Instructions: To obtain a charge estimate for a procedure performed at various locations in Maine, fill in the form below.

Caveats: The dollar amount that an uninsured individual is expected to pay may be less than the median charge presented for a specific procedure at a specific health care facility. Factors influencing the price are as follows:

• If it is determined that an individual's income is less than 150% of the Federal Poverty Level, Maine law requires that facilities provide free care for their services. In addition, most Maine hospitals have voluntarily increased their free care coverage level beyond 150%. The specific percentage for each Maine hospital is listed at the Maine Hospital Association's website (link).
• Some hospitals offer sliding scale discounts above their free care coverage levels.
• Some hospitals are willing to negotiate payment plans and/or payments below charges for those individuals who neither qualify for free care or a sliding scale discount.

To learn how one qualifies for free care, or if other policies or programs exist to reduce the dollar amount charged to an uninsured individual, please contact the facility directly.

These reports are produced using the latest medical claims data available at MHDO (data range is indicated on each report). Hospital's that do not have enough statistically significant data are not shown. For more information, please view the following webpage: Healthcost Methodology.