Short Term Acute Care HospitalProprietary

Northern Light Inland Hospital

Northern Light Health · Waterville, ME

200 Kennedy Memorial Drive, Waterville, ME 04901(207) 861-3000

In-network payers

153

Disclosed rate categories

Beds

Care quality

About this hospital

Northern Light Inland Hospital is a 48-bed proprietary hospital in Waterville, ME, affiliated with Northern Light Health. Below you'll find publicly disclosed negotiated rates and facility details, including 25 in-network payers and 153 disclosed rate categories.

CCN (Medicare provider number)

200041

NPI

1376579557

Type

Short Term Acute Care Hospital

Ownership

Proprietary

Beds

Care Quality

Insurance Accepted

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.

Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthEMI HealthGroup Health Cooperative of South Central Wisconsin

Negotiated Rates

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

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Payer	Category	Code Type & Group	Contract Type	vs. State Average
Aetna	Outpatient	CPT Category III Codes Range: 0042T - 0810T	Percentage of Bill Charged	-
Aetna	Outpatient	CPT Category III Codes Range: 0042T - 0810T	Negotiated	Very Low
Aetna	Outpatient	CPT Evaluation and Management Range: 99091 - 99499	Percentage of Bill Charged	-
Aetna	Outpatient	CPT Evaluation and Management Range: 99091 - 99499	Negotiated	Very High
Aetna	Outpatient	CPT Medicine Services and Procedures Range: 90281 - 99607	Negotiated	Very Low
Aetna	Outpatient	CPT Medicine Services and Procedures Range: 90281 - 99607	Percentage of Bill Charged	-
Aetna	Outpatient	CPT Multianalyte Assay Range: 0002M - 0018M	Negotiated	Very High
Aetna	Outpatient	CPT Pathology and Laboratory Procedures Range: 80047 - 89398	Negotiated	Low
Aetna	Outpatient	CPT Pathology and Laboratory Procedures Range: 80047 - 89398	Percentage of Bill Charged	-
Aetna	Outpatient	CPT Proprietary Laboratory Analyses Range: 0001U - 0401U	Negotiated	Very High

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

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Location

200 Kennedy Memorial Drive, Waterville, ME 04901

(207) 861-3000

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Frequently asked questions

About Northern Light Inland Hospital's rates and hospital price transparency.

How many beds does Northern Light Inland Hospital have?

Northern Light Inland Hospital has 48 beds. Facility type: Short Term Acute Care Hospital.

Where is Northern Light Inland Hospital and what is its phone number?

Northern Light Inland Hospital is located at 200 Kennedy Memorial Drive, Waterville, ME 04901. Its main phone number is (207) 861-3000.

What is Northern Light Inland Hospital's CCN (Medicare provider number)?

Northern Light Inland Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 200041.

What is Northern Light Inland Hospital's NPI number?

The National Provider Identifier (NPI) on file for Northern Light Inland Hospital is 1376579557.

What health system is Northern Light Inland Hospital part of?

Northern Light Inland Hospital is affiliated with Northern Light Health.

Which insurance plans are in network at Northern Light Inland Hospital?

Northern Light Inland Hospital lists 25 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.

What price transparency data is available for Northern Light Inland Hospital?

153 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.

What is a hospital price transparency MRF?

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.

What is a chargemaster review?

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.

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.

Compliance MRF

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
      }
    ]
  }]
}

CMS template layout, in JSON or CSV
Gross, discounted cash, payer-specific and de-identified min / max charges
cms-hpt.txt file and homepage footer link
Refreshed when your contracts change

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Chargemaster analysis

Get your chargemaster right for billing and payer contracts

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

CodingPricingPayer contractsCompliance

CPT, HCPCS, revenue code and modifier errors flagged line by line
Missing, duplicate and outdated charge lines identified
Charges set below payer allowables caught before lesser-of clauses cut payment
Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
Your negotiated rates benchmarked against peer hospitals for the same payers

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