Ip/obs cnsltj new/est mod 60 at Waldo County General Hospital
118 Northport Ave, Belfast, ME · MaineHealth · · NPI 1841397932
$363.10
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.
$363.10
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.
$136.32 with Anthem vs $340.73 with Anthem — 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 |
|---|---|---|---|
| Anthem | Medicare Advantage | $136.32 | ↓ -62% |
| Aetna | MHACO Government | $136.32 | ↓ -62% |
| Aetna | Medicare Advantage | $156.77 | ↓ -57% |
| Humana | Medicare Advantage | $156.77 | ↓ -57% |
| United Healthcare | Medicare Advantage | $156.77 | ↓ -57% |
| Wellcare | Medicare Advantage | $163.04 | ↓ -55% |
| Cigna | Commercial | $181.55 | ↓ -50% |
| Aetna | HMO/PPO | $215.26 | ↓ -41% |
| Harvard Pilgrim Healthcare | Commercial | $264.05 | ↓ -27% |
| Harvard Pilgrim Healthcare | Maine's Choice | $264.05 | ↓ -27% |
| Multiplan | Commercial | $272.33 | ↓ -25% |
| Aetna | MHACO Commercial | $274.33 | ↓ -24% |
| Community Health Options | Commercial | $278.57 | ↓ -23% |
| Anthem | HMO/POS/PPO Pathway Enhanced | $340.73 | ↓ -6% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Ip/obs cnsltj new/est mod 60 at other Maine hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Memorial Hospital | Farmington | $284.45 | $136.32 – $278.57 |
| Stephens Memorial Hospital | Norway | $518.45 | $136.32 – $388.84 |
| Lincoln Health | Damariscotta | $381.75 | $136.32 – $340.73 |
| Pen Bay Medical Center | Rockport | $662.70 | $136.32 – $497.03 |
| Mid Coast Hospital | Brunswick | $435.00 | $136.32 – $326.25 |
| Spring Harbor Hospital | Westbrook | not published | $215.26 – $319.28 |