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 |
|---|---|---|---|---|
| Ant instr 2-3 vert segm 22845 CPT 22845 | not published | not published | $682.95 – $1,477.60 | 8 |
| Ant instrumentation/4-7 vert seg 22846 CPT 22846 | not published | not published | $710.41 – $1,539.29 | 8 |
| Antinuclear antibodies CPT 86038 | $47.25 | $47.25 | $12.09 – $44.51 | 9 |
| Antinuclear antibodies titer CPT 86039 | $60.80 | $60.80 | $11.16 – $57.27 | 9 |
| Antiphosphatidylserine antibody CPT 86148 | not published | not published | $16.07 – $33.67 | 7 |
| Antipsychotics nos 1-3 CPT 80342 | $137.90 | $137.90 | $14.00 – $129.90 | 9 |
| Antipsychotics nos 4-6 CPT 80343 | not published | not published | $32.33 – $32.33 | 1 |
| Antipsychotics nos 7/more CPT 80344 | not published | not published | $8.25 – $8.25 | 1 |
| Antistreptolysin o screen CPT 86063 | not published | not published | $5.77 – $12.09 | 7 |
| Antistreptolysin o titer CPT 86060 | $99.85 | $99.85 | $7.30 – $94.06 | 9 |
| Antithrombin iii activity CPT 85300 | $253.75 | $253.75 | $11.85 – $239.03 | 9 |
| Antithrombin iii injection HCPCS J7197 | $906.41 | $906.41 | $3.78 – $852.03 | 9 |
| Antithrombin recombinant HCPCS J7196 | not published | not published | $143.31 – $294.41 | 3 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | not published | not published | $3,061.32 – $8,610.52 | 8 |
| Antithymocyte globuln rabbit HCPCS J7511 | not published | not published | $904.11 – $1,878.52 | 8 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | not published | not published | $846.02 – $1,776.51 | 8 |
| Ant sgm img ir flrscn angrph CPT 92287 | not published | not published | $22.41 – $55.89 | 8 |
| Ant sgm img i&r speclr mic CPT 92286 | not published | not published | $20.93 – $40.47 | 8 |
| Ant thrc vrt body tethrg <7 CPT 22836 | not published | not published | $3,087.08 – $3,489.99 | 5 |
| Ant thrc vrt body tethrg 8+ CPT 22837 | not published | not published | $3,401.36 – $3,845.84 | 5 |
| Aoi transducer/actuator repl HCPCS L8694 | not published | not published | $878.95 – $2,331.65 | 3 |
| Aortic Aneurysm Screening Ultrasound CPT 76706 | $637.05 | $637.05 | $25.86 – $600.10 | 9 |
| Aortic circulation assist 33971 CPT 33971 | not published | not published | $666.19 – $1,421.35 | 8 |
| Aortic dysfunction/dilation CPT 81410 | not published | not published | $504.00 – $1,056.02 | 7 |
| Aortic dysfunction/dilation CPT 81411 | not published | not published | $1,350.19 – $2,829.13 | 7 |
| Aortic hemiarch graft 33866 CPT 33866 | not published | not published | $863.32 – $1,828.71 | 8 |
| Aortic suspension CPT 33800 | not published | not published | $927.47 – $1,984.61 | 8 |
| Apc gene dup/delet variants CPT 81203 | not published | not published | $200.00 – $418.88 | 7 |
| Apc gene full sequence CPT 81201 | not published | not published | $780.00 – $1,634.17 | 7 |
| Apc gene known fam variants CPT 81202 | not published | not published | $280.00 – $586.72 | 7 |
| Aphakia prosth service temp CPT 92358 | not published | not published | $10.23 – $23.72 | 7 |
| Apheresis immunoads slctv CPT 36516 | not published | not published | $81.01 – $3,421.78 | 9 |
| Apheresis plasma CPT 36514 | not published | not published | $90.42 – $1,281.07 | 9 |
| Apheresis platelets CPT 36513 | not published | not published | $102.50 – $217.57 | 8 |
| Apheresis rbc CPT 36512 | not published | not published | $103.43 – $212.83 | 8 |
| Apheresis wbc CPT 36511 | not published | not published | $106.24 – $224.36 | 8 |
| Apl(pml-rara) quant - sendout CPT 81315 | $703.10 | $703.10 | $128.93 – $662.32 | 9 |
| Apomorphine hydrochloride HCPCS J0364 | not published | not published | $6.10 – $35.41 | 3 |
| Appendectomy CPT 44950 | not published | not published | $613.34 – $1,316.29 | 8 |
| Appendectomy add-on 44955 CPT 44955 | not published | not published | $79.62 – $168.77 | 8 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | not published | not published | $836.82 – $1,796.17 | 8 |
| Appendico-vesicostomy CPT 50845 | not published | not published | $1,205.21 – $2,551.23 | 8 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $575.86 – $1,239.70 | 8 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $600.00 | $600.00 | $214.83 – $565.20 | 9 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $165.95 | $165.95 | $53.23 – $156.32 | 9 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $65.20 | $65.20 | $24.17 – $58.13 | 9 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $653.30 | $653.30 | $187.22 – $559.44 | 9 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $156.55 | $156.55 | $42.65 – $147.47 | 9 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $59.45 | $59.45 | $16.06 – $47.54 | 9 |
| Appl bdy cst sho to hip 1thi CPT 29044 | not published | not published | $159.28 – $575.65 | 9 |
