Covenant Health Systems · Bangor, ME
37
In-network payers
184
Disclosed rate categories
112
Beds
3
Care quality
St. Joseph Hospital is a 112-bed voluntary non-profit - church hospital in Bangor, ME, affiliated with Covenant Health Systems. Below you'll find publicly disclosed negotiated rates and facility details, including 37 in-network payers and 184 disclosed rate categories.
CCN (Medicare provider number)
200001
NPI
1154321545
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Church
Beds
112
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 St. Joseph 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.
CT imaging
CPT 74177
$318 - $3,582
from 4 insurers · median $2,579
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$29,236
negotiated rate
77 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 49650
$29,236
negotiated rate
77 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93306
$234 - $2,748
from 4 insurers · median $2,566
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$29,236
negotiated rate
77 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Mammography
CPT 77067
$140 - $550
from 3 insurers · median $517
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$106 - $1,800
from 4 insurers · median $1,020
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$37 - $441
from 4 insurers · median $311
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$52,171
negotiated rate
Typical for a hospital with this service line
Medicine & Surgery
CPT 49505
$17,684
negotiated rate
28 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Nuclear imaging
CPT 78452
$542 - $6,542
from 4 insurers · median $4,920
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$183 - $2,318
from 4 insurers · median $1,576
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$180 - $2,380
from 4 insurers · median $1,442
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 63030
$35,798
negotiated rate
78 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
Medicine & Surgery
CPT 29881
$16,259
negotiated rate
55 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Ultrasound
CPT 76705
$42 - $773
from 4 insurers · median $630
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$830 - $15,933
from 2 insurers · median $8,381
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$11,429
negotiated rate
Typical for a hospital with this service line
MRI imaging
CPT 70553
$480 - $3,388
from 4 insurers · median $2,312
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$4,746
negotiated rate
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$29,236
negotiated rate
Typical for a hospital with this service line
MRI imaging
CPT 70551
$540 - $2,442
from 4 insurers · median $1,627
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$900 - $3,123
from 3 insurers · median $2,937
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$4,698
negotiated rate
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 | 837% | 10 | 2 |
| Insurer B* | 12 | 738% | 10 | 2 |
| Insurer C* | 22 | 489% | 17 | 3 |
| Insurer D* | 13 | 75% | 3 | 8 |
How we chose these services: 6 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 4 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 St. Joseph Hospital.
360 Broadway, Bangor, ME 04401
(207) 262-1000
The nearest hospitals of similar type and size. Their rates are compared with St. Joseph Hospital for the same insurers and services above.
Northern Light Maine Coast Hospital
▼ Rates typically 18% lower than St. Joseph Hospital (24 services)
Pen Bay Medical Center
▼ Rates typically 6% lower than St. Joseph Hospital (24 services)
Mainegeneral Medical Center
Rates about the same as St. Joseph Hospital (13 services)
Franklin Memorial Hospital
▼ Rates typically 13% lower than St. Joseph Hospital (24 services)
Mid Coast Hospital
▼ Rates typically 30% lower than St. Joseph Hospital (24 services)
Southern Maine Health Care - Biddeford
▼ Rates typically 12% lower than St. Joseph Hospital (24 services)
Northern Light Eastern Maine Medical Center
St. Mary S Regional Medical Center
About St. Joseph Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at St. Joseph Hospital range from $480 to $3,388 across 4 insurers. Aetna's rate is $480. The median at nearby comparable hospitals is $1,859. 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 St. Joseph Hospital range from $318 to $3,582 across 4 insurers. Aetna's rate is $318. The median at nearby comparable hospitals is $2,173. 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 St. Joseph Hospital range from $4,746 to $4,746 across 1 insurers. Blue Cross Blue Shield's rate is $4,746. The median at nearby comparable hospitals is $4,975. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at St. Joseph Hospital range from $140 to $550 across 3 insurers. UnitedHealthcare's rate is $550. The median at nearby comparable hospitals is $416. What a patient pays depends on their plan's deductible, coinsurance and network status.
St. Joseph Hospital has 112 beds. Facility type: Short Term Acute Care Hospital.
St. Joseph Hospital is located at 360 Broadway, Bangor, ME 04401. Its main phone number is (207) 262-1000.
St. Joseph Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 200001.
The National Provider Identifier (NPI) on file for St. Joseph Hospital is 1154321545.
St. Joseph Hospital is affiliated with Covenant Health Systems.
St. Joseph Hospital lists 37 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.
184 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