Emergency Department Visit for Problem That May Not Require Health Care Professi… Cost in Maine
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 27 Maine hospitals. CPT 99281. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
Hospital comparison — Maine
Sorted by cash price (lowest first). Showing top 27 of 27 hospitals.
| Hospital | Cash | Aetna | UHC | Centene | Cigna | Humana | MultiPlan | Medicare | TRICARE |
|---|---|---|---|---|---|---|---|---|---|
| NORTHERN LIGHT A R GOULD HOSPITAL ACADEMY ST. PRESQUE ISLE |
$21.42 | $18.36 | $10.70 | $10.70 | $34.27 | — | — | — | — |
| EASTERN MAINE MEDICAL CENTER STATE ST BANGOR |
$21.42 | $18.36 | $10.70 | $10.70 | $34.27 | — | — | — | — |
| NORTHERN MAINE MEDICAL CENTER FORT KENT |
$30.00 | $23.65 | $23.65 | $23.65 | $41.71 | $23.65 | $40.85 | — | $43.00 |
| NORTHERN LIGHT MERCY HOSPITAL PORTLAND |
$30.42 | $18.36 | $10.90 | $10.90 | $34.27 | — | — | — | — |
| MILLINOCKET REGIONAL HOSPITAL MILLINOCKET |
$30.60 | $30.26 | — | $11.85 | $31.48 | $11.97 | — | $11.85 | — |
| CALAIS COMMUNITY HOSPITAL CALAIS |
$37.00 | $42.00 | $10.00 | $22.00 | $41.00 | $22.00 | — | — | — |
| NORTHERN LIGHT BLUE HILL MEMORIAL HOSPITAL WATER ST. BLUE HILL |
$45.51 | $10.49 | $10.70 | $10.70 | $34.27 | — | — | — | — |
| MAINEHEALTH LINCOLN HOSPITAL DAMARISCOTTA |
$49.00 | $11.41 | $12.06 | $12.55 | $24.50 | $13.12 | $20.50 | — | — |
| DOWN EAST COMMUNITY HOSPITAL MACHIAS |
$50.00 | $56.00 | $58.00 | $29.00 | $60.00 | $29.00 | — | — | — |
| PENOBSCOT VALLEY HOSPITAL LINCOLN |
$50.26 | $12.09 | $11.85 | $10.41 | $59.06 | $11.85 | — | $10.30 | — |
| MID COAST HOSPITAL BRUNSWICK |
$54.95 | $10.90 | $10.69 | $12.29 | $27.48 | $12.29 | $20.90 | — | — |
| REDINGTON-FAIRVIEW GENERAL HOSPITAL FAIRVIEW AVE SKOWHEGAN |
$60.00 | $80.00 | $80.00 | — | — | $80.00 | — | — | — |
| NORTHERN LIGHT CA DEAN HOSPITAL PRITHAM AVE GREENVILLE |
$61.50 | $10.70 | $10.70 | $10.70 | $34.27 | — | — | — | — |
| WALDO COUNTY GENERAL HOSPITAL BELFAST |
$62.05 | $11.41 | $13.12 | $13.65 | $31.03 | $13.12 | $20.50 | — | — |
| NORTHERN LIGHT MAYO HOSPITAL DOVER FOXCROFT |
$71.28 | $10.49 | $10.49 | $10.70 | $34.27 | — | — | — | — |
| SEBASTICOOK VALLEY HOSPITAL PITTSFIELD |
$73.44 | $10.49 | $10.70 | $10.70 | $34.27 | — | — | — | — |
| NORTHERN LIGHT MAINE COAST HOSPITAL ELLSWORTH |
$81.25 | $10.49 | $10.49 | $10.49 | $34.27 | — | — | — | — |
| CENTRAL MAINE MEDICAL CENTER LEWISTON |
$83.00 | $83.20 | $83.20 | $83.20 | — | $83.20 | — | $83.20 | $83.20 |
| RUMFORD HOSPITAL RUMFORD |
$91.00 | — | — | — | — | — | — | — | — |
| MAINEHEALTH MAINE MEDICAL CENTER BIDDEFORD BIDDEFORD |
$96.55 | $10.90 | $10.69 | $12.29 | $48.28 | $12.29 | $20.90 | — | — |
| BRIDGTON HOSPITAL BRIDGTON |
$97.00 | — | — | — | — | — | — | — | — |
| MAINEHEALTH FRANKLIN HOSPITAL FARMINGTON |
$101 | $11.41 | $13.12 | $13.12 | $50.58 | — | $20.50 | — | — |
| HOULTON REGIONAL HOSPITAL HARTFORD STREET HOULTON |
$118 | $118 | — | — | — | — | — | — | — |
| MAINE MEDICAL CENTER PORTLAND |
$131 | $10.90 | $10.69 | $12.29 | $65.68 | $12.29 | $20.90 | — | — |
| PEN BAY MEDICAL CENTER ROCKPORT |
$185 | $10.90 | $12.29 | $11.01 | $92.43 | $12.29 | $20.90 | — | — |
| STEPHENS MEMORIAL HOSPITAL NORWAY |
$275 | $11.41 | $13.12 | $13.65 | $138 | $13.12 | $20.50 | — | — |
| MOUNT DESERT ISLAND HOSPITAL BAR HARBOR |
$343 | — | — | — | — | — | — | — | — |
That is the median of what the 27 Maine hospitals above publish for Emergency department visit for problem that may not require health care professi… — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.
Build my dispute letter — freeNo account, no signup. Your bill never leaves your browser.
Medicare reimbursement benchmark
For CPT 99281 in Maine, Medicare reimburses about $10.58 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Maine range from $21.42 to $343 — that means hospital cash prices are typically 5.9x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.
Frequently asked questions
- How much does emergency department visit for problem that may not require health care professi… cost in Maine?
- Cash prices for emergency department visit for problem that may not require health care professi… (CPT 99281) in Maine range from $21.42 to $343, with a median of $62.05. Prices vary widely by hospital.
- Where can I find the cheapest emergency department visit for problem that may not require health care professi… in Maine?
- The cheapest Maine hospital published cash price for this procedure is $21.42. Use the table above sorted by cash price to find the lowest-priced facility near you.
- Are these the prices I'll pay?
- These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
- Why do prices vary so much between hospitals?
- Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
- Where does this data come from?
- Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.