Northern Light Acadia Hospital
Listed in its price file as “Acadia Hospital”.
Northern Light Acadia Hospital in Bangor, ME publishes cash prices for 159 common procedures listed here, from its own machine-readable price file updated Mar 30, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Maine median for 8 of 9 procedures and above it for 1. Select a procedure to compare it with other hospitals nearby.
268 Stillwater Ave, Bangor, ME 04401 Collected Sep 23, 2026 Source price file Check a bill from this hospital (207) 973-6100
Psychiatric hospital Nonprofit hospital No emergency department CCN 204006 · CMS hospital register NPI 1215940523
Some prices here are not compared
Northern Light Acadia Hospital is a psychiatric hospital. Its price file also lists scans, lab tests and procedures, but these are generally provided to its own inpatients, not booked by outside patients, so they are not compared with other hospitals here. Only its psychiatric evaluation and therapy prices are compared.
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Northern Light Acadia Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Maine | Off list |
|---|---|---|---|---|---|
| Abdominal X-ray, 2 views CPT 74019 XRAY ABDOMEN, 2 VIEWS | $173.88 | $483.00 | $264.68–$468.51 | — | 64% |
| Abdominal X-ray, 2 views inpatient CPT 74019 XRAY ABDOMEN, 2 VIEWS | $173.88 | $483.00 | $361.28–$468.51 | — | 64% |
| Chest X-ray, 2 views CPT 71046 HC XR CHEST 2 VW | $184.68 | $513.00 | $281.12–$497.61 | — | 64% |
| Chest X-ray, 2 views inpatient CPT 71046 HC XR CHEST 2 VW | $184.68 | $513.00 | $383.72–$497.61 | — | 64% |
| Chest X-ray, single view CPT 71045 XRAY CHEST, SINGLE VIEW | $137.16 | $381.00 | $208.79–$369.57 | — | 64% |
| Chest X-ray, single view inpatient CPT 71045 XRAY CHEST, SINGLE VIEW | $137.16 | $381.00 | $284.99–$369.57 | — | 64% |
| Collarbone (clavicle) X-ray, complete CPT 73000 XR CLAVICLE CMPL | $133.92 | $372.00 | $203.86–$360.84 | — | 64% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 XR CLAVICLE CMPL | $133.92 | $372.00 | $278.26–$360.84 | — | 64% |
| Hand X-ray, 2 views CPT 73120 XRAY OF HAND 2 VIEWS | $78.48 | $218.00 | $119.46–$211.46 | — | 64% |
| Hand X-ray, 2 views inpatient CPT 73120 XRAY OF HAND 2 VIEWS | $78.48 | $218.00 | $163.06–$211.46 | — | 64% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 XR CALCANEUS MINM 2 VW | $98.28 | $273.00 | $149.60–$264.81 | — | 64% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 XR CALCANEUS MINM 2 VW | $98.28 | $273.00 | $204.20–$264.81 | — | 64% |
| Knee X-ray, 3 views CPT 73562 XRAY KNEE, 3 VIEWS | $156.60 | $435.00 | $238.38–$421.95 | — | 64% |
| Knee X-ray, 3 views inpatient CPT 73562 XRAY KNEE, 3 VIEWS | $156.60 | $435.00 | $325.38–$421.95 | — | 64% |
| Knee X-ray, complete, 4 or more views CPT 73564 XR KNEE 4+ VW | $118.80 | $330.00 | $180.84–$320.10 | — | 64% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 XR KNEE 4+ VW | $118.80 | $330.00 | $246.84–$320.10 | — | 64% |
| Toe X-ray, 2 or more views CPT 73660 XR TOE(S) MINM 2 VW | $134.64 | $374.00 | $204.95–$362.78 | — | 64% |
| Toe X-ray, 2 or more views inpatient CPT 73660 XR TOE(S) MINM 2 VW | $134.64 | $374.00 | $279.75–$362.78 | — | 64% |
| Upper arm X-ray (humerus), 2 views CPT 73060 XR HUMERUS MINM 2 VW | $121.68 | $338.00 | $185.22–$327.86 | — | 64% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 XR HUMERUS MINM 2 VW | $121.68 | $338.00 | $252.82–$327.86 | — | 64% |
| Wrist X-ray, 2 views CPT 73100 XRAY WRIST 2 VIEWS | $70.92 | $197.00 | $107.96–$191.09 | — | 64% |
| Wrist X-ray, 2 views inpatient CPT 73100 XRAY WRIST 2 VIEWS | $70.92 | $197.00 | $147.36–$191.09 | — | 64% |
| X-ray of the abdomen, 1 view CPT 74018 HC XR ABD 1 VW | $102.60 | $285.00 | $156.18–$276.45 | — | 64% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC XR ABD 1 VW | $102.60 | $285.00 | $213.18–$276.45 | — | 64% |
| X-ray of the ankle, 2 views CPT 73600 XRAY ANKLE, 2 VIEWS | $90.36 | $251.00 | $137.55–$243.47 | — | 64% |
| X-ray of the ankle, 2 views inpatient CPT 73600 XRAY ANKLE, 2 VIEWS | $90.36 | $251.00 | $187.75–$243.47 | — | 64% |
| X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER(S) MINM 2 VW | $137.52 | $382.00 | $209.34–$370.54 | — | 64% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGER(S) MINM 2 VW | $137.52 | $382.00 | $285.74–$370.54 | — | 64% |
| X-ray of the foot, 2 views CPT 73620 XRAY FOOT, 2 VIEWS | $126.72 | $352.00 | $192.90–$341.44 | — | 64% |
| X-ray of the foot, 2 views inpatient CPT 73620 XRAY FOOT, 2 VIEWS | $126.72 | $352.00 | $263.30–$341.44 | — | 64% |
| X-ray of the foot, complete, 3 or more views CPT 73630 XR FOOT MINM 3 VW | $118.80 | $330.00 | $180.84–$320.10 | — | 64% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 XR FOOT MINM 3 VW | $118.80 | $330.00 | $246.84–$320.10 | — | 64% |
| X-ray of the hand, 3 or more views CPT 73130 XR HND MINM 3 VW | $183.24 | $509.00 | $278.93–$493.73 | — | 64% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 XR HND MINM 3 VW | $183.24 | $509.00 | $380.73–$493.73 | — | 64% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LUMBOSACRAL SPINE 2-3 VW | $143.28 | $398.00 | $218.10–$386.06 | — | 64% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR LUMBOSACRAL SPINE 2-3 VW | $143.28 | $398.00 | $297.70–$386.06 | — | 64% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XRAY SACRUM/COCCYX, MIN 2 VWS | $144.72 | $402.00 | $220.30–$389.94 | — | 64% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XRAY SACRUM/COCCYX, MIN 2 VWS | $144.72 | $402.00 | $300.70–$389.94 | — | 64% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Maine | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ADRENOCORTICOTROPIC HORMONE | $92.16 | $256.00 | $140.29–$248.32 | — | 64% |
| ACTH blood test inpatient CPT 82024 ADRENOCORTICOTROPIC HORMONE | $92.16 | $256.00 | $191.49–$248.32 | — | 64% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PROFILE I ACUTE | $79.92 | $222.00 | $121.66–$215.34 | — | 64% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PROFILE I ACUTE | $79.92 | $222.00 | $166.06–$215.34 | — | 64% |
| Aldosterone blood test CPT 82088 ALDOSTERONE/LAB | $62.64 | $174.00 | $95.35–$168.78 | — | 64% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE/LAB | $62.64 | $174.00 | $130.15–$168.78 | — | 64% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGENS/LAB | $20.16 | $56.00 | $30.69–$54.32 | — | 64% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGENS/LAB | $20.16 | $56.00 | $41.89–$54.32 | — | 64% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 AFP TUMOR MARKER/LAB | $25.92 | $72.00 | $39.46–$69.84 | — | 64% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP TUMOR MARKER/LAB | $25.92 | $72.00 | $53.86–$69.84 | — | 64% |
| Ammonia blood test CPT 82140 AMMONIA | $34.56 | $96.00 | $52.61–$93.12 | — | 64% |
| Ammonia blood test inpatient CPT 82140 AMMONIA | $34.56 | $96.00 | $71.81–$93.12 | — | 64% |
| Amylase blood test CPT 82150 AMYLASE SERUM | $26.28 | $73.00 | $40.00–$70.81 | — | 64% |
