Northern Light Health · Presque Isle, ME
28
In-network payers
181
Disclosed rate categories
89
Beds
3
Care quality
Northern Light Ar Gould Hospital is an 89-bed voluntary non-profit - private hospital in Presque Isle, ME, affiliated with Northern Light Health. Below you'll find publicly disclosed negotiated rates and facility details, including 28 in-network payers and 181 disclosed rate categories.
CCN (Medicare provider number)
200018
NPI
1396858999
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
89
Care Quality
3
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.
The 24 services Northern Light Ar Gould 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.
Childbirth · Inpatient
MS-DRG 807
$13,987 - $19,110
from 3 insurers · median $16,100
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$19,892 - $28,764
from 3 insurers · median $22,000
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 74177
$900 - $3,559
from 4 insurers · median $3,301
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$42,660 - $56,394
from 2 insurers · median $49,527
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$923 - $12,354
from 4 insurers · median $8,531
225 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Cardiology and vascular testing
CPT 93306
$1,322 - $1,938
from 4 insurers · median $1,798
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$23,906 - $31,603
from 2 insurers · median $27,755
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$88 - $398
from 4 insurers · median $369
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$13,987 - $19,110
from 3 insurers · median $16,100
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Gynecology
CPT 58661
$23,906 - $34,146
from 3 insurers · median $31,603
Typical for a hospital with this service line
Mammography
CPT 77067
$278 - $446
from 4 insurers · median $414
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$82,093 - $107,331
from 2 insurers · median $94,712
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery
CPT 42820
$13,595 - $32,043
from 3 insurers · median $24,240
Typical for a hospital with this service line
CT imaging
CPT 70450
$801 - $928
from 4 insurers · median $910
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$1,062 - $17,575
from 4 insurers · median $14,506
38 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Digestive procedures
CPT 45385
$808 - $6,387
from 4 insurers · median $4,416
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$6,885 - $9,214
from 4 insurers · median $8,546
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,212 - $5,617
from 4 insurers · median $5,211
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$23,906 - $31,603
from 2 insurers · median $27,755
Typical for a hospital with this service line
Gynecology
CPT 58558
$1,137 - $17,222
from 4 insurers · median $15,114
Typical for a hospital with this service line
Gynecology
CPT 58662
$23,906 - $31,603
from 2 insurers · median $27,755
Typical for a hospital with this service line
Medicine & Surgery
CPT 55866
$42,660 - $56,394
from 2 insurers · median $49,527
Typical for a hospital with this service line
Orthopedics and pain
CPT 29888
$29,272 - $39,741
from 3 insurers · median $38,695
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$733 - $5,078
from 4 insurers · median $3,671
Common here, based on CMS Medicare volume
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.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 521% | 5 | 1 |
| Insurer B* | 24 | 394% | 6 | 15 |
| Insurer C* | 12 | 386% | 2 | 2 |
| Insurer D* | 18 | 334% | 8 | 0 |
How we chose these services: 2 appear in this hospital's own Medicare claims, 9 are common here based on CMS Medicare volume, and 13 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 Northern Light Ar Gould Hospital.
140 Academy Street, Presque Isle, ME 04769
(207) 768-4000
The nearest hospitals of similar type and size. Their rates are compared with Northern Light Ar Gould Hospital for the same insurers and services above.
Cary Medical Center
▼ Rates typically 82% lower than Northern Light Ar Gould Hospital (9 services)
Northern Maine Medical Center
▼ Rates typically 59% lower than Northern Light Ar Gould Hospital (9 services)
St. Joseph Hospital
▲ Rates typically 10% higher than Northern Light Ar Gould Hospital (20 services)
Franklin Memorial Hospital
▲ Rates typically 6% higher than Northern Light Ar Gould Hospital (21 services)
Pen Bay Medical Center
▲ Rates typically 15% higher than Northern Light Ar Gould Hospital (20 services)
Mid Coast Hospital
▼ Rates typically 15% lower than Northern Light Ar Gould Hospital (21 services)
Northern Light Eastern Maine Medical Center
Northern Light Mercy Hospital - State Street
Northern Light Inland Hospital
Northern Light Maine Coast Hospital
About Northern Light Ar Gould Hospital's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Northern Light Ar Gould Hospital range from $900 to $3,559 across 4 insurers. UnitedHealthcare's rate is $3,559. The median at nearby comparable hospitals is $1,775. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Northern Light Ar Gould Hospital range from $808 to $6,387 across 4 insurers. Blue Cross Blue Shield's rate is $4,831. The median at nearby comparable hospitals is $2,828. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Northern Light Ar Gould Hospital range from $13,987 to $19,110 across 3 insurers. Aetna's rate is $16,100. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Northern Light Ar Gould Hospital range from $278 to $446 across 4 insurers. Aetna's rate is $278. The median at nearby comparable hospitals is $385. What a patient pays depends on their plan's deductible, coinsurance and network status.
Northern Light Ar Gould Hospital has 89 beds. Facility type: Short Term Acute Care Hospital.
Northern Light Ar Gould Hospital is located at 140 Academy Street, Presque Isle, ME 04769. Its main phone number is (207) 768-4000.
Northern Light Ar Gould Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 200018.
The National Provider Identifier (NPI) on file for Northern Light Ar Gould Hospital is 1396858999.
Northern Light Ar Gould Hospital is affiliated with Northern Light Health.
Northern Light Ar Gould Hospital lists 28 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
181 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"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
}
]
}]
}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.
What a review covers