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 |
|---|---|---|---|---|
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $861.74 – $1,819.89 | 8 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $716.55 – $1,517.60 | 8 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $291.37 – $24,977.13 | 5 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $158.39 – $865.41 | 9 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $228.66 – $481.91 | 8 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $167.96 – $1,433.34 | 9 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $194.49 – $1,497.59 | 9 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $234.94 – $494.80 | 8 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $275.54 – $579.51 | 8 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $374.27 – $786.25 | 8 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $201.45 – $424.30 | 8 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $155.21 – $717.64 | 9 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $252.39 – $532.07 | 8 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $308.80 – $649.33 | 8 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $192.32 – $681.66 | 9 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $186.88 – $675.23 | 9 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $232.94 – $490.73 | 8 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $267.89 – $562.58 | 8 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $276.99 – $582.91 | 8 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $266.32 – $558.52 | 8 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $144.73 – $615.48 | 9 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $262.64 – $904.59 | 9 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $235.17 – $496.16 | 8 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $251.57 – $1,159.01 | 9 |
| Cystoscopy (Bladder Scope) CPT 52000 | $1,610.20 | $1,610.20 | $77.18 – $461.94 | 9 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $162.07 – $746.55 | 9 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $157.84 – $735.62 | 9 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $321.32 – $677.81 | 8 |
| Cystoscopy inject material CPT 52327 | not published | not published | $248.23 – $519.88 | 8 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $24,977.13 – $24,977.13 | 1 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $274.30 – $844.84 | 9 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $173.31 – $808.22 | 9 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $237.05 – $1,036.94 | 9 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $305.95 – $642.54 | 8 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $126.47 – $584.65 | 9 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $674.85 | $674.85 | $271.09 – $600.53 | 9 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $453.01 – $964.51 | 8 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $750.85 – $1,589.45 | 8 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $288.89 – $609.35 | 8 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $352.13 – $742.18 | 8 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $397.99 – $838.45 | 8 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $445.98 – $939.43 | 8 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $396.75 – $835.05 | 8 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $374.27 – $786.25 | 8 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $425.87 – $895.38 | 8 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $338.27 – $712.36 | 8 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $376.31 – $791.68 | 8 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $254.74 – $532.07 | 8 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | not published | not published | $145.25 – $628.98 | 9 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $134.75 – $726.63 | 9 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $48.56 – $1,647.29 | 9 |
| Cystourethro w/implant CPT 52441 | not published | not published | $200.45 – $2,423.38 | 9 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $328.73 – $692.04 | 8 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $294.99 – $621.55 | 8 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $271.49 – $570.71 | 8 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $205.46 | $205.46 | $0.76 – $193.13 | 9 |
| Cytarabine liposome inj HCPCS J9098 | not published | not published | $604.66 – $856.74 | 3 |
| Cytog alys chrml abnr lw-ps CPT 81349 | not published | not published | $576.06 – $2,509.89 | 7 |
| Cytogenetics 25-99 CPT 88274 | $147.10 | $147.10 | $43.23 – $138.57 | 9 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $41.51 – $85.28 | 7 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $742.45 – $2,430.60 | 7 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $758.87 – $1,885.64 | 7 |
| Cytog genom-wid alys hem mal CPT 81195 | not published | not published | $2,647.65 – $6,966.60 | 2 |
| Cytomegalovirus ag ia CPT 87332 | not published | not published | $11.98 – $25.08 | 7 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $414.35 | $414.35 | $14.39 – $390.32 | 9 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $334.65 | $334.65 | $16.85 – $315.24 | 9 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $13.42 – $27.79 | 7 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $1,700.94 – $3,586.17 | 8 |
| Cytomeg dna dir probe CPT 87495 | not published | not published | $30.03 – $62.93 | 7 |
| Cyto/molecular report CPT 88291 | $152.45 | $152.45 | $31.56 – $143.61 | 9 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $25.88 – $52.87 | 7 |
| Cytopath c/v automated CPT 88147 | not published | not published | $24.89 – $105.74 | 7 |
| Cytopath c/v auto redo CPT 88152 | not published | not published | $23.10 – $57.60 | 7 |
| Cytopath c/v auto rescreen CPT 88148 | not published | not published | $17.66 – $37.28 | 7 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $13.12 – $30.51 | 7 |
| Cytopath c/v manual CPT 88150 | not published | not published | $17.66 – $37.28 | 7 |
| Cytopath c/v redo CPT 88153 | not published | not published | $23.10 – $50.16 | 7 |
| Cytopath c/v thin layer redo CPT 88143 | not published | not published | $23.50 – $48.13 | 7 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $18.65 – $37.28 | 8 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $143.00 | $143.00 | $26.78 – $134.71 | 9 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $58.50 | $58.50 | $23.50 – $55.11 | 9 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $71.55 | $71.55 | $20.67 – $67.40 | 9 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | not published | not published | $21.69 – $44.07 | 8 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | not published | not published | $26.46 – $54.90 | 8 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | not published | not published | $14.44 – $40.47 | 8 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $538.45 | $538.45 | $34.39 – $507.22 | 9 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $206.55 | $206.55 | $67.89 – $194.57 | 9 |
| Cytopath smear other source CPT 88160 | $143.00 | $143.00 | $25.01 – $134.71 | 9 |
| Cytopath smear other source CPT 88162 | not published | not published | $38.07 – $77.28 | 8 |
| Cytopath smear oth prep screen & interp CPT 88161 | not published | not published | $24.70 – $50.16 | 8 |
| Cytopath tbs c/v auto redo CPT 88166 | not published | not published | $17.66 – $37.28 | 7 |
| Cytopath tbs c/v manual CPT 88164 | not published | not published | $17.66 – $37.28 | 7 |
| Cytopath tbs c/v redo CPT 88165 | not published | not published | $23.10 – $88.47 | 7 |
| Cytopath tbs c/v select CPT 88167 | not published | not published | $17.66 – $37.28 | 7 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $78.65 – $164.70 | 7 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $29.68 – $62.19 | 7 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $46.90 – $95.57 | 8 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $147.49 | $147.49 | $3.60 – $138.64 | 9 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $397.51 – $1,022.86 | 8 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $7,747.94 | $7,747.94 | $15.29 – $7,283.06 | 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.