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 |
|---|---|---|---|---|
| Incision of iris CPT 66500 | not published | not published | $376.96 – $788.28 | 8 |
| Incision of iris CPT 66505 | not published | not published | $409.35 – $858.10 | 8 |
| Incision of jaw joint CPT 21010 | not published | not published | $720.55 – $1,518.96 | 8 |
| Incision of jaw nerve CPT 64738 | not published | not published | $436.54 – $922.49 | 8 |
| Incision of knee joint CPT 27435 | not published | not published | $780.65 – $1,677.56 | 8 |
| Incision of liver duct CPT 47400 | not published | not published | $2,044.23 – $4,375.88 | 8 |
| Incision of lymph channels CPT 38308 | not published | not published | $445.13 – $971.97 | 8 |
| Incision of metatarsal CPT 28306 | not published | not published | $391.99 – $1,179.56 | 9 |
| Incision of metatarsal CPT 28307 | not published | not published | $498.23 – $1,520.07 | 9 |
| Incision of metatarsal CPT 28308 | not published | not published | $373.27 – $1,104.41 | 9 |
| Incision of metatarsals CPT 28309 | not published | not published | $869.32 – $1,866.66 | 8 |
| Incision of midfoot bones CPT 28304 | not published | not published | $594.49 – $1,601.03 | 9 |
| Incision of neck of femur CPT 27161 | not published | not published | $1,169.93 – $2,513.96 | 8 |
| Incision of palm tendon CPT 26450 | not published | not published | $450.40 – $957.74 | 8 |
| Incision of prostate CPT 52450 | not published | not published | $456.43 – $975.36 | 8 |
| Incision of pyloric muscle 43520 CPT 43520 | not published | not published | $660.05 – $1,466.07 | 8 |
| Incision of rectal abscess CPT 46060 | not published | not published | $468.60 – $1,007.88 | 8 |
| Incision of small bowel 44010 CPT 44010 | not published | not published | $815.87 – $1,723.64 | 8 |
| Incision of sperm duct CPT 55200 | not published | not published | $267.56 – $740.76 | 9 |
| Incision of spinal nerve 64772 CPT 64772 | not published | not published | $539.31 – $1,152.93 | 8 |
| Incision of stomach nerves CPT 64755 | not published | not published | $878.34 – $1,888.34 | 8 |
| Incision of tendon & muscle CPT 23405 | not published | not published | $596.04 – $1,274.95 | 8 |
| Incision of tendon sheath CPT 25000 | not published | not published | $335.25 – $731.35 | 8 |
| Incision of thigh CPT 27448 | not published | not published | $797.08 – $1,717.54 | 8 |
| Incision of thigh CPT 27450 | not published | not published | $976.06 – $2,078.82 | 8 |
| Incision of thigh tendon CPT 27306 | not published | not published | $327.51 – $717.12 | 8 |
| Incision of thigh tendon CPT 27390 | not published | not published | $435.63 – $947.56 | 8 |
| Incision of thigh tendons CPT 27307 | not published | not published | $399.57 – $855.38 | 8 |
| Incision of thigh tendons CPT 27391 | not published | not published | $560.63 – $1,211.22 | 8 |
| Incision of thigh tendons CPT 27392 | not published | not published | $688.07 – $1,485.75 | 8 |
| Incision of tibia CPT 27705 | not published | not published | $727.20 – $1,537.92 | 8 |
| Incision of tibia & fibula CPT 27709 | not published | not published | $1,091.48 – $2,347.89 | 8 |
| Incision of toe tendons 28011 CPT 28011 | not published | not published | $270.44 – $613.56 | 9 |
| Incision of tongue fold CPT 41010 | not published | not published | $106.01 – $418.89 | 9 |
| Incision of tongue nerve CPT 64740 | not published | not published | $446.18 – $942.82 | 8 |
| Incision of urethra CPT 53000 | not published | not published | $142.61 – $304.34 | 8 |
| Incision of urethra CPT 53010 | not published | not published | $285.55 – $614.09 | 8 |
| Incision of urethra CPT 53020 | not published | not published | $92.72 – $195.88 | 8 |
| Incision of urethra CPT 53025 | not published | not published | $65.67 – $140.98 | 8 |
| Incision of vagus nerve CPT 64760 | not published | not published | $497.93 – $1,076.34 | 8 |
| Incision of windpipe CPT 31601 | not published | not published | $434.58 – $910.97 | 8 |
| Incision of windpipe CPT 31610 | not published | not published | $926.60 – $1,943.94 | 8 |
| Incision of wrist capsule CPT 25085 | not published | not published | $434.90 – $942.82 | 8 |
| Incision secondary cataract CPT 66820 | not published | not published | $448.47 – $932.66 | 8 |
| Incision tendon sheath CPT 26055 | not published | not published | $282.27 – $1,144.22 | 9 |
| Incisn of toe tndn CPT 28010 | not published | not published | $201.18 – $455.51 | 9 |
| Incisn windpipe CPT 31600 | not published | not published | $292.36 – $615.45 | 8 |
| Incis spine 3 column adl seg CPT 22208 | not published | not published | $552.05 – $1,203.09 | 8 |
| Incis spine 3 column lumbar CPT 22207 | not published | not published | $2,275.19 – $4,923.54 | 8 |
| Incis spine 3 column thorac CPT 22206 | not published | not published | $2,316.94 – $5,055.03 | 8 |
