MaineHealth · Portland, ME
188
Disclosed rate categories
116
Beds
5
Care quality
The Barbara Bush Children S Hospital At Maine Medical Center is a 116-bed voluntary non-profit - private hospital in Portland, ME, affiliated with MaineHealth. Below you'll find publicly disclosed negotiated rates and facility details, including 188 disclosed rate categories.
CCN (Medicare provider number)
200009
NPI
1720340664
Type
Childrens Hospital
Ownership
Voluntary Non-Profit - Private
Beds
116
Care Quality
5
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 The Barbara Bush Children S Hospital At Maine 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.
CT imaging
CPT 74177
$375 - $2,632
from 4 insurers · median $1,986
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$13,977
negotiated rate
63 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Gynecology
CPT 58571
$45,768
negotiated rate
162 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93306
$234 - $2,711
from 4 insurers · median $2,442
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$5,451
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
X-ray and bone density
CPT 71046
$25 - $414
from 4 insurers · median $383
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 216
$292,151
negotiated rate
17 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery
CPT 47562
$25,648
negotiated rate
218 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Mammography
CPT 77067
$155 - $627
from 4 insurers · median $388
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 788
$7,160
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 70450
$99 - $947
from 4 insurers · median $666
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$25,648
negotiated rate
218 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
CT imaging
CPT 74176
$211 - $1,670
from 4 insurers · median $1,293
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$1,749 - $7,710
from 4 insurers · median $5,555
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$45 - $1,621
from 4 insurers · median $1,131
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 55866
$45,768
negotiated rate
162 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Nuclear imaging
CPT 78452
$542 - $5,739
from 4 insurers · median $2,867
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$25,648
negotiated rate
218 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45380
$516 - $5,183
from 2 insurers · median $2,849
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 42820
$26,005
negotiated rate
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$10,026
negotiated rate
Typical for a hospital with this service line
MRI imaging
CPT 70553
$654 - $2,793
from 4 insurers · median $2,060
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$78 - $564
from 4 insurers · median $491
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* | 11 | 685% | 10 | 1 |
| Insurer B* | 11 | 625% | 9 | 1 |
| Insurer C* | 24 | 430% | 12 | 1 |
| Insurer D* | 13 | 73% | 0 | 13 |
How we chose these services: 7 appear in this hospital's own Medicare claims, 13 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 The Barbara Bush Children S Hospital At Maine Medical Center.
22 Bramhall Street, Portland, ME 04102
None
The nearest hospitals of similar type and size. Their rates are compared with The Barbara Bush Children S Hospital At Maine Medical Center for the same insurers and services above.
Catholic Medical Center
▼ Rates typically 9% lower than The Barbara Bush Children S Hospital At Maine Medical Center (22 services)
Lahey Clinic Hospital Inc.
▲ Rates typically 7% higher than The Barbara Bush Children S Hospital At Maine Medical Center (13 services)
Massachusetts General Hospital
▼ Rates typically 30% lower than The Barbara Bush Children S Hospital At Maine Medical Center (14 services)
Tufts Medical Center
▼ Rates typically 31% lower than The Barbara Bush Children S Hospital At Maine Medical Center (13 services)
Boston Medical Center
▼ Rates typically 41% lower than The Barbara Bush Children S Hospital At Maine Medical Center (13 services)
Dartmouth-Hitchcock Medical Center
▲ Rates typically 55% higher than The Barbara Bush Children S Hospital At Maine Medical Center (14 services)
About The Barbara Bush Children S Hospital At Maine Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at The Barbara Bush Children S Hospital At Maine Medical Center range from $654 to $2,793 across 4 insurers. UnitedHealthcare's rate is $2,793. The median at nearby comparable hospitals is $1,351. 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 The Barbara Bush Children S Hospital At Maine Medical Center range from $375 to $2,632 across 4 insurers. Aetna's rate is $375. The median at nearby comparable hospitals is $1,073. 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 The Barbara Bush Children S Hospital At Maine Medical Center 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 $1,151. 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 The Barbara Bush Children S Hospital At Maine Medical Center range from $5,451 to $5,451 across 1 insurers. Blue Cross Blue Shield's rate is $5,451. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at The Barbara Bush Children S Hospital At Maine Medical Center range from $155 to $627 across 4 insurers. Cigna's rate is $573. The median at nearby comparable hospitals is $336. What a patient pays depends on their plan's deductible, coinsurance and network status.
The Barbara Bush Children S Hospital At Maine Medical Center has 116 beds. Facility type: Childrens Hospital.
The Barbara Bush Children S Hospital At Maine Medical Center is located at 22 Bramhall Street, Portland, ME 04102. Its main phone number is None.
The Barbara Bush Children S Hospital At Maine Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 200009.
The National Provider Identifier (NPI) on file for The Barbara Bush Children S Hospital At Maine Medical Center is 1720340664.
The Barbara Bush Children S Hospital At Maine Medical Center is affiliated with MaineHealth.
188 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