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 |
|---|---|---|---|---|
| Excision addl breast lesion 19126 CPT 19126 | not published | not published | $151.89 – $324.00 | 8 |
| Excision aural polyp CPT 69540 | not published | not published | $125.68 – $409.89 | 9 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | not published | not published | $127.54 – $337.94 | 9 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $542.55 | $542.55 | $130.27 – $347.58 | 9 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $951.50 | $951.50 | $111.02 – $333.45 | 9 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $601.95 | $601.95 | $237.02 – $618.69 | 9 |
| Excision breast lesion CPT 19125 | not published | not published | $441.26 – $1,113.40 | 9 |
| Excision coa w/graft CPT 33845 | not published | not published | $1,257.12 – $2,694.25 | 8 |
| Excision floor mouth lesion 41116 CPT 41116 | not published | not published | $207.99 – $646.96 | 9 |
| Excision graft abdomen CPT 35907 | not published | not published | $1,777.56 – $3,799.74 | 8 |
| Excision graft extremity CPT 35903 | not published | not published | $530.05 – $1,125.14 | 8 |
| Excision graft neck CPT 35901 | not published | not published | $446.38 – $957.74 | 8 |
| Excision graft thorax 35905 CPT 35905 | not published | not published | $1,570.85 – $3,340.88 | 8 |
| Excision gum each quadrant CPT 41820 | not published | not published | $475.43 – $501.56 | 3 |
| Excision hand/finger tendon CPT 26415 | not published | not published | $822.80 – $1,743.30 | 8 |
| Excision lesion mouth roof CPT 42106 | not published | not published | $156.90 – $484.42 | 9 |
| Excision lesion mouth roof CPT 42107 | not published | not published | $317.95 – $858.33 | 9 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | not published | not published | $128.00 – $483.13 | 9 |
| Excision of anal lesion(s) CPT 46922 | not published | not published | $132.39 – $607.13 | 9 |
| Excision of bile duct cyst CPT 47715 | not published | not published | $1,268.13 – $2,721.36 | 8 |
| Excision of bile duct tumor CPT 47711 | not published | not published | $1,485.17 – $3,168.05 | 8 |
| Excision of bile duct tumor CPT 47712 | not published | not published | $1,898.85 – $4,066.13 | 8 |
| Excision of bowel lesion(s) CPT 44111 | not published | not published | $941.99 – $1,998.14 | 8 |
| Excision of brain tumor CPT 61545 | not published | not published | $2,991.34 – $6,588.89 | 8 |
| Excision of esophagus lesion CPT 43100 | not published | not published | $617.57 – $1,306.80 | 8 |
| Excision of esophagus lesion CPT 43101 | not published | not published | $951.12 – $2,036.11 | 8 |
| Excision of gum flap CPT 41821 | not published | not published | $106.65 – $112.52 | 3 |
| Excision of gum lesion CPT 41822 | not published | not published | $192.68 – $686.16 | 9 |
| Excision of gum lesion CPT 41823 | not published | not published | $349.96 – $1,026.02 | 9 |
| Excision of gum lesion CPT 41826 | not published | not published | $190.28 – $575.65 | 9 |
| Excision of gum lesion CPT 41827 | not published | not published | $277.59 – $834.57 | 9 |
| Excision of gum lesion CPT 41828 | not published | not published | $213.41 – $682.30 | 9 |
| Excision of gum lesion 41825 CPT 41825 | not published | not published | $116.69 – $426.60 | 9 |
| Excision of lesion of mesentery 44820 CPT 44820 | not published | not published | $811.93 – $1,748.05 | 8 |
| Excision of lingual tonsil CPT 42870 | not published | not published | $567.68 – $1,199.70 | 8 |
| Excision of meckels diverticulum 44800 CPT 44800 | not published | not published | $740.31 – $1,591.48 | 8 |
| Excision of mouth lesion complex 40816 CPT 40816 | not published | not published | $292.24 – $781.24 | 9 |
| Excision of neck cyst CPT 42815 | not published | not published | $523.96 – $1,104.13 | 8 |
| Excision of neck cyst confined 42810 CPT 42810 | not published | not published | $273.18 – $759.40 | 9 |
| Excision of penis lesion(s) 54060 CPT 54060 | not published | not published | $126.16 – $380.98 | 9 |
| Excision of rectal lesion CPT 45160 | not published | not published | $978.36 – $2,107.97 | 8 |
| Excision of rectal prolapse CPT 45135 | not published | not published | $1,249.89 – $2,631.22 | 8 |
| Excision of rectal stricture CPT 45150 | not published | not published | $404.74 – $877.07 | 8 |
| Excision of salivary cyst CPT 42408 | not published | not published | $337.84 – $1,045.93 | 9 |
| Excision of skull/sutures CPT 61558 | not published | not published | $1,772.85 – $3,909.56 | 8 |
| Excision of skull/sutures CPT 61559 | not published | not published | $2,256.83 – $4,977.08 | 8 |
| Excision of skull tumor CPT 61563 | not published | not published | $1,864.61 – $4,109.50 | 8 |
| Excision of skull tumor CPT 61564 | not published | not published | $2,261.88 – $4,985.23 | 8 |
| Excision of stomach lesion CPT 43610 | not published | not published | $934.35 – $1,996.11 | 8 |
| Excision of stomach lesion CPT 43611 | not published | not published | $1,170.08 – $2,511.92 | 8 |
| Excision of tongue lesion CPT 41112 | not published | not published | $234.57 – $655.96 | 9 |