| Incobotulinumtoxin a HCPCS J0588 | not published | not published | $5.19 – $10.48 | 8 |
| Inc&subq plmt crnl bone grf CPT 61316 | not published | not published | $81.60 – $179.62 | 8 |
| Induced ab 1+vag supp d&c CPT 59856 | not published | not published | $474.66 – $1,021.44 | 8 |
| Induced ab 1+vag supp hyst CPT 59857 | not published | not published | $553.25 – $1,189.54 | 8 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | $3,186.60 | $3,186.60 | $405.82 – $3,001.78 | 9 |
| Induced abortion 1+njx d&c CPT 59851 | not published | not published | $408.76 – $880.46 | 8 |
| Induced abortion 1+njx hyst CPT 59852 | not published | not published | $562.86 – $1,206.49 | 8 |
| Induced abortion d&c CPT 59840 | not published | not published | $211.88 – $488.92 | 9 |
| Induced abortion dilat&evac CPT 59841 | not published | not published | $355.18 – $832.64 | 9 |
| Induction of vomiting CPT 99175 | not published | not published | $28.07 – $61.00 | 8 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | not published | not published | $147.10 – $387.05 | 2 |
| Infec agen detec ampli probe HCPCS U0005 | not published | not published | $16.00 – $16.00 | 1 |
| Infect ag drug suscept pheno predict CPT 87900 | $415.95 | $415.95 | $130.35 – $391.82 | 9 |
| Infect ag eia chlamydia trachomatis CPT 87320 | not published | not published | $15.00 – $31.18 | 7 |
| Infect ag eia influenza a or b ea CPT 87400 | not published | not published | $14.13 – $29.61 | 7 |
| Infect ag genotype na cytomegalovirus CPT 87910 | not published | not published | $170.10 – $539.47 | 7 |
| Infect ag genotype na dna hepatitis b CPT 87912 | not published | not published | $170.10 – $539.47 | 7 |
| Infect ag genotype na hiv-1 other region CPT 87906 | not published | not published | $90.64 – $269.75 | 7 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $576.35 | $576.35 | $179.98 – $542.92 | 9 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | not published | not published | $32.77 – $68.46 | 7 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $25.08 – $73.89 | 7 |
| Infect ag ia optc obs influenza CPT 87804 | $26.00 | $26.00 | $13.00 – $34.57 | 9 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | not published | not published | $11.98 – $25.08 | 7 |
| Infect ag if hep delta agent CPT 87380 | not published | not published | $18.36 – $38.47 | 7 |
| Infect ag if influenza a CPT 87276 | not published | not published | $16.07 – $33.67 | 7 |
| Infect ag if influenza b CPT 87275 | not published | not published | $12.25 – $25.67 | 7 |
| Infect ag if legionella pneumophila CPT 87278 | $195.75 | $195.75 | $15.60 – $184.40 | 9 |
| Infect ag if nos ea CPT 87299 | not published | not published | $16.10 – $33.74 | 7 |
| Infect ag if pneumocystis carinii CPT 87281 | not published | not published | $11.98 – $25.08 | 7 |
| Infect ag if varicella zoster CPT 87290 | not published | not published | $13.42 – $27.79 | 7 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $35.92 – $111.83 | 7 |
| Infect ag na hep b amp CPT 87516 | not published | not published | $35.09 – $73.19 | 7 |
| Infect ag na herpes simplex quant CPT 87530 | not published | not published | $42.84 – $89.48 | 7 |
| Infect ag na hpv high-risk types CPT 87624 | $137.65 | $137.65 | $35.09 – $129.67 | 9 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $257.80 | $257.80 | $77.60 – $200.64 | 9 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $51.31 – $107.52 | 7 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $183.05 | $183.05 | $56.98 – $172.43 | 9 |
| Infect ag na resp virus 12-25 targets CPT 87633 | not published | not published | $416.78 – $873.00 | 7 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | not published | not published | $488.66 – $1,023.96 | 7 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | not published | not published | $26.07 – $54.63 | 7 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | $89.00 | $89.00 | $26.48 – $86.71 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $42.70 | $42.70 | $11.98 – $40.22 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | not published | not published | $13.42 – $27.79 | 7 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $110.60 | $110.60 | $13.82 – $104.19 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $72.85 | $72.85 | $11.98 – $68.62 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $306.60 | $306.60 | $14.38 – $288.82 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $98.55 | $98.55 | $10.33 – $92.83 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $448.15 | $448.15 | $10.33 – $422.16 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $62.05 | $62.05 | $24.08 – $58.45 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $285.20 | $285.20 | $11.98 – $268.66 | 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.