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 |
|---|---|---|---|---|
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $143.31 | $143.31 | $0.02 – $46.12 | 9 |
| Bupivacaine implant, 1 mg HCPCS C9089 | not published | not published | $0.85 – $1.74 | 2 |
| Bupren/nal 3.1 to 6mg bupren HCPCS J0573 | not published | not published | $7.91 – $8.36 | 2 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | not published | not published | $2.79 – $4.00 | 2 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | not published | not published | $5.03 – $7.91 | 2 |
| Buprenorphine and metabolite - sendout CPT 80348 | $71.30 | $71.30 | $16.36 – $67.16 | 9 |
| Buprenorphine hydrochloride HCPCS J0592 | not published | not published | $3.79 – $8.51 | 8 |
| Buprenorphine oral 1mg HCPCS J0571 | not published | not published | $0.69 – $4.53 | 3 |
| Buprenorphine X-ray over 100 mg HCPCS Q9992 | $8,606.15 | $8,606.15 | $1,829.73 – $8,089.78 | 9 |
| Buprenorph X-ray 100 mg or less HCPCS Q9991 | $8,606.15 | $8,606.15 | $1,829.73 – $8,089.78 | 9 |
| Bupropion hcl sr 60 tablets HCPCS S0106 | not published | not published | $15.70 – $165.39 | 2 |
| Bur hol/trph drg brn abs/cst CPT 61150 | not published | not published | $1,272.43 – $2,810.17 | 8 |
| Burr hol aspir hmtm/cst icer CPT 61156 | not published | not published | $1,162.13 – $2,581.74 | 8 |
| Burr hole for vent puncture 61120 CPT 61120 | not published | not published | $709.42 – $1,571.14 | 8 |
| Burr hole implant ventricular cath/other device CPT 61210 | not published | not published | $342.29 – $750.33 | 8 |
| Burr hole skull for biopsy 61140 CPT 61140 | not published | not published | $1,197.65 – $2,650.20 | 8 |
| Burr hole skull & remove clot 61154 CPT 61154 | not published | not published | $1,205.38 – $2,664.43 | 8 |
| Burr hole treph ittl uni/bi CPT 61253 | not published | not published | $938.24 – $2,072.72 | 8 |
| Burr hole/treph sbsq tapping CPT 61151 | not published | not published | $938.24 – $2,072.72 | 8 |
| Burr hole/treph sttl expl CPT 61250 | not published | not published | $821.30 – $1,815.15 | 8 |
| Busulfan injection HCPCS J0594 | not published | not published | $0.96 – $2.81 | 8 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $133.42 | $133.42 | $2.59 – $125.41 | 9 |
| Butorphanol tartrate, nasal HCPCS S0012 | not published | not published | $57.53 – $115.90 | 2 |
| Buttock fasciotomy CPT 27027 | not published | not published | $858.34 – $1,824.64 | 8 |
| Buttock fasciotomy w/dbrdmt CPT 27057 | not published | not published | $968.57 – $2,077.46 | 8 |
| Bx arm/elbow soft tissue supf 24065 CPT 24065 | not published | not published | $156.39 – $503.05 | 9 |
| Bx bone trocar/ndl deep CPT 20225 | $1,907.60 | $1,907.60 | $125.03 – $727.27 | 9 |
| Bx breast 1st lesion mr imag CPT 19085 | $5,010.05 | $5,010.05 | $174.08 – $1,456.46 | 9 |
| Bx breast 1st lesion strtctc CPT 19081 | $4,842.75 | $4,842.75 | $158.59 – $954.07 | 9 |
| Bx breast add lesion mr imag CPT 19086 | not published | not published | $87.38 – $1,126.24 | 9 |
| Bx breast add lesion strtctc CPT 19082 | not published | not published | $79.86 – $733.05 | 9 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $3,048.95 | $3,048.95 | $75.24 – $721.49 | 9 |
| Bx breast perq without image 19100 CPT 19100 | not published | not published | $65.67 – $287.83 | 9 |
