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 |
|---|---|---|---|---|
| Tlso rig fram pelvic pre cst HCPCS L0468 | not published | not published | $495.64 – $1,314.82 | 3 |
| Tlso rig fram pelvic pre ots HCPCS L0469 | not published | not published | $495.64 – $785.39 | 3 |
| Tlso rigid frame pre subclav HCPCS L0470 | not published | not published | $703.92 – $1,867.33 | 3 |
| Tlso rigid lined custom fab HCPCS L0482 | not published | not published | $1,546.47 – $4,102.42 | 3 |
| Tlso rigid lined pre one pie HCPCS L0488 | not published | not published | $932.46 – $2,473.60 | 3 |
| Tlso rigid plastic cust fab HCPCS L0484 | not published | not published | $2,108.63 – $5,593.70 | 3 |
| Tlso rigid plastic custom fa HCPCS L0480 | not published | not published | $1,482.06 – $3,931.52 | 3 |
| Tlso rigid plastic pre one HCPCS L0490 | not published | not published | $262.79 – $697.11 | 3 |
| Tlso trnk sj-t9 pre cst HCPCS L0454 | not published | not published | $322.16 – $854.62 | 3 |
| Tmvr w/prosthetic ring 33426 CPT 33426 | not published | not published | $2,236.83 – $4,767.64 | 8 |
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | not published | not published | $2,290.99 – $4,872.70 | 8 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | $460.90 – $985.53 | 8 |
| Tobramycin comp unit HCPCS J7685 | not published | not published | $49.82 – $121.33 | 2 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | not published | not published | $2.39 – $3.88 | 8 |
| Tobramycin non-comp unit HCPCS J7682 | not published | not published | $17.04 – $31.64 | 8 |
| Tobramycin peak therapeutic drug level CPT 80200 | $214.60 | $214.60 | $16.13 – $202.15 | 9 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $5,782.92 | $5,782.92 | $5.95 – $5,435.94 | 9 |
| Tocilizumab for covid-19 HCPCS Q0249 | not published | not published | $6.77 – $22.96 | 4 |
| Toe joint transfer CPT 26556 | not published | not published | $3,262.19 – $6,945.43 | 8 |
| Toe X-ray (both feet) CPT 73660 | $307.70 | $307.70 | $6.28 – $289.85 | 9 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | not published | not published | $27.62 – $34.11 | 8 |
| Tomosynthesis breast screen bilateral CPT 77063 | $121.45 | $121.45 | $27.62 – $114.41 | 9 |
| Tone decay hearing test CPT 92563 | $99.90 | $99.90 | $30.89 – $94.11 | 9 |
| Tongue and neck surgery CPT 41135 | not published | not published | $2,085.82 – $4,377.24 | 8 |
| Tongue base vol reduction CPT 41530 | not published | not published | $362.72 – $1,755.21 | 9 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | not published | not published | $106.39 – $364.27 | 9 |
| Tongue jaw & neck surgery CPT 41155 | not published | not published | $2,883.51 – $6,018.20 | 8 |
| Tongue mouth jaw surgery CPT 41150 | not published | not published | $2,115.52 – $4,439.60 | 8 |
| Tongue mouth neck surgery CPT 41153 | not published | not published | $2,296.94 – $4,836.10 | 8 |
| Tongue removal neck surgery CPT 41145 | not published | not published | $2,648.63 – $5,544.40 | 8 |
| Tongue suspension CPT 41512 | not published | not published | $642.45 – $1,356.96 | 8 |
| Tongue to lip surgery CPT 41510 | not published | not published | $436.63 – $927.23 | 8 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $248.12 – $530.04 | 8 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $260.52 – $557.83 | 8 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | not published | not published | $0.78 – $3.52 | 8 |
| Topotecan oral HCPCS J8705 | not published | not published | $106.46 – $246.97 | 8 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $77.72 – $119.09 | 2 |
| Torsion ank & half solid sti HCPCS L2375 | not published | not published | $107.72 – $285.75 | 3 |
| Torsion straight knee joint HCPCS L2380 | not published | not published | $109.55 – $290.64 | 3 |
| Tot abd hyst/par vag/pelv node sam 58200 CPT 58200 | not published | not published | $1,300.40 – $2,760.67 | 8 |
| Total hip arthroplasty CPT 27132 | not published | not published | $1,599.14 – $3,426.29 | 8 |
| Total Hip Replacement CPT 27130 | not published | not published | $1,230.66 – $2,638.68 | 8 |
| Total hysterectomy CPT 58150 | not published | not published | $981.43 – $2,080.85 | 8 |
| Total Knee Replacement CPT 27447 | not published | not published | $1,229.50 – $2,635.28 | 8 |
| Total lung lavage CPT 32997 | not published | not published | $327.84 – $670.35 | 8 |
| Total ob care failed vbac 59618 CPT 59618 | not published | not published | $2,541.44 – $5,541.02 | 8 |
| Total tau CPT 84394 | $159.10 | $159.10 | $63.91 – $149.87 | 9 |
| Tot contact ak/knee disart s HCPCS L5650 | not published | not published | $462.84 – $1,227.80 | 3 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $1,540.12 – $3,346.31 | 8 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | not published | not published | $1,690.61 – $3,581.50 | 8 |
