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 |
|---|---|---|---|---|
| Halo cervical into body jack HCPCS L0820 | not published | not published | $2,563.01 – $6,799.06 | 3 |
| Halo cervical into jckt vest HCPCS L0810 | not published | not published | $3,009.62 – $7,983.80 | 3 |
| Halo cerv into milwaukee typ HCPCS L0830 | not published | not published | $3,333.28 – $8,842.40 | 3 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $313.75 | $313.75 | $6.53 – $294.93 | 9 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $88.26 | $88.26 | $1.16 – $37.55 | 9 |
| Halo repl liner/interface HCPCS L0861 | not published | not published | $200.21 – $531.11 | 3 |
| Hand-held pefr meter a4614 HCPCS A4614 | not published | not published | $26.44 – $69.63 | 3 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $10.29 – $11.61 | 3 |
| Hand orthosis metacarpal fracture orthosis prefa l3918 HCPCS L3918 | not published | not published | $89.34 – $237.01 | 3 |
| Hand restoration multiple fi HCPCS L6905 | not published | not published | $1,391.98 – $3,692.60 | 3 |
| Hand restoration no fingers HCPCS L6910 | not published | not published | $1,356.07 – $3,597.34 | 3 |
| Hand restoration replacmnt g HCPCS L6915 | not published | not published | $637.18 – $1,690.30 | 3 |
| Hand restorat thumb/1 finger HCPCS L6900 | not published | not published | $1,432.04 – $3,798.86 | 3 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $159.35 | $159.35 | $26.66 – $150.11 | 9 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $814.28 – $1,731.77 | 8 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $642.09 – $1,413.20 | 8 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $730.79 – $1,551.48 | 8 |
| Hand X-ray CPT 73130 | $400.85 | $400.85 | $8.29 – $377.60 | 9 |
| Hand X-ray (2 views, both hands) CPT 73120 | $332.00 | $332.00 | $7.95 – $312.74 | 9 |
| Haptoglobin quantitative CPT 83010 | $147.10 | $147.10 | $12.58 – $138.57 | 9 |
| Harness chest/shlder saddle HCPCS L6672 | not published | not published | $159.86 – $424.07 | 3 |
| Harness figure of 8 dual con HCPCS L6676 | not published | not published | $120.27 – $319.05 | 3 |
| Harness figure of 8 sing con HCPCS L6675 | not published | not published | $151.81 – $402.72 | 3 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $81.62 – $168.10 | 8 |
| Harvest auto stem cells CPT 38206 | not published | not published | $81.00 – $165.39 | 8 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $118.43 – $503.69 | 9 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $392.19 – $830.30 | 8 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $320.73 – $679.84 | 8 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $46.00 – $95.57 | 7 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $296.58 – $629.68 | 8 |
| Hast w/i&r phys/qhp CPT 94452 | not published | not published | $13.76 – $28.48 | 8 |
| Hast w/oxygen titrate CPT 94453 | not published | not published | $18.03 – $36.61 | 8 |
| Hba1/hba2 full gene sequence CPT 81259 | not published | not published | $600.00 – $1,257.26 | 7 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | not published | not published | $202.40 – $424.12 | 7 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $375.25 – $786.25 | 7 |
| Hbb full gene sequence CPT 81364 | not published | not published | $324.58 – $679.84 | 7 |
| Hbb gene com variants CPT 81361 | $323.50 | $323.50 | $129.95 – $304.74 | 9 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $202.40 – $424.12 | 7 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $375.25 – $786.25 | 7 |
| Hb glycosylated a1c home dev CPT 83037 | $28.00 | $28.00 | $7.87 – $21.00 | 9 |
| Hbot, full body chamber, 30m HCPCS G0277 | not published | not published | $85.89 – $356.52 | 8 |
| Hc ea ha check monaural CPT 92594 | not published | not published | $40.60 – $44.74 | 3 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | not published | not published | $55.24 – $111.16 | 8 |
| Hcg free betachain test CPT 84704 | not published | not published | $15.29 – $31.85 | 7 |
| Hcg qualitative CPT 84703 | $103.90 | $103.90 | $7.52 – $97.87 | 9 |
| Hcg quantitative CPT 84702 | $156.00 | $156.00 | $15.05 – $146.95 | 9 |
| Hc hearing aid chck binaurl CPT 92593 | $57.00 | $57.00 | $22.90 – $53.69 | 9 |
| Hc hearing aid chck monarl CPT 92592 | $40.00 | $40.00 | $16.07 – $37.68 | 9 |
| Hc hearing aid exam both ears CPT 92591 | not published | not published | $132.65 – $148.44 | 3 |
| Hc hearing aid exam one ear CPT 92590 | not published | not published | $105.27 – $116.59 | 3 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | not published | not published | $36.41 – $106,089.99 | 4 |
