Northern Light Sebasticook Valley Hospital prices. From its own published file.

Northern Light Sebasticook Valley Hospital in Pittsfield, ME publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

19,854prices published

Mar 2026file last updated

$105cash price for ct abdomen and pelvis with contrast (list $2,420)

Common services

Service	Cash price	List price	Insurers pay
Emergency visit, moderate (level 3) `99283`	$70.04	$206	$65.45–$1,700
Emergency visit, high (level 4) `99284`	$415	$1,222	$112–$3,000
Emergency visit, highest (level 5) `99285`	$77.86	$1,129	$87.02–$4,000
Comprehensive metabolic panel `80053`	$96.56	$284	$6.34–$284
Basic metabolic panel `80048`	$64.94	$191	$5.08–$191
Complete blood count (CBC) `85025`	$41.48	$122	$4.66–$122
Blood draw (venipuncture) `36415`	$8.16	$24.00	$3.29–$66.54
Urinalysis `81001`	$15.98	$47.00	$1.90–$47.00
Troponin (heart test) `84484`	$76.50	$225	$7.48–$225
EKG tracing `93005`	$93.16	$274	$5.53–$322
Chest X-ray, 2 views `71046`	$13.94	$467	$9.69–$477
CT head without contrast `70450`	$47.60	$927	$37.49–$1,714
CT abdomen and pelvis with contrast `74177`	$105	$2,420	$80.46–$4,530
MRI lower back without contrast `72148`	$85.68	$1,051	$65.29–$1,849
Ultrasound, abdomen `76700`	$47.60	$472	$35.61–$803
IV push, single drug `96374`	$326	$958	$31.35–$1,141
IV fluids, first hour `96360`	$117	$345	$27.86–$1,141
Ketorolac injection, 15 mg `J1885`	$0.56	$3.55	$0.29–$11.81
Ondansetron injection `J2405`	$0.67	$1.98	$0.09–$1.98
Colonoscopy, diagnostic `45378`	$298	$876	$152–$4,938
Upper GI endoscopy with biopsy `43239`	$342	$1,006	$125–$5,078
Knee arthroscopy `29881`	$565	$1,662	$345–$17,575
Vaginal delivery, routine care `59400`	—	—	$70.34–$5,350
Cesarean delivery, routine care `59510`	—	—	$70.34–$5,949

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: Northern Light Sebasticook Valley Hospital price transparency page.

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Common billing problems to look for

Billed above the posted cash priceIf you're paying yourself, ask the hospital to apply its published cash price.
Panels billed inside panelsA basic metabolic panel (80048) billed with a comprehensive one (80053) on the same day.
Duplicate linesThe same service billed twice without explanation.
No itemized billYou can ask for every line with its code, date and amount.