| Excision of tongue lesion CPT 41114 | not published | not published | $601.61 – $1,270.88 | 8 |
| Excision of tongue lesion w/closure 41113 CPT 41113 | not published | not published | $256.15 – $699.65 | 9 |
| Excision of tonsil tags CPT 42860 | not published | not published | $187.87 – $403.98 | 8 |
| Excision of umbilicus 49250 CPT 49250 | not published | not published | $568.45 – $1,228.18 | 8 |
| Excision of uvula CPT 42140 | not published | not published | $156.04 – $602.63 | 9 |
| Excision of vaginal septum 57130 CPT 57130 | not published | not published | $167.77 – $447.80 | 9 |
| Excision olecranon bursa CPT 24105 | not published | not published | $348.76 – $761.17 | 8 |
| Excision perinephric cyst CPT 50290 | not published | not published | $864.73 – $1,828.71 | 8 |
| Excision radial head CPT 24130 | not published | not published | $496.93 – $1,076.34 | 8 |
| Excision tongue lesion without closure 41110 CPT 41110 | not published | not published | $125.50 – $445.23 | 9 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | not published | not published | $449.92 – $974.00 | 8 |
| Excis partial tal calc CPT 28120 | not published | not published | $479.88 – $1,294.56 | 9 |
| Excis uppr jaw cyst w/repair CPT 21049 | not published | not published | $1,117.62 – $2,355.35 | 8 |
| Exc leg/ankle tum dep 5 cm/ > 27634 CPT 27634 | not published | not published | $651.07 – $1,383.39 | 8 |
| Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 | not published | not published | $452.41 – $965.87 | 8 |
| Exc les conjunctiva <1 cm CPT 68110 | not published | not published | $141.14 – $454.22 | 9 |
| Exc les conjunctiva >1 cm CPT 68115 | not published | not published | $174.54 – $637.97 | 9 |
| Exc les conjunctiva adj scl CPT 68130 | not published | not published | $391.91 – $1,061.35 | 9 |
| Exc les/mucos/sub/ves mouth/no rpr 40810 CPT 40810 | not published | not published | $118.31 – $419.52 | 9 |
| Excl laa open any method 33267 CPT 33267 | not published | not published | $982.42 – $2,099.14 | 8 |
| Excl laa opn oth px any meth 33268 CPT 33268 | not published | not published | $122.79 – $258.24 | 8 |
| Excl laa thrscp any method CPT 33269 | not published | not published | $776.49 – $1,672.81 | 8 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | not published | not published | $121.35 – $393.83 | 9 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | not published | not published | $174.49 – $519.11 | 9 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | not published | not published | $270.49 – $751.68 | 9 |
| Exc malig feenl >4cm 11646 CPT 11646 | not published | not published | $374.05 – $974.62 | 9 |
| Exc malig snhfg 0.5cm or less 11620 CPT 11620 | not published | not published | $117.94 – $384.19 | 9 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | not published | not published | $143.43 – $443.94 | 9 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | not published | not published | $201.27 – $572.43 | 9 |
| Exc malig tal <0.5cm 11600 CPT 11600 | $344.65 | $344.65 | $117.29 – $324.66 | 9 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | not published | not published | $142.56 – $442.66 | 9 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | not published | not published | $155.10 – $473.50 | 9 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | not published | not published | $185.74 – $539.02 | 9 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | not published | not published | $204.42 – $600.70 | 9 |
| Exc mandible 21025 CPT 21025 | not published | not published | $639.83 – $1,532.29 | 9 |
| Exc neck tum deep < 5 cm CPT 21556 | not published | not published | $511.72 – $1,093.29 | 8 |
| Exc neck tum deep 5 cm/> CPT 21554 | not published | not published | $702.23 – $1,507.44 | 8 |
| Exc of facial bones/osteomy/abcess 21026 CPT 21026 | not published | not published | $412.77 – $1,035.65 | 9 |
| Exc of rectal prlpse 45130 CPT 45130 | not published | not published | $1,041.19 – $2,203.52 | 8 |
| Exc of residual cervix 57540 CPT 57540 | not published | not published | $768.59 – $1,615.20 | 8 |
| Exc of residual cervix via aginal approach 57550 CPT 57550 | not published | not published | $418.79 – $881.82 | 8 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | not published | not published | $177.16 – $685.50 | 9 |
| Exc prtl bn phlnx toe CPT 28124 | not published | not published | $323.18 – $921.30 | 9 |
| Exc rect tum transanal full CPT 45172 | not published | not published | $791.71 – $1,685.69 | 8 |
| Exc rect tum transanal part CPT 45171 | not published | not published | $592.59 – $1,268.16 | 8 |
| Exc sac pr ulc prim str ostc CPT 15933 | not published | not published | $833.02 – $1,794.13 | 8 |
| Exc sac pr ulc skn flp ostc CPT 15935 | not published | not published | $1,109.53 – $2,375.01 | 8 |
| Exc sacral pr ulc prim sutr CPT 15931 | not published | not published | $674.34 – $1,451.84 | 8 |
| Exc sacral pr ulc skn flap CPT 15934 | not published | not published | $909.09 – $2,023.92 | 8 |
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.