Northern Light Health · Bangor, ME
28
In-network payers
215
Disclosed rate categories
411
Beds
4
Care quality
Northern Light Eastern Maine Medical Center is a 411-bed voluntary non-profit - private hospital in Bangor, ME, affiliated with Northern Light Health. Below you'll find publicly disclosed negotiated rates and facility details, including 28 in-network payers and 215 disclosed rate categories.
CCN (Medicare provider number)
200033
NPI
1790789147
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
411
Care Quality
4
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 Eastern Maine Medical Center 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
$14,853 - $20,226
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 - $25,609
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
$623 - $2,770
from 4 insurers · median $2,537
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$83,448 - $108,941
from 2 insurers · median $96,194
21 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 470
$41,677 - $57,867
from 3 insurers · median $46,750
43 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery
CPT 47562
$23,906 - $31,603
from 2 insurers · median $27,755
78 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Gynecology
CPT 58571
$42,660 - $56,394
from 2 insurers · median $49,527
31 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Gynecology
CPT 58558
$4,508 - $5,285
from 3 insurers · median $5,174
26 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Digestive procedures
CPT 49650
$23,906 - $31,603
from 2 insurers · median $27,755
78 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93306
$151 - $2,057
from 4 insurers · median $1,885
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$14,853 - $20,226
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
Medicine & Surgery · Inpatient
MS-DRG 216
$214,987 - $289,729
from 2 insurers · median $252,358
Hospital reports cardiac thoracic surgery services to CMS
Medicine & Surgery
CPT 42820
$24,240 - $32,043
from 2 insurers · median $28,141
Typical for a hospital with this service line
CT imaging
CPT 70450
$506 - $1,109
from 4 insurers · median $1,016
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$66 - $373
from 4 insurers · median $342
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 69436
$1,091 - $8,024
from 3 insurers · median $6,070
17 Medicare claims in Level 3 ENT Procedures (CMS 2024)
Gynecology
CPT 58661
$23,906 - $31,603
from 2 insurers · median $27,755
Typical for a hospital with this service line
Mammography
CPT 77067
$246 - $398
from 4 insurers · median $364
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$23,906 - $31,603
from 2 insurers · median $27,755
78 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45385
$807 - $6,387
from 4 insurers · median $3,493
Common here, based on CMS Medicare volume
Gynecology
CPT 58662
$23,906 - $31,603
from 2 insurers · median $27,755
Typical for a hospital with this service line
Orthopedics and pain
CPT 63030
$29,272 - $38,695
from 2 insurers · median $33,983
129 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
CT imaging
CPT 71275
$574 - $1,973
from 4 insurers · median $1,807
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,834 - $3,764
from 4 insurers · median $3,446
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 | 512% | 18 | 2 |
| Insurer B* | 10 | 405% | 2 | 4 |
| Insurer C* | 24 | 387% | 9 | 4 |
| Insurer D* | 12 | 187% | 0 | 8 |
How we chose these services: 9 appear in this hospital's own Medicare claims, 8 are common here based on CMS Medicare volume, and 7 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 Eastern Maine Medical Center.
489 State Street, Bangor, ME 04401
(207) 973-7000
The nearest hospitals of similar type and size. Their rates are compared with Northern Light Eastern Maine Medical Center for the same insurers and services above.
St. Mary S Regional Medical Center
▼ Rates typically 39% lower than Northern Light Eastern Maine Medical Center (21 services)
Central Maine Medical Center
▼ Rates typically 26% lower than Northern Light Eastern Maine Medical Center (8 services)
Maine Medical Center
▲ Rates typically 7% higher than Northern Light Eastern Maine Medical Center (21 services)
Portsmouth Regional Hospital
▼ Rates typically 24% lower than Northern Light Eastern Maine Medical Center (21 services)
Concord Hospital
▲ Rates typically 20% higher than Northern Light Eastern Maine Medical Center (11 services)
Elliot Hospital
▼ Rates typically 19% lower than Northern Light Eastern Maine Medical Center (21 services)
St. Joseph Hospital
Northern Light Maine Coast Hospital
Northern Light Mercy Hospital - State Street
Northern Light Inland Hospital
About Northern Light Eastern Maine Medical Center's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Northern Light Eastern Maine Medical Center range from $623 to $2,770 across 4 insurers. UnitedHealthcare's rate is $2,770. The median at nearby comparable hospitals is $1,818. 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 Eastern Maine Medical Center range from $807 to $6,387 across 4 insurers. Blue Cross Blue Shield's rate is $4,831. The median at nearby comparable hospitals is $4,398. 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 Eastern Maine Medical Center range from $14,853 to $20,226 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 Eastern Maine Medical Center range from $246 to $398 across 4 insurers. UnitedHealthcare's rate is $398. The median at nearby comparable hospitals is $451. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Northern Light Eastern Maine Medical Center range from $41,677 to $57,867 across 3 insurers. Blue Cross Blue Shield's rate is $41,677. The median at nearby comparable hospitals is $27,763. What a patient pays depends on their plan's deductible, coinsurance and network status.
Northern Light Eastern Maine Medical Center has 411 beds. Facility type: Short Term Acute Care Hospital.
Northern Light Eastern Maine Medical Center is located at 489 State Street, Bangor, ME 04401. Its main phone number is (207) 973-7000.
Northern Light Eastern Maine Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 200033.
The National Provider Identifier (NPI) on file for Northern Light Eastern Maine Medical Center is 1790789147.
Northern Light Eastern Maine Medical Center is affiliated with Northern Light Health.
Northern Light Eastern Maine Medical Center 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.
215 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