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St. Mary S Regional Medical Center

Covenant Health Systems
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Hospital Overview
Facility Details

CCN

200034

NPI

1447226584

Type

Short Term Acute Care Hospital

Ownership

Voluntary Non-Profit - Church

Beds

233

Contact Information

Address

93 Campus Avenue

Lewiston, ME 04240

Phone

(207) 777-8100

Insurance Accepted
Medicare
Medicaid
Aetna
BCBS
Cigna
United (incl Optum)

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Important Notice

Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.

Price Transparency Contract Information

The data below comes from CMS-mandated price transparency data. Learn more.

NOTE: Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

PayerCategoryCode Type & GroupContract TypeRate Compared to State Average

Aetna

Inpatient

MS-DRG

Diseases & Disorders of the Circulatory System

Range: 212 - 320

Percentage of Bill Charged

Aetna

Facility

RC

Laboratory Pathology

Range: 0310 - 0319

Percentage of Bill Charged

Aetna

Outpatient

HCPCS

Medical And Surgical Supplies

Range: A4206 - A8004

Negotiated

Very Low

Aetna

Facility

RC

Pulmonary Function

Range: 0460 - 0469

Percentage of Bill Charged

Aetna

Outpatient

HCPCS

Prosthetic Procedures

Range: L5000 - L9900

Negotiated

Very Low

Aetna

Outpatient

HCPCS

Chemotherapy Drugs

Range: J9000 - J9999

Negotiated

Very Low

Aetna

Facility

RC

Room and Board Semi-private (two beds)

Range: 0120 - 0129

Percentage of Bill Charged

Aetna

Facility

RC

IV Therapy

Range: 0260 - 0269

Percentage of Bill Charged

Aetna

Outpatient

HCPCS

Temporary Codes

Range: Q0035 - Q9992

Negotiated

Very Low

Aetna

Facility

RC

Room and Board Private (one bed)

Range: 0110 - 0119

Percentage of Bill Charged

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