Covenant Health Systems · Lewiston, ME
39
In-network payers
267
Disclosed rate categories
233
Beds
4
Care quality
St. Mary S Regional Medical Center is a 233-bed voluntary non-profit - church hospital in Lewiston, ME, affiliated with Covenant Health Systems. Below you'll find publicly disclosed negotiated rates and facility details, including 39 in-network payers and 267 disclosed rate categories.
CCN (Medicare provider number)
200034
NPI
1447226584
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Church
Beds
233
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 St. Mary S Regional Medical Center 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
$8,231 - $9,237
from 2 insurers · median $8,734
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
Childbirth · Inpatient
MS-DRG 788
$11,550 - $12,821
from 2 insurers · median $12,186
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
$342 - $3,938
from 4 insurers · median $2,308
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$8,231 - $9,237
from 2 insurers · median $8,734
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
Gynecology
CPT 58571
$11,755 - $43,686
from 2 insurers · median $27,721
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$37 - $414
from 4 insurers · median $325
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$9,125 - $10,633
from 2 insurers · median $9,879
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$3,998 - $4,398
from 2 insurers · median $4,198
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 64721
$3,998 - $8,227
from 2 insurers · median $6,113
108 Medicare claims in Level 1 Nerve Procedures (CMS 2024)
Cardiology and vascular testing
CPT 93306
$151 - $2,045
from 4 insurers · median $1,201
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$31,720 - $34,939
from 2 insurers · median $33,330
Hospital reports orthopedic surgery services to CMS
CT imaging
CPT 70450
$87 - $1,346
from 4 insurers · median $730
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$178 - $3,107
from 4 insurers · median $1,652
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$140 - $415
from 3 insurers · median $311
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$5,645 - $14,808
from 2 insurers · median $10,226
11 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Digestive procedures
CPT 43239
$453 - $3,998
from 3 insurers · median $3,934
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$5,697 - $24,481
from 3 insurers · median $10,426
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$5,645 - $24,481
from 2 insurers · median $15,063
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 470
$24,194 - $29,146
from 2 insurers · median $26,670
Hospital reports orthopedic surgery services to CMS
Nuclear imaging
CPT 78452
$488 - $6,086
from 4 insurers · median $3,822
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$3,998 - $4,398
from 2 insurers · median $4,198
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 63030
$4,477 - $26,644
from 2 insurers · median $15,561
42 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
Urology
CPT 52000
$1,238 - $2,983
from 3 insurers · median $2,489
93 Medicare claims in Level 2 Urology and Related Services (CMS 2024)
Gynecology
CPT 58661
$6,426 - $24,481
from 2 insurers · median $15,454
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* | 9 | 465% | 7 | 1 |
| Insurer B* | 23 | 396% | 16 | 3 |
| Insurer C* | 24 | 327% | 4 | 14 |
| Insurer D* | 8 | 61% | 0 | 8 |
How we chose these services: 4 appear in this hospital's own Medicare claims, 10 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 St. Mary S Regional Medical Center.
93 Campus Avenue, Lewiston, ME 04240
(207) 777-8100
The nearest hospitals of similar type and size. Their rates are compared with St. Mary S Regional Medical Center for the same insurers and services above.
Central Maine Medical Center
Rates about the same as St. Mary S Regional Medical Center (10 services)
Mainegeneral Medical Center
▲ Rates typically 11% higher than St. Mary S Regional Medical Center (9 services)
Northern Light Mercy Hospital - State Street
▲ Rates typically 30% higher than St. Mary S Regional Medical Center (20 services)
Southern Maine Health Care - Biddeford
Rates about the same as St. Mary S Regional Medical Center (21 services)
Wentworth-Douglass Hospital
▼ Rates typically 29% lower than St. Mary S Regional Medical Center (21 services)
Concord Hospital – Laconia
▲ Rates typically 22% higher than St. Mary S Regional Medical Center (21 services)
St. Joseph Hospital
York Hospital
About St. Mary S Regional Medical Center's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at St. Mary S Regional Medical Center range from $342 to $3,938 across 4 insurers. Aetna's rate is $342. The median at nearby comparable hospitals is $1,488. 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. Mary S Regional Medical Center range from $3,998 to $4,398 across 2 insurers. Cigna's rate is $3,998. The median at nearby comparable hospitals is $4,003. 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 St. Mary S Regional Medical Center range from $8,231 to $9,237 across 2 insurers. Blue Cross Blue Shield's rate is $9,237. 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. Mary S Regional Medical Center range from $140 to $415 across 3 insurers. UnitedHealthcare's rate is $415. The median at nearby comparable hospitals is $295. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at St. Mary S Regional Medical Center range from $24,194 to $29,146 across 2 insurers. Blue Cross Blue Shield's rate is $29,146. The median at nearby comparable hospitals is $40,099. What a patient pays depends on their plan's deductible, coinsurance and network status.
St. Mary S Regional Medical Center has 233 beds. Facility type: Short Term Acute Care Hospital.
St. Mary S Regional Medical Center is located at 93 Campus Avenue, Lewiston, ME 04240. Its main phone number is (207) 777-8100.
St. Mary S Regional Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 200034.
The National Provider Identifier (NPI) on file for St. Mary S Regional Medical Center is 1447226584.
St. Mary S Regional Medical Center is affiliated with Covenant Health Systems.
St. Mary S Regional Medical Center lists 39 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.
267 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