| Amylase blood test inpatient CPT 82150 AMYLASE SERUM | $26.28 | $73.00 | $54.60–$70.81 | — | 64% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULINATED PEPTIDE | $25.92 | $72.00 | $39.46–$69.84 | — | 64% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULINATED PEPTIDE | $25.92 | $72.00 | $53.86–$69.84 | — | 64% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODY | $37.80 | $105.00 | $57.54–$101.85 | — | 64% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODY | $37.80 | $105.00 | $78.54–$101.85 | — | 64% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B TYPE NATURIURETIC PEPTIDE | $95.40 | $265.00 | $145.22–$257.05 | — | 64% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B TYPE NATURIURETIC PEPTIDE | $95.40 | $265.00 | $198.22–$257.05 | — | 64% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 AEROBIC CULTURE ROUT | $30.96 | $86.00 | $47.13–$83.42 | — | 64% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 GENITAL CULTURE | $30.96 | $86.00 | $47.13–$83.42 | — | 64% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 GENITAL CULTURE | $30.96 | $86.00 | $64.33–$83.42 | — | 64% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 AEROBIC CULTURE ROUT | $30.96 | $86.00 | $64.33–$83.42 | — | 64% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANE | $38.88 | $108.00 | $59.18–$104.76 | — | 64% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANE | $38.88 | $108.00 | $80.78–$104.76 | — | 64% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 INP BLOOD DRAW VEIN | $7.92 | $22.00 | $12.06–$21.34 | — | 64% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 INP BLOOD DRAW VEIN | $7.92 | $22.00 | $16.46–$21.34 | — | 64% |
| Blood lead test CPT 83655 LEAD, STATE LAB | $39.24 | $109.00 | $59.73–$105.73 | — | 64% |
| Blood lead test CPT 83655 LEAD BLOOD | $39.24 | $109.00 | $59.73–$105.73 | — | 64% |
| Blood lead test inpatient CPT 83655 LEAD, STATE LAB | $39.24 | $109.00 | $81.53–$105.73 | — | 64% |
| Blood lead test inpatient CPT 83655 LEAD BLOOD | $39.24 | $109.00 | $81.53–$105.73 | — | 64% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 BETA HCG QUAL S PREG | $38.88 | $108.00 | $59.18–$104.76 | — | 64% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 BETA HCG QUAL S PREG | $38.88 | $108.00 | $80.78–$104.76 | — | 64% |
| Blood urea nitrogen (BUN) test CPT 84520 BUN LAB | $9.36 | $26.00 | $14.25–$25.22 | — | 64% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN LAB | $9.36 | $26.00 | $19.45–$25.22 | — | 64% |
| C-peptide blood test CPT 84681 C PEPTIDE REACTIVITY | $32.04 | $89.00 | $48.77–$86.33 | — | 64% |
| C-peptide blood test inpatient CPT 84681 C PEPTIDE REACTIVITY | $32.04 | $89.00 | $66.57–$86.33 | — | 64% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN | $20.88 | $58.00 | $31.78–$56.26 | — | 64% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN | $20.88 | $58.00 | $43.38–$56.26 | — | 64% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C-DIFFICILE/TOXIN | $61.92 | $172.00 | $94.26–$166.84 | — | 64% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C-DIFFICILE/TOXIN | $61.92 | $172.00 | $128.66–$166.84 | — | 64% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID CEPHEID | $36.00 | $100.00 | $54.80–$97.00 | — | 64% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC COVID AMPLIFIED PROBE | $46.44 | $129.00 | $70.69–$125.13 | — | 64% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID CEPHEID | $36.00 | $100.00 | $74.80–$97.00 | — | 64% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC COVID AMPLIFIED PROBE | $46.44 | $129.00 | $96.49–$125.13 | — | 64% |
| Calcium blood test, total CPT 82310 CALCIUM | $10.44 | $29.00 | $15.89–$28.13 | — | 64% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM | $10.44 | $29.00 | $21.69–$28.13 | — | 64% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA AMPLIFIED PROBE | $74.16 | $206.00 | $112.89–$199.82 | — | 64% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA AMPLIFIED PROBE | $74.16 | $206.00 | $154.09–$199.82 | — | 64% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $53.64 | $149.00 | $81.65–$144.53 | — | 64% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $53.64 | $149.00 | $111.45–$144.53 | — | 64% |
| Complete blood count (CBC) with differential CPT 85025 CBC | $33.12 | $92.00 | $50.42–$89.24 | — | 64% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC | $33.12 | $92.00 | $68.82–$89.24 | — | 64% |
| Complete blood count (CBC), no differential CPT 85027 HEMOGRAM/CELL COUNT | $27.36 | $76.00 | $41.65–$73.72 | — | 64% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM/CELL COUNT | $27.36 | $76.00 | $56.85–$73.72 | — | 64% |
| Comprehensive metabolic panel (blood test) CPT 80053 CMP | $55.80 | $155.00 | $84.94–$150.35 | — | 64% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP | $55.80 | $155.00 | $115.94–$150.35 | — | 64% |
| Cortisol blood test, total CPT 82533 CORTISOL PLASMA | $45.36 | $126.00 | $69.05–$122.22 | — | 64% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL PLASMA | $45.36 | $126.00 | $94.25–$122.22 | — | 64% |
| Creatine kinase (CK) blood test, total CPT 82550 CPK | $26.28 | $73.00 | $40.00–$70.81 | — | 64% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK | $26.28 | $73.00 | $54.60–$70.81 | — | 64% |
| Creatinine blood test CPT 82565 CREATININE SERUM | $15.48 | $43.00 | $23.56–$41.71 | — | 64% |
| Creatinine blood test inpatient CPT 82565 CREATININE SERUM | $15.48 | $43.00 | $32.16–$41.71 | — | 64% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV ANTIBODY, IGG | $47.16 | $131.00 | $71.79–$127.07 | — | 64% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV ANTIBODY, IGG | $47.16 | $131.00 | $97.99–$127.07 | — | 64% |
| D-dimer blood test (blood clot marker) CPT 85379 D DIMER | $34.20 | $95.00 | $52.06–$92.15 | — | 64% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER | $34.20 | $95.00 | $71.06–$92.15 | — | 64% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE/LAB | $101.16 | $281.00 | $153.99–$272.57 | — | 64% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE/LAB | $101.16 | $281.00 | $210.19–$272.57 | — | 64% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN RAPID/LAB | $95.40 | $265.00 | $145.22–$257.05 | — | 64% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN RAPID/LAB | $95.40 | $265.00 | $198.22–$257.05 | — | 64% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES SERUM | $14.40 | $40.00 | $21.92–$38.80 | — | 64% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES SERUM | $14.40 | $40.00 | $29.92–$38.80 | — | 64% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV AB V. CAPSID AG | $85.68 | $238.00 | $130.42–$230.86 | — | 64% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV AB V. CAPSID AG | $85.68 | $238.00 | $178.02–$230.86 | — | 64% |
| Estradiol blood test CPT 82670 ESTRADIOL/LAB | $108.00 | $300.00 | $164.40–$291.00 | — | 64% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL/LAB | $108.00 | $300.00 | $224.40–$291.00 | — | 64% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $88.20 | $245.00 | $134.26–$237.65 | — | 64% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH | $88.20 | $245.00 | $183.26–$237.65 | — | 64% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $37.80 | $105.00 | $57.54–$101.85 | — | 64% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $37.80 | $105.00 | $78.54–$101.85 | — | 64% |
| Folate (folic acid) blood test CPT 82746 FOLATE SERUM | $39.24 | $109.00 | $59.73–$105.73 | — | 64% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLATE SERUM | $39.24 | $109.00 | $81.53–$105.73 | — | 64% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $69.48 | $193.00 | $105.76–$187.21 | — | 64% |
| Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE | $69.48 | $193.00 | $144.36–$187.21 | — | 64% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 | $25.92 | $72.00 | $39.46–$69.84 | — | 64% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 | $25.92 | $72.00 | $53.86–$69.84 | — | 64% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $39.24 | $109.00 | $59.73–$105.73 | — | 64% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE | $39.24 | $109.00 | $81.53–$105.73 | — | 64% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT GLUTAMYLTRANSFER | $29.16 | $81.00 | $44.39–$78.57 | — | 64% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT GLUTAMYLTRANSFER | $29.16 | $81.00 | $60.59–$78.57 | — | 64% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC AMPLIFIED PROBE | $72.00 | $200.00 | $109.60–$194.00 | — | 64% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC AMPLIFIED PROBE | $72.00 | $200.00 | $149.60–$194.00 | — | 64% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA QUANT/PCR | $142.56 | $396.00 | $217.01–$384.12 | — | 64% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA QUANT/PCR | $142.56 | $396.00 | $296.21–$384.12 | — | 64% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV COMBO ANTIGEN/ANTIBODY REF | $30.24 | $84.00 | $46.03–$81.48 | — | 64% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV COMBO ANTIGEN/ANTIBODY REF | $30.24 | $84.00 | $62.83–$81.48 | — | 64% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSALATED HGB A1C | $38.52 | $107.00 | $58.64–$103.79 | — | 64% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSALATED HGB A1C | $38.52 | $107.00 | $80.04–$103.79 | — | 64% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $9.72 | $27.00 | $14.80–$26.19 | — | 64% |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN | $9.72 | $27.00 | $20.20–$26.19 | — | 64% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB | $30.60 | $85.00 | $46.58–$82.45 | — | 64% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB | $30.60 | $85.00 | $63.58–$82.45 | — | 64% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB | $26.64 | $74.00 | $40.55–$71.78 | — | 64% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE AB | $26.64 | $74.00 | $55.35–$71.78 | — | 64% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG | $26.28 | $73.00 | $40.00–$70.81 | — | 64% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG | $26.28 | $73.00 | $54.60–$70.81 | — | 64% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ABDY | $65.16 | $181.00 | $99.19–$175.57 | — | 64% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ABDY | $65.16 | $181.00 | $135.39–$175.57 | — | 64% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA QUANT | $108.00 | $300.00 | $164.40–$291.00 | — | 64% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C RNA QUANT | $108.00 | $300.00 | $224.40–$291.00 | — | 64% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 | $55.80 | $155.00 | $84.94–$150.35 | — | 64% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1 | $55.80 | $155.00 | $115.94–$150.35 | — | 64% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 | $56.88 | $158.00 | $86.58–$153.26 | — | 64% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 | $56.88 | $158.00 | $118.18–$153.26 | — | 64% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGH SENSITIVITY | $42.84 | $119.00 | $65.21–$115.43 | — | 64% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HIGH SENSITIVITY | $42.84 | $119.00 | $89.01–$115.43 | — | 64% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE | $97.92 | $272.00 | $149.06–$263.84 | — | 64% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE | $97.92 | $272.00 | $203.46–$263.84 | — | 64% |
| Insulin blood test CPT 83525 INSULIN/LAB | $71.64 | $199.00 | $109.05–$193.03 | — | 64% |
| Insulin blood test inpatient CPT 83525 INSULIN/LAB | $71.64 | $199.00 | $148.85–$193.03 | — | 64% |
| Iron blood test (serum iron) CPT 83540 IRON | $18.36 | $51.00 | $27.95–$49.47 | — | 64% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $18.36 | $51.00 | $38.15–$49.47 | — | 64% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $24.84 | $69.00 | $37.81–$66.93 | — | 64% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY | $24.84 | $69.00 | $51.61–$66.93 | — | 64% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $42.84 | $119.00 | $65.21–$115.43 | — | 64% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $42.84 | $119.00 | $89.01–$115.43 | — | 64% |
| LH (luteinizing hormone) test CPT 83002 LH | $90.72 | $252.00 | $138.10–$244.44 | — | 64% |
| LH (luteinizing hormone) test inpatient CPT 83002 LH | $90.72 | $252.00 | $188.50–$244.44 | — | 64% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH SERUM | $16.56 | $46.00 | $25.21–$44.62 | — | 64% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH SERUM | $16.56 | $46.00 | $34.41–$44.62 | — | 64% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $20.88 | $58.00 | $31.78–$56.26 | — | 64% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $20.88 | $58.00 | $43.38–$56.26 | — | 64% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PAN | $19.08 | $53.00 | $29.04–$51.41 | — | 64% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PAN | $19.08 | $53.00 | $39.64–$51.41 | — | 64% |
| Lyme disease antibody test CPT 86618 LYME DIS TITER/LAB | $69.12 | $192.00 | $105.22–$186.24 | — | 64% |
| Lyme disease antibody test inpatient CPT 86618 LYME DIS TITER/LAB | $69.12 | $192.00 | $143.62–$186.24 | — | 64% |
| Magnesium blood test CPT 83735 MAGNESIUM LAB | $34.56 | $96.00 | $52.61–$93.12 | — | 64% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM LAB | $34.56 | $96.00 | $71.81–$93.12 | — | 64% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL (PART OF PSA FREE) | $26.28 | $73.00 | $40.00–$70.81 | — | 64% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATIC SPE AG LAB | $40.32 | $112.00 | $61.38–$108.64 | — | 64% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL (PART OF PSA FREE) | $26.28 | $73.00 | $54.60–$70.81 | — | 64% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATIC SPE AG LAB | $40.32 | $112.00 | $83.78–$108.64 | — | 64% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT | $73.80 | $205.00 | $112.34–$198.85 | — | 64% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT | $73.80 | $205.00 | $153.34–$198.85 | — | 64% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT/LAB | $34.56 | $96.00 | $52.61–$93.12 | — | 64% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT/LAB | $34.56 | $96.00 | $71.81–$93.12 | — | 64% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS | $18.00 | $50.00 | $27.40–$48.50 | — | 64% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS | $18.00 | $50.00 | $37.40–$48.50 | — | 64% |
| Potassium blood test CPT 84132 POTASSIUM SERUM | $10.80 | $30.00 | $16.44–$29.10 | — | 64% |
| Potassium blood test inpatient CPT 84132 POTASSIUM SERUM | $10.80 | $30.00 | $22.44–$29.10 | — | 64% |
| Progesterone blood test CPT 84144 PROGESTERONE/LAB | $80.28 | $223.00 | $122.20–$216.31 | — | 64% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE/LAB | $80.28 | $223.00 | $166.80–$216.31 | — | 64% |
| Prolactin blood test CPT 84146 PROLACTIN | $73.44 | $204.00 | $111.79–$197.88 | — | 64% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $73.44 | $204.00 | $152.59–$197.88 | — | 64% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $23.76 | $66.00 | $36.17–$64.02 | — | 64% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $23.76 | $66.00 | $49.37–$64.02 | — | 64% |
| Renin blood test CPT 84244 RENIN 1/LAB | $51.48 | $143.00 | $78.36–$138.71 | — | 64% |
