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Critical Access HospitalVoluntary Non-Profit - Private

Northern Light Sebasticook Valley Hospital

Northern Light Health · Pittsfield, ME

447 North Main Street, Pittsfield, ME 04967(207) 487-5141

2 of 5

CMS star rating

25

Beds

870

Inpatient discharges a year

$64.7M

Net patient revenue a year

27

In-network payers

About this hospital

Northern Light Sebasticook Valley Hospital is a 25-bed voluntary non-profit - private hospital in Pittsfield, ME, affiliated with Northern Light Health. Below you'll find publicly disclosed negotiated rates and facility details, including 27 in-network payers and 176 disclosed rate categories.

  • 340B participant
  • Helipad
CCN
201313
NPI
1457461477
Website
northernlighthealth.org
Health system
Northern Light Health
County
Somerset County
Medicare contractor
Jurisdiction K, National Government Services (14011)
In Medicare since
2005
Last CMS survey
2006

Prices for common services

The 24 services Northern Light Sebasticook Valley 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, or start a free trial.

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$900 - $3,379

from 4 insurers · median $3,148

Aetna$900
Insurer A*$2,945
Insurer B*$3,352
Insurer C*$3,379
Medicare $356Nearby hospitals $2,19543% above nearby hospitals

Typical for a hospital with this service line

Gynecology

Laparoscopic hysterectomy with tube or ovary removal, uterus up to 250 g

CPT 58571

$42,660 - $56,394

from 2 insurers · median $49,527

Blue Cross$42,660
Insurer A*$56,394
Medicare $10,860Nearby hospitals $51,153In line with nearby hospitals

Typical for a hospital with this service line

CT imaging

CT head or brain without contrast

CPT 70450

$900 - $1,279

from 4 insurers · median $1,191

Aetna$900
Insurer A*$1,114
Insurer B*$1,268
Insurer C*$1,279
Medicare $107Nearby hospitals $1,05513% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$900 - $2,694

from 4 insurers · median $2,510

Aetna$900
Insurer A*$2,347
Insurer B*$2,672
Insurer C*$2,694
Medicare $244Nearby hospitals $1,58059% above nearby hospitals

Typical for a hospital with this service line

How the insurers pay at Northern Light Sebasticook Valley Hospital

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.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
521%
112
Insurer B*24
395%
98
Insurer C*16
327%
130
Insurer D*14
317%
102

How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 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 Sebasticook Valley Hospital, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthEMI HealthEmblemHealth

More about this hospital

  • Quality

    2 of 5 stars

    • 187 min in the ER before going home (US median 148)
    See quality ratings

  • Doctors and services

    Accredited by The Joint Commission

    • 32 services
    • 153 affiliated clinicians
    See doctors and services

  • Finances

    $64.7M net patient revenue

    • Operating margin on patient care 6.2%
    • $1.6M unreimbursed and uncompensated care
    • $6.1M net income
    See finances

  • Ownership and leadership

    Owned by Eastern Maine Healthcare Services

    • Private (not for profit)
    • Randall L. Clark, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Northern Light Sebasticook Valley Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
01-0263628Sebasticook Valley Hospital50Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, AmeriBen and 45 more1457461477 Sebasticook Valley Health1013176544 Sebasticook Valley Health1427181486 Sebasticook Valley Healthand 7 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

447 North Main Street, Pittsfield, ME 04967

(207) 487-5141

Get directions

Frequently asked questions

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

How much does an MRI cost at Northern Light Sebasticook Valley Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Northern Light Sebasticook Valley Hospital range from $1,100 to $1,832 across 4 insurers. Blue Cross Blue Shield's rate is $1,596. The median at nearby comparable hospitals is $1,912. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Northern Light Sebasticook Valley Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Northern Light Sebasticook Valley Hospital range from $900 to $3,379 across 4 insurers. Aetna's rate is $900. The median at nearby comparable hospitals is $2,195. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Northern Light Sebasticook Valley Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Northern Light Sebasticook Valley Hospital range from $792 to $6,387 across 4 insurers. Cigna's rate is $6,387. The median at nearby comparable hospitals is $1,875. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Northern Light Sebasticook Valley Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Northern Light Sebasticook Valley Hospital range from $215 to $321 across 4 insurers. UnitedHealthcare's rate is $284. The median at nearby comparable hospitals is $262. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Northern Light Sebasticook Valley Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Northern Light Sebasticook Valley Hospital range from $43,664 to $56,178 across 3 insurers. Blue Cross Blue Shield's rate is $43,664. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Northern Light Sebasticook Valley Hospital's CMS star rating?

Northern Light Sebasticook Valley Hospital has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-09-30). That is lower than 73% of US hospitals.

How many patients does Northern Light Sebasticook Valley Hospital admit?

Northern Light Sebasticook Valley Hospital reported 870 inpatient discharges and 4,802 inpatient days from Oct 1, 2024 to Sep 30, 2025.

How many employees does Northern Light Sebasticook Valley Hospital have?

Northern Light Sebasticook Valley Hospital reported 188 full-time-equivalent employees on payroll from Oct 1, 2024 to Sep 30, 2025.

How much revenue does Northern Light Sebasticook Valley Hospital make?

Northern Light Sebasticook Valley Hospital reported $64.7M in net patient revenue on $165.7M of gross charges for Oct 1, 2024 to Sep 30, 2025, an operating margin of 6.2%, and net income of $6.1M.

How much charity and uncompensated care does Northern Light Sebasticook Valley Hospital provide?

Northern Light Sebasticook Valley Hospital reported $1.6M of unreimbursed and uncompensated care for Oct 1, 2024 to Sep 30, 2025, including $36,331 of charity care at cost.

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
      }
    ]
  }]
}
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  • 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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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.

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CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
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