| Bx breast pq tomo guide CPT 19499 | not published | not published | $18,814.24 – $18,814.24 | 1 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | not published | not published | $128.28 – $327.66 | 9 |
| Bx/exc idrl imed lesn cervl CPT 63285 | not published | not published | $2,456.05 – $5,412.24 | 8 |
| Bx/exc idrl imed lesn thrc CPT 63286 | not published | not published | $2,431.55 – $5,350.55 | 8 |
| Bx/exc idrl imed lesn thrlmb CPT 63287 | not published | not published | $2,575.22 – $5,672.51 | 8 |
| Bx/exc idrl spine lesn crvl CPT 63280 | not published | not published | $1,994.52 – $4,383.34 | 8 |
| Bx/exc idrl spine lesn scrl CPT 63283 | not published | not published | $1,793.16 – $3,956.33 | 8 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | not published | not published | $403.17 – $1,022.16 | 9 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | not published | not published | $243.93 – $652.10 | 9 |
| Bx/exc xdrl/idrl lsn any lvl CPT 63290 | not published | not published | $2,618.82 – $5,768.08 | 8 |
| Bx/exc xdrl spine lesn crvl CPT 63275 | not published | not published | $1,705.15 – $3,728.58 | 8 |
| Bx/exc xdrl spine lesn lmbr CPT 63277 | not published | not published | $1,479.70 – $3,240.57 | 8 |
| Bx/exc xdrl spine lesn scrl CPT 63278 | not published | not published | $1,504.01 – $3,319.86 | 8 |
| Bx/exc xdrl spine lesn thrc CPT 63276 | not published | not published | $1,687.04 – $3,704.86 | 8 |
| Bx leg/ankle soft tissue deep 27614 CPT 27614 | not published | not published | $401.86 – $1,144.22 | 9 |
| Bx liver with other CPT 47001 | not published | not published | $98.24 – $210.80 | 8 |
| Bx muscle CPT 20200 | not published | not published | $90.08 – $417.61 | 9 |
| Bx nasopharynx/unknown pri lesion 42806 CPT 42806 | not published | not published | $136.28 – $468.35 | 9 |
| Bx of breast open 19101 CPT 19101 | not published | not published | $213.74 – $634.76 | 9 |
| Bx of cervix w/scope leep 57460 CPT 57460 | not published | not published | $153.84 – $607.13 | 9 |
| Bx pancreas pq ndl CPT 48102 | not published | not published | $227.86 – $975.91 | 9 |
| Bx perianal mass CPT 46999 | not published | not published | $4,479.46 – $4,479.46 | 1 |
| Bx pleura pq ndl CPT 32400 | $1,913.80 | $1,913.80 | $81.77 – $323.80 | 9 |
| Bx prst8 ndl sat sampling CPT 55706 | not published | not published | $362.06 – $769.99 | 8 |
| Bx shoulder tissues deep 23066 CPT 23066 | not published | not published | $351.91 – $1,114.04 | 9 |
| Bx shoulder tissues supf 23065 CPT 23065 | not published | not published | $153.78 – $437.51 | 9 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $156.55 | $156.55 | $29.62 – $131.20 | 9 |
| Bx skin punch ea sep/ addl les CPT 11105 | $133.65 | $133.65 | $24.72 – $112.01 | 9 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $116.05 | $116.05 | $20.92 – $97.02 | 9 |
| Bx/soft tis/forearm/wrist/superfic 25065 CPT 25065 | not published | not published | $152.11 – $496.62 | 9 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | not published | not published | $191.63 – $655.32 | 9 |
| Bx soft tiss pelvis/hip deep 27041 CPT 27041 | not published | not published | $684.30 – $1,462.70 | 8 |
| Bx soft tissue back/flank deep 21925 CPT 21925 | not published | not published | $361.96 – $964.34 | 9 |
| Bx soft tissue back/flank supf 21920 CPT 21920 | not published | not published | $149.12 – $497.26 | 9 |
| Bx spinal cord pq ndl CPT 62269 | $2,368.65 | $2,368.65 | $253.14 – $2,231.27 | 9 |