| Appl bdy cst sho to hip b th CPT 29046 | not published | not published | $178.79 – $628.98 | 9 |
| Appl bdy cst sho to hip head CPT 29040 | not published | not published | $164.53 – $586.57 | 9 |
| Appl body cast sho to hips CPT 29035 | not published | not published | $136.54 – $515.90 | 9 |
| Appl cast figure-of-eight CPT 29049 | not published | not published | $66.10 – $197.24 | 9 |
| Appl cast plaster velpeau CPT 29058 | not published | not published | $89.29 – $243.50 | 9 |
| Appl cast shoulder spica CPT 29055 | not published | not published | $130.94 – $445.87 | 9 |
| Appl halo cranial 6+pins CPT 20664 | not published | not published | $836.89 – $1,860.56 | 8 |
| Appl halo type body cast CPT 29000 | not published | not published | $184.90 – $711.85 | 9 |
| Appl hip spica cast1&1/2 CPT 29325 | not published | not published | $168.75 – $544.17 | 9 |
| Appl hip spica cast 1 leg CPT 29305 | not published | not published | $150.72 – $492.76 | 9 |
| Application clubfoot cast CPT 29450 | not published | not published | $109.43 – $283.33 | 9 |
| Application finger splntstatic 29130 CPT 29130 | $203.85 | $203.85 | $28.29 – $82.23 | 9 |
| Application halo femoral CPT 20663 | not published | not published | $462.02 – $1,005.18 | 8 |
| Application halo pelvic CPT 20662 | not published | not published | $501.45 – $1,090.59 | 8 |
| Application long leg splint 29505 CPT 29505 | $183.55 | $183.55 | $49.69 – $161.17 | 9 |
| Application lower leg splint 29515 CPT 29515 | $157.90 | $157.90 | $47.42 – $132.34 | 9 |
| Application multi layer compression below knee (both sides) CPT 29581 | $151.15 | $151.15 | $26.59 – $142.38 | 9 |
| Application of body cast CPT 29010 | not published | not published | $152.60 – $547.38 | 9 |
| Application of body cast CPT 29015 | not published | not published | $171.90 – $585.92 | 9 |
| Application of cylinder cast 29365 CPT 29365 | not published | not published | $83.19 – $245.43 | 9 |
| Application of forearm cast 29075 CPT 29075 | $194.40 | $194.40 | $59.84 – $162.93 | 9 |
| Application of long arm cast 29065 CPT 29065 | $214.60 | $214.60 | $65.09 – $179.86 | 9 |
| Application of long leg cast CPT 29355 | $268.60 | $268.60 | $101.64 – $278.19 | 9 |
| Application of long leg cast 29345 CPT 29345 | $305.10 | $305.10 | $95.14 – $255.70 | 9 |
| Application of paste boot 29580 CPT 29580 | $230.85 | $230.85 | $25.59 – $114.83 | 9 |
| Application short leg cast 29405 CPT 29405 | $183.55 | $183.55 | $56.00 – $153.83 | 9 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $323.95 | $323.95 | $90.36 – $287.53 | 9 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $305.10 | $305.10 | $80.26 – $278.36 | 9 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $609.85 | $609.85 | $24.42 – $57.27 | 9 |
| Appl long leg cast brace CPT 29358 | not published | not published | $98.19 – $319.94 | 9 |
| Appl mltpln uni ext fixj sys CPT 20692 | not published | not published | $1,080.66 – $2,335.03 | 8 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $188.95 | $188.95 | $5.43 – $177.99 | 9 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | not published | not published | $11.45 – $24.39 | 8 |
| Appl modality 1+lllt po pain CPT 97037 | not published | not published | $192.86 – $192.86 | 1 |
| Appl multlay comprs arm/hand CPT 29584 | $151.15 | $151.15 | $15.76 – $142.38 | 9 |
| Appl patllr tdn bearing cast CPT 29435 | not published | not published | $77.51 – $244.13 | 9 |
| Appl unipln uni ext fixj sys CPT 20690 | not published | not published | $573.79 – $1,234.27 | 8 |
| Apply finger cast 29086 CPT 29086 | $144.40 | $144.40 | $47.41 – $151.62 | 9 |
| Apply forearm splintdynamic 29126 CPT 29126 | $278.05 | $278.05 | $47.34 – $154.20 | 9 |
| Apply halo w/removal cranial CPT 20661 | not published | not published | $490.71 – $1,079.07 | 8 |
| Apply hand/wrist cast 29085 CPT 29085 | $214.60 | $214.60 | $64.24 – $179.86 | 9 |
| Apply interstit radiat compl CPT 77778 | not published | not published | $453.59 – $945.52 | 8 |
| Apply intrcav radiat compl CPT 77763 | not published | not published | $448.60 – $869.90 | 8 |
| Apply intrcav radiat interm CPT 77762 | not published | not published | $298.12 – $578.86 | 8 |
| Apply intrcav radiat simple CPT 77761 | not published | not published | $199.78 – $415.48 | 8 |
| Apply of finger splint 29131 CPT 29131 | $107.95 | $107.95 | $33.46 – $106.01 | 9 |
| Apply rem fixation device CPT 20660 | $487.25 | $487.25 | $227.66 – $492.76 | 9 |
| Apply rigid leg cast 29445 CPT 29445 | $333.35 | $333.35 | $95.21 – $249.28 | 9 |
| Apply r&l pulm art bands CPT 33620 | not published | not published | $1,547.57 – $3,298.84 | 8 |
| Apply short leg castambul type 29425 CPT 29425 | $148.45 | $148.45 | $52.11 – $147.77 | 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.