Drainage of pelvis bursa at Pen Bay Medical Center
6 Glen Cove Dr, Rockport, ME · MaineHealth · · NPI 1982645305
$2,184.50
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.
$2,184.50
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.
$508.77 with Aetna vs $1,378.09 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 | $508.77 | ↓ -77% |
| Anthem | Medicare Advantage | $511.36 | ↓ -77% |
| Aetna | Medicare Advantage | $516.43 | ↓ -76% |
| Wellcare | Medicare Advantage | $521.49 | ↓ -76% |
| Humana | Medicare Advantage | $582.25 | ↓ -73% |
| United Healthcare | Medicare Advantage | $582.25 | ↓ -73% |
| Aetna | HMO/PPO | $679.27 | ↓ -69% |
| Anthem | HMO/POS/PPO/Pathway Enhanced | $808.21 | ↓ -63% |
| Multiplan | Commercial | $988.80 | ↓ -55% |
| United Healthcare | Commercial | $1,040.84 | ↓ -52% |
| Aetna | MHACO Commercial | $1,053.85 | ↓ -52% |
| Community Health Options | Commercial | $1,087.87 | ↓ -50% |
| Cigna | Commercial | $1,290.08 | ↓ -41% |
| Harvard Pilgrim Healthcare | Maines Choice | $1,378.09 | ↓ -37% |
| Harvard Pilgrim Healthcare | Commercial | $1,378.09 | ↓ -37% |
Visitor-reported prices
Comments
Drainage of pelvis bursa at other Maine hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Franklin Memorial Hospital | Farmington | $4,121.80 | $508.77 – $1,290.08 |
| Stephens Memorial Hospital | Norway | $1,671.30 | $326.10 – $794.34 |
| Lincoln Health | Damariscotta | $2,077.25 | $508.77 – $1,378.09 |
| Waldo County General Hospital | Belfast | $1,166.40 | $468.54 – $1,098.75 |
| Spring Harbor Hospital | Westbrook | not published | $506.30 – $1,378.09 |
| Mid Coast Hospital | Brunswick | not published | $506.30 – $1,378.09 |