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 |
|---|---|---|---|---|
| Egd optical endomicroscopy CPT 43252 | not published | not published | $160.86 – $654.03 | 9 |
| Egd remove foreign body CPT 43247 | not published | not published | $169.05 – $738.19 | 9 |
| Egd remove lesion snare CPT 43251 | not published | not published | $187.58 – $950.21 | 9 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | not published | not published | $162.38 – $864.12 | 9 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | not published | not published | $215.86 – $453.45 | 8 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | not published | not published | $222.25 – $466.32 | 8 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | not published | not published | $251.88 – $525.30 | 8 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | not published | not published | $251.57 – $525.98 | 8 |
| Egd varices ligation CPT 43244 | not published | not published | $234.66 – $490.06 | 8 |
| Egd w/thrml txmnt gerd CPT 43257 | not published | not published | $221.82 – $465.65 | 8 |
| Egd w/transmural drain cyst CPT 43240 | not published | not published | $374.76 – $782.18 | 8 |
| Egfr gene com variants CPT 81235 | not published | not published | $324.58 – $679.84 | 7 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $107.30 | $107.30 | $22.47 – $101.08 | 9 |
| Eia hiv-1/hiv-2 screen HCPCS G0432 | not published | not published | $19.96 – $41.01 | 7 |
| EKG (Electrocardiogram) CPT 93000 | not published | not published | $13.83 – $29.15 | 8 |
| EKG for initial prevent exam g0403 HCPCS G0403 | not published | not published | $13.83 – $29.15 | 8 |
| EKG interpret & report preve g0405 HCPCS G0405 | not published | not published | $7.98 – $16.26 | 8 |
| EKG tracing for initial prev HCPCS G0404 | not published | not published | $5.85 – $12.89 | 8 |
| EKG (Tracing Only) CPT 93005 | $153.85 | $153.85 | $5.85 – $32.50 | 9 |
| Elb disart prosth tiss shap HCPCS L6450 | not published | not published | $3,828.04 – $10,154.88 | 3 |
| Elb mold sock flex hinge pad HCPCS L6100 | not published | not published | $2,007.74 – $5,326.05 | 3 |
| Elbow arthroscopy CPT 29830 | not published | not published | $439.53 – $958.41 | 8 |
| Elbow arthroscopy/surgery CPT 29834 | not published | not published | $475.92 – $1,032.97 | 8 |
| Elbow arthroscopy/surgery CPT 29835 | not published | not published | $491.57 – $1,066.18 | 8 |
| Elbow arthroscopy/surgery CPT 29836 | not published | not published | $565.10 – $1,222.08 | 8 |
| Elbow arthroscopy/surgery CPT 29837 | not published | not published | $509.74 – $1,085.16 | 8 |
| Elbow arthroscopy/surgery CPT 29838 | not published | not published | $573.72 – $1,239.01 | 8 |
| Elbow inter loc elbow forarm HCPCS L6250 | not published | not published | $2,611.90 – $6,928.77 | 3 |
| Elbow mold doub splt soc ste HCPCS L6120 | not published | not published | $2,532.90 – $6,719.16 | 3 |
| Elbow mold outsid lock hinge HCPCS L6200 | not published | not published | $3,151.30 – $8,359.63 | 3 |
| Elbow mold sock suspension t HCPCS L6110 | not published | not published | $2,004.33 – $5,317.00 | 3 |
| Elbow socket ins use without lck HCPCS L6695 | not published | not published | $623.27 – $1,653.38 | 3 |
| Elbow socket ins use w/lock HCPCS L6694 | not published | not published | $747.96 – $1,984.13 | 3 |
| Elbow stump activated lock h HCPCS L6130 | not published | not published | $2,752.73 – $7,302.34 | 3 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $332.00 | $332.00 | $7.95 – $312.74 | 9 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $403.55 | $403.55 | $8.29 – $380.14 | 9 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | not published | not published | $33.40 – $85.45 | 9 |
| Elec hand ind art digits HCPCS L6880 | not published | not published | $22,237.45 – $58,990.61 | 3 |
| Elec knee-shin swing/stance HCPCS L5856 | not published | not published | $22,597.56 – $59,945.88 | 3 |
| Elec stim unattend for press HCPCS G0281 | not published | not published | $11.76 – $23.72 | 8 |
| Elect analysis of infusion pump 62367 CPT 62367 | $63.90 | $63.90 | $23.89 – $57.12 | 9 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | not published | not published | $33.72 – $177.96 | 9 |
| Electrical bone stim 20974 CPT 20974 | not published | not published | $48.09 – $162.54 | 9 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $159.35 | $159.35 | $14.19 – $150.11 | 9 |
| Electrical stimulation/unattended 97014 CPT 97014 | $137.65 | $137.65 | $12.08 – $129.67 | 9 |
| Electric stim/w chemodenervation 95873 CPT 95873 | not published | not published | $18.96 – $38.64 | 8 |
| Electroacous eval hear aid/biaural 92595 CPT 92595 | not published | not published | $85.38 – $94.90 | 3 |
| Electrocochleography CPT 92584 | not published | not published | $108.66 – $219.60 | 8 |
| Electroconvulsive therapy 90870 CPT 90870 | not published | not published | $104.61 – $332.79 | 9 |
| Electrocorticography durng sx CPT 95829 | not published | not published | $319.34 – $654.76 | 8 |
