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 |
|---|---|---|---|---|
| Factor viii recombinant nos HCPCS J7192 | not published | not published | $1.22 – $3.04 | 8 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $1.28 – $2.83 | 8 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $3.22 – $6.39 | 8 |
| Factor xiii anti-hem factor HCPCS J7180 | not published | not published | $9.68 – $20.70 | 8 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $16.84 – $33.95 | 8 |
| Fallopian tube recnl CPT 58345 | not published | not published | $280.42 – $591.04 | 8 |
| Fam adapt bhv tx gdn phy/qhp CPT 97156 | not published | not published | $42.17 – $71.85 | 3 |
| Family therapy without pt 50min 90846 CPT 90846 | not published | not published | $95.17 – $206.04 | 9 |
| Family therapy with patient 50 min 90847 CPT 90847 | not published | not published | $99.25 – $214.87 | 9 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $37.43 | $37.43 | $15.04 – $35.26 | 9 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | not published | not published | $26.14 – $56.95 | 8 |
| Fancc gene CPT 81242 | $67.50 | $67.50 | $27.11 – $63.59 | 9 |
| Fasciotomy hip/thigh any typ CPT 27025 | not published | not published | $885.72 – $1,939.87 | 8 |
| Fat/lipids feces qualitative CPT 82705 | $73.70 | $73.70 | $5.10 – $69.43 | 9 |
| Fatty acids nonesterified CPT 82725 | not published | not published | $18.77 – $39.31 | 7 |
| Fda ide #g240020 carry bag HCPCS Q0499 | not published | not published | $156.44 – $412.07 | 3 |
| Fecal bilirubin test CPT 82252 | not published | not published | $4.56 – $9.49 | 7 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | not published | not published | $62.98 – $125.73 | 8 |
| Fecal microbiota prep instil HCPCS G0455 | not published | not published | $68.91 – $252.49 | 8 |
| #fecal-sodium CPT 84302 | $49.90 | $49.90 | $4.86 – $47.01 | 9 |
| Feeding tube reposition CPT 74355 | not published | not published | $35.92 – $73.19 | 8 |
| Fees w/laryngeal sense i&r CPT 92617 | not published | not published | $39.78 – $81.34 | 9 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $96.95 – $440.73 | 9 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $177.10 | $177.10 | $11.94 – $166.83 | 9 |
| Fem focal defic constant fri HCPCS L5230 | not published | not published | $3,784.13 – $10,038.37 | 3 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $220.31 – $464.29 | 8 |
| Femoral lgth sock fx or equa HCPCS L2850 | not published | not published | $70.55 – $187.12 | 3 |
| Fem/popl revasc w/stent CPT 37226 | not published | not published | $485.64 – $15,277.19 | 9 |
| Fem urinary collect pouch HCPCS A4328 | not published | not published | $9.87 – $25.96 | 3 |
| Feno poc CPT 95012 | not published | not published | $17.43 – $37.95 | 8 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $211.94 | $211.94 | $0.84 – $43.18 | 9 |
| Fern test HCPCS Q0114 | not published | not published | $9.33 – $20.33 | 7 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $6,413.01 | $6,413.01 | $1.13 – $6,028.23 | 9 |
| Ferritin CPT 82728 | $176.85 | $176.85 | $11.04 – $111.00 | 9 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $3,431.73 | $3,431.73 | $0.33 – $3,225.83 | 9 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $0.33 – $0.75 | 8 |
| Fetal aneuploidy trisom risk CPT 81507 | not published | not published | $94.32 – $1,665.87 | 7 |
| Fetal biophys profile w/nst 76818 CPT 76818 | not published | not published | $50.02 – $100.31 | 8 |
| Fetal chrmoml microdeltj CPT 81422 | not published | not published | $759.05 – $1,590.54 | 7 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $950.75 | $950.75 | $94.32 – $895.61 | 9 |
| Fetal contract stress test 59020 - 26 CPT 59020 | not published | not published | $35.00 – $70.67 | 8 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $190.25 – $408.71 | 8 |
| Fetal fibronectin CPT 82731 | $523.70 | $523.70 | $64.41 – $493.33 | 9 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $291.61 – $743.34 | 9 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $161.95 | $161.95 | $7.73 – $152.56 | 9 |
| Fetal hemoglobin rosette CPT 85461 | $202.45 | $202.45 | $9.36 – $190.71 | 9 |
| Fetal lung maturity assess lam body dnst CPT 83664 | not published | not published | $19.32 – $40.48 | 7 |
| Fetal monitor/interpret only CPT 59051 | not published | not published | $39.60 – $84.72 | 8 |
| Fetal monitor w/report CPT 59050 | not published | not published | $47.56 – $101.67 | 8 |
| Fetal non stress test CPT 59025 | $409.00 | $409.00 | $27.59 – $385.28 | 9 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $106.15 – $227.73 | 8 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $492.02 – $1,058.72 | 8 |