| Renin blood test inpatient CPT 84244 RENIN 1/LAB | $51.48 | $143.00 | $106.96–$138.71 | — | 64% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT | $55.44 | $154.00 | $84.39–$149.38 | — | 64% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANT | $55.44 | $154.00 | $115.19–$149.38 | — | 64% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDIMENTATION RATE | $6.12 | $17.00 | $9.32–$16.49 | — | 64% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SEDIMENTATION RATE | $6.12 | $17.00 | $12.72–$16.49 | — | 64% |
| Sodium blood test CPT 84295 SODIUM SERUM | $11.16 | $31.00 | $16.99–$30.07 | — | 64% |
| Sodium blood test inpatient CPT 84295 SODIUM SERUM | $11.16 | $31.00 | $23.19–$30.07 | — | 64% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD ANNUAL SCREEN/LAB | $6.84 | $19.00 | $10.41–$18.43 | — | 64% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD ANNUAL SCREEN/LAB | $6.84 | $19.00 | $14.21–$18.43 | — | 64% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL/LAB | $53.28 | $148.00 | $81.10–$143.56 | — | 64% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR | $53.28 | $148.00 | $81.10–$143.56 | — | 64% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR | $53.28 | $148.00 | $110.70–$143.56 | — | 64% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL/LAB | $53.28 | $148.00 | $110.70–$143.56 | — | 64% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB QUANTIFERON GOLD/LAB | $160.56 | $446.00 | $244.41–$432.62 | — | 64% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB QUANTIFERON GOLD/LAB | $160.56 | $446.00 | $333.61–$432.62 | — | 64% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL | $80.64 | $224.00 | $122.75–$217.28 | — | 64% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE/LAB | $107.64 | $299.00 | $163.85–$290.03 | — | 64% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, TOTAL | $80.64 | $224.00 | $167.55–$217.28 | — | 64% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE/LAB | $107.64 | $299.00 | $223.65–$290.03 | — | 64% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY | $83.88 | $233.00 | $127.68–$226.01 | — | 64% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODY | $83.88 | $233.00 | $174.28–$226.01 | — | 64% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $62.28 | $173.00 | $94.80–$167.81 | — | 64% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $62.28 | $173.00 | $129.40–$167.81 | — | 64% |
| Total thyroxine (T4) blood test CPT 84436 T4 TOTAL THYROXINE | $21.24 | $59.00 | $32.33–$57.23 | — | 64% |
| Total thyroxine (T4) blood test inpatient CPT 84436 T4 TOTAL THYROXINE | $21.24 | $59.00 | $44.13–$57.23 | — | 64% |
| Total triiodothyronine (T3) blood test CPT 84480 T 3 TOTAL | $63.36 | $176.00 | $96.45–$170.72 | — | 64% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 T 3 TOTAL | $63.36 | $176.00 | $131.65–$170.72 | — | 64% |
| Transferrin blood test CPT 84466 TRANSFERRIN/LAB | $30.60 | $85.00 | $46.58–$82.45 | — | 64% |
| Transferrin blood test inpatient CPT 84466 TRANSFERRIN/LAB | $30.60 | $85.00 | $63.58–$82.45 | — | 64% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS BY PCR/LAB | $75.96 | $211.00 | $115.63–$204.67 | — | 64% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS BY PCR/LAB | $75.96 | $211.00 | $157.83–$204.67 | — | 64% |
| Troponin test, quantitative CPT 84484 TROPONIN | $38.88 | $108.00 | $59.18–$104.76 | — | 64% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN | $38.88 | $108.00 | $80.78–$104.76 | — | 64% |
| Uric acid blood test CPT 84550 URIC ACID SERUM | $18.36 | $51.00 | $27.95–$49.47 | — | 64% |
| Uric acid blood test inpatient CPT 84550 URIC ACID SERUM | $18.36 | $51.00 | $38.15–$49.47 | — | 64% |
| Urinalysis without microscope exam, automated CPT 81003 URINE SCREEN/LAB | $10.08 | $28.00 | $15.34–$27.16 | — | 64% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS | $10.08 | $28.00 | $15.34–$27.16 | — | 64% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS | $10.08 | $28.00 | $20.94–$27.16 | — | 64% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINE SCREEN/LAB | $10.08 | $28.00 | $20.94–$27.16 | — | 64% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE | $27.36 | $76.00 | $41.65–$73.72 | — | 64% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE | $27.36 | $76.00 | $56.85–$73.72 | — | 64% |
| Urine microalbumin (albumin) test CPT 82043 URINE MICROALBUMIN | $21.60 | $60.00 | $32.88–$58.20 | — | 64% |
| Urine microalbumin (albumin) test inpatient CPT 82043 URINE MICROALBUMIN | $21.60 | $60.00 | $44.88–$58.20 | — | 64% |
| Urine pregnancy test, read by color change CPT 81025 SUB FAST TECH PREGNANCY TEST | $28.08 | $78.00 | $42.74–$75.66 | — | 64% |
| Urine pregnancy test, read by color change CPT 81025 AMM FAST TECH PREGNANCY TEST | $28.08 | $78.00 | $42.74–$75.66 | — | 64% |
| Urine pregnancy test, read by color change CPT 81025 ECT PREGNANCY TEST URINE | $28.08 | $78.00 | $42.74–$75.66 | — | 64% |
| Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST URINE | $28.08 | $78.00 | $42.74–$75.66 | — | 64% |
| Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST URINE | $28.08 | $78.00 | $58.34–$75.66 | — | 64% |
| Urine pregnancy test, read by color change inpatient CPT 81025 SUB FAST TECH PREGNANCY TEST | $28.08 | $78.00 | $58.34–$75.66 | — | 64% |
| Urine pregnancy test, read by color change inpatient CPT 81025 AMM FAST TECH PREGNANCY TEST | $28.08 | $78.00 | $58.34–$75.66 | — | 64% |
| Urine pregnancy test, read by color change inpatient CPT 81025 ECT PREGNANCY TEST URINE | $28.08 | $78.00 | $58.34–$75.66 | — | 64% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 REFLEX | $29.16 | $81.00 | $44.39–$78.57 | — | 64% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $39.96 | $111.00 | $60.83–$107.67 | — | 64% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 REFLEX | $29.16 | $81.00 | $60.59–$78.57 | — | 64% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 | $39.96 | $111.00 | $83.03–$107.67 | — | 64% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D2 AND D3 LCMS/LAB | $72.36 | $201.00 | $110.15–$194.97 | — | 64% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D25 HYDROXY/LAB | $96.48 | $268.00 | $146.86–$259.96 | — | 64% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D2 AND D3 LCMS/LAB | $72.36 | $201.00 | $150.35–$194.97 | — | 64% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D25 HYDROXY/LAB | $96.48 | $268.00 | $200.46–$259.96 | — | 64% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 125 DIHIDROXY | $59.04 | $164.00 | $89.87–$159.08 | — | 64% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D 125 DIHIDROXY | $59.04 | $164.00 | $122.67–$159.08 | — | 64% |
| Zinc blood test CPT 84630 ZINC | $17.64 | $49.00 | $26.85–$47.53 | — | 64% |
| Zinc blood test inpatient CPT 84630 ZINC | $17.64 | $49.00 | $36.65–$47.53 | — | 64% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QUAN | $68.04 | $189.00 | $103.57–$183.33 | — | 64% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG QUAN | $68.04 | $189.00 | $141.37–$183.33 | — | 64% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Maine | Off list |
|---|---|---|---|---|---|
| Spinal tap (lumbar puncture), diagnostic CPT 62270 GER SPINAL PUNCT LUMB DIAGNSTC | $551.88 | $1,533.00 | $840.08–$1,487.01 | — | 64% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 GER SPINAL PUNCT LUMB DIAGNSTC | $551.88 | $1,533.00 | $1,146.68–$1,487.01 | — | 64% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Maine | Off list |
|---|---|---|---|---|---|
