Waldo County General Hospital
118 Northport Ave, Belfast, ME · MaineHealth · · NPI 1841397932
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | not published | not published | $5.16 – $110.51 | 8 |
| Sedimentation rate erythrocyte automated CPT 85652 | $64.75 | $64.75 | $2.70 – $60.99 | 9 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $2,351.39 – $5,072.09 | 3 |
| Segmentectomy 32484 CPT 32484 | not published | not published | $1,348.82 – $2,884.03 | 8 |
| Select picture audiometry CPT 92583 | $96.00 | $96.00 | $38.56 – $90.43 | 9 |
| Self-adher band w>=3" <5"/yd HCPCS A6454 | not published | not published | $0.87 – $2.30 | 3 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $159.35 | $159.35 | $32.05 – $150.11 | 9 |
| Self-meas bp 2 readg bid 30d CPT 99474 | not published | not published | $8.64 – $32.13 | 9 |
| Self-meas bp pt educaj/train CPT 99473 | not published | not published | $11.80 – $29.15 | 8 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | not published | not published | $13.05 – $30.51 | 7 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | not published | not published | $9.61 – $22.36 | 7 |
| Semen analysis HCPCS G0027 | not published | not published | $6.63 – $13.56 | 7 |
| Semen analysis presence/motility CPT 89321 | $133.65 | $133.65 | $12.05 – $125.90 | 9 |
| Semen analysis w/count CPT 89310 | not published | not published | $8.61 – $18.04 | 7 |
| Sensorimotor examination CPT 92060 | not published | not published | $35.97 – $70.03 | 8 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $62.19 – $150.47 | 8 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $379.16 – $1,157.73 | 9 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $125.85 – $402.32 | 7 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $663.86 – $1,438.98 | 8 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $611.15 – $1,321.72 | 8 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $720.96 – $1,556.91 | 8 |
| Serial casting application 97139app CPT 97139 | not published | not published | $38.64 – $38.64 | 1 |
| Serial tonometry CPT 92100 | not published | not published | $31.55 – $163.83 | 9 |
| Sermorelin acetate injection HCPCS Q0515 | not published | not published | $1.80 – $2.70 | 3 |
| Serpina1 gene CPT 81332 | not published | not published | $43.65 – $91.47 | 7 |
| Sertraline (zoloft) - sendout CPT 80332 | not published | not published | $19.81 – $50.16 | 3 |
| Set radiation therapy field CPT 77280 | not published | not published | $37.29 – $76.59 | 8 |
| Set radiation therapy field CPT 77285 | not published | not published | $55.96 – $115.23 | 8 |
| Set radiation therapy field CPT 77290 | not published | not published | $81.15 – $168.10 | 8 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $73.19 – $1,473.54 | 3 |
| Set up port xray equipment HCPCS Q0092 | not published | not published | $23.06 – $54.23 | 8 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | not published | not published | $0.02 – $0.02 | 1 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | not published | not published | $0.10 – $0.10 | 1 |
| Sever cranial nerve CPT 64771 | not published | not published | $558.23 – $1,255.96 | 8 |
| Sewhfo airplane without jnts cf HCPCS L3976 | not published | not published | $1,420.36 – $3,767.87 | 3 |
| Sewhfo airplane w/jnt(s) cf HCPCS L3978 | not published | not published | $1,676.97 – $4,448.61 | 3 |
| Sewhfo cap desgn w/jnt(s) cf HCPCS L3977 | not published | not published | $1,591.85 – $4,222.78 | 3 |
| Sewhfo cap design without jnt cf HCPCS L3975 | not published | not published | $1,420.36 – $3,767.87 | 3 |
| Sewho airplane without jnts cf HCPCS L3967 | not published | not published | $1,676.97 – $4,448.61 | 3 |
| Sewho airplane w/jnt(s) cf HCPCS L3973 | not published | not published | $1,676.97 – $4,448.61 | 3 |
| Sewho cap design without jnts cf HCPCS L3961 | not published | not published | $1,420.36 – $3,767.87 | 3 |
| Sewho cap design w/jnt(s) cf HCPCS L3971 | not published | not published | $1,591.85 – $4,222.78 | 3 |
| Sewho erbs palsey design abd HCPCS L3962 | not published | not published | $833.07 – $2,209.93 | 3 |
| Sex chromatin identification CPT 88130 | not published | not published | $18.34 – $37.68 | 7 |
| Sex chromatin identification CPT 88140 | not published | not published | $8.15 – $16.74 | 7 |
| Sex transformation f to m CPT 55980 | not published | not published | $8,061.66 – $16,945.66 | 3 |
| Sex transformation m to f CPT 55970 | not published | not published | $7,636.35 – $24,254.03 | 3 |
| Sf3b1 gene common variants CPT 81347 | not published | not published | $123.70 – $404.65 | 7 |
