Closed tx humerus fx without manip 23600 at Waldo County General Hospital
118 Northport Ave, Belfast, ME · MaineHealth · · NPI 1841397932
$604.60
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
?
What you pay up front if you don't use insurance.
$604.60
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
?
The hospital's undiscounted list price — almost no one pays this.
$309.12 with Aetna vs $680.51 with Community Health Options — same scan, same building. Share
Negotiated rates by payer
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Aetna | MHACO Government | $309.12 | ↓ -49% |
| Anthem | Medicare Advantage | $309.12 | ↓ -49% |
| Humana | Medicare Advantage | $355.49 | ↓ -41% |
| Aetna | Medicare Advantage | $355.49 | ↓ -41% |
| United Healthcare | Medicare Advantage | $355.49 | ↓ -41% |
| Wellcare | Medicare Advantage | $369.71 | ↓ -39% |
| Aetna | HMO/PPO | $410.83 | ↓ -32% |
| Anthem | HMO/POS/PPO Pathway Enhanced | $557.10 | ↓ -8% |
| Multiplan | Commercial | $578.93 | ↓ -4% |
| United Healthcare | Commercial | $609.40 | ↑ +1% |
| Cigna | Commercial | $619.66 | ↑ +2% |
| Aetna | MHACO Commercial | $659.44 | ↑ +9% |
| Harvard Pilgrim Healthcare | Maine's Choice | $671.38 | ↑ +11% |
| Harvard Pilgrim Healthcare | Commercial | $671.38 | ↑ +11% |
| Community Health Options | Commercial | $680.51 | ↑ +13% |
Visitor-reported prices
Comments
Closed tx humerus fx without manip 23600 at other Maine hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Stephens Memorial Hospital | Norway | $175.25 | $68.35 – $166.49 |
| Pen Bay Medical Center | Rockport | $2,226.95 | $232.17 – $380.56 |
| Franklin Memorial Hospital | Farmington | not published | $225.09 – $680.51 |
| Lincoln Health | Damariscotta | not published | $309.12 – $680.51 |
| Spring Harbor Hospital | Westbrook | not published | $232.17 – $671.70 |
| Mid Coast Hospital | Brunswick | not published | $234.27 – $680.51 |