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 |
|---|---|---|---|---|
| Emr pwr source combo vad rep HCPCS Q0491 | not published | not published | $1,036.15 – $2,729.16 | 3 |
| Emr pwr source elec vad, rep HCPCS Q0490 | not published | not published | $659.09 – $1,735.98 | 3 |
| Encephalitis, california igg/igm CPT 86651 | $31.35 | $31.35 | $12.59 – $29.53 | 9 |
| Encephalitis, st louis igg/igm CPT 86653 | $31.35 | $31.35 | $12.59 – $29.53 | 9 |
| Encephalitis, western equine igg/igm CPT 86654 | $31.35 | $31.35 | $12.59 – $29.53 | 9 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | not published | not published | $262.10 – $1,860.58 | 9 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | not published | not published | $261.98 – $2,037.26 | 9 |
| Endo ak/hip alignable system HCPCS L5920 | not published | not published | $670.73 – $1,779.28 | 3 |
| Endo ak/hip knee extens assi HCPCS L5850 | not published | not published | $121.29 – $321.73 | 3 |
| Endo ak ultra-light material HCPCS L5950 | not published | not published | $926.16 – $2,456.88 | 3 |
| Endo assay seven anal CPT 81506 | not published | not published | $68.92 – $144.38 | 7 |
| Endo below knee alignable sy HCPCS L5910 | not published | not published | $457.82 – $1,214.51 | 3 |
| Endo bk ultra-light material HCPCS L5940 | not published | not published | $475.57 – $1,261.56 | 3 |
| Endo cath bile duct s&i CPT 74328 | not published | not published | $22.64 – $46.10 | 8 |
| Endo cath panc duct s&i CPT 74329 | not published | not published | $22.95 – $46.77 | 8 |
| Endocerv curettage w/scope 57456 CPT 57456 | not published | not published | $97.59 – $296.18 | 9 |
| Endocervical curettage 57505 CPT 57505 | not published | not published | $105.15 – $301.32 | 9 |
| Endo cholangiopancreatograph CPT 43261 | not published | not published | $323.87 – $675.76 | 8 |
| Endo cholangiopancreatograph CPT 43262 | not published | not published | $341.65 – $713.06 | 8 |
| Endo defect closure gi tract HCPCS C9901 | not published | not published | $51,152.98 – $51,152.98 | 1 |
| Endo hip ultra-light materia HCPCS L5960 | not published | not published | $1,018.71 – $2,702.42 | 3 |
| Endo knee-shin fluid swg/sta HCPCS L5828 | not published | not published | $3,569.76 – $9,469.71 | 3 |
| Endo knee-shin fluid swing p HCPCS L5824 | not published | not published | $1,689.28 – $4,481.26 | 3 |
| Endo knee-shin frct swg & st HCPCS L5812 | not published | not published | $697.43 – $1,850.12 | 3 |
| Endo knee-shin frct swg & st HCPCS L5818 | not published | not published | $1,213.95 – $3,220.33 | 3 |
| Endo knee-shin hydral swg ph HCPCS L5814 | not published | not published | $3,456.57 – $9,169.44 | 3 |
| Endo knee-shin mnl lck ultra HCPCS L5811 | not published | not published | $921.93 – $2,445.67 | 3 |
| Endo knee-shin pneum swg frc HCPCS L5822 | not published | not published | $2,152.64 – $5,710.46 | 3 |
| Endo knee-shin pneum/swg pha HCPCS L5830 | not published | not published | $2,398.68 – $6,363.15 | 3 |
| Endo knee-shin polyc mch sta HCPCS L5816 | not published | not published | $869.42 – $2,306.38 | 3 |
| Endoluminal bx biliary tree CPT 47543 | not published | not published | $137.98 – $742.05 | 9 |
| Endoluminal bx urtr rnl plvs CPT 50606 | not published | not published | $134.13 – $916.80 | 9 |
| Endoluminl ivus oct c 1st CPT 92978 | not published | not published | $89.26 – $187.75 | 8 |
| Endoluminl ivus oct c ea CPT 92979 | not published | not published | $71.27 – $149.80 | 8 |
| Endome abla/them without hystero guide 58353 CPT 58353 | not published | not published | $224.36 – $1,775.78 | 9 |
| Endometrial cryoablation w/us 58356 CPT 58356 | not published | not published | $343.95 – $3,205.90 | 9 |
| Endo outlet restrict w/tube HCPCS C9785 | not published | not published | $51,152.98 – $51,152.98 | 1 |
| Endo poly hip, pneu/hyd/rot HCPCS L5961 | not published | not published | $4,327.13 – $11,478.84 | 3 |
| Endoscopic injection/implant CPT 51715 | not published | not published | $191.71 – $713.14 | 9 |
| Endoscopic pancreatoscopy CPT 43273 | not published | not published | $113.71 – $237.92 | 8 |
| Endoscopic Ultrasound exam esoph CPT 43237 | not published | not published | $187.44 – $391.76 | 8 |
| Endoscopic vein harvest 33508 CPT 33508 | not published | not published | $15.11 – $31.85 | 8 |
| Endoscopy bowel pouch/biop CPT 44386 | not published | not published | $85.53 – $597.50 | 9 |
| Endoscopy ligate perf veins 37500 CPT 37500 | not published | not published | $591.24 – $1,262.75 | 8 |
| Endoscopy maxillary sinus CPT 31267 | not published | not published | $256.39 – $537.50 | 8 |
| Endoscopy of bowel pouch 44385 CPT 44385 | not published | not published | $69.93 – $416.96 | 9 |
| Endoscopy of ureter CPT 50951 | not published | not published | $292.74 – $728.56 | 9 |
| Endoscopy of ureter CPT 50953 | not published | not published | $312.07 – $769.67 | 9 |
| Endoscopy swallow (fees) i&r CPT 92613 | not published | not published | $36.08 – $73.89 | 8 |
| Endoscopy swallow (fees) vid CPT 92612 | $873.25 | $873.25 | $65.27 – $382.91 | 9 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $580.35 | $580.35 | $161.13 – $484.42 | 9 |
