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 |
|---|---|---|---|---|
| Warde vitamin b-1 (thiamine) CPT 84425 | $23.75 | $23.75 | $9.54 – $22.37 | 9 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $492.00 | $492.00 | $28.10 – $463.46 | 9 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $56.70 | $56.70 | $9.89 – $53.41 | 9 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $114.10 | $114.10 | $38.50 – $107.48 | 9 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $212.80 | $212.80 | $14.18 – $200.46 | 9 |
| Warde zinc CPT 84630 | $122.05 | $122.05 | $11.39 – $114.97 | 9 |
| Warfarin respon genetic test HCPCS G9143 | not published | not published | $117.35 – $252.81 | 7 |
| Wash harvest stem cells CPT 38209 | not published | not published | $11.56 – $23.72 | 7 |
| Water distilled w/nebulizer HCPCS A7018 | not published | not published | $0.32 – $0.88 | 3 |
| Wbc automated CPT 85048 | $145.60 | $145.60 | $2.54 – $137.16 | 9 |
| Wcd device interrogate CPT 93292 | not published | not published | $20.32 – $41.34 | 8 |
| Wedge biopsy of liver 47100 CPT 47100 | not published | not published | $809.94 – $1,741.26 | 8 |
| Wedge rescj/bisctj ovary uni/bi 58920 CPT 58920 | not published | not published | $694.18 – $1,457.27 | 8 |
| Wedge resect of lung add-on 32506 CPT 32506 | not published | not published | $146.80 – $309.75 | 8 |
| Wedge resect of lung diag 32507 CPT 32507 | not published | not published | $146.80 – $309.75 | 8 |
| Wedge resect of lung initial 32505 CPT 32505 | not published | not published | $878.27 – $1,880.90 | 8 |
| Wedging of cast CPT 29740 | not published | not published | $65.87 – $194.03 | 9 |
| Wedging of clubfoot cast CPT 29750 | not published | not published | $73.57 – $208.80 | 9 |
| Western blot test CPT 84181 | $187.60 | $187.60 | $17.03 – $176.72 | 9 |
| Wet mounts/ w preparations HCPCS Q0111 | not published | not published | $9.33 – $37.28 | 7 |
| Whfo electric custom fitted HCPCS L3904 | not published | not published | $2,683.42 – $7,118.47 | 3 |
| Whfo nontorsion joint prefab HCPCS L3931 | not published | not published | $179.72 – $476.75 | 3 |
| Whfo w/joint(s) custom fab HCPCS L3806 | $550.70 | $550.70 | $221.22 – $518.76 | 9 |
| Whole blood for transfusion HCPCS P9010 | not published | not published | $52.85 – $87.06 | 3 |
| Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit HCPCS P9054 | not published | not published | $1,191.18 – $1,191.18 | 1 |
| Whole blood/red blood cells leukocytes reduced cmv negative each unit HCPCS P9051 | not published | not published | $846.08 – $846.08 | 1 |
| Whole-Body Bone Scan (Nuclear Medicine) CPT 78306 | $2,186.50 | $2,186.50 | $39.70 – $2,059.68 | 9 |
| Whole body photography CPT 96904 | not published | not published | $65.61 – $134.88 | 8 |
| Whole mitochondrial genome CPT 81460 | not published | not published | $1,287.00 – $2,696.83 | 7 |
| Whole mitochondrial genome CPT 81465 | not published | not published | $936.00 – $1,961.33 | 7 |
| Whole Skeleton X-ray Survey CPT 77075 | $1,282.20 | $1,282.20 | $26.16 – $1,207.83 | 9 |
| Who nontorsion jnts pre cst HCPCS L3915 | not published | not published | $449.38 – $1,192.09 | 3 |
| Who nontorsion jnts pre ots HCPCS L3916 | not published | not published | $449.38 – $1,192.09 | 3 |
| Wilate injection HCPCS J7183 | not published | not published | $1.27 – $2.54 | 8 |
| Wipe adh remover univ ostomy adh/barrier remover HCPCS A4456 | not published | not published | $0.27 – $0.71 | 3 |
| Wnd prep f/n/hf/g addl cm CPT 15005 | not published | not published | $85.42 – $223.58 | 9 |
| Woman's shoe oxford brace HCPCS L3224 | not published | not published | $66.33 – $175.97 | 3 |
| Wound Cleaning and Dead Tissue Removal (up to 20 sq cm) CPT 97597 | $260.45 | $260.45 | $34.84 – $132.21 | 9 |
| Wound closure by adhesive HCPCS G0168 | not published | not published | $14.26 – $235.14 | 8 |
| Woundfix biowound plus xplus HCPCS Q4217 | not published | not published | $573.00 – $956.69 | 8 |
| Wound pouch each HCPCS A6154 | not published | not published | $15.98 – $42.10 | 3 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $581.80 | $581.80 | $21.06 – $508.54 | 9 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $539.85 | $539.85 | $24.09 – $508.54 | 9 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $51.25 | $51.25 | $20.59 – $48.28 | 9 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $107.95 | $107.95 | $26.59 – $93.30 | 9 |
| Wrist arthroscopy CPT 29840 | not published | not published | $437.31 – $954.35 | 8 |