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECT EKG | $47.88 | $133.00 | $72.88–$129.01 | — | 64% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 AHMS EKG | $47.88 | $133.00 | $72.88–$129.01 | — | 64% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 GER EKG | $47.88 | $133.00 | $72.88–$129.01 | — | 64% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 SUB EKG | $47.88 | $133.00 | $72.88–$129.01 | — | 64% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 AMM EKG | $47.88 | $133.00 | $72.88–$129.01 | — | 64% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 AMM EKG | $47.88 | $133.00 | $99.48–$129.01 | — | 64% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 AHMS EKG | $47.88 | $133.00 | $99.48–$129.01 | — | 64% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECT EKG | $47.88 | $133.00 | $99.48–$129.01 | — | 64% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 GER EKG | $47.88 | $133.00 | $99.48–$129.01 | — | 64% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 SUB EKG | $47.88 | $133.00 | $99.48–$129.01 | — | 64% |
| Electroconvulsive therapy (ECT), one session CPT 90870 ECTA ECT AND RECOVERY ROOM | $672.12 | $1,867.00 | $1,023.12–$1,810.99 | 34% below | 64% |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 ECTA ECT AND RECOVERY ROOM | $672.12 | $1,867.00 | $1,396.52–$1,810.99 | — | 64% |
| Family therapy with the patient, 50 minutes CPT 90847 ACTS FAM THRPY CONDITIONAL | $120.96 | $336.00 | $184.13–$325.92 | 32% below | 64% |
| Family therapy with the patient, 50 minutes CPT 90847 AEDC FAM THRPY CONDITIONAL | $120.96 | $336.00 | $184.13–$325.92 | 32% below | 64% |
| Family therapy with the patient, 50 minutes CPT 90847 ADOP FAM THRPY CONDITIONAL | $120.96 | $336.00 | $184.13–$325.92 | 32% below | 64% |
| Family therapy with the patient, 50 minutes CPT 90847 OAT FAM THRPY SOCIAL | $208.08 | $578.00 | $316.74–$560.66 | 17% above | 64% |
| Family therapy with the patient, 50 minutes CPT 90847 ADOP FAM THRPY SOCIAL | $208.08 | $578.00 | $316.74–$560.66 | 17% above | 64% |
| Family therapy with the patient, 50 minutes CPT 90847 PHD FAM THERAPY | $208.08 | $578.00 | $316.74–$560.66 | 17% above | 64% |
| Family therapy with the patient, 50 minutes CPT 90847 OAT FAM TH MD | $208.08 | $578.00 | $316.74–$560.66 | 17% above | 64% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 AEDC FAM THRPY CONDITIONAL | $120.96 | $336.00 | $251.33–$325.92 | — | 64% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 ADOP FAM THRPY CONDITIONAL | $120.96 | $336.00 | $251.33–$325.92 | — | 64% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 ACTS FAM THRPY CONDITIONAL | $120.96 | $336.00 | $251.33–$325.92 | — | 64% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 ADOP FAM THRPY SOCIAL | $208.08 | $578.00 | $432.34–$560.66 | — | 64% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 PHD FAM THERAPY | $208.08 | $578.00 | $432.34–$560.66 | — | 64% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 OAT FAM THRPY SOCIAL | $208.08 | $578.00 | $432.34–$560.66 | — | 64% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 OAT FAM TH MD | $208.08 | $578.00 | $432.34–$560.66 | — | 64% |
| Family therapy without the patient, 50 minutes CPT 90846 AEDC FAM W/O PT CONDITIONAL | $114.84 | $319.00 | $174.81–$309.43 | 16% below | 64% |
| Family therapy without the patient, 50 minutes CPT 90846 ACTS FAM W/O PT CONDITIONAL | $114.84 | $319.00 | $174.81–$309.43 | 16% below | 64% |
| Family therapy without the patient, 50 minutes CPT 90846 ADOP FAM W/O PT CONDITIONAL | $114.84 | $319.00 | $174.81–$309.43 | 16% below | 64% |
| Family therapy without the patient, 50 minutes CPT 90846 OAT FAM W/O PT SOCIAL | $198.72 | $552.00 | $302.50–$535.44 | 46% above | 64% |
| Family therapy without the patient, 50 minutes CPT 90846 ADOP FAM W/O PT SOCIAL | $198.72 | $552.00 | $302.50–$535.44 | 46% above | 64% |
| Family therapy without the patient, 50 minutes CPT 90846 PHD FAM TH W/O PT | $198.72 | $552.00 | $302.50–$535.44 | 46% above | 64% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 ADOP FAM W/O PT CONDITIONAL | $114.84 | $319.00 | $238.61–$309.43 | — | 64% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 AEDC FAM W/O PT CONDITIONAL | $114.84 | $319.00 | $238.61–$309.43 | — | 64% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 ACTS FAM W/O PT CONDITIONAL | $114.84 | $319.00 | $238.61–$309.43 | — | 64% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 PHD FAM TH W/O PT | $198.72 | $552.00 | $412.90–$535.44 | — | 64% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 ADOP FAM W/O PT SOCIAL | $198.72 | $552.00 | $412.90–$535.44 | — | 64% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 OAT FAM W/O PT SOCIAL | $198.72 | $552.00 | $412.90–$535.44 | — | 64% |
| Group psychotherapy session CPT 90853 AEDC GROUP 120M CONDITIONAL | $59.04 | $164.00 | $89.87–$159.08 | 3% below | 64% |
| Group psychotherapy session CPT 90853 ACTS GROUP 60M CONDITIONAL | $59.04 | $164.00 | $89.87–$159.08 | 3% below | 64% |
| Group psychotherapy session CPT 90853 ADOP GROUP 90M CONDITIONAL | $59.04 | $164.00 | $89.87–$159.08 | 3% below | 64% |
| Group psychotherapy session CPT 90853 ADOP GROUP 120M CONDITIONAL | $59.04 | $164.00 | $89.87–$159.08 | 3% below | 64% |
| Group psychotherapy session CPT 90853 ADOP GROUP 60M CONDITIONAL | $59.04 | $164.00 | $89.87–$159.08 | 3% below | 64% |
| Group psychotherapy session CPT 90853 ACTS GROUP 120M CONDITIONAL | $59.04 | $164.00 | $89.87–$159.08 | 3% below | 64% |
| Group psychotherapy session CPT 90853 ACTS GROUP 90M CONDITIONAL | $59.04 | $164.00 | $89.87–$159.08 | 3% below | 64% |
| Group psychotherapy session CPT 90853 AEDC GROUP 90M CONDITIONAL | $59.04 | $164.00 | $89.87–$159.08 | 3% below | 64% |
| Group psychotherapy session CPT 90853 AEDC GROUP 60M CONDITIONAL | $59.04 | $164.00 | $89.87–$159.08 | 3% below | 64% |
| Group psychotherapy session CPT 90853 OAT GROUP 60M SOCIAL | $79.56 | $221.00 | $121.11–$214.37 | 31% above | 64% |
| Group psychotherapy session CPT 90853 ADOP GROUP 60M SOCIAL | $79.56 | $221.00 | $121.11–$214.37 | 31% above | 64% |
| Group psychotherapy session CPT 90853 ADOP GRP TH 90M IOP MD | $90.00 | $250.00 | $137.00–$242.50 | 48% above | 64% |
| Group psychotherapy session CPT 90853 OAT GROUP 90M SOCIAL | $90.00 | $250.00 | $137.00–$242.50 | 48% above | 64% |
| Group psychotherapy session CPT 90853 ADOP GROUP 90M SOCIAL | $90.00 | $250.00 | $137.00–$242.50 | 48% above | 64% |
| Group psychotherapy session CPT 90853 ADOP GROUP 120M SOCIAL | $100.44 | $279.00 | $152.89–$270.63 | 65% above | 64% |
| Group psychotherapy session inpatient CPT 90853 ADOP GROUP 120M CONDITIONAL | $59.04 | $164.00 | $122.67–$159.08 | — | 64% |
| Group psychotherapy session inpatient CPT 90853 ADOP GROUP 90M CONDITIONAL | $59.04 | $164.00 | $122.67–$159.08 | — | 64% |
| Group psychotherapy session inpatient CPT 90853 ACTS GROUP 90M CONDITIONAL | $59.04 | $164.00 | $122.67–$159.08 | — | 64% |
| Group psychotherapy session inpatient CPT 90853 ADOP GROUP 60M CONDITIONAL | $59.04 | $164.00 | $122.67–$159.08 | — | 64% |
| Group psychotherapy session inpatient CPT 90853 ACTS GROUP 60M CONDITIONAL | $59.04 | $164.00 | $122.67–$159.08 | — | 64% |
| Group psychotherapy session inpatient CPT 90853 AEDC GROUP 60M CONDITIONAL | $59.04 | $164.00 | $122.67–$159.08 | — | 64% |
| Group psychotherapy session inpatient CPT 90853 AEDC GROUP 120M CONDITIONAL | $59.04 | $164.00 | $122.67–$159.08 | — | 64% |
| Group psychotherapy session inpatient CPT 90853 AEDC GROUP 90M CONDITIONAL | $59.04 | $164.00 | $122.67–$159.08 | — | 64% |
| Group psychotherapy session inpatient CPT 90853 ACTS GROUP 120M CONDITIONAL | $59.04 | $164.00 | $122.67–$159.08 | — | 64% |
