Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Payer comparison · HCPCS 29806 · FORT KENT, ME

29806 — Sho Arthrs Srg Capsulorraphy

What each payer pays NORTHERN MAINE MEDICAL CENTER (CCN 201317) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$18,839 All-payer median here
$30 Cash / self-pay here
18 payer/plan-name variants
← This hospital National rates for 29806 →
Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan Median negotiated vs all-payer median Rate rows
   
MAINECARE $22,164 17.6% 1
Cigna Healthcare $21,167 12.4% 2
MultiPlan $21,056 11.8% 1
CHOICECARE $21,056 11.8% 1
MAINE_COMM_HEALTH $20,391 8.2% 1
Anthem (Elevance Health) $19,970 6.0% 1
Harvard Pilgrim Health Care $19,659 4.4% 1
TWIN_RIVERS $18,839 0.0% 1
UnitedHealthcare $16,623 -11.8% 2
Aetna $16,401 -12.9% 2
ANTHEM_MCRADV $12,434 -34.0% 1
MICMAC HEALTH $12,190 -35.3% 1
HUMANA_MCRADV $12,190 -35.3% 1
HEALTH CHOICE GENERATIONS $12,190 -35.3% 1
WellCare Health Plans $12,190 -35.3% 1
VA / CHAMPVA $12,190 -35.3% 1
Martin's Point Health Care, Inc. $7,684 -59.2% 1
TRICARE $7,645 -59.4% 1

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.