MaineHealth - Memorial Hospital — ER visit prices
← Hospital overviewVerified from MaineHealth - Memorial Hospital’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
3 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC EMERGENCY FACILITY LEV 1 Outpatient | 99281 CPT | $196 | $196 | $66.73 – $298 | — | |
| HC EMERGENCY FACILITY LEV 2 Outpatient | 99282 CPT | $262 | $262 | $88.96 – $536 | $227 | |
| HC EMERGENCY FACILITY LEV 4 Outpatient | 99284 CPT | $949 | $949 | $323 – $1,442 | $702 |