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 |
|---|---|---|---|---|
| Blood volume CPT 78122 | not published | not published | $20.38 – $41.34 | 8 |
| Bls-emergency HCPCS A0429 | $530.00 | $530.00 | $260.02 – $895.95 | 5 |
| Body jacket mold to patient HCPCS L1300 | not published | not published | $1,581.28 – $4,194.77 | 3 |
| Bone Age X-ray (hand and wrist) CPT 77072 | $578.95 | $578.95 | $8.99 – $545.37 | 9 |
| Bone biopsy open superficial CPT 20240 | not published | not published | $135.53 – $284.69 | 8 |
| Bone Density Scan (DEXA) CPT 77080 | $377.95 | $377.95 | $9.32 – $356.03 | 9 |
| Bone imaging multiple areas CPT 78305 | $2,186.50 | $2,186.50 | $38.66 – $2,059.68 | 9 |
| Bone/joint imaging ltd area CPT 78300 | $1,680.35 | $1,680.35 | $29.21 – $1,582.89 | 9 |
| Bone marrow;aspiration only 38220 CPT 38220 | $365.75 | $365.75 | $65.63 – $303.25 | 9 |
| Bone marrow aspir bone grfg CPT 20939 | not published | not published | $66.20 – $142.34 | 8 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $384.65 | $384.65 | $68.07 – $313.53 | 9 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $193.58 – $410.75 | 8 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $185.31 – $377.53 | 8 |
| Bone marrow imaging body CPT 78104 | not published | not published | $36.69 – $73.19 | 8 |
| Bone marrow imaging ltd CPT 78102 | not published | not published | $24.78 – $50.16 | 8 |
| Bone marrow imaging mult CPT 78103 | not published | not published | $29.91 – $59.64 | 8 |
| Bone marrow interpretation CPT 85097 | $1,354.75 | $1,354.75 | $46.84 – $94.90 | 9 |
| Bone mineral dual photon CPT 78351 | not published | not published | $9.49 – $28.27 | 7 |
| Bone mineral single photon CPT 78350 | not published | not published | $10.65 – $21.69 | 7 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $2,864.74 – $6,125.96 | 8 |
| Bone/skin graft iliac crest CPT 20970 | not published | not published | $2,719.66 – $5,821.62 | 8 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $2,712.01 – $5,803.33 | 8 |
| Bone/skin graft microvasc CPT 20969 | not published | not published | $2,622.56 – $5,512.55 | 8 |
| Bone survey-lead poisoning CPT 77074 | $850.30 | $850.30 | $20.67 – $800.98 | 9 |
| Bone tendon board add on HCPCS C9356 | not published | not published | $108.77 – $108.77 | 1 |
| Boot cast sandal rocker med HCPCS L3265 | not published | not published | $27.11 – $51.65 | 2 |
| Boot heel care softcare one sz HCPCS E0191 | not published | not published | $3.02 – $11.11 | 2 |
| Boot j walker l HCPCS L4386 | not published | not published | $147.27 – $390.65 | 3 |
| Boot mlti podous univ xlg HCPCS L4396 | not published | not published | $162.85 – $431.99 | 3 |
| Boot softgait shrt m HCPCS L4387 | not published | not published | $147.27 – $390.65 | 3 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | not published | not published | $328.54 – $871.53 | 3 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | not published | not published | $328.54 – $871.53 | 3 |
| Borrelia antibody CPT 86619 | not published | not published | $13.38 – $27.79 | 7 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $45.95 | $45.95 | $17.03 – $43.28 | 9 |
| Borrelia miyamotoi amp prb CPT 87478 | $58.05 | $58.05 | $22.47 – $54.68 | 9 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $339.63 | $339.63 | $1.73 – $319.25 | 9 |
| (both sides) donor search management CPT 38204 | not published | not published | $97.72 – $203.34 | 7 |
| (both sides) smear without diff wbc count CPT 85008 | $32.40 | $32.40 | $3.43 – $30.52 | 9 |
| Botulism ig IV CPT 90288 | not published | not published | $48,705.00 – $120,068.45 | 3 |
| Bowel imaging CPT 78290 | $1,218.80 | $1,218.80 | $31.60 – $1,148.11 | 9 |
| Bpg axillary-pop/-tibial CPT 35623 | not published | not published | $1,229.44 – $2,618.35 | 8 |
| Bpg carotid-vertebral CPT 35642 | not published | not published | $924.99 – $1,975.12 | 8 |
| Bpg ilio-celiac CPT 35632 | not published | not published | $1,688.15 – $3,590.99 | 8 |
| Bpg ilio-mesenteric CPT 35633 | not published | not published | $1,852.59 – $3,925.15 | 8 |
| Bpg iliorenal CPT 35634 | not published | not published | $1,652.47 – $3,514.40 | 8 |
| Bpg pop-tibl/-prnl artery CPT 35671 | not published | not published | $1,062.13 – $2,239.45 | 8 |
| Bpg splenorenal CPT 35636 | not published | not published | $1,491.45 – $3,172.78 | 8 |
| Bpg subclavian-axillary CPT 35616 | not published | not published | $1,030.27 – $2,194.72 | 8 |
| Bpg subclavian-vertebral CPT 35645 | not published | not published | $886.51 – $1,889.03 | 8 |
| Brace adj motion lerman type HCPCS L2186 | not published | not published | $137.74 – $365.40 | 3 |
| Brace afo dbl upright cust HCPCS L1990 | not published | not published | $502.60 – $1,333.28 | 3 |
| Brace afo lg left 6607 HCPCS L1930 | not published | not published | $242.95 – $644.49 | 3 |
