Occupational therapy evaluation (high complexity) cost in Maine

Prices at 28 hospitals in Maine, from their machine-readable files. Here the median cash price is $194 — 28% below the US median ($269), roughly 1.9× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Northern Maine Medical Center Fort Kent, ME $30 $155 140 min
Central Maine Medical Center Lewiston, ME $96 $97 ★ 4/5 253 min
St Joseph Hospital Bangor, ME $163 $111 ★ 3/5 186 min
Northern Light Mercy Hospital Portland, ME $175 $98 ★ 4/5 208 min
Northern Light a R Gould Hospital Presque Isle, ME $175 $98 ★ 2/5 200 min
Northern Light Eastern Maine Medical Center Bangor, ME $175 $98 ★ 5/5 219 min
Northern Light Maine Coast Hospital Ellsworth, ME $175 $98 ★ 3/5 206 min
Northern Light Blue Hill Memorial Hospital Blue Hill, ME $175 $98 118 min
Northern Light C a Dean Hospital Greenville, ME $175 $98 86 min
Northern Light Mayo Hospital Dover Foxcroft, ME $175 $98 ★ 2/5 144 min
Northern Light Sebasticook Valley Hospital Pittsfield, ME $175 $98 ★ 2/5 187 min
Northern Light Acadia Hospital Bangor, ME $175 $98
Rumford Hospital Rumford, ME $181 $96 104 min
Bridgton Hospital Bridgton, ME $194 $98 ★ 3/5 118 min
York Hospital York, ME $200 ★ 4/5 166 min
Redington Fairview General Hospital Skowhegan, ME $329 $438 ★ 2/5 128 min
Down East Community Hospital Machias, ME $335 $371 ★ 4/5 195 min
Calais Community Hospital Calais, ME $338 $358 154 min
Mainehealth Maine Medical Center Portland, ME $343 $205 ★ 4/5 207 min
Mainehealth Mid Coast Hospital Brunswick, ME $343 $205 ★ 3/5 196 min
Mainehealth Pen Bay Hospital Rockport, ME $343 $205 ★ 3/5 158 min
Mainehealth Waldo Hospital Belfast, ME $343 $205 ★ 3/5 152 min
Mainehealth Stephens Hospital Norway, ME $343 $205 ★ 4/5 125 min
Mainehealth Behavioral Health at Spring Harbor Westbrook, ME $343 $205
Houlton Regional Hospital Houlton, ME $378 $203 ★ 3/5 194 min

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated September 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

Price comparison (median)

Chargemaster (list price)
$487
Cash / self-pay
$194
Insurer-negotiated
$111
Medicare pays
$101
$170$357
Median cash $194  ·  Medicare $101  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $194 — about 1.9× the Medicare rate ($101). Reasonable. A fair cash price is usually within ~2× Medicare ($201).

💡 Asking for the cash price instead of the $487 list price could save about $293 (60%).

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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

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Occupational therapy evaluation (high complexity) cost in other states

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