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Critical Access HospitalVoluntary Non-Profit - Private

Down East Community Hospital

Machias, ME

11 Hospital Drive, Machias, ME 04654(207) 255-3356

4 of 5

CMS star rating

25

Beds

606

Inpatient discharges a year

$65.3M

Net patient revenue a year

25

In-network payers

About this hospital

Down East Community Hospital is a 25-bed voluntary non-profit - private hospital in Machias, ME. Below you'll find publicly disclosed negotiated rates and facility details, including 25 in-network payers and 132 disclosed rate categories.

  • 340B participant
  • Helipad
CCN
201311
NPI
1528087004
Website
dech.org
County
Washington County
Medicare contractor
Jurisdiction K, National Government Services (14011)
In Medicare since
2005
Last CMS survey
2018

Prices for common services

The 24 services Down East Community 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.

Digestive procedures

Colonoscopy with polyp removal

CPT 45385

$1,194 - $23,315

from 4 insurers · median $21,544

Aetna$1,194
Insurer A*$20,859
Insurer B*$22,229
Insurer C*$23,315
Medicare $1,223Nearby hospitals $2,134910% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with biopsy

CPT 45380

$566 - $17,247

from 4 insurers · median $15,938

Aetna$566
Insurer A*$15,431
Insurer B*$16,444
Insurer C*$17,247
Medicare $1,223Nearby hospitals $2,263604% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$375 - $2,485

from 4 insurers · median $2,376

Cigna$2,433
Insurer A*$375
Insurer B*$2,319
Insurer C*$2,485
Medicare $356Nearby hospitals $3,16225% below nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$453 - $18,063

from 2 insurers · median $9,258

Aetna$453
Insurer A*$18,063
Medicare $927Nearby hospitals $2,613254% above nearby hospitals

Typical for a hospital with this service line

How the insurers pay at Down East Community 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
991%
193
Insurer B*23
560%
810
Insurer C*23
534%
512
Insurer D*23
99%
616

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 Down East Community 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 HealthEMI HealthGroup Health Cooperative of South Central WisconsinHarvard Pilgrim Health Care (Point32Health)

More about this hospital

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Down East Community 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
01-0263198Down East Community Hospital37Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 32 more1922550417 Down East Community Hospital1528087004 Down East Community Hospital1851397475 Down East Community Hospitaland 7 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

11 Hospital Drive, Machias, ME 04654

(207) 255-3356

Get directions

Frequently asked questions

About Down East Community Hospital's rates and hospital price transparency.

How much does an MRI cost at Down East Community Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Down East Community Hospital range from $251 to $5,013 across 4 insurers. UnitedHealthcare's rate is $1,904. The median at nearby comparable hospitals is $2,198. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Down East Community Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Down East Community Hospital range from $375 to $2,485 across 4 insurers. Cigna's rate is $2,433. The median at nearby comparable hospitals is $3,162. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Down East Community Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Down East Community Hospital range from $1,194 to $23,315 across 4 insurers. Aetna's rate is $1,194. The median at nearby comparable hospitals is $2,134. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Down East Community Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Down East Community Hospital range from $155 to $863 across 4 insurers. Cigna's rate is $344. The median at nearby comparable hospitals is $271. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Down East Community Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Down East Community Hospital range from $48,129 to $53,795 across 4 insurers. Blue Cross Blue Shield's rate is $48,129. The median at nearby comparable hospitals is $46,750. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Down East Community Hospital's CMS star rating?

Down East Community Hospital has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-09-30). That is higher than 58% of US hospitals.

How many patients does Down East Community Hospital admit?

Down East Community Hospital reported 606 inpatient discharges and 2,072 inpatient days from Jan 1, 2025 to Dec 31, 2025.

How many employees does Down East Community Hospital have?

Down East Community Hospital reported 247 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.

How much revenue does Down East Community Hospital make?

Down East Community Hospital reported $65.3M in net patient revenue on $148.1M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 3.4%, and net income of $5.2M.

How much charity and uncompensated care does Down East Community Hospital provide?

Down East Community Hospital reported $1.6M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $148,042 of charity care at cost.

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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