95
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPAROSCOPY CHOLE	$2,744	$2,469.60	$656.03 – $2,540.94
Gallbladder removal by laparoscope: rates for 7 insurance plans Aetna — Default: $2,442.16 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $669.42 Cigna — All Plans: $2,540.94 Harvard Pilgrim HealthCare — All Plans: $2,463.84 Humana Advantage Care Plans Med Advantage — Default: $662.59 Medicare A ME JK — Default: $656.03 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $656.03
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: HERNIA INGUINAL >5 YEARS	$1,509	$1,358.10	$527.12 – $1,397.33
Groin (inguinal) hernia repair, age 5 or older: rates for 7 insurance plans Aetna — Default: $1,343.01 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $537.88 Cigna — All Plans: $1,397.33 Harvard Pilgrim HealthCare — All Plans: $1,354.93 Humana Advantage Care Plans Med Advantage — Default: $532.39 Medicare A ME JK — Default: $527.12 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $527.12
Prostate biopsy CPT 55700 · Inpatient or outpatient In the file: US Prostate Biopsy	$1,500	$1,350	$646.80 – $1,389
Prostate biopsy: rates for 8 insurance plans Aetna — Default: $1,335 Blue Cross Blue Shield of ME Anthem — All Plans: $1,330.35 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $660 Cigna — All Plans: $1,389 Harvard Pilgrim HealthCare — All Plans: $1,346.85 Humana Advantage Care Plans Med Advantage — Default: $653.27 Medicare A ME JK — Default: $646.80 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $646.80
Prostate biopsy CPT 55700 · Inpatient or outpatient In the file: BX PROSTATE NEEDLE OR PUNCH	$1,650	$1,485	$133.61 – $1,527.90
Prostate biopsy: rates for 7 insurance plans Aetna — Default: $1,468.50 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $136.34 Cigna — All Plans: $1,527.90 Harvard Pilgrim HealthCare — All Plans: $1,481.54 Humana Advantage Care Plans Med Advantage — Default: $134.95 Medicare A ME JK — Default: $133.61 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $133.61
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: STEROID INJ LUMBAR W/ IMAGING	$280	$252	$95.86 – $259.28
Spinal injection, lower back (epidural), with imaging guidance: rates for 8 insurance plans Aetna — Default: $249.20 Blue Cross Blue Shield of ME Anthem — All Plans: $248.33 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $97.82 Cigna — All Plans: $259.28 Harvard Pilgrim HealthCare — All Plans: $251.41 Humana Advantage Care Plans Med Advantage — Default: $96.82 Medicare A ME JK — Default: $95.86 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $95.86
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: NJX DX/THER SBST INTRLMNR	$600	$540	$258.72 – $555.60
Spinal injection, lower back (epidural), with imaging guidance: rates for 8 insurance plans Aetna — Default: $534 Blue Cross Blue Shield of ME Anthem — All Plans: $532.14 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $264 Cigna — All Plans: $555.60 Harvard Pilgrim HealthCare — All Plans: $538.74 Humana Advantage Care Plans Med Advantage — Default: $261.31 Medicare A ME JK — Default: $258.72 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $258.72
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: NJX DX/THER SBST INTRLMNR LMBR	$298	$268.20	$95.86 – $275.95
Spinal injection, lower back (epidural), with imaging guidance: rates for 7 insurance plans Aetna — Default: $265.22 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $97.82 Cigna — All Plans: $275.95 Harvard Pilgrim HealthCare — All Plans: $267.57 Humana Advantage Care Plans Med Advantage — Default: $96.82 Medicare A ME JK — Default: $95.86 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $95.86
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: NJX ANES&/STRD W/IMG TFRML EDR	$288	$259.20	$106.86 – $266.69
Nerve root injection, lower back, with imaging guidance: rates for 7 insurance plans Aetna — Default: $256.32 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $109.04 Cigna — All Plans: $266.69 Harvard Pilgrim HealthCare — All Plans: $258.60 Humana Advantage Care Plans Med Advantage — Default: $107.93 Medicare A ME JK — Default: $106.86 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $106.86
Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: NEUROPLASTY MEDIAN NERVE CARPA	$1,954	$1,758.60	$442.28 – $1,809.40
Carpal tunnel release: rates for 7 insurance plans Aetna — Default: $1,739.06 Blue Cross Blue Shield of ME Anthem MCR Adv — Medicare Advantage: $451.31 Cigna — All Plans: $1,809.40 Harvard Pilgrim HealthCare — All Plans: $1,754.50 Humana Advantage Care Plans Med Advantage — Default: $446.70 Medicare A ME JK — Default: $442.28 Wellcare Health Plan Inc MCR Adv — Medicare Advantage: $442.28

Source: Millinocket Regional Hospital’s standard charges file (mrhme.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on May 26, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Critical Access Hospital
Address	200 Somerset Street, Millinocket, ME 04462
County	Penobscot County
State	Maine
Phone	(207) 723‑5161
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	201307
Name in Medicare records	MILLINOCKET REGIONAL HOSPITAL
Profile level	Medicare data + hospital website
Official website	mrhme.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

Services — mrhme.org
Visitor Information — mrhme.org
New Main Entrance & Emergency Department — mrhme.org
Millinocket Regional Hospital | MRH secures State approval for new Emergency Department to serve growing needs of Katahd — mrhme.org
Millinocket Regional Hospital | Emergency | Millinocket Regional Hospital — mrhme.org
Millinocket Regional Hospital | Cancer Care | Millinocket Regional Hospital — mrhme.org
Millinocket Regional Hospital | Cardiopulmonary | Millinocket Regional Hospital — mrhme.org
Millinocket Regional Hospital | Diagnostic Imaging/Radiology | Millinocket Regional Hospital — mrhme.org
Millinocket Regional Hospital | General Surgery | Millinocket Regional Hospital — mrhme.org
Millinocket Regional Hospital | Orthopedics | Millinocket Regional Hospital — mrhme.org
Millinocket Regional Hospital | MRH offers insight into changes in service offerings, pain management resumes | Millinoc — mrhme.org