| Tot disc arthrp 2ntrspc lmbr CPT 22860 | not published | not published | $617.92 – $1,058.10 | 6 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | not published | not published | $477.08 – $1,032.30 | 8 |
| Tot esophagectomy without thoracotomy 43107 CPT 43107 | not published | not published | $2,808.95 – $5,986.32 | 8 |
| Tot estradiol response panel CPT 80415 | not published | not published | $55.89 – $117.11 | 7 |
| Toxoplasma antibody igg CPT 86777 | $84.35 | $84.35 | $14.39 – $79.46 | 9 |
| Toxoplasma antibody igm CPT 86778 | $84.35 | $84.35 | $14.41 – $79.46 | 9 |
| Tp53 gene full gene sequence CPT 81351 | not published | not published | $410.83 – $1,344.75 | 7 |
| Tp53 gene known famil vrnt CPT 81353 | not published | not published | $197.14 – $645.27 | 7 |
| Tp53 gene trgt sequence alys CPT 81352 | not published | not published | $210.91 – $690.47 | 7 |
| Tpmt gene com vrnts CPT 81335 | not published | not published | $174.81 – $366.01 | 7 |
| Tprnl balo cntnc dev adjmt CPT 53454 | not published | not published | $65.32 – $101.00 | 5 |
| Tprnl balo cntnc dev bi CPT 53451 | not published | not published | $653.12 – $1,422.42 | 5 |
| Tprnl balo cntnc dev rmvl ea CPT 53453 | not published | not published | $65.32 – $746.55 | 5 |
| Tprnl balo cntnc dev uni CPT 53452 | not published | not published | $528.28 – $896.72 | 5 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | not published | not published | $158.41 – $5,475.08 | 9 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | not published | not published | $338.40 – $717.10 | 8 |
| Trabeculoplasty laser surg CPT 65855 | not published | not published | $196.77 – $469.64 | 9 |
| Trach care kit for new trach HCPCS A4625 | not published | not published | $6.53 – $17.25 | 3 |
| Trachelectomy (cervicectomy) 57530 CPT 57530 | not published | not published | $362.07 – $767.96 | 8 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | not published | not published | $110.83 – $332.79 | 9 |
| Tracheo-esophagoplasty cong CPT 43314 | not published | not published | $2,954.45 – $6,333.37 | 8 |
| Tracheoplasty intrathoracic CPT 31760 | not published | not published | $1,295.87 – $2,773.56 | 8 |
| Tracheostoma hmes filter HCPCS A7504 | not published | not published | $0.77 – $1.99 | 3 |
| Tracheostoma revision; simple, without flap rotation CPT 31613 | not published | not published | $409.42 – $860.80 | 8 |
| Tracheostoma stent/stud/bttn HCPCS A7524 | not published | not published | $86.05 – $226.66 | 3 |
| Tracheostomy care kit HCPCS A4629 | not published | not published | $5.17 – $13.62 | 3 |
| Trach/laryn tube plug/stop HCPCS A7527 | not published | not published | $3.98 – $10.48 | 3 |
| Train for caregiver add 15 HCPCS G0540 | not published | not published | $50.16 – $50.16 | 1 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | not published | not published | $53.28 – $111.16 | 8 |
| Transabdom amnioinfus w/us CPT 59070 | $824.60 | $824.60 | $291.61 – $702.67 | 9 |
| Transab esoph hiat hern repair 43332 CPT 43332 | not published | not published | $1,090.44 – $2,335.70 | 8 |
| Transab esoph hiat hern rpr CPT 43333 | not published | not published | $1,193.98 – $2,567.52 | 8 |
| Transcath biopsy CPT 37200 | not published | not published | $206.41 – $428.37 | 8 |
| Transcath closure of asd CPT 93580 | not published | not published | $913.16 – $1,935.11 | 8 |
| Transcath closure of vsd CPT 93581 | not published | not published | $1,238.00 – $2,629.18 | 8 |
| Transcatheter bx s&i CPT 75970 | not published | not published | $37.23 – $75.23 | 8 |
| Transcath mv repair addl prosthesis CPT 33419 | not published | not published | $396.91 – $841.15 | 8 |
| Transcath mv repair init prosthesis CPT 33418 | not published | not published | $1,686.07 – $3,587.59 | 8 |
| Transcath occlusion cns CPT 61624 | not published | not published | $1,093.63 – $2,371.61 | 8 |
| Transcath occlusion non-cns CPT 61626 | not published | not published | $854.34 – $1,839.54 | 8 |
| Trans cath replace aortic valve 33366 CPT 33366 | not published | not published | $1,473.99 – $3,125.34 | 8 |
| Transcath rmvl perm ldss pmkr rv CPT 33275 | not published | not published | $473.82 – $1,011.28 | 8 |
| Transcochlear approach/skull CPT 61596 | not published | not published | $2,368.23 – $4,945.23 | 8 |
| Transcondylar approach/skull CPT 61597 | not published | not published | $2,788.82 – $6,006.67 | 8 |
| Transcrv abltj utrn fibrd rf CPT 58580 | not published | not published | $717.97 – $36,332.59 | 6 |
| Transcutaneous carboxyhb CPT 88740 | not published | not published | $9.56 – $19.63 | 7 |
| Transcutaneous hgb 88738 CPT 88738 | not published | not published | $5.12 – $10.52 | 7 |
| Transcutaneous methb CPT 88741 | not published | not published | $9.56 – $19.63 | 7 |
| Transect artery sinus CPT 61611 | not published | not published | $435.31 – $955.02 | 8 |
| Transect pulmonary artery CPT 33922 | not published | not published | $1,307.83 – $2,797.95 | 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.