| #_fet/norfentcnfrmur CPT 80354 | $286.40 | $286.40 | $15.25 – $269.79 | 9 |
| Fiasp for insulin pump use HCPCS J1811 | not published | not published | $6.80 – $15.61 | 8 |
| Fibrin degradation d dimer quantitative CPT 85379 | $120.05 | $120.05 | $10.18 – $113.09 | 9 |
| Fibrin degradation products CPT 85362 | not published | not published | $6.89 – $14.23 | 7 |
| Fibrin degrade semiquant CPT 85378 | not published | not published | $9.72 – $20.33 | 7 |
| Fibrin degradj d-dimer CPT 85380 | not published | not published | $10.18 – $21.02 | 7 |
| Fibrinogen activity CPT 85384 | $110.60 | $110.60 | $9.72 – $104.19 | 9 |
| Fibrinogen test CPT 85370 | not published | not published | $12.43 – $25.75 | 7 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | not published | not published | $11.30 – $65.00 | 8 |
| Fibrinolytic antiplasmin CPT 85410 | not published | not published | $7.71 – $16.16 | 7 |
| Fibrinolytic plasmin CPT 85400 | not published | not published | $7.71 – $16.16 | 7 |
| Fibrinolytic plasminogen CPT 85415 | not published | not published | $17.19 – $35.92 | 7 |
| Fibrinolytic plasminogen CPT 85421 | not published | not published | $10.18 – $21.02 | 7 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | not published | not published | $6.53 – $13.56 | 7 |
| Fibula bone graft microvasc CPT 20955 | not published | not published | $2,373.40 – $4,968.95 | 8 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | not published | not published | $0.28 – $0.57 | 8 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $2,328.78 | $2,328.78 | $0.99 – $1,718.42 | 9 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $2,548.99 | $2,548.99 | $0.17 – $1,497.53 | 9 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $655.29 – $1,363.73 | 8 |
| Filtered speech hearing test CPT 92571 | $97.15 | $97.15 | $28.07 – $91.52 | 9 |
| Filters elec/combo vad, rep HCPCS Q0500 | not published | not published | $28.64 – $75.41 | 3 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $797.34 – $1,673.50 | 8 |
| Finasteride, 5 mg HCPCS S0138 | not published | not published | $0.16 – $4.07 | 2 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $674.85 | $674.85 | $86.23 – $565.59 | 9 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $674.85 | $674.85 | $50.87 – $271.77 | 9 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | $298.25 | $298.25 | $41.08 – $100.87 | 9 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $674.85 | $674.85 | $48.70 – $115.64 | 9 |
| Fine needle asp without image guide 10021 CPT 10021 | $298.25 | $298.25 | $53.14 – $195.31 | 9 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | not published | not published | $425.89 – $1,129.77 | 3 |
| Finger tendon transfer CPT 26497 | not published | not published | $875.61 – $1,859.20 | 8 |
| Finger tendon transfer CPT 26498 | not published | not published | $1,137.98 – $2,419.08 | 8 |
| Finger X-ray (both hands) CPT 73140 | $303.75 | $303.75 | $6.60 – $286.13 | 9 |
| Fistula repair & colostomy CPT 57307 | not published | not published | $1,049.56 – $2,200.14 | 8 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $643.81 – $1,360.34 | 8 |
| Fit aphakia spectcl monofocl CPT 92352 | not published | not published | $17.62 – $83.53 | 8 |
| Fit aphakia spectcl multifoc CPT 92353 | not published | not published | $24.12 – $95.72 | 8 |
| Fitg c-lens keratoconus 1st CPT 92072 | not published | not published | $93.26 – $239.64 | 9 |
| Fitg spect low vis 1system CPT 92354 | not published | not published | $12.42 – $28.48 | 7 |
| Fitg spect lw vis cmpnd lens CPT 92355 | not published | not published | $19.31 – $44.07 | 7 |
| Fit spectacles bifocal CPT 92341 | not published | not published | $22.78 – $76.46 | 8 |
| Fit spectacles monofocal CPT 92340 | not published | not published | $17.62 – $66.81 | 8 |
| Fit spectacles multifocal CPT 92342 | not published | not published | $25.79 – $81.60 | 8 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $46.23 – $150.34 | 9 |
| Fixation of ankle joint CPT 27860 | not published | not published | $159.08 – $339.59 | 8 |
| Fixation of knee joint CPT 27570 | not published | not published | $147.55 – $323.30 | 8 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $935.63 – $2,011.03 | 8 |
| Fix g/colon tube w/device CPT 49460 | not published | not published | $47.77 – $1,385.81 | 9 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | $1,239.05 | $1,239.05 | $619.53 – $1,402.37 | 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.