| Bx thigh/knee soft tiss supf 27323 CPT 27323 | not published | not published | $168.58 – $531.96 | 9 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $1,768.10 | $1,768.10 | $74.87 – $211.36 | 9 |
| Bx vag mucos smpl (sep proc) CPT 57100 | not published | not published | $62.95 – $201.10 | 9 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | $152.55 | $152.55 | $57.40 – $143.70 | 9 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | not published | not published | $28.46 – $73.24 | 9 |
| Bypass graft/av fist patency CPT 35686 | not published | not published | $150.03 – $318.57 | 8 |
| Bypass graft patency/patch CPT 35685 | not published | not published | $184.84 – $392.45 | 8 |
| Bypass temp external fem-fem CPT 37799 | $1,030.00 | $1,030.00 | $81.32 – $190.71 | 9 |
| C-1 esterase, berinert HCPCS J0597 | $13,641.82 | $13,641.82 | $61.94 – $12,823.31 | 9 |
| C-1 esterase, cinryze HCPCS J0598 | not published | not published | $61.50 – $126.65 | 8 |
| C1 esterase inhibitor func - sendout CPT 86161 | not published | not published | $12.00 – $25.08 | 7 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $150,071.71 | $150,071.71 | $203.57 – $141,067.41 | 9 |
| Cabergoline, oral 0.25mg HCPCS J8515 | not published | not published | $2.98 – $28.48 | 3 |
| Cabg 2 arterial grafts 33534 CPT 33534 | not published | not published | $2,065.34 – $4,403.66 | 8 |
| Cabg 3 arterial grafts 33535 CPT 33535 | not published | not published | $2,297.56 – $4,891.69 | 8 |
| Cabg arterial four or more 33536 CPT 33536 | not published | not published | $2,473.01 – $5,269.22 | 8 |
| Cabgsingle artery graft 33533 CPT 33533 | not published | not published | $1,758.90 – $3,748.90 | 8 |
| Cabgsingle coronary venous graft 33510 CPT 33510 | not published | not published | $1,817.13 – $3,869.56 | 8 |
| Cabg/valve reop >1 mo p org proced 33530 CPT 33530 | not published | not published | $491.77 – $1,041.10 | 8 |
| Cabg vein five CPT 33514 | not published | not published | $2,449.15 – $5,198.73 | 8 |
| Cabg/vein only/2 cor venous gfts 33511 CPT 33511 | not published | not published | $1,994.58 – $4,250.49 | 8 |
| Cabg/vein only/3 cor venous gfts 33512 CPT 33512 | not published | not published | $2,274.32 – $4,836.10 | 8 |
| Cabg/vein only/4 cor venous gfts 33513 CPT 33513 | not published | not published | $2,326.89 – $4,941.16 | 8 |
| Cabg vein six or more CPT 33516 | not published | not published | $2,534.94 – $5,381.06 | 8 |
| Cabg venous & art 1 vein graft 33517 CPT 33517 | not published | not published | $175.05 – $371.44 | 8 |
| Cabg venous & art 2 vein graft 33518 CPT 33518 | not published | not published | $385.40 – $817.43 | 8 |
| Cabg venous & art 3 vein graft 33519 CPT 33519 | not published | not published | $509.37 – $1,078.37 | 8 |
| Cabg venous & art 4 vein graft 33521 CPT 33521 | not published | not published | $610.67 – $1,294.60 | 8 |
| Cabg venous & art 5 vein graft 33522 CPT 33522 | not published | not published | $685.94 – $1,453.88 | 8 |
| Cabg venous & art 6 vein graft 33523 CPT 33523 | not published | not published | $775.30 – $1,636.89 | 8 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | not published | not published | $21.99 – $45.81 | 8 |
| Cacna1a gen detc abnor allel CPT 81184 | not published | not published | $137.00 – $287.07 | 7 |
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.