Northern Light Health · Portland, ME
30
In-network payers
191
Disclosed rate categories
230
Beds
4
Care quality
Northern Light Mercy Hospital - State Street is a 230-bed voluntary non-profit - church hospital in Portland, ME, affiliated with Northern Light Health. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 191 disclosed rate categories.
CCN (Medicare provider number)
200008
NPI
1629078712
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Church
Beds
230
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 Mercy Hospital - State Street 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
$15,716 - $20,385
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 - $2,814
from 4 insurers · median $2,563
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 216
$214,111 - $295,793
from 2 insurers · median $254,952
Hospital reports cardiac thoracic surgery services to CMS
Medicine & Surgery
CPT 47562
$23,906 - $31,603
from 2 insurers · median $27,755
34 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Orthopedics and pain
CPT 63030
$29,272 - $38,695
from 2 insurers · median $33,983
154 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$15,716 - $20,385
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 58558
$3,973 - $4,560
from 3 insurers · median $4,332
12 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Digestive procedures
CPT 49650
$23,906 - $31,603
from 2 insurers · median $27,755
34 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93306
$151 - $1,869
from 4 insurers · median $1,702
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$506 - $1,147
from 4 insurers · median $1,044
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 42820
$24,240 - $32,043
from 2 insurers · median $28,141
Typical for a hospital with this service line
Medicine & Surgery
CPT 49505
$14,460 - $19,116
from 2 insurers · median $16,788
21 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Medicine & Surgery
CPT 66984
$9,345 - $12,354
from 2 insurers · median $10,850
Typical for a hospital with this service line
Digestive procedures
CPT 47563
$23,906 - $31,603
from 2 insurers · median $27,755
34 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
X-ray and bone density
CPT 71046
$66 - $322
from 4 insurers · median $293
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$531 - $2,092
from 4 insurers · median $1,905
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$23,906 - $31,603
from 2 insurers · median $27,755
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$2,154 - $3,947
from 4 insurers · median $3,594
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
Mammography
CPT 77067
$246 - $323
from 4 insurers · median $274
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$574 - $1,927
from 4 insurers · median $1,755
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$874 - $4,449
from 4 insurers · median $4,052
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 27446
$52,722 - $69,695
from 2 insurers · median $61,209
355 Medicare claims in Level 5 Musculoskeletal Procedures (CMS 2024)
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% | 14 | 5 |
| Insurer B* | 24 | 387% | 17 | 4 |
| Insurer C* | 10 | 350% | 4 | 2 |
| Insurer D* | 12 | 176% | 7 | 1 |
How we chose these services: 7 appear in this hospital's own Medicare claims, 9 are common here based on CMS Medicare volume, and 8 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 Mercy Hospital - State Street.
144 State Street, Portland, ME 04101
(207) 879-3000
The nearest hospitals of similar type and size. Their rates are compared with Northern Light Mercy Hospital - State Street for the same insurers and services above.
Southern Maine Health Care - Biddeford
▲ Rates typically 7% higher than Northern Light Mercy Hospital - State Street (21 services)
Central Maine Medical Center
▼ Rates typically 40% lower than Northern Light Mercy Hospital - State Street (9 services)
St. Mary S Regional Medical Center
▼ Rates typically 39% lower than Northern Light Mercy Hospital - State Street (21 services)
Wentworth-Douglass Hospital
▼ Rates typically 22% lower than Northern Light Mercy Hospital - State Street (21 services)
Portsmouth Regional Hospital
▼ Rates typically 21% lower than Northern Light Mercy Hospital - State Street (21 services)
Mainegeneral Medical Center
▼ Rates typically 47% lower than Northern Light Mercy Hospital - State Street (10 services)
Maine Medical Center
Northern Light Ar Gould Hospital
Northern Light Eastern Maine Medical Center
Northern Light Maine Coast Hospital
About Northern Light Mercy Hospital - State Street's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Northern Light Mercy Hospital - State Street range from $623 to $2,814 across 4 insurers. Aetna's rate is $623. The median at nearby comparable hospitals is $1,275. 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 Mercy Hospital - State Street range from $2,154 to $3,947 across 4 insurers. Cigna's rate is $3,947. The median at nearby comparable hospitals is $3,051. 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 Mercy Hospital - State Street range from $15,716 to $20,385 across 3 insurers. Cigna's rate is $20,385. 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 Mercy Hospital - State Street range from $246 to $323 across 4 insurers. UnitedHealthcare's rate is $323. The median at nearby comparable hospitals is $361. What a patient pays depends on their plan's deductible, coinsurance and network status.
Northern Light Mercy Hospital - State Street has 230 beds. Facility type: Short Term Acute Care Hospital.
Northern Light Mercy Hospital - State Street is located at 144 State Street, Portland, ME 04101. Its main phone number is (207) 879-3000.
Northern Light Mercy Hospital - State Street's CMS Certification Number (CCN), also called its Medicare provider number, is 200008.
The National Provider Identifier (NPI) on file for Northern Light Mercy Hospital - State Street is 1629078712.
Northern Light Mercy Hospital - State Street is affiliated with Northern Light Health.
Northern Light Mercy Hospital - State Street 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.
191 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