| Electrodes, pair HCPCS A4556 | not published | not published | $11.47 – $30.22 | 3 |
| Electrode stimulation brain CPT 95961 | not published | not published | $154.22 – $321.27 | 8 |
| Electroejaculation CPT 55870 | not published | not published | $135.34 – $344.35 | 9 |
| Electrogastrography CPT 91132 | not published | not published | $25.62 – $52.20 | 8 |
| Electrogastrography w/test CPT 91133 | not published | not published | $32.33 – $66.43 | 8 |
| Electrolyte panel CPT 80051 | $137.65 | $137.65 | $7.01 – $129.67 | 9 |
| Electromagntic tx for ulcers HCPCS G0329 | not published | not published | $10.43 – $21.69 | 8 |
| Electron elbow child switch HCPCS L7186 | not published | not published | $9,226.74 – $24,476.32 | 3 |
| Electronic analysis with brain program ea add 15 min 95984 CPT 95984 | not published | not published | $41.96 – $86.75 | 9 |
| Electronic analysis with brain program first 15 min 95983 CPT 95983 | not published | not published | $47.78 – $98.28 | 9 |
| Electronic elbo simultaneous HCPCS L7181 | not published | not published | $37,292.54 – $98,928.16 | 3 |
| Electronic elbow sequential HCPCS L7180 | not published | not published | $35,686.40 – $94,667.47 | 3 |
| Electron microscopy diagnostic CPT 88348 | not published | not published | $74.86 – $152.51 | 8 |
| Electro-oculography w/i&r CPT 92270 | not published | not published | $41.04 – $84.05 | 8 |
| Electrophysiologic study CPT 93624 | not published | not published | $147.04 – $447.80 | 8 |
| Electrophysiology evaluation CPT 93619 | not published | not published | $365.11 – $719.56 | 8 |
| Electrophysiology evaluation CPT 93620 | not published | not published | $587.20 – $1,154.51 | 8 |
| Electrophysiology evaluation CPT 93621 | not published | not published | $54.23 – $153.54 | 8 |
| Electrophysiology evaluation CPT 93622 | not published | not published | $111.83 – $316.74 | 8 |
| Electrophysiology evaluation CPT 93641 | $1,227.00 | $1,227.00 | $175.50 – $583.12 | 9 |
| Electrophysiology evaluation CPT 93642 | not published | not published | $140.98 – $470.28 | 8 |
| Electrophysiology evaluation CPT 93644 | not published | not published | $87.61 – $267.91 | 8 |
| Electrophys map 3d add-on CPT 93613 | not published | not published | $161.31 – $547.38 | 8 |
| Elisa hiv-1/hiv-2 screen HCPCS G0433 | not published | not published | $18.66 – $38.33 | 7 |
| Elliotts b solution per ml HCPCS J9175 | not published | not published | $7.46 – $10.40 | 3 |
| Elosulfase alfa, injection HCPCS J1322 | not published | not published | $267.96 – $581.04 | 8 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | $10,570.78 | $10,570.78 | $7.20 – $8,694.67 | 9 |
| Elranatamab-bcmm 40 mg/ml subcutaneous solution HCPCS J1323 | not published | not published | $351.17 – $545.61 | 2 |
| Embedded ip cath exit-site 49436 CPT 49436 | not published | not published | $177.06 – $1,033.08 | 9 |
| Emboli detcj wo IV mbubb njx CPT 93897 | not published | not published | $74.56 – $74.56 | 1 |
| Embolization s&i CPT 75894 | $168.00 | $168.00 | $67.71 – $145.05 | 9 |
| Embo or occlude vascular arterial s&i CPT 37242 | not published | not published | $452.80 – $13,322.16 | 9 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | not published | not published | $635.22 – $12,332.77 | 9 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | not published | not published | $538.21 – $16,143.87 | 9 |
| Embo or occlude vascular venous s&i CPT 37241 | not published | not published | $408.56 – $8,715.68 | 9 |
| Embryo hatching CPT 89253 | not published | not published | $841.96 – $841.96 | 1 |
| Embryo transfer intrauterine CPT 58974 | not published | not published | $283.97 – $298.91 | 3 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | not published | not published | $955.73 – $2,030.02 | 8 |
| Emb/throm/pop-tib-pero art/leg inc 34203 CPT 34203 | not published | not published | $886.90 – $1,889.03 | 8 |
| Emb w/colposcopy 58110 CPT 58110 | not published | not published | $38.70 – $97.02 | 9 |
| Emb without cervical dilation 58100 CPT 58100 | not published | not published | $61.12 – $196.60 | 9 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | not published | not published | $78.58 – $152.91 | 8 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | not published | not published | $95.84 – $196.55 | 8 |
| Emg cranial nerve bilateral CPT 95868 | not published | not published | $60.14 – $122.69 | 8 |
| Emg needle test 1-extremity CPT 95860 | not published | not published | $49.09 – $101.00 | 8 |
| Emg needle test 4-extremities CPT 95864 | not published | not published | $102.00 – $208.77 | 8 |
| Emg thor paraspinal without t1/t2 CPT 95869 | not published | not published | $19.19 – $39.31 | 8 |
| Emr hd pmp elec/combo, rep HCPCS Q0494 | not published | not published | $201.15 – $529.81 | 3 |
| Emr pwr cbl combo vad, rep HCPCS Q0493 | not published | not published | $237.70 – $626.10 | 3 |
| Emr pwr cbl elec vad, rep HCPCS Q0492 | not published | not published | $83.46 – $219.83 | 3 |
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.