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Critical Access HospitalVoluntary Non-Profit - Private

Calais Regional Hospital

Calais, ME

24 Hospital Lane, Calais, ME 04619(207) 454-7521

Not rated by CMS

CMS star rating

25

Beds

265

Inpatient discharges a year

$28.4M

Net patient revenue a year

31

In-network payers

About this hospital

Calais Regional Hospital is a 25-bed voluntary non-profit - private hospital in Calais, ME. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 79 disclosed rate categories.

  • 340B participant
  • Helipad
CCN
201305
NPI
1922001049
County
Washington County
Medicare contractor
Jurisdiction K, National Government Services (14011)
In Medicare since
2001
Last CMS survey
2019

Prices for common services

The 24 services Calais Regional Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$408 - $3,935

from 4 insurers · median $3,160

Aetna$408
Insurer A*$2,471
Insurer B*$3,848
Insurer C*$3,935
Medicare $356Nearby hospitals $2,61821% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT head or brain without contrast

CPT 70450

$141 - $1,662

from 4 insurers · median $1,622

Aetna$141
Insurer A*$1,620
Insurer B*$1,625
Insurer C*$1,662
Medicare $107Nearby hospitals $1,05054% above nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$255 - $2,792

from 4 insurers · median $2,655

Aetna$255
Insurer A*$2,578
Insurer B*$2,731
Insurer C*$2,792
Medicare $558Nearby hospitals $1,74252% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$243 - $3,312

from 4 insurers · median $2,267

Aetna$243
Insurer A*$1,296
Insurer B*$3,239
Insurer C*$3,312
Medicare $244Nearby hospitals $1,66736% above nearby hospitals

Typical for a hospital with this service line

How the insurers pay at Calais Regional Hospital

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
662%
175
Insurer B*24
637%
190
Insurer C*24
623%
185
Insurer D*24
121%
122

How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Calais Regional Hospital, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Aspirus Health PlanAvera Health PlansBanner HealthDean Health PlanEMI HealthEmblemHealth

More about this hospital

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Calais Regional Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
86-2728785(multi-state) Calais Community Hospital44Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ameri Health and 39 more1922001049 Calais Community Hospital1376546143 Calais Community Hospital1134200702 Calais Community Hospitaland 7 more
01-0211783Calais Regional Hospital18Cigna, Allied Benefit Systems, BCBS, Centivo, EMI Health and 13 more1922001049 Calais Community Hospital1013332584 Calais Regional Hospital1134200702 Calais Community Hospitaland 2 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

24 Hospital Lane, Calais, ME 04619

(207) 454-7521

Get directions

Frequently asked questions

About Calais Regional Hospital's rates and hospital price transparency.

How much does an MRI cost at Calais Regional Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Calais Regional Hospital range from $522 to $4,985 across 4 insurers. Cigna's rate is $2,946. The median at nearby comparable hospitals is $1,930. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Calais Regional Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Calais Regional Hospital range from $408 to $3,935 across 4 insurers. Aetna's rate is $408. The median at nearby comparable hospitals is $2,618. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Calais Regional Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Calais Regional Hospital range from $428 to $2,935 across 4 insurers. Blue Cross Blue Shield's rate is $2,709. The median at nearby comparable hospitals is $3,509. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Calais Regional Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Calais Regional Hospital range from $166 to $857 across 4 insurers. UnitedHealthcare's rate is $277. The median at nearby comparable hospitals is $312. What a patient pays depends on their plan's deductible, coinsurance and network status.

How many patients does Calais Regional Hospital admit?

Calais Regional Hospital reported 265 inpatient discharges and 1,012 inpatient days from Jan 1, 2025 to Dec 31, 2025.

How many employees does Calais Regional Hospital have?

Calais Regional Hospital reported 145 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.

How much revenue does Calais Regional Hospital make?

Calais Regional Hospital reported $28.4M in net patient revenue on $57.1M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -7.7%, and net income of $999,564.

How much charity and uncompensated care does Calais Regional Hospital provide?

Calais Regional Hospital reported $671,031 of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $55,200 of charity care at cost.

Who is the CEO of Calais Regional Hospital?

Calais Regional Hospital's Medicare enrollment lists Steve L Lail as CEO since 2021.

What is Calais Regional Hospital's tax ID (EIN)?

Insurers' price transparency files list Calais Regional Hospital under employer identification number 86-2728785 ((multi-state) Calais Community Hospital), and 1 other tax ID. 44 health plans and networks list 86-2728785 for it.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

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Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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