| Brace afopos solid ankle cust HCPCS L1960 | not published | not published | $657.69 – $1,744.68 | 3 |
| Brace afo spiral prefab HCPCS L1951 | not published | not published | $780.13 – $2,069.49 | 3 |
| Brace ank aftr bioskn med lg HCPCS L1906 | not published | not published | $119.84 – $317.92 | 3 |
| Brace ank air stirrup univ HCPCS L4350 | not published | not published | $92.42 – $245.14 | 3 |
| Brace ankle joint dflxn assist HCPCS L2210 | not published | not published | $59.82 – $158.69 | 3 |
| Brace ankle stablizing lg HCPCS L1902 | not published | not published | $81.83 – $217.07 | 3 |
| Brace back epic lo 627 HCPCS L0642 | not published | not published | $381.85 – $651.55 | 3 |
| Brace back epic lso 637 HCPCS L0650 | not published | not published | $1,087.69 – $1,882.73 | 3 |
| Brace back epic tslo 456 HCPCS L0457 | not published | not published | $923.88 – $1,576.08 | 3 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | not published | not published | $381.85 – $1,012.95 | 3 |
| Brace back pinnacle tlso 464 HCPCS L0464 | not published | not published | $1,380.77 – $3,662.84 | 3 |
| Brace back t-lso custom HCPCS L0486 | not published | not published | $2,237.15 – $5,934.61 | 3 |
| Brace back vista 464 tlso HCPCS L0648 | not published | not published | $953.60 – $1,627.17 | 3 |
| Brace cust back lso HCPCS L0631 | not published | not published | $953.60 – $2,529.69 | 3 |
| Brace fx hum ovr shldr lg HCPCS L3981 | not published | not published | $850.95 – $2,257.37 | 3 |
| Brace fx hum ovr shldr sm HCPCS L3980 | not published | not published | $358.95 – $952.19 | 3 |
| Brace halo bremer l2830 HCPCS L2830 | not published | not published | $111.47 – $295.71 | 3 |
| Brace kafo dbl upright cust HCPCS L2036 | not published | not published | $2,201.41 – $5,839.81 | 3 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | not published | not published | $780.57 – $1,384.12 | 3 |
| Brace knee extender plus 22-30in HCPCS L1832 | $93.10 | $93.10 | $37.40 – $87.70 | 9 |
| Brace knee hing pat open med HCPCS L1820 | not published | not published | $135.46 – $359.35 | 3 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | not published | not published | $706.41 – $1,099.22 | 3 |
| Brace knee postop tscope xl HCPCS L1845 | not published | not published | $775.02 – $2,055.94 | 3 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | not published | not published | $92.00 – $244.03 | 3 |
| Brace m arm board HCPCS L3809 | $98.55 | $98.55 | $33.64 – $78.89 | 9 |
| Brace or Splint Fitting and Training (each 15 minutes) CPT 97760 | $159.35 | $159.35 | $46.91 – $150.11 | 9 |
| Brace ortho exos 28-50in sm HCPCS L0637 | not published | not published | $1,087.69 – $2,885.39 | 3 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | $2,375.80 | $2,375.80 | $923.88 – $2,238.00 | 9 |
| Brace oths wrist hnd fngr without HCPCS L3807 | not published | not published | $211.39 – $560.78 | 3 |
| Brace tlso flex cust HCPCS L0450 | not published | not published | $206.22 – $296.06 | 3 |
| Brace wrist classic lft sm HCPCS L3908 | $117.40 | $117.40 | $17.86 – $41.87 | 9 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $764.66 – $1,642.99 | 8 |
| Brach/thor cath 1st CPT 36215 | not published | not published | $202.54 – $1,961.44 | 9 |
| Brach/thor cath 2nd CPT 36216 | not published | not published | $255.56 – $2,021.19 | 9 |
| Brach/thor cath 3rd CPT 36217 | not published | not published | $310.80 – $3,435.27 | 9 |
| Brach/thor cath addl CPT 36218 | not published | not published | $49.19 – $399.61 | 9 |
| Brachy linear, non-str,p-103 HCPCS C2636 | not published | not published | $259.97 – $259.97 | 1 |
| Brachy source i-125 injection HCPCS C2638 | not published | not published | $181.99 – $181.99 | 1 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | not published | not published | $172.53 – $172.53 | 1 |
| Brachy source palladium HCPCS C2640 | not published | not published | $342.43 – $342.43 | 1 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | not published | not published | $391.93 – $391.93 | 1 |
| Brachy source yttrium-90 HCPCS C2616 | not published | not published | $85,908.77 – $85,908.77 | 1 |
| Brachy src nonstrand c-131 HCPCS C2643 | not published | not published | $474.43 – $474.43 | 1 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | not published | not published | $1,682.25 – $1,682.25 | 1 |
| Brachy src stranded c-131 HCPCS C2642 | not published | not published | $529.94 – $529.94 | 1 |
| Brachytx isodose complex CPT 77318 | not published | not published | $149.86 – $312.47 | 8 |
| Brachytx isodose intermed CPT 77317 | not published | not published | $94.77 – $197.24 | 8 |
| Brachytx isodose plan simple CPT 77316 | not published | not published | $72.57 – $150.47 | 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.