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 |
|---|---|---|---|---|
| Epidurography CPT 72275 | not published | not published | $85.50 – $85.50 | 1 |
| Epiglottidectomy CPT 31420 | not published | not published | $806.90 – $1,701.95 | 8 |
| Epikeratoplasty CPT 65767 | not published | not published | $2,821.94 – $3,172.11 | 3 |
| Epilepsy gen seq alys panel CPT 81419 | not published | not published | $1,567.26 – $5,130.80 | 7 |
| Ep induct arrhy by elect pacing CPT 93618 | not published | not published | $206.07 – $402.83 | 8 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $705.05 – $1,522.33 | 8 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $597.20 – $1,292.57 | 8 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | not published | not published | $1.33 – $3.21 | 8 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | not published | not published | $139.55 – $447.16 | 9 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | not published | not published | $0.72 – $1.28 | 8 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $2,561.88 | $2,561.88 | $6.82 – $722.45 | 9 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $4,655.39 | $4,655.39 | $7.23 – $1,166.94 | 9 |
| Epoetin beta esrd use HCPCS J0887 | not published | not published | $1.08 – $2.41 | 8 |
| Epoetin beta non esrd HCPCS J0888 | not published | not published | $1.08 – $2.39 | 8 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | not published | not published | $15.96 – $32.50 | 8 |
| Epstein barr early antigen antibody CPT 86663 | $133.65 | $133.65 | $13.12 – $125.90 | 9 |
| Epstein barr nuclear antigen antibody CPT 86664 | $133.65 | $133.65 | $15.29 – $125.90 | 9 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $133.65 | $133.65 | $18.14 – $125.90 | 9 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $696.79 | $696.79 | $9.19 – $228.03 | 9 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $8,222.71 | $8,222.71 | $17.35 – $7,729.35 | 9 |
| Ercp biliary & pancreas CPT 74330 | not published | not published | $27.14 – $54.23 | 8 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $442.48 – $923.17 | 8 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $362.01 – $755.74 | 8 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $413.72 – $864.20 | 8 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $414.07 – $862.84 | 8 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $348.16 – $727.95 | 8 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $359.68 – $751.67 | 8 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $341.97 – $714.40 | 8 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $460.83 – $960.44 | 8 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $308.31 – $644.60 | 8 |
| Ergonovine 0.2 mg/ml inj HCPCS J1330 | not published | not published | $4.87 – $4.87 | 2 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $6,140.41 | $6,140.41 | $129.46 – $5,771.99 | 9 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | not published | not published | $10.74 – $21.77 | 8 |
| ER Visit (level 1, minor) CPT 99281 | $199.80 | $199.80 | $11.41 – $31.03 | 9 |
| ER Visit (level 2) CPT 99282 | $248.35 | $248.35 | $40.96 – $84.72 | 9 |
| ER Visit (level 3) CPT 99283 | $472.40 | $472.40 | $70.30 – $143.01 | 9 |
| ER Visit (level 4) CPT 99284 | $917.80 | $917.80 | $118.62 – $244.01 | 9 |
| ER Visit (level 5, high severity) CPT 99285 | $1,391.50 | $1,391.50 | $172.42 – $353.81 | 9 |
| Erwinaze injection HCPCS J9019 | not published | not published | $411.15 – $844.63 | 4 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $771.65 | $771.65 | $69.79 – $725.35 | 9 |
| Escharotomy ea addl incision CPT 16036 | $191.65 | $191.65 | $76.99 – $167.43 | 9 |
| Esd endoscopy or colonoscopy HCPCS C9779 | not published | not published | $18,692.62 – $18,692.62 | 1 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | $902.35 | $902.35 | $0.40 – $848.21 | 9 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $94.53 | $94.53 | $0.26 – $88.86 | 9 |
| Esophageal dilat s&i CPT 74360 | not published | not published | $26.13 – $54.23 | 8 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $107.94 – $228.42 | 8 |
| Esophageal motility CPT 78258 | $1,278.15 | $1,278.15 | $33.36 – $1,204.02 | 9 |
| Esophageal recording CPT 93615 | not published | not published | $23.62 – $67.45 | 8 |
| Esophageal recording CPT 93616 | not published | not published | $23.92 – $109.21 | 8 |
| Esophag muc integ w/eso egd HCPCS C9777 | not published | not published | $18,692.62 – $18,692.62 | 1 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $1,272.49 – $2,733.56 | 8 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $1,264.71 – $2,707.13 | 8 |
| Esophagoplasty congenital CPT 43313 | not published | not published | $2,755.35 – $5,926.00 | 8 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $186.02 – $394.49 | 8 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $95.13 – $407.33 | 9 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $225.02 – $470.38 | 8 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $180.62 – $381.60 | 8 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $151.39 – $312.47 | 8 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $112.74 – $1,715.38 | 9 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $157.73 – $1,139.73 | 9 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $98.41 – $684.87 | 9 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $83.75 – $507.55 | 9 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $78.99 – $367.49 | 9 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $134.58 – $754.90 | 9 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $188.18 – $1,359.46 | 9 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $127.49 – $785.09 | 9 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $248.41 – $2,336.65 | 9 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $178.58 – $378.90 | 8 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $149.76 – $318.57 | 8 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $530.13 – $1,121.75 | 8 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $152.87 – $808.86 | 9 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $189.57 – $397.19 | 8 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $188.75 – $400.58 | 8 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $163.31 – $347.03 | 8 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $163.84 – $346.35 | 8 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $185.36 – $391.76 | 8 |
| Esophagotomy thrc rmvl fb CPT 43045 | not published | not published | $1,231.48 – $2,640.71 | 8 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $134.83 – $282.63 | 8 |
| Esophagus motility study CPT 91010 | $688.40 | $688.40 | $62.80 – $648.47 | 9 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $47.93 – $97.61 | 8 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $146.86 – $2,058.46 | 9 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $124.40 – $742.05 | 9 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $781.43 – $1,709.41 | 8 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $1,059.05 – $2,259.11 | 8 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $8.95 – $18.29 | 8 |
| Esoph imped function test CPT 91037 | not published | not published | $47.56 – $97.61 | 8 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $53.94 – $110.47 | 8 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $127.23 – $584.01 | 9 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $129.47 – $272.47 | 8 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $98.86 – $500.48 | 9 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $3,344.51 – $7,136.55 | 8 |
| Esphg thrsc moblj CPT 43288 | not published | not published | $3,531.93 – $7,534.43 | 8 |
| Esphg tot w/laps moblj CPT 43286 | not published | not published | $3,005.75 – $6,422.82 | 8 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $3,270.75 – $6,856.62 | 8 |
| Esrd home pt serv p mo 12-19 CPT 90965 | not published | not published | $487.15 – $1,007.88 | 8 |
| Esrd home pt serv p mo 20+ CPT 90966 | not published | not published | $285.72 – $596.47 | 8 |
| Esrd home pt serv p mo 2-11 CPT 90964 | not published | not published | $508.43 – $1,046.52 | 8 |
| Esrd home pt serv p mo <2yrs CPT 90963 | not published | not published | $593.05 – $1,220.72 | 8 |
| Esrd serv 1 visit p mo 20+ CPT 90962 | not published | not published | $196.23 – $412.11 | 8 |
| Esrd serv 1 visit p mo <2yrs CPT 90953 | not published | not published | $1,073.57 – $1,138.70 | 2 |
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.