York Hospital · York, ME
30
In-network payers
220
Disclosed rate categories
79
Beds
5
Care quality
York Hospital is a 79-bed voluntary non-profit - private hospital in York, ME, affiliated with York Hospital. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 220 disclosed rate categories.
CCN (Medicare provider number)
200020
NPI
1376528398
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
79
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 York 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.
Childbirth · Inpatient
MS-DRG 807
$11,909
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
CT imaging
CPT 74177
$318 - $1,693
from 3 insurers · median $990
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 69436
$3,242 - $7,022
from 2 insurers · median $5,132
11 Medicare claims in Level 3 ENT Procedures (CMS 2024)
Childbirth · Inpatient
MS-DRG 788
$15,234
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
Cardiology and vascular testing
CPT 93306
$234 - $2,599
from 3 insurers · median $1,519
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 30520
$884 - $16,392
from 3 insurers · median $9,761
14 Medicare claims in Level 4 ENT Procedures (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 470
$15,063 - $34,878
from 2 insurers · median $24,970
12 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery
CPT 47562
$17,561
negotiated rate
46 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 43239
$2,598 - $4,444
from 2 insurers · median $3,521
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$542 - $6,189
from 3 insurers · median $3,618
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$31,337
negotiated rate
Typical for a hospital with this service line
Orthopedics and pain
CPT 29888
$26,878 - $33,864
from 2 insurers · median $30,371
Typical for a hospital with this service line
CT imaging
CPT 71275
$248 - $1,440
from 3 insurers · median $1,313
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 63030
$26,878 - $33,864
from 2 insurers · median $30,371
Typical for a hospital with this service line
Mammography
CPT 77067
$52 - $305
from 4 insurers · median $183
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$17,561
negotiated rate
46 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 29881
$10,987 - $15,381
from 2 insurers · median $13,184
30 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Urology
CPT 52000
$179 - $1,850
from 2 insurers · median $1,014
397 Medicare claims in Level 2 Urology and Related Services (CMS 2024)
Medicine & Surgery
CPT 49505
$11,950
negotiated rate
32 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Digestive procedures
CPT 45385
$308 - $3,267
from 4 insurers · median $1,658
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 42820
$21,835
negotiated rate
Typical for a hospital with this service line
MRI imaging
CPT 70553
$740 - $2,202
from 3 insurers · median $1,693
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$17,561
negotiated rate
46 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Nuclear imaging
CPT 78815
$838 - $3,754
from 2 insurers · median $2,296
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* | 14 | 466% | 5 | 8 |
| Insurer B* | 24 | 284% | 17 | 3 |
| Insurer C* | 8 | 73% | 0 | 8 |
| Insurer D* | 4 | 28% | 0 | 4 |
How we chose these services: 9 appear in this hospital's own Medicare claims, 9 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 York Hospital.
15 Hospital Drive, York, ME 03909
(207) 363-4321
The nearest hospitals of similar type and size. Their rates are compared with York Hospital for the same insurers and services above.
Exeter Hospital Inc.
▲ Rates typically 35% higher than York Hospital (22 services)
Frisbie Memorial Hospital
▲ Rates typically 7% higher than York Hospital (22 services)
Southern Maine Health Care - Biddeford
▲ Rates typically 46% higher than York Hospital (22 services)
Anna Jaques Hospital
▼ Rates typically 6% lower than York Hospital (12 services)
Parkland Medical Center
▲ Rates typically 21% higher than York Hospital (22 services)
Concord Hospital – Laconia
▼ Rates typically 37% lower than York Hospital (22 services)
Franklin Memorial Hospital
Northern Light Ar Gould Hospital
Mid Coast Hospital
Mainegeneral Medical Center
About York Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at York Hospital range from $740 to $2,202 across 3 insurers. Cigna's rate is $1,693. The median at nearby comparable hospitals is $2,107. 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 York Hospital range from $318 to $1,693 across 3 insurers. Aetna's rate is $318. The median at nearby comparable hospitals is $1,501. 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 York Hospital range from $308 to $3,267 across 4 insurers. Blue Cross Blue Shield's rate is $3,267. The median at nearby comparable hospitals is $2,066. 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 York Hospital range from $11,909 to $11,909 across 1 insurers. Blue Cross Blue Shield's rate is $11,909. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at York Hospital range from $52 to $305 across 4 insurers. UnitedHealthcare's rate is $52. The median at nearby comparable hospitals is $463. 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 York Hospital range from $15,063 to $34,878 across 2 insurers. Blue Cross Blue Shield's rate is $15,063. The median at nearby comparable hospitals is $28,879. What a patient pays depends on their plan's deductible, coinsurance and network status.
York Hospital has 79 beds. Facility type: Short Term Acute Care Hospital.
York Hospital is located at 15 Hospital Drive, York, ME 03909. Its main phone number is (207) 363-4321.
York Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 200020.
The National Provider Identifier (NPI) on file for York Hospital is 1376528398.
York Hospital lists 30 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.
220 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