Ghs closed tx bimalleolar fracture w/manip at Mid Coast Hospital
123 Medical Center Drive, Brunswick, ME · MaineHealth · · NPI 1932164795
not published by hospital
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.
not published by hospital
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.
$417.01 with Aetna vs $948.28 with Harvard Pilgrim Healthcare — 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 | $417.01 | — |
| United Healthcare | Medicare Advantage | $422.95 | — |
| Anthem | Medicare Advantage | $422.95 | — |
| Aetna | Medicare Advantage | $431.41 | — |
| Humana | Medicare Advantage | $486.39 | — |
| Wellcare | Medicare Advantage | $486.39 | — |
| Aetna | HMO/PPO | $554.93 | — |
| Anthem | HMO/POS/PPO/Pathway Enhanced | $585.59 | — |
| Multiplan | Commercial | $820.55 | — |
| United Healthcare | Commercial | $863.74 | — |
| Cigna | PPO | $871.21 | — |
| Cigna | OAP | $871.21 | — |
| Aetna | MHACO Commercial | $874.54 | — |
| Community Health Options | Commercial | $905.54 | — |
| Harvard Pilgrim Healthcare | Maines Choice | $948.28 | — |
| Harvard Pilgrim Healthcare | Commercial | $948.28 | — |
Visitor-reported prices
Comments
Ghs closed tx bimalleolar fracture w/manip at other Maine hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Memorial Hospital | Farmington | $2,911.75 | $417.01 – $948.28 |
| Stephens Memorial Hospital | Norway | $693.75 | $143.93 – $350.60 |
| Lincoln Health | Damariscotta | $936.70 | $355.95 – $862.98 |
| Pen Bay Medical Center | Rockport | $1,414.45 | $319.43 – $486.39 |
| Waldo County General Hospital | Belfast | $1,016.30 | $408.25 – $905.54 |
| Spring Harbor Hospital | Westbrook | not published | $422.95 – $948.28 |