| Endoskeletal axial rotation HCPCS L5984 | not published | not published | $656.30 – $1,740.97 | 3 |
| Endoskel knee-shin mnl lock HCPCS L5810 | not published | not published | $615.45 – $1,632.64 | 3 |
| Endoskel posit rotat unit HCPCS L5926 | not published | not published | $1,005.28 – $1,740.97 | 2 |
| Endo sleeve gastro w/tube HCPCS C9784 | not published | not published | $51,152.98 – $51,152.98 | 1 |
| Endovasc prosth delayed 33886 CPT 33886 | not published | not published | $900.34 – $1,905.97 | 8 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | not published | not published | $1,428.13 – $3,025.70 | 8 |
| Endovasc tempory vessel occl CPT 61623 | not published | not published | $543.73 – $1,172.58 | 8 |
| Endovasc visc aorta 1 graft CPT 34841 | not published | not published | $2,782.42 – $3,068.62 | 4 |
| Endovasc visc aorta 2 graft CPT 34842 | not published | not published | $3,191.12 – $3,863.61 | 4 |
| Endovasc visc aorta 3 graft CPT 34843 | not published | not published | $3,502.08 – $4,658.55 | 4 |
| Endovasc visc aorta 4 graft CPT 34844 | not published | not published | $3,875.35 – $5,453.52 | 4 |
| Endovas iliac a device addon CPT 34808 | not published | not published | $189.17 – $400.58 | 8 |
| Endovenous laser vein addon 36479 CPT 36479 | not published | not published | $127.84 – $576.93 | 9 |
| Endovenous mchnchem 1st vein CPT 36473 | not published | not published | $170.74 – $2,289.75 | 9 |
| Endovenous mchnchem add-on CPT 36474 | not published | not published | $85.03 – $479.93 | 9 |
| Endovenous rf abl vein addl CPT 36476 | not published | not published | $126.41 – $536.46 | 9 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | not published | not published | $168.72 – $3,165.43 | 9 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | not published | not published | $83.52 – $262.77 | 9 |
| Energy storing foot HCPCS L5976 | not published | not published | $651.43 – $1,728.11 | 3 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $13,456.24 | $13,456.24 | $34.49 – $10,732.42 | 9 |
| Enfuvirtide injection HCPCS J1324 | not published | not published | $0.67 – $0.68 | 3 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $241.05 | $241.05 | $0.58 – $46.85 | 9 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | not published | not published | $11.98 – $25.08 | 7 |
| Entamoeb hist dispr ag ia CPT 87336 | not published | not published | $16.00 – $33.21 | 7 |
| Enterectomy cong add-on CPT 44128 | not published | not published | $229.97 – $491.40 | 8 |
| Enterectomy small intestine addl 44121 CPT 44121 | not published | not published | $228.57 – $485.97 | 8 |
| Enterectomy small intestine single 44120 CPT 44120 | not published | not published | $1,163.59 – $2,494.30 | 8 |
| Enterectomy without taper cong CPT 44126 | not published | not published | $2,346.43 – $5,032.67 | 8 |
| Enterectomy w/taper cong CPT 44127 | not published | not published | $2,709.38 – $5,804.67 | 8 |
| Enteroenterostomy fusion 44130 CPT 44130 | not published | not published | $1,253.93 – $2,689.51 | 8 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | not published | not published | $1,339.91 – $2,857.61 | 8 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | not published | not published | $1,540.76 – $3,288.68 | 8 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | not published | not published | $802.51 – $1,722.97 | 8 |
| Enterovirus antibody dfa CPT 87267 | not published | not published | $13.42 – $27.79 | 7 |
| Envrn ivntj med mgmt psyc pt CPT 90882 | not published | not published | $89.86 – $166.06 | 3 |
| Enzyme cell activity ra CPT 82658 | not published | not published | $39.53 – $92.18 | 7 |
| Enzyme histochemistry CPT 88319 | not published | not published | $26.05 – $52.87 | 8 |
| Eo, adj lock joint prefab ot HCPCS L3761 | not published | not published | $422.77 – $1,121.48 | 3 |
| Eo elas w/metal jnts pre ots HCPCS L3710 | not published | not published | $135.19 – $358.61 | 3 |
| Ep & ablate supravent arrhyt CPT 93653 | not published | not published | $792.66 – $1,657.91 | 8 |
| Ep & ablate ventric tachy CPT 93654 | not published | not published | $955.38 – $1,998.14 | 8 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | not published | not published | $53.80 – $165.09 | 3 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | not published | not published | $664.72 – $1,562.47 | 9 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | not published | not published | $132.89 – $294.89 | 9 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | not published | not published | $684.27 – $1,610.66 | 9 |
| Epidrm autogrft t/a/l add-on CPT 15111 | not published | not published | $97.26 – $217.79 | 9 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | not published | not published | $49.95 – $214.59 | 9 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $306.65 – $1,247.67 | 9 |
| Epidural lysis on single day 62264 CPT 62264 | not published | not published | $236.50 – $846.13 | 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.