Optical coherence tomography of middle ear, one side at MaineHealth

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

OCT MID EAR I&R UNILATERAL

Biddeford, ME

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How this price compares nationally

MaineHealth’s median price of $20 is 51% below the median hospital's median price ($42), higher than 4% of the 1,040 hospitals reporting CPT 0485T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 0485T at MaineHealth

Negotiated rates from the hospital’s own file: 6 payers, 14 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	UnitedHealthcare medicare advantage case rate · both	$11	$11	—	—	—	$11 – $11
2	Anthem medicare advantage case rate · both	$11	$11	—	—	—	$11 – $11
3	Aetna medicare advantage case rate · both	$11	$11	—	—	—	$11 – $11
4	Humana medicare advantage case rate · both	$12	$12	—	—	—	$12 – $12
5	WellCare medicare advantage case rate · both	$12	$12	—	—	—	$12 – $12
6	MultiPlan commercial fee schedule · both	$20	$20	—	—	—	$20 – $20
7	UnitedHealthcare commercial fee schedule · both	$21	$21	—	—	—	$21 – $21
8	Aetna medicare advantage fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
9	Humana medicare advantage fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
10	UnitedHealthcare medicare advantage fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
11	Anthem medicare advantage fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
12	WellCare medicare advantage fee schedule · outpatient	$39	$39	—	—	—	$39 – $39
13	Anthem hmo/pos/ppo/pathway enhanced fee schedule · outpatient	$173	$173	—	—	—	$173 – $173
14	Anthem hmo/pos/ppo/pathway enhanced fee schedule · both	$227	$227	$139	61%	—	$88 – $366

Last updated: Sep 9, 2025

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See Optical coherence tomography of middle ear, one side pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.