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 |
|---|---|---|---|---|
| Ghs change cysto/gastrost CPT 43762 | $411.65 | $411.65 | $35.51 – $387.77 | 9 |
| Ghs chemo >8 hrs CPT 96416 | $290.15 | $290.15 | $116.55 – $273.32 | 9 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $157.88 – $325.34 | 8 |
| Ghs chemo IV push, ea addtl CPT 96411 | $167.35 | $167.35 | $51.92 – $157.64 | 9 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | not published | not published | $35.09 – $73.19 | 7 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $596.55 | $596.55 | $239.63 – $561.41 | 9 |
| Ghs closed reduction ankle dislocation CPT 27840 | $803.05 | $803.05 | $322.59 – $755.75 | 9 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,016.30 | $1,016.30 | $408.25 – $905.54 | 9 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $917.80 | $917.80 | $368.68 – $863.74 | 9 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $1,129.85 | $1,129.85 | $453.86 – $1,030.26 | 9 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $1,836.90 | $1,836.90 | $737.88 – $1,634.86 | 9 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $616.80 | $616.80 | $300.06 – $670.08 | 9 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $874.60 | $874.60 | $426.26 – $974.62 | 9 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $1,056.60 | $1,056.60 | $424.44 – $994.46 | 9 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $1,133.75 | $1,133.75 | $455.43 – $992.29 | 9 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $703.15 | $703.15 | $282.46 – $661.73 | 9 |
| Ghs community re-entry 15 minutes CPT 97537 | $159.35 | $159.35 | $31.20 – $150.11 | 9 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $126.85 | $126.85 | $24.64 – $57.79 | 9 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $175.50 | $175.50 | $28.16 – $66.15 | 9 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $175.50 | $175.50 | $39.93 – $116.93 | 9 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $195.75 | $195.75 | $48.39 – $130.42 | 9 |
| Ghs cricothyroidotomy CPT 31605 | not published | not published | $318.07 – $668.99 | 8 |
| Ghs cutdown placement age 1 and over CPT 36425 | not published | not published | $38.22 – $79.31 | 8 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $45.49 – $94.90 | 8 |
| Ghs diphtheria toxoid ab igg CPT 86648 | not published | not published | $15.21 – $31.85 | 7 |
| Ghs dislocation elbow closed treatment CPT 24600 | $792.25 | $792.25 | $318.25 – $730.68 | 9 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $203.85 | $203.85 | $101.93 – $218.26 | 9 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $322.60 | $322.60 | $31.65 – $125.29 | 9 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $2,434.85 | $2,434.85 | $103.74 – $520.71 | 9 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | not published | not published | $382.30 – $768.71 | 5 |
| Ghs electrostagmgraphy CPT 92537 | $988.00 | $988.00 | $16.00 – $930.70 | 9 |
| Ghs elect torsion swing CPT 92546 | not published | not published | $14.63 – $29.82 | 8 |
| Ghs elect vertical elct CPT 92547 | $247.00 | $247.00 | $2.48 – $232.67 | 9 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | $68.56 – $292.96 | 9 |
| Ghs excision ingrown nail CPT 11765 | $363.10 | $363.10 | $88.84 – $304.31 | 9 |
| Ghs eye exam CPT 92002 | not published | not published | $44.94 – $163.19 | 9 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $539.85 | $539.85 | $112.82 – $501.66 | 9 |
| Ghs fat & muscle CPT 89160 | not published | not published | $4.85 – $10.16 | 7 |
| Ghs fb removal foot - deep - left CPT 28192 | $882.70 | $882.70 | $300.56 – $884.03 | 9 |
| Ghs fb removal from muscle - complicated CPT 20525 | $886.80 | $886.80 | $237.09 – $896.25 | 9 |
| Ghs fb removal - incisional CPT 10121 | $726.10 | $726.10 | $176.77 – $512.04 | 9 |
| Ghs fb removal - non-incisional CPT 20520 | $377.95 | $377.95 | $141.50 – $422.75 | 9 |
| Ghs febrile agglutinns(mayo) CPT 86000 | not published | not published | $6.98 – $14.63 | 7 |
| Ghs fish cytogen CPT 88271 | $130.90 | $130.90 | $21.85 – $123.31 | 9 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $214.80 | $214.80 | $52.21 – $202.34 | 9 |
| Ghs flow volume loop CPT 94375 | not published | not published | $14.07 – $28.48 | 8 |
| Ghs gastric intub aspiration lavage CPT 43753 | $380.60 | $380.60 | $20.80 – $46.58 | 9 |
| Ghs hcv amplificaiton CPT 87521 | not published | not published | $35.09 – $73.19 | 7 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $22.97 – $48.13 | 7 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | not published | not published | $15.49 – $32.46 | 7 |
| Ghs hgb stability-thal CPT 83068 | not published | not published | $9.47 – $19.66 | 7 |
