How much does an Office visit, new patient cost in Maine?

Office visit, new patient (level 4) · CPT 99204 · State: Maine

In Maine, the typical insurer-negotiated price for an Office visit, new patient (level 4) is about $245, with most between $218 and $331 ($334 cash/self-pay). Based on 10 Maine hospitals — 13% higher than the national typical of $216. Hospital list charges run about $388 (1.6× higher).

Insurer-negotiated
$245
Maine · $218–$331
Cash / self-pay
$334
typical cash price
Hospital list charge
$388
1.6× the negotiated rate

Source: medians across 10 Maine hospitals' published price files (≥5 reporting). See the national Office visit, new patient (level 4) cost for the full picture. Estimates vary by hospital, insurer, and plan.

Office visit, new patient (level 4) cost in Maine — FAQs

How much does an Office visit, new patient (level 4) cost in Maine?

In Maine, the typical insurer-negotiated price for an Office visit, new patient (level 4) is about $245, with most between $218 and $331, based on 10 Maine hospitals. That's 13% higher than the national typical of $216.

How much does an Office visit, new patient (level 4) cost without insurance in Maine?

Cash or self-pay prices for an Office visit, new patient (level 4) in Maine run around $334. Hospitals often bill the higher "list" charge first (about $388), so ask for the cash or self-pay rate.

Why is my Maine hospital bill for an Office visit, new patient (level 4) so high?

Maine hospital "list" charges for an Office visit, new patient (level 4) run about $388 — roughly 1.6× the $245 insurers actually pay there. The list price is rarely what anyone pays; the negotiated and cash rates are the realistic benchmark.

Can I negotiate the cost of an Office visit, new patient (level 4) in Maine?

Yes. If a Maine hospital charged you well above the typical negotiated rate (about $245), that gap is negotiable. Upfronte audits your bill against real Maine hospital pricing data and negotiates it down on your behalf — no savings, no fee.

Charged more than $245 in Maine?

Upload your bill and Upfronte will check it against real Maine hospital prices and negotiate overcharges. No savings, no fee.

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