Northern Light Health · Ellsworth, ME
30
In-network payers
189
Disclosed rate categories
64
Beds
3
Care quality
Northern Light Maine Coast Hospital is a 64-bed voluntary non-profit - other hospital in Ellsworth, ME, affiliated with Northern Light Health. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 189 disclosed rate categories.
CCN (Medicare provider number)
200050
NPI
1740249739
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Other
Beds
64
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 Maine Coast 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 - $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 obstetrics / child birth services to CMS
Gynecology
CPT 58558
$1,130 - $17,222
from 4 insurers · median $13,060
12 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Childbirth · Inpatient
MS-DRG 788
$19,331 - $25,236
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 obstetrics / child birth services to CMS
CT imaging
CPT 74177
$863 - $2,923
from 4 insurers · median $2,720
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 47562
$19,379 - $31,603
from 3 insurers · median $23,906
15 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 49505
$14,460 - $19,116
from 2 insurers · median $16,788
15 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Digestive procedures
CPT 49650
$23,906 - $31,603
from 3 insurers · median $24,140
15 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 70450
$578 - $1,205
from 4 insurers · median $1,122
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$1,216 - $1,763
from 4 insurers · median $1,640
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$13,987 - $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 obstetrics / child birth services to CMS
Medicine & Surgery
CPT 66984
$9,345 - $12,354
from 2 insurers · median $10,850
Typical for a hospital with this service line
CT imaging
CPT 74176
$928 - $2,437
from 4 insurers · median $2,268
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$83,448 - $110,551
from 2 insurers · median $96,999
Hospital reports orthopedic surgery services to CMS
X-ray and bone density
CPT 71046
$88 - $354
from 4 insurers · median $329
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 42820
$14,000 - $32,043
from 3 insurers · median $24,240
Typical for a hospital with this service line
Digestive procedures
CPT 47563
$23,906 - $31,603
from 2 insurers · median $27,755
15 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45385
$3,771 - $4,352
from 4 insurers · median $4,164
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$313 - $392
from 4 insurers · median $364
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$6,935 - $31,603
from 3 insurers · median $23,906
Typical for a hospital with this service line
CT imaging
CPT 71275
$900 - $2,151
from 4 insurers · median $1,997
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
Digestive procedures
CPT 43239
$3,004 - $3,500
from 4 insurers · median $3,457
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 29888
$29,272 - $38,695
from 2 insurers · median $33,983
Typical for a hospital with this service line
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 | 516% | 5 | 0 |
| Insurer B* | 10 | 414% | 3 | 2 |
| Insurer C* | 24 | 390% | 7 | 4 |
| Insurer D* | 17 | 335% | 8 | 0 |
How we chose these services: 5 appear in this hospital's own Medicare claims, 9 are common here based on CMS Medicare volume, and 10 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 Maine Coast Hospital.
50 Union Street, Ellsworth, ME 04605
(207) 667-5311
The nearest hospitals of similar type and size. Their rates are compared with Northern Light Maine Coast Hospital for the same insurers and services above.
St. Joseph Hospital
▲ Rates typically 22% higher than Northern Light Maine Coast Hospital (20 services)
Pen Bay Medical Center
▲ Rates typically 15% higher than Northern Light Maine Coast Hospital (20 services)
Franklin Memorial Hospital
▲ Rates typically 6% higher than Northern Light Maine Coast Hospital (21 services)
Mid Coast Hospital
▼ Rates typically 15% lower than Northern Light Maine Coast Hospital (21 services)
York Hospital
▼ Rates typically 27% lower than Northern Light Maine Coast Hospital (21 services)
Frisbie Memorial Hospital
▼ Rates typically 17% lower than Northern Light Maine Coast Hospital (21 services)
Northern Light Eastern Maine Medical Center
Northern Light Mercy Hospital - State Street
Northern Light Inland Hospital
Northern Light Ar Gould Hospital
About Northern Light Maine Coast Hospital's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Northern Light Maine Coast Hospital range from $863 to $2,923 across 4 insurers. Aetna's rate is $863. The median at nearby comparable hospitals is $1,613. 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 Maine Coast Hospital range from $3,771 to $4,352 across 4 insurers. Blue Cross Blue Shield's rate is $3,771. The median at nearby comparable hospitals is $2,485. 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 Maine Coast Hospital range from $13,987 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 Maine Coast Hospital range from $313 to $392 across 4 insurers. UnitedHealthcare's rate is $392. The median at nearby comparable hospitals is $382. What a patient pays depends on their plan's deductible, coinsurance and network status.
Northern Light Maine Coast Hospital has 64 beds. Facility type: Short Term Acute Care Hospital.
Northern Light Maine Coast Hospital is located at 50 Union Street, Ellsworth, ME 04605. Its main phone number is (207) 667-5311.
Northern Light Maine Coast Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 200050.
The National Provider Identifier (NPI) on file for Northern Light Maine Coast Hospital is 1740249739.
Northern Light Maine Coast Hospital is affiliated with Northern Light Health.
Northern Light Maine Coast Hospital lists 30 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.
189 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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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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{
"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