MaineHealth · Sanford, ME
13
In-network payers
133
Disclosed rate categories
58
Beds
2
Care quality
Southern Maine Health Care - Sanford is a 58-bed voluntary non-profit - private hospital in Sanford, ME, affiliated with MaineHealth. Below you'll find publicly disclosed negotiated rates and facility details, including 13 in-network payers and 133 disclosed rate categories.
CCN (Medicare provider number)
200019
NPI
1659300200
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
58
Care Quality
2
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 Southern Maine Health Care - Sanford 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
$11,100
negotiated rate
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
$14,849
negotiated rate
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
$375 - $4,740
from 4 insurers · median $2,948
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$25,648
negotiated rate
27 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93306
$234 - $2,576
from 4 insurers · median $2,381
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$25,648
negotiated rate
27 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74176
$211 - $3,949
from 4 insurers · median $2,333
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$99 - $1,583
from 4 insurers · median $956
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$25 - $538
from 4 insurers · median $314
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$155 - $641
from 4 insurers · median $394
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$11,100
negotiated rate
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 58571
$45,768
negotiated rate
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 460
$64,100
negotiated rate
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 47563
$25,648
negotiated rate
27 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45385
$537 - $5,183
from 2 insurers · median $2,860
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$14,263
negotiated rate
36 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
CT imaging
CPT 71260
$45 - $2,070
from 4 insurers · median $1,336
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 64721
$512 - $8,584
from 2 insurers · median $4,548
62 Medicare claims in Level 1 Nerve Procedures (CMS 2024)
MRI imaging
CPT 70551
$769 - $2,948
from 4 insurers · median $2,715
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$542 - $5,739
from 4 insurers · median $3,372
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$42,325
negotiated rate
Hospital reports orthopedic surgery services to CMS
MRI imaging
CPT 70553
$654 - $4,977
from 4 insurers · median $3,056
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$768 - $3,271
from 4 insurers · median $2,715
Common here, based on CMS Medicare volume
MRI imaging
CPT 73721
$787 - $2,945
from 4 insurers · median $2,793
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* | 12 | 1164% | 12 | 0 |
| Insurer B* | 12 | 1063% | 11 | 0 |
| Insurer C* | 24 | 432% | 15 | 5 |
| Insurer D* | 14 | 90% | 0 | 14 |
How we chose these services: 5 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 6 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 Southern Maine Health Care - Sanford.
1 Medical Center Dr, Sanford, ME 04073
None
The nearest hospitals of similar type and size. Their rates are compared with Southern Maine Health Care - Sanford for the same insurers and services above.
Northern Light Mercy Hospital - State Street
▼ Rates typically 7% lower than Southern Maine Health Care - Sanford (20 services)
York Hospital
▼ Rates typically 37% lower than Southern Maine Health Care - Sanford (21 services)
Wentworth-Douglass Hospital
▲ Rates typically 92% higher than Southern Maine Health Care - Sanford (21 services)
Frisbie Memorial Hospital
Rates about the same as Southern Maine Health Care - Sanford (21 services)
Portsmouth Regional Hospital
▲ Rates typically 9% higher than Southern Maine Health Care - Sanford (21 services)
Exeter Hospital Inc.
▲ Rates typically 120% higher than Southern Maine Health Care - Sanford (21 services)
Mid Coast Hospital
Pen Bay Medical Center
Franklin Memorial Hospital
Maine Medical Center
About Southern Maine Health Care - Sanford's rates and hospital price transparency.
For MRI of the brain, without contrast (CPT 70551), published negotiated rates at Southern Maine Health Care - Sanford range from $769 to $2,948 across 4 insurers. Cigna's rate is $2,591. The median at nearby comparable hospitals is $1,558. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Southern Maine Health Care - Sanford range from $375 to $4,740 across 4 insurers. Aetna's rate is $375. The median at nearby comparable hospitals is $2,149. 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 Southern Maine Health Care - Sanford range from $537 to $5,183 across 2 insurers. Blue Cross Blue Shield's rate is $5,183. The median at nearby comparable hospitals is $3,022. 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 Southern Maine Health Care - Sanford range from $11,100 to $11,100 across 1 insurers. Blue Cross Blue Shield's rate is $11,100. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Southern Maine Health Care - Sanford range from $155 to $641 across 4 insurers. Cigna's rate is $585. The median at nearby comparable hospitals is $414. What a patient pays depends on their plan's deductible, coinsurance and network status.
Southern Maine Health Care - Sanford has 58 beds. Facility type: Short Term Acute Care Hospital.
Southern Maine Health Care - Sanford is located at 1 Medical Center Dr, Sanford, ME 04073. Its main phone number is None.
Southern Maine Health Care - Sanford's CMS Certification Number (CCN), also called its Medicare provider number, is 200019.
The National Provider Identifier (NPI) on file for Southern Maine Health Care - Sanford is 1659300200.
Southern Maine Health Care - Sanford is affiliated with MaineHealth.
Southern Maine Health Care - Sanford lists 13 in-network payers, including Aspirus Health Plan, Dean Health Plan, EmblemHealth, First Health, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
133 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.
For hospital finance and compliance teams
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.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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