Ph1 assmt&mgmt nqhp 11-20 at Stephens Memorial Hospital
181 Main St, Norway, ME · MaineHealth · · NPI 1346299815
$57.25
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.
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What you pay up front if you don't use insurance.
$57.25
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.
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The hospital's undiscounted list price — almost no one pays this.
$21.80 with Aetna vs $49.60 with Anthem — same scan, same building. Share
Negotiated rates by payer
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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 →
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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 | $21.80 | ↓ -62% |
| Anthem | Medicare Advantage | $21.80 | ↓ -62% |
| Aetna | Medicare Advantage | $25.07 | ↓ -56% |
| Humana | Medicare Advantage | $25.07 | ↓ -56% |
| United Healthcare | Medicare Advantage | $25.07 | ↓ -56% |
| Wellcare | Medicare Advantage | $26.07 | ↓ -54% |
| Aetna | HMO/PPO | $29.32 | ↓ -49% |
| Multiplan | Commercial | $40.53 | ↓ -29% |
| United Healthcare | Commercial | $42.66 | ↓ -25% |
| Cigna | Commercial | $43.18 | ↓ -25% |
| Aetna | MHACO Commercial | $44.14 | ↓ -23% |
| Community Health Options | Commercial | $46.10 | ↓ -19% |
| Harvard Pilgrim Healthcare | Maine's Choice | $46.26 | ↓ -19% |
| Harvard Pilgrim Healthcare | Commercial | $46.26 | ↓ -19% |
| Anthem | HMO/POS/PPO Pathway Enhanced | $49.60 | ↓ -13% |
Visitor-reported prices
Comments
Ph1 assmt&mgmt nqhp 11-20 at other Maine hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Memorial Hospital | Farmington | $66.60 | $21.80 – $46.26 |
| Lincoln Health | Damariscotta | $61.70 | $21.80 – $46.26 |
| Pen Bay Medical Center | Rockport | $95.40 | $21.80 – $46.26 |
| Spring Harbor Hospital | Westbrook | $79.90 | $21.84 – $48.72 |
| Waldo County General Hospital | Belfast | $48.90 | $21.80 – $46.26 |
| Mid Coast Hospital | Brunswick | $71.60 | $21.80 – $46.26 |