| Hc metata joint dislocation anes CPT 28635 | $357.65 | $357.65 | $130.17 – $334.72 | 9 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $343.41 – $1,313.84 | 9 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $182.94 – $797.30 | 9 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $307.84 – $1,234.81 | 9 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $48.59 – $154.20 | 9 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | not published | not published | $169.14 – $763.89 | 9 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $45.41 – $90.82 | 8 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $1,974.30 – $1,974.30 | 1 |
| Hc nm kidney imaging with flow CPT 78701 | not published | not published | $23.02 – $46.77 | 8 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $42.40 – $86.75 | 8 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $5,242.15 | $5,242.15 | $71.88 – $4,938.11 | 9 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | not published | not published | $125.92 – $266.37 | 8 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | not published | not published | $100.80 – $210.11 | 8 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | not published | not published | $197.10 – $410.08 | 8 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | not published | not published | $277.62 – $578.17 | 8 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $54.40 – $113.20 | 8 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $72.57 – $150.47 | 8 |
| Head CT scan (with and without contrast) CPT 70470 | $2,409.20 | $2,409.20 | $59.86 – $2,269.47 | 9 |
| Head CT scan (with contrast) CPT 70460 | $2,073.15 | $2,073.15 | $53.23 – $1,952.91 | 9 |
| Head CT scan (without contrast) CPT 70450 | $1,715.45 | $1,715.45 | $39.97 – $1,615.95 | 9 |
| Hearing loss dup/del analys CPT 81431 | not published | not published | $679.57 – $1,424.00 | 7 |
| Hearing loss sequence analys CPT 81430 | not published | not published | $1,625.00 – $3,405.08 | 7 |
| Heart first pass add-on CPT 78496 | not published | not published | $23.05 – $44.33 | 8 |
| Heart first pass multiple CPT 78483 | not published | not published | $67.67 – $136.92 | 8 |
| Heart image spect CPT 78494 | not published | not published | $54.86 – $111.16 | 8 |
| Heart infarct image CPT 78466 | $1,680.35 | $1,680.35 | $32.57 – $63.72 | 9 |
| Heart infarct image (ef) CPT 78468 | $1,198.55 | $1,198.55 | $36.55 – $1,129.03 | 9 |
| Heart revascularize (tmr) CPT 33140 | not published | not published | $1,462.99 – $3,109.06 | 8 |
| Heart tmr w/other procedure 33141 CPT 33141 | not published | not published | $123.50 – $262.98 | 8 |
| Heavy duty control cable HCPCS L6660 | not published | not published | $110.39 – $292.86 | 3 |
| Heavy metal qual any number CPT 83015 | not published | not published | $20.94 – $43.88 | 7 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $391.40 | $391.40 | $7.63 – $368.70 | 9 |
| Heel leather reinforced HCPCS L3440 | not published | not published | $70.90 – $188.07 | 3 |
| Heinz bodies direct CPT 85441 | not published | not published | $4.20 – $8.80 | 7 |
| Heinz bodies induced CPT 85445 | not published | not published | $6.82 – $14.23 | 7 |
| Helicobacter pylori antibody igm CPT 86677 | $255.10 | $255.10 | $16.85 – $240.30 | 9 |
| Helicoll, per square cm HCPCS Q4164 | not published | not published | $1,335.38 – $3,426.29 | 8 |
| Hemagglutination inhibition CPT 86280 | not published | not published | $8.19 – $16.95 | 7 |
| Hematocrit CPT 85014 | $21.55 | $21.55 | $1.92 – $13.50 | 9 |
| Hematopoietic nuclear tx CPT 79403 | not published | not published | $105.22 – $208.16 | 8 |
| Hemicrt intrclry algrft prtl CPT 20933 | not published | not published | $660.88 – $1,402.37 | 8 |
| Hemiepiphyseal arrest CPT 24470 | not published | not published | $648.93 – $1,402.37 | 8 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | $28,586.41 | $28,586.41 | $29.61 – $26,871.23 | 9 |
| Hemipelvect canad sing axis HCPCS L5280 | not published | not published | $5,680.89 – $15,070.04 | 3 |
| Hemipelvectomy canadian sach HCPCS L5341 | not published | not published | $4,791.56 – $12,710.87 | 3 |
| Hemodialysis access study CPT 90940 | not published | not published | $52.22 – $129.13 | 3 |
| Hemodialysis one evaluation CPT 90935 | $804.45 | $804.45 | $69.98 – $757.79 | 9 |
| Hemodialysis repeated eval CPT 90937 | not published | not published | $99.72 – $206.04 | 8 |
| Hemoglobin CPT 85018 | $25.20 | $25.20 | $1.92 – $13.50 | 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.