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $469.77 – $1,019.41 | 8 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $483.82 – $1,047.89 | 8 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $566.56 – $1,222.75 | 8 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $505.94 – $1,091.93 | 8 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $525.24 – $1,135.31 | 8 |
| Wrist/elbow bowden cable mol HCPCS L6580 | not published | not published | $1,537.85 – $4,079.54 | 3 |
| Wrist/elbow bowden cbl dir f HCPCS L6582 | not published | not published | $1,360.88 – $3,610.12 | 3 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $494.77 – $1,074.31 | 8 |
| Wrist X-ray CPT 73110 | $406.20 | $406.20 | $8.29 – $382.64 | 9 |
| Wrist X-ray (2 views, both wrists) CPT 73100 | $332.00 | $332.00 | $7.95 – $312.74 | 9 |
| Wrst mld sck flx hng tri pad HCPCS L6050 | not published | not published | $1,995.21 – $5,292.82 | 3 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $1,481.85 – $1,746.78 | 5 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $711.64 – $1,497.25 | 8 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $651.93 – $1,375.93 | 8 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $1,192.83 – $1,420.75 | 5 |
| Xcellistem, 1 mg HCPCS A2004 | not published | not published | $13.26 – $300.95 | 2 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $817.00 – $1,718.22 | 8 |
| Xe133 xenon 10mci HCPCS A9558 | not published | not published | $236.01 – $580.37 | 5 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | not published | not published | $598.54 – $1,472.54 | 9 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | not published | not published | $541.84 – $1,364.60 | 9 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $914.00 – $1,915.23 | 7 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $914.00 – $1,915.23 | 7 |
| Xm archive tissue molec anal CPT 88363 | not published | not published | $18.87 – $44.33 | 9 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | not published | not published | $348.35 – $740.15 | 8 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | not published | not published | $192.33 – $407.35 | 8 |
| X-ray abdomen >=3 views CPT 74021 | $465.65 | $465.65 | $12.69 – $438.64 | 9 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $1,025.75 | $1,025.75 | $26.45 – $966.26 | 9 |
| X-ray assay calculus CPT 82370 | not published | not published | $12.52 – $26.23 | 7 |
| X-ray bone length studies CPT 77073 | $400.85 | $400.85 | $12.88 – $377.60 | 9 |
| X-ray bone survey infant CPT 77076 | $952.85 | $952.85 | $33.23 – $897.58 | 9 |
| X-ray consultation CPT 76140 | not published | not published | $36.63 – $36.63 | 1 |
| Xray endovasc thor ao repr CPT 75956 | not published | not published | $317.41 – $663.56 | 8 |
| Xray endovasc thor ao repr CPT 75957 | not published | not published | $271.92 – $568.68 | 8 |
| X-ray exam entire spi 4/5 vw CPT 72083 | not published | not published | $17.01 – $34.57 | 8 |
| X-ray exam entire spi 6/> vw CPT 72084 | $456.20 | $456.20 | $19.94 – $429.74 | 9 |
| X-ray exam of arm infant CPT 73092 | $323.95 | $323.95 | $7.63 – $305.16 | 9 |
| X-ray exam of femur 1 CPT 73551 | $286.10 | $286.10 | $7.95 – $269.51 | 9 |
| X-ray exam of jaw joint CPT 70328 | not published | not published | $8.64 – $17.62 | 8 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $25.83 – $52.20 | 8 |
| X-ray exam of mastoids CPT 70120 | $332.00 | $332.00 | $8.64 – $17.62 | 9 |
| X-ray exam of middle ear CPT 70134 | $449.45 | $449.45 | $16.98 – $423.38 | 9 |
| X-ray exam of penis CPT 74445 | not published | not published | $52.50 – $101.51 | 8 |
| X-ray exam of perineum CPT 74775 | not published | not published | $29.53 – $59.64 | 8 |
| X-ray exam of salivary gland CPT 70380 | $332.00 | $332.00 | $7.98 – $312.74 | 9 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $14.26 – $29.15 | 8 |
| X-ray exam of teeth CPT 70300 | not published | not published | $4.94 – $10.16 | 8 |
| X-ray exam of teeth CPT 70310 | not published | not published | $7.63 – $16.26 | 8 |
| X-ray exam si joints CPT 72200 | not published | not published | $7.98 – $16.95 | 8 |
| X-ray exam thorac spine4/>vw CPT 72074 | $576.35 | $576.35 | $11.68 – $542.92 | 9 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $396.80 | $396.80 | $8.64 – $373.79 | 9 |
| X-ray fallopian tube CPT 74742 | not published | not published | $28.87 – $58.30 | 8 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $8.29 – $17.62 | 8 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $704.55 | $704.55 | $12.99 – $663.69 | 9 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $759.80 | $759.80 | $14.92 – $715.73 | 9 |
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.