Price Transparency

Make informed choices about your care

Northern Light Health is committed to making healthcare work for the people of Maine, we want you to have the information you need to make healthcare choices for you and your family. Our easy-to-use price estimator tool can help you plan for the costs of healthcare services including treatment, tests, and procedures. Having an idea of what services may cost is important, especially out-of-pocket costs.

Offices that work with hospitals to provide integrated care bill and collect both a professional fee and a facility fee for their services. When you have services with one of our providers, governmental insurance payers, including Medicare, require our organization to bill our services in two parts. Our billing department will submit two claims to government insurer(s), a professional fee and a facility fee:

  • A Facility Fee claim:  charges intended to compensate the hospital for the operational expenses of the hospital and is separate and distinct from a professional fee; and
  • A Professional Fee claim:  charges for professional medical services provided to you.

Often, you will receive two summary notices from your insurer(s). Once your primary insurance company has processed its portion of the charges, the balance will be submitted to any secondary payer. If there is a balance after the secondary insurance processes the claim, or if you do not have secondary insurance, you will receive a bill for the remaining balance including any coinsurance liability for the facility fee portion.

To Use the Tool

Start by putting in some simple information about the service, your insurance, and the hospital where you will receive care. Then, enter your deductible, coinsurance, and out-of-pocket maximum amounts if you have it. You’ll receive a breakdown of the estimated costs for the service.
 
The tool provides pricing information for commonly purchased healthcare services. If a service is not offered at your local Northern Light Health hospital, you can expand your search to include other Northern Light Health facilities. If our price estimator does not provide pricing information for the service you need, please click here for a list of Financial Counselors who can help.

Estimate My Price

Northern Light Mayo Hospital’s Shoppable Services can be found by clicking here. At this time pricing for this location is not available in the estimator tool.

We’re Committed to Caring for the People of Maine

Northern Light Health is committed to helping our patients who do not have insurance find assistance to cover their healthcare costs. We may be able to help you through our financial partnerships and resources. Our team is happy to provide you an estimate of your financial responsibility after your insurance company pays their portion and can also provide information about our self-pay discounts, financial assistance policy, and additional payment plan options. For more information about these services, please visit the Financial Assistance section of our website. Northern Light Health provides healthcare services without regard to race, creed, color, sex, age, national origin, or disability.
 
While using the price estimator, you need to be aware of certain important information, so please read the following information carefully.

Click here to access machine readable files.

Click here to go to CompareMaine to access price transparency tools from the Maine Health Data Organization (MHDO).

 

This estimate is an estimate of your costs and is not a contract or guarantee of the actual costs for the services that may be provided to you. The prices this estimate is based on are subject to change at any time without notice.

This estimate is an estimate of your costs and is not a contract or guarantee of the actual costs for the services that may be provided to you. Your final out-of-pocket costs may be greater than the amount of this estimate. 
 

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The prices this estimate is based on are subject to change at any time without notice.

Nothing in this estimate may mean the selected services are medically necessary or appropriate. Northern Light Health may refuse to provide any services that are not medically necessary or appropriate.
 

Northern Light Health has not obtained any prior authorization or referral that may be required by your health insurance plan for any services identified in this estimate, and Northern Light Health has not contacted your health insurance provider to confirm the costs that will be covered by your insurance plan.

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