| Group psychotherapy session inpatient CPT 90853 ADOP GROUP 60M SOCIAL | $79.56 | $221.00 | $165.31–$214.37 | — | 64% |
| Group psychotherapy session inpatient CPT 90853 OAT GROUP 60M SOCIAL | $79.56 | $221.00 | $165.31–$214.37 | — | 64% |
| Group psychotherapy session inpatient CPT 90853 OAT GROUP 90M SOCIAL | $90.00 | $250.00 | $187.00–$242.50 | — | 64% |
| Group psychotherapy session inpatient CPT 90853 ADOP GROUP 90M SOCIAL | $90.00 | $250.00 | $187.00–$242.50 | — | 64% |
| Group psychotherapy session inpatient CPT 90853 ADOP GRP TH 90M IOP MD | $90.00 | $250.00 | $187.00–$242.50 | — | 64% |
| Group psychotherapy session inpatient CPT 90853 ADOP GROUP 120M SOCIAL | $100.44 | $279.00 | $208.69–$270.63 | — | 64% |
| IV infusion of a medicine, first hour CPT 96365 ECTA KETAMINE INFUSION | $333.36 | $926.00 | $507.45–$898.22 | — | 64% |
| IV infusion of a medicine, first hour inpatient CPT 96365 ECTA KETAMINE INFUSION | $333.36 | $926.00 | $692.65–$898.22 | — | 64% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 AMM TX/DX INJECTION | $47.52 | $132.00 | $72.34–$128.04 | — | 64% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 SUB TX/DX INJECTION | $47.52 | $132.00 | $72.34–$128.04 | — | 64% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 ACAA TX/DX INJECTION | $47.52 | $132.00 | $72.34–$128.04 | — | 64% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 GER TX/DX INJECTION | $47.52 | $132.00 | $72.34–$128.04 | — | 64% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 GER TX/DX INJECTION | $47.52 | $132.00 | $98.74–$128.04 | — | 64% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 AMM TX/DX INJECTION | $47.52 | $132.00 | $98.74–$128.04 | — | 64% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SUB TX/DX INJECTION | $47.52 | $132.00 | $98.74–$128.04 | — | 64% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ACAA TX/DX INJECTION | $47.52 | $132.00 | $98.74–$128.04 | — | 64% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 AEDC DIAG INTVW CONDITIONAL | $130.32 | $362.00 | $198.38–$351.14 | 39% below | 64% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 OAT DIAG INTVW CONDITIONAL | $130.32 | $362.00 | $198.38–$351.14 | 39% below | 64% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 ADOP DIAG INTVW CONDITIONAL | $130.32 | $362.00 | $198.38–$351.14 | 39% below | 64% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 ACTS DIAG INTVW CONDITIONAL | $130.32 | $362.00 | $198.38–$351.14 | 39% below | 64% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 GER DIAG INTERVIEW | $234.36 | $651.00 | $356.75–$631.47 | 9% above | 64% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PHD DIAG INTERVIEW | $234.36 | $651.00 | $356.75–$631.47 | 9% above | 64% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 OAT DIAG INTVW SOCIAL | $234.36 | $651.00 | $356.75–$631.47 | 9% above | 64% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 SUB DIAGNOSTIC INTERVIEW | $234.36 | $651.00 | $356.75–$631.47 | 9% above | 64% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 AMM DIAGNOSTIC INTERVIEW MD NP | $234.36 | $651.00 | $356.75–$631.47 | 9% above | 64% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 ADOP DIAG INTVW CONDITIONAL | $130.32 | $362.00 | $270.78–$351.14 | — | 64% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 ACTS DIAG INTVW CONDITIONAL | $130.32 | $362.00 | $270.78–$351.14 | — | 64% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 AEDC DIAG INTVW CONDITIONAL | $130.32 | $362.00 | $270.78–$351.14 | — | 64% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 OAT DIAG INTVW CONDITIONAL | $130.32 | $362.00 | $270.78–$351.14 | — | 64% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 AMM DIAGNOSTIC INTERVIEW MD NP | $234.36 | $651.00 | $486.95–$631.47 | — | 64% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 OAT DIAG INTVW SOCIAL | $234.36 | $651.00 | $486.95–$631.47 | — | 64% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PHD DIAG INTERVIEW | $234.36 | $651.00 | $486.95–$631.47 | — | 64% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 GER DIAG INTERVIEW | $234.36 | $651.00 | $486.95–$631.47 | — | 64% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 SUB DIAGNOSTIC INTERVIEW | $234.36 | $651.00 | $486.95–$631.47 | — | 64% |
| New patient office visit, about 30 minutes CPT 99203 AMM NEW PT VISIT LVL 3 | $110.16 | $306.00 | $167.69–$296.82 | — | 64% |
| New patient office visit, about 30 minutes CPT 99203 GER NEW PATIENT LVL 3 | $110.16 | $306.00 | $167.69–$296.82 | — | 64% |
| New patient office visit, about 30 minutes CPT 99203 SUB NEW PT VISIT LVL 3 | $110.16 | $306.00 | $167.69–$296.82 | — | 64% |
| New patient office visit, about 30 minutes CPT 99203 ACAA NEW PT VISIT LVL 3 MD | $110.16 | $306.00 | $167.69–$296.82 | — | 64% |
| New patient office visit, about 30 minutes CPT 99203 ECTA NEW OFFICE VISIT LVL 3 | $110.16 | $306.00 | $167.69–$296.82 | — | 64% |
| New patient office visit, about 45 minutes CPT 99204 SUB NEW PT VISIT LVL 4 | $163.44 | $454.00 | $248.79–$440.38 | — | 64% |
| New patient office visit, about 45 minutes CPT 99204 ACAA NEW PT VISIT LVL 4 MD | $163.44 | $454.00 | $248.79–$440.38 | — | 64% |
| New patient office visit, about 45 minutes CPT 99204 ECTA NEW OFFICE VISIT LVL 4 | $163.44 | $454.00 | $248.79–$440.38 | — | 64% |
| New patient office visit, about 45 minutes CPT 99204 GER NEW PATIENT LVL 4 | $163.44 | $454.00 | $248.79–$440.38 | — | 64% |
| New patient office visit, about 45 minutes CPT 99204 AMM NEW PT VISIT LVL 4 | $163.44 | $454.00 | $248.79–$440.38 | — | 64% |
| New patient office visit, about 60 minutes CPT 99205 ECTA NEW OFFICE VISIT LVL 5 | $241.92 | $672.00 | $368.26–$651.84 | — | 64% |
| New patient office visit, about 60 minutes CPT 99205 GER NEW PATIENT LVL 5 | $241.92 | $672.00 | $368.26–$651.84 | — | 64% |
| New patient office visit, about 60 minutes CPT 99205 AMM NEW PT VISIT LVL 5 | $241.92 | $672.00 | $368.26–$651.84 | — | 64% |
| New patient office visit, about 60 minutes CPT 99205 SUB NEW PT VISIT LVL 5 | $241.92 | $672.00 | $368.26–$651.84 | — | 64% |
| New patient office visit, about 60 minutes CPT 99205 ACAA NEW PT VISIT LVL 5 MD | $241.92 | $672.00 | $368.26–$651.84 | — | 64% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 GER NEW PATIENT LVL 2 | $79.92 | $222.00 | $121.66–$215.34 | — | 64% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 AMM NEW PT VISIT LVL 2 | $79.92 | $222.00 | $121.66–$215.34 | — | 64% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 SUB NEW PT VISIT LVL 2 | $79.92 | $222.00 | $121.66–$215.34 | — | 64% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 ACAA NEW PT VISIT LVL 2 MD | $79.92 | $222.00 | $121.66–$215.34 | — | 64% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 ECTA NEW OFFICE VISIT LVL 2 | $79.92 | $222.00 | $121.66–$215.34 | — | 64% |
| Occupational therapy evaluation, low complexity CPT 97165 ACOT OT EVALUATION LOW | $145.08 | $403.00 | $220.84–$390.91 | — | 64% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 ACOT OT EVALUATION LOW | $145.08 | $403.00 | $301.44–$390.91 | — | 64% |
| Psychiatric evaluation with medical services CPT 90792 SUB DIAG INTVW W/MED SVC | $251.64 | $699.00 | $383.05–$678.03 | 11% above | 64% |
| Psychiatric evaluation with medical services CPT 90792 AMM DIAG INTVW W/MED SVC | $251.64 | $699.00 | $383.05–$678.03 | 11% above | 64% |
| Psychiatric evaluation with medical services CPT 90792 GER DIAG INTVW W/MED SVS | $251.64 | $699.00 | $383.05–$678.03 | 11% above | 64% |