| Ghs histoplasma antigen CPT 87385 | not published | not published | $13.25 – $27.76 | 7 |
| Ghs HIV antibody CPT 86703 | $95.85 | $95.85 | $13.71 – $90.29 | 9 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $106.14 – $222.33 | 7 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $483.20 | $483.20 | $194.10 – $439.22 | 9 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $1,172.85 | $1,172.85 | $407.49 – $1,004.07 | 9 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $679.80 | $679.80 | $163.88 – $627.76 | 9 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $388.70 | $388.70 | $99.94 – $366.16 | 9 |
| Ghs immun0electrophoresis CPT 86320 | not published | not published | $17.39 – $35.92 | 8 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $386.05 | $386.05 | $105.30 – $363.66 | 9 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $471.05 | $471.05 | $129.27 – $394.79 | 9 |
| Ghs inf midline insertion CPT 36140 | not published | not published | $84.04 – $969.49 | 9 |
| Ghs inhibitor screen CPT 85335 | $260.45 | $260.45 | $12.87 – $245.34 | 9 |
| Ghs init tx 1st degree burn CPT 16000 | $149.75 | $149.75 | $44.24 – $141.06 | 9 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | not published | not published | $171.04 – $406.03 | 9 |
| Ghs inj neurolytic other perph nerve CPT 64640 | not published | not published | $114.32 – $479.27 | 9 |
| Ghs inj tendon origin/insertion CPT 20551 | $167.35 | $167.35 | $37.87 – $111.14 | 9 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | not published | not published | $59.51 – $259.55 | 9 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $723.50 | $723.50 | $126.02 – $512.68 | 9 |
| Ghs insertion of needle - bone CPT 36680 | $228.10 | $228.10 | $18.42 – $43.19 | 9 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $827.35 | $827.35 | $230.47 – $706.98 | 9 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $915.15 | $915.15 | $268.65 – $781.35 | 9 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $1,047.35 | $1,047.35 | $312.23 – $877.78 | 9 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | not published | not published | $8.86 – $59.75 | 8 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $357.45 | $357.45 | $127.95 – $336.72 | 9 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $83.75 | $83.75 | $17.68 – $78.89 | 9 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | not published | not published | $432.38 – $942.95 | 7 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | not published | not published | $432.38 – $942.95 | 7 |
| Ghs IV infusion sotrovimab HCPCS M0247 | not published | not published | $432.38 – $942.95 | 7 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $476.40 | $476.40 | $191.37 – $448.77 | 9 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $589.85 | $589.85 | $147.39 – $521.56 | 9 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $515.55 | $515.55 | $145.45 – $482.21 | 9 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $515.55 | $515.55 | $139.43 – $483.82 | 9 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $560.15 | $560.15 | $162.68 – $519.25 | 9 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $638.40 | $638.40 | $191.85 – $577.19 | 9 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $628.95 | $628.95 | $187.87 – $566.36 | 9 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $750.40 | $750.40 | $207.01 – $665.80 | 9 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $677.55 | $677.55 | $197.05 – $609.98 | 9 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $780.10 | $780.10 | $205.24 – $696.59 | 9 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $782.75 | $782.75 | $211.33 – $701.74 | 9 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $870.60 | $870.60 | $262.63 – $753.72 | 9 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $1,013.85 | $1,013.85 | $287.23 – $923.48 | 9 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $1,033.85 | $1,033.85 | $301.50 – $901.92 | 9 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $1,064.90 | $1,064.90 | $367.86 – $1,003.14 | 9 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $1,191.75 | $1,191.75 | $335.29 – $998.81 | 9 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $1,180.90 | $1,180.90 | $401.24 – $1,106.05 | 9 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | not published | not published | $8.60 – $18.02 | 7 |
| Ghs low level laser therapy CPT 97039 | not published | not published | $28.48 – $28.48 | 1 |
| Ghs mbp CPT 83873 | $47.55 | $47.55 | $17.20 – $44.79 | 9 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $171.45 | $171.45 | $23.82 – $116.93 | 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.