Please note that prices offered are estimates only – procedure costs will vary based on your specific circumstances including health insurance status and changes in coverage, length of time spent in the hospital, additional tests or procedures ordered by your physician or any unforeseen conditions or circumstances surrounding your care or recovery.
If you have health insurance and would like a price estimate, please contact your insurance provider by calling the telephone number on the back of your health insurance member card or by visiting their website. The Affordable Care Act requires health insurance companies to provide pricing information to their customers, including both the hospital portion as well as the physician services.
If you don’t have health insurance and would like to receive an estimate of your financial responsibility for an upcoming service or procedure, please call us at (207) 777-8208, and we can help determine the estimated cost of an upcoming service or procedure.
Want to know how much a surgery, procedure or lab test costs? Use our Price Estimator Tool to find out your cost-share. If you’re signed up for MyChart with us, login today. Otherwise, you can click here to get started.
Need Help Registering for MyChart?
Give us a call toll-free at 888.727.2017. A member of the support team is ready to help you.
You have the right to receive a “Good Faith Estimate” explaining how much your health care will cost.
Under the law, health care providers need to give patients who don’t have certain types of health care coverage or who are not using certain types of health care coverage an estimate of their bill for health care items and services before those items or services are provided.
When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.
What is “balance billing” (sometimes called “surprise billing”)? When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network.
“Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay, and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit.
“Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care—like when you have an emergency or when you schedule a visit at an innetwork facility but are unexpectedly treated by an out-of-network provider.
If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most the provider or facility may bill you is your plan’s in-network cost-sharing amount (such as copayments and coinsurance). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition, unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services.
Certain services at an in-network hospital or ambulatory surgical center
When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can’t balance bill you and may not ask you to give up your protections not to be balance billed. If you get other services at these in-network facilities, out-of-network providers can’t balance bill you, unless you give written consent and give up your protections.
You’re never required to give up your protections from balance billing. You also aren’t required to get care out-of-network. You can choose a provider or facility in your plan’s network.
When balance billing isn’t allowed, you also have the following protections:
Maine Bureau of Insurance
34 State House Station
Augusta, ME 04333
207-624-8475 or 800-300-5000