| Sgmdsc w/band ligation CPT 45350 | not published | not published | $96.18 – $1,283.64 | 9 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | not published | not published | $44.29 – $223.58 | 9 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | not published | not published | $60.74 – $264.05 | 9 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | not published | not published | $72.53 – $300.02 | 9 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | not published | not published | $92.37 – $349.50 | 9 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $271.30 | $271.30 | $36.73 – $194.27 | 9 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | not published | not published | $47.94 – $236.43 | 9 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | not published | not published | $61.07 – $267.27 | 9 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | not published | not published | $68.49 – $281.40 | 9 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | not published | not published | $32.95 – $194.03 | 9 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | not published | not published | $49.62 – $234.50 | 9 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | not published | not published | $57.85 – $264.69 | 9 |
| Sheath above knee HCPCS L8410 | not published | not published | $26.18 – $69.46 | 3 |
| Sheath below knee HCPCS L8400 | not published | not published | $16.99 – $45.05 | 3 |
| Sheath upper limb HCPCS L8415 | not published | not published | $27.09 – $71.89 | 3 |
| Shigella antibody CPT 86771 | not published | not published | $20.35 – $51.30 | 7 |
| Shlder disart int lock elbow HCPCS L6300 | not published | not published | $4,706.72 – $12,485.80 | 3 |
| Shldr disar prosth tiss shap HCPCS L6550 | not published | not published | $3,880.33 – $10,293.60 | 3 |
| Shldr disartic myoelectronic HCPCS L6965 | not published | not published | $14,813.90 – $39,297.73 | 3 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $452.96 – $982.13 | 8 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $881.01 – $1,891.07 | 8 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $1,016.46 – $2,183.86 | 8 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | $572.64 – $1,236.31 | 8 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $521.96 – $1,129.21 | 8 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $566.00 – $1,220.72 | 8 |
| Sho arthrs srg prtl synvct CPT 29820 | not published | not published | $515.05 – $1,113.62 | 8 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $566.00 – $1,220.05 | 8 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $994.35 – $2,133.03 | 8 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $572.00 – $1,231.57 | 8 |
| Shoe clubfoot wedge HCPCS L3380 | not published | not published | $46.04 – $122.14 | 3 |
| Shoe dennis browne splint bo HCPCS L3640 | not published | not published | $40.17 – $106.53 | 3 |
| Shoe heel new leather standa HCPCS L3455 | not published | not published | $37.82 – $100.31 | 3 |
| Shoe heel new rubber standar HCPCS L3460 | not published | not published | $31.87 – $84.55 | 3 |
| Shoe heel pad & depress for HCPCS L3480 | not published | not published | $57.88 – $153.53 | 3 |
| Shoe heel sach cushion type HCPCS L3450 | not published | not published | $98.07 – $260.17 | 3 |
| Shoe heel thomas extend to b HCPCS L3470 | not published | not published | $57.88 – $153.53 | 3 |
| Shoe heel thomas with wedge HCPCS L3465 | not published | not published | $54.34 – $144.12 | 3 |
| Shoe lift elev heel/sole neo HCPCS L3310 | not published | not published | $75.61 – $200.58 | 3 |
| Shoe metatarsal bar between HCPCS L3410 | not published | not published | $86.23 – $228.76 | 3 |
| Shoe metatarsal bar wedge ro HCPCS L3400 | not published | not published | $37.82 – $100.31 | 3 |
| Shoe outflare wedge HCPCS L3390 | not published | not published | $46.04 – $122.14 | 3 |
| Shoe post-op mens m HCPCS L3260 | not published | not published | $25.08 – $40.18 | 2 |
| Shoe sole wedge between sole HCPCS L3370 | not published | not published | $46.04 – $122.14 | 3 |
| Shoe sole wedge outside sole HCPCS L3360 | not published | not published | $33.08 – $87.76 | 3 |
| Shoe wedge sach HCPCS L3340 | not published | not published | $79.18 – $210.07 | 3 |
| Sho heel count plast reinfor HCPCS L3430 | not published | not published | $148.86 – $394.88 | 3 |
| Sho insert w arch toe filler HCPCS L5000 | not published | not published | $479.03 – $1,270.73 | 3 |
| Sho lift taper to metatarsal HCPCS L3300 | not published | not published | $48.43 – $128.49 | 3 |
| Shortening of hand tendon CPT 26479 | not published | not published | $653.35 – $1,388.14 | 8 |
| Shortening of thigh bone CPT 27465 | not published | not published | $1,196.74 – $2,568.86 | 8 |
| Shorten/lengthen thighs CPT 27468 | not published | not published | $1,285.28 – $2,759.33 | 8 |
| Shorten radius or ulna CPT 25390 | not published | not published | $743.08 – $1,598.92 | 8 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.