| Psychiatric evaluation with medical services CPT 90792 OAT DIAG INTERVW W/MED SVC MD | $251.64 | $699.00 | $383.05–$678.03 | 11% above | 64% |
| Psychiatric evaluation with medical services CPT 90792 ACAA DIAG INTVW W/MED SVC MD | $251.64 | $699.00 | $383.05–$678.03 | 11% above | 64% |
| Psychiatric evaluation with medical services inpatient CPT 90792 AMM DIAG INTVW W/MED SVC | $251.64 | $699.00 | $522.85–$678.03 | — | 64% |
| Psychiatric evaluation with medical services inpatient CPT 90792 OAT DIAG INTERVW W/MED SVC MD | $251.64 | $699.00 | $522.85–$678.03 | — | 64% |
| Psychiatric evaluation with medical services inpatient CPT 90792 ACAA DIAG INTVW W/MED SVC MD | $251.64 | $699.00 | $522.85–$678.03 | — | 64% |
| Psychiatric evaluation with medical services inpatient CPT 90792 GER DIAG INTVW W/MED SVS | $251.64 | $699.00 | $522.85–$678.03 | — | 64% |
| Psychiatric evaluation with medical services inpatient CPT 90792 SUB DIAG INTVW W/MED SVC | $251.64 | $699.00 | $522.85–$678.03 | — | 64% |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 PHD TST EVAL PHY 1ST HR | $279.72 | $777.00 | $425.80–$753.69 | — | 64% |
| Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 PHD TST EVAL PHY 1ST HR | $279.72 | $777.00 | $581.20–$753.69 | — | 64% |
| Psychotherapy session, 30 minutes CPT 90832 ADOP PSYTH 30M CONDITIONAL | $64.44 | $179.00 | $98.09–$173.63 | 52% below | 64% |
| Psychotherapy session, 30 minutes CPT 90832 AEDC PSYTH 30M CONDITIONAL | $64.44 | $179.00 | $98.09–$173.63 | 52% below | 64% |
| Psychotherapy session, 30 minutes CPT 90832 ACTS PSYTH 30M CONDITIONAL | $64.44 | $179.00 | $98.09–$173.63 | 52% below | 64% |
| Psychotherapy session, 30 minutes CPT 90832 OAT PSYTH 30M CONDITIONAL | $64.44 | $179.00 | $98.09–$173.63 | 52% below | 64% |
| Psychotherapy session, 30 minutes CPT 90832 ADOP PSYTH 30M SOCIAL | $110.88 | $308.00 | $168.78–$298.76 | 18% below | 64% |
| Psychotherapy session, 30 minutes CPT 90832 PHD PSYCHOTHERAPY 30M | $110.88 | $308.00 | $168.78–$298.76 | 18% below | 64% |
| Psychotherapy session, 30 minutes CPT 90832 SUB PSYTH 30M SOCIAL | $110.88 | $308.00 | $168.78–$298.76 | 18% below | 64% |
| Psychotherapy session, 30 minutes CPT 90832 OAT PSYTH 30M SOCIAL | $110.88 | $308.00 | $168.78–$298.76 | 18% below | 64% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 AEDC PSYTH 30M CONDITIONAL | $64.44 | $179.00 | $133.89–$173.63 | — | 64% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 ADOP PSYTH 30M CONDITIONAL | $64.44 | $179.00 | $133.89–$173.63 | — | 64% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 ACTS PSYTH 30M CONDITIONAL | $64.44 | $179.00 | $133.89–$173.63 | — | 64% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 OAT PSYTH 30M CONDITIONAL | $64.44 | $179.00 | $133.89–$173.63 | — | 64% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 OAT PSYTH 30M SOCIAL | $110.88 | $308.00 | $230.38–$298.76 | — | 64% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 ADOP PSYTH 30M SOCIAL | $110.88 | $308.00 | $230.38–$298.76 | — | 64% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PHD PSYCHOTHERAPY 30M | $110.88 | $308.00 | $230.38–$298.76 | — | 64% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 SUB PSYTH 30M SOCIAL | $110.88 | $308.00 | $230.38–$298.76 | — | 64% |
| Psychotherapy session, 45 minutes CPT 90834 AEDC PSYTH 45M CONDITIONAL | $84.96 | $236.00 | $129.33–$228.92 | 51% below | 64% |
| Psychotherapy session, 45 minutes CPT 90834 ACTS PSYTH 45M CONDITIONAL | $84.96 | $236.00 | $129.33–$228.92 | 51% below | 64% |
| Psychotherapy session, 45 minutes CPT 90834 OAT PSYTH 45M CONDITIONAL | $84.96 | $236.00 | $129.33–$228.92 | 51% below | 64% |
| Psychotherapy session, 45 minutes CPT 90834 ADOP PSYTH 45M CONDITIONAL | $84.96 | $236.00 | $129.33–$228.92 | 51% below | 64% |
| Psychotherapy session, 45 minutes CPT 90834 PHD PSYCHOTHERAPY 45M | $153.00 | $425.00 | $232.90–$412.25 | 12% below | 64% |
| Psychotherapy session, 45 minutes CPT 90834 ADOP PSYTH 45M SOCIAL | $153.00 | $425.00 | $232.90–$412.25 | 12% below | 64% |
| Psychotherapy session, 45 minutes CPT 90834 OAT PSYTH 45M SOCIAL | $153.00 | $425.00 | $232.90–$412.25 | 12% below | 64% |
| Psychotherapy session, 45 minutes CPT 90834 SUB PSYTH 45M SOCIAL | $153.00 | $425.00 | $232.90–$412.25 | 12% below | 64% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 OAT PSYTH 45M CONDITIONAL | $84.96 | $236.00 | $176.53–$228.92 | — | 64% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 ACTS PSYTH 45M CONDITIONAL | $84.96 | $236.00 | $176.53–$228.92 | — | 64% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 ADOP PSYTH 45M CONDITIONAL | $84.96 | $236.00 | $176.53–$228.92 | — | 64% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 AEDC PSYTH 45M CONDITIONAL | $84.96 | $236.00 | $176.53–$228.92 | — | 64% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 SUB PSYTH 45M SOCIAL | $153.00 | $425.00 | $317.90–$412.25 | — | 64% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PHD PSYCHOTHERAPY 45M | $153.00 | $425.00 | $317.90–$412.25 | — | 64% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 OAT PSYTH 45M SOCIAL | $153.00 | $425.00 | $317.90–$412.25 | — | 64% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 ADOP PSYTH 45M SOCIAL | $153.00 | $425.00 | $317.90–$412.25 | — | 64% |
| Psychotherapy session, 60 minutes CPT 90837 SUB PSYTH 60M LADC | $105.48 | $293.00 | $160.56–$284.21 | 38% below | 64% |
| Psychotherapy session, 60 minutes CPT 90837 ADOP PSYTH 60M CONDITIONAL | $105.48 | $293.00 | $160.56–$284.21 | 38% below | 64% |
| Psychotherapy session, 60 minutes CPT 90837 OAT PSYTH 60M CONDITIONAL | $105.48 | $293.00 | $160.56–$284.21 | 38% below | 64% |
| Psychotherapy session, 60 minutes CPT 90837 AEDC PSYTH 60M CONDITIONAL | $105.48 | $293.00 | $160.56–$284.21 | 38% below | 64% |
| Psychotherapy session, 60 minutes CPT 90837 SUB PSYTH 60M CONDITIONAL | $105.48 | $293.00 | $160.56–$284.21 | 38% below | 64% |
| Psychotherapy session, 60 minutes CPT 90837 ACTS PSYTH 60M CONDITIONAL | $105.48 | $293.00 | $160.56–$284.21 | 38% below | 64% |
| Psychotherapy session, 60 minutes CPT 90837 OAT PSYTH 60M SOCIAL | $187.20 | $520.00 | $284.96–$504.40 | 10% above | 64% |
| Psychotherapy session, 60 minutes CPT 90837 PHD PSYCHOTHERAPY 60M | $187.20 | $520.00 | $284.96–$504.40 | 10% above | 64% |
| Psychotherapy session, 60 minutes CPT 90837 ADOP PSYTH 60M SOCIAL | $187.20 | $520.00 | $284.96–$504.40 | 10% above | 64% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 OAT PSYTH 60M CONDITIONAL | $105.48 | $293.00 | $219.16–$284.21 | — | 64% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 ACTS PSYTH 60M CONDITIONAL | $105.48 | $293.00 | $219.16–$284.21 | — | 64% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 AEDC PSYTH 60M CONDITIONAL | $105.48 | $293.00 | $219.16–$284.21 | — | 64% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 SUB PSYTH 60M LADC | $105.48 | $293.00 | $219.16–$284.21 | — | 64% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 ADOP PSYTH 60M CONDITIONAL | $105.48 | $293.00 | $219.16–$284.21 | — | 64% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 SUB PSYTH 60M CONDITIONAL | $105.48 | $293.00 | $219.16–$284.21 | — | 64% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PHD PSYCHOTHERAPY 60M | $187.20 | $520.00 | $388.96–$504.40 | — | 64% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 OAT PSYTH 60M SOCIAL | $187.20 | $520.00 | $388.96–$504.40 | — | 64% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 ADOP PSYTH 60M SOCIAL | $187.20 | $520.00 | $388.96–$504.40 | — | 64% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 SUB ESTAB PT LVL 5 | $177.12 | $492.00 | $269.62–$477.24 | — | 64% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OAT ESTAB PT LVL 5 | $177.12 | $492.00 | $269.62–$477.24 | — | 64% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ECTA ESTAB PT LVL 5 ECT MD | $177.12 | $492.00 | $269.62–$477.24 | — | 64% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ACAA ESTAB PT LVL 5 | $177.12 | $492.00 | $269.62–$477.24 | — | 64% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 GER ESTAB PT LVL5 | $177.12 | $492.00 | $269.62–$477.24 | — | 64% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 AMM ESTAB PT LVL 5 | $177.12 | $492.00 | $269.62–$477.24 | — | 64% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ADOP ESTAB PT LVL 5 | $177.12 | $492.00 | $269.62–$477.24 | — | 64% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 AMM ESTAB PT LVL 3 | $87.12 | $242.00 | $132.62–$234.74 | — | 64% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ACAA ESTAB PT LVL 3 | $87.12 | $242.00 | $132.62–$234.74 | — | 64% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ADOP ESTAB PT LVL 3 | $87.12 | $242.00 | $132.62–$234.74 | — | 64% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ECTA ESTAB PT LVL 3 ECT MD | $87.12 | $242.00 | $132.62–$234.74 | — | 64% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OAT ESTAB PT LVL 3 | $87.12 | $242.00 | $132.62–$234.74 | — | 64% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 GER ESTAB PT LVL3 | $87.12 | $242.00 | $132.62–$234.74 | — | 64% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 SUB ESTAB PT LVL 3 | $87.12 | $242.00 | $132.62–$234.74 | — | 64% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ADOP ESTAB PT LVL 4 | $122.40 | $340.00 | $186.32–$329.80 | — | 64% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 SUB ESTAB PT LVL 4 | $122.40 | $340.00 | $186.32–$329.80 | — | 64% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 AMM ESTAB PT LVL 4 | $122.40 | $340.00 | $186.32–$329.80 | — | 64% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 GER ESTAB PT LVL4 | $122.40 | $340.00 | $186.32–$329.80 | — | 64% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OAT ESTAB PT LVL 4 | $122.40 | $340.00 | $186.32–$329.80 | — | 64% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ECTA ESTAB PT LVL 4 ECT MD | $122.40 | $340.00 | $186.32–$329.80 | — | 64% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ACAA ESTAB PT LVL 4 | $122.40 | $340.00 | $186.32–$329.80 | — | 64% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ADOP ESTAB PT LVL 2 | $59.04 | $164.00 | $89.87–$159.08 | — | 64% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 AMM ESTAB PT LVL 2 | $59.04 | $164.00 | $89.87–$159.08 | — | 64% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ECTA ESTAB PT LVL 2 ECT MD | $59.04 | $164.00 | $89.87–$159.08 | — | 64% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 SUB ESTAB PT LVL 2 | $59.04 | $164.00 | $89.87–$159.08 | — | 64% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OAT ESTAB PT LVL 2 | $59.04 | $164.00 | $89.87–$159.08 | — | 64% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 GER ESTAB PT LVL2 | $59.04 | $164.00 | $89.87–$159.08 | — | 64% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ACAA ESTAB PT LVL 2 | $59.04 | $164.00 | $89.87–$159.08 | — | 64% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 ECTA CONSLT LVL 3 OPT | $105.12 | $292.00 | $160.02–$283.24 | — | 64% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 ECTA CONSLT LVL 4 OPT | $376.56 | $1,046.00 | $573.21–$1,014.62 | — | 64% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 ACOT OT 1 TO 1 EA 15M NON PHP | $61.56 | $171.00 | $93.71–$165.87 | — | 64% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 ACOT OT 1 TO 1 EA 15M NON PHP | $61.56 | $171.00 | $127.91–$165.87 | — | 64% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Maine | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA PF HIGH_DOSE0.5ML | $17.66 | $49.05 | $26.88–$47.58 | — | 64% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 INFLUENZA PF HIGH_DOSE0.5ML | $17.66 | $49.05 | $36.69–$47.58 | — | 64% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SPIKEVAX PF (CVX 312) 0.5 ML | $91.89 | $255.24 | $139.87–$247.58 | — | 64% |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 SPIKEVAX PF (CVX 312) 0.5 ML | $91.89 | $255.24 | $190.92–$247.58 | — | 64% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VACCINE | $103.59 | $287.76 | $157.69–$279.13 | — | 64% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VACCINE | $103.59 | $287.76 | $215.24–$279.13 | — | 64% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VAC PF 0.5ML TIV PF | $12.78 | $35.51 | $19.46–$34.44 | — | 64% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VAC PF 0.5ML TIV PF | $12.78 | $35.51 | $26.56–$34.44 | — | 64% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS-A INACTIVATED ADULT | $51.17 | $142.13 | $77.89–$137.87 | — | 64% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS-A INACTIVATED ADULT | $51.17 | $142.13 | $106.31–$137.87 | — | 64% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS-A (HAVRIX) VAC(PEDS) | $23.44 | $65.11 | $35.68–$63.16 | — | 64% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS-A (HAVRIX) VAC(PEDS) | $23.44 | $65.11 | $48.70–$63.16 | — | 64% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS-B VACCINE (20/1) | $42.83 | $118.97 | $65.20–$115.40 | — | 64% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS-B VACCINE (20/1) | $42.83 | $118.97 | $88.99–$115.40 | — | 64% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 ENGERIX-B VACCINE 10/0.5 INJ | $17.24 | $47.90 | $26.25–$46.46 | — | 64% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 ENGERIX-B VACCINE 10/0.5 INJ | $17.24 | $47.90 | $35.83–$46.46 | — | 64% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES MUMPS RUBELLA VACCINE | $57.99 | $161.08 | $88.27–$156.25 | — | 64% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES MUMPS RUBELLA VACCINE | $57.99 | $161.08 | $120.49–$156.25 | — | 64% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENVEO(GROUPS A, C, YANDW-135) | $95.73 | $265.93 | $145.73–$257.95 | — | 64% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENVEO(GROUPS A, C, YANDW-135) | $95.73 | $265.93 | $198.92–$257.95 | — | 64% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR 20 INJ 0.5 ML | $164.08 | $455.79 | $249.77–$442.12 | — | 64% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PREVNAR 20 INJ 0.5 ML | $164.08 | $455.79 | $340.93–$442.12 | — | 64% |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 PNEUMOCOCCAL 21 VACC(CVX 327) | $185.98 | $516.60 | $283.10–$501.10 | — | 64% |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 PNEUMOCOCCAL 21 VACC(CVX 327) | $185.98 | $516.60 | $386.42–$501.10 | — | 64% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TET-DIPH TOXOID 5UN/2UN/0.5M | $18.13 | $50.37 | $27.60–$48.86 | — | 64% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TET-DIPH TOXOID 5UN/2UN/0.5M | $18.13 | $50.37 | $37.68–$48.86 | — | 64% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX (TDAP) 0.5MLINJ | $28.40 | $78.89 | $43.23–$76.52 | — | 64% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX (TDAP) 0.5MLINJ | $28.40 | $78.89 | $59.01–$76.52 | — | 64% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
Source file: https://northernlighthealth.org/NLH/media/Price-Transparency/010459837_Acadia-hospital_standardcharges.csv