Brain fluid drainage through a small opening in the skull 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-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/O NJX

Biddeford, ME

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Pricing by billing methodology

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How this price compares nationally

MaineHealth’s median price of $1.0k is 4% below the median hospital's median price ($1.0k), higher than 48% of the 1,600 hospitals reporting CPT 61020. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 61020 at MaineHealth

Negotiated rates from the hospital’s own file: 7 payers, 28 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	$98	$98	—	—	—	$98 – $98
2	Anthem medicare advantage case rate · both	$99	$99	—	—	—	$99 – $99
3	Aetna medicare advantage case rate · both	$100	$100	—	—	—	$100 – $100
4	Humana medicare advantage case rate · both	$113	$113	—	—	—	$113 – $113
5	WellCare medicare advantage case rate · both	$113	$113	—	—	—	$113 – $113
6	Aetna hmo fee schedule · both	$134	$134	—	—	—	$134 – $134
7	Aetna ppo fee schedule · both	$134	$134	—	—	—	$134 – $134
8	MultiPlan commercial fee schedule · both	$194	$194	—	—	—	$194 – $194
9	UnitedHealthcare commercial fee schedule · both	$204	$204	—	—	—	$204 – $204
10	Anthem hmo/pos/ppo/pathway enhanced fee schedule · both	$207	$207	—	—	—	$207 – $207
11	Aetna medicare advantage fee schedule · outpatient	$862	$862	—	—	—	$862 – $862
12	Humana medicare advantage fee schedule · outpatient	$862	$862	—	—	—	$862 – $862
13	UnitedHealthcare medicare advantage fee schedule · outpatient	$862	$862	—	—	—	$862 – $862
14	Anthem medicare advantage fee schedule · outpatient	$870	$870	—	—	—	$870 – $870
15	WellCare medicare advantage fee schedule · outpatient	$888	$888	—	—	—	$888 – $888
16	Aetna hmo percent of total billed charges · inpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
17	Aetna hmo percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
18	Cigna oap percent of total billed charges · inpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
19	Cigna oap percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
20	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
21	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
22	Cigna ppo percent of total billed charges · inpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
23	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
24	UnitedHealthcare commercial percent of total billed charges · inpatientfrom % of charges	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
25	UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k

Page 1 of 2 · 28 rates

Last updated: Sep 9, 2025

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