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 |
|---|---|---|---|---|
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | $13,460.15 | $13,460.15 | $73.13 – $3,680.69 | 9 |
| Island pedicle flap graft CPT 15740 | not published | not published | $807.61 – $1,962.09 | 9 |
| IV cipaglucosidase alfa-atga HCPCS G0138 | not published | not published | $360.58 – $360.58 | 1 |
| Ivc venogram s&i CPT 75825 | $144.00 | $144.00 | $51.62 – $107.77 | 9 |
| IV Fluids (each additional hour) CPT 96361 | $179.50 | $179.50 | $12.10 – $169.09 | 9 |
| IV Fluids (first hour) CPT 96360 | $328.00 | $328.00 | $30.81 – $308.98 | 9 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $101.41 – $225.26 | 3 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $179.50 | $179.50 | $18.93 – $169.09 | 9 |
| IV inj ra drug dx study CPT 78808 | $214.60 | $214.60 | $37.33 – $81.34 | 9 |
| IV Medicine Infusion (additional drug) CPT 96367 | $179.50 | $179.50 | $27.44 – $169.09 | 9 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $179.50 | $179.50 | $19.58 – $169.09 | 9 |
| IV Medicine Infusion (first hour) CPT 96365 | $328.00 | $328.00 | $60.09 – $308.98 | 9 |
| IV njx tst vasc flo flap/grf CPT 15860 | $634.45 | $634.45 | $102.09 – $597.65 | 9 |
| IV Push Injection (each additional drug) CPT 96375 | $147.10 | $147.10 | $14.63 – $138.57 | 9 |
| IV Push Injection (first drug) CPT 96374 | $179.50 | $179.50 | $35.14 – $169.09 | 9 |
| Ivp w/nephrotomography CPT 74415 | $1,417.10 | $1,417.10 | $23.02 – $1,334.91 | 9 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $1,538.70 | $1,538.70 | $23.15 – $1,449.46 | 9 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $15,791.54 | $15,791.54 | $124.32 – $7,697.09 | 9 |
| Jak2 targeted sequence analysis CPT 81279 | not published | not published | $118.53 – $388.07 | 7 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $511.34 – $1,108.21 | 8 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $578.38 – $1,222.75 | 8 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $526.45 | $526.45 | $11.33 – $495.92 | 9 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $400.85 | $400.85 | $11.68 – $377.60 | 9 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $228.80 – $481.24 | 8 |
| John cunningham antibody CPT 86711 | $27.90 | $27.90 | $11.21 – $26.28 | 9 |
| J-tube placement CPT 44015 | not published | not published | $134.59 – $284.69 | 8 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | not published | not published | $1,321.57 – $3,505.81 | 3 |
| Kafo dbl solid stirrup without j HCPCS L2030 | not published | not published | $1,071.87 – $2,843.40 | 3 |
| Kafo fem fx cast molded to p HCPCS L2128 | not published | not published | $2,034.60 – $5,397.30 | 3 |
| Kafo fem fx cast semi-rigid HCPCS L2134 | not published | not published | $1,058.19 – $2,807.11 | 3 |
| Kafo fem fx cast thermoplas HCPCS L2126 | not published | not published | $1,277.87 – $3,389.89 | 3 |
| Kafo femoral fx cast rigid HCPCS L2136 | not published | not published | $1,182.79 – $3,137.64 | 3 |
| Kafo femoral fx cast soft HCPCS L2132 | not published | not published | $751.72 – $1,994.12 | 3 |
| Kafo pla sin up w/wo k/a cus HCPCS L2034 | not published | not published | $1,858.72 – $4,930.73 | 3 |
| Kafo plas sing free knee mol HCPCS L2037 | not published | not published | $1,976.29 – $5,242.63 | 3 |
| Kafo plastic pediatric size HCPCS L2035 | not published | not published | $163.68 – $434.17 | 3 |
| Kafo sing fre stirr thi/calf HCPCS L2000 | not published | not published | $1,024.69 – $2,718.24 | 3 |
| Kafo sng/dbl mechanical act HCPCS L2005 | not published | not published | $3,806.44 – $10,097.55 | 3 |
| Kafo sng solid stirrup without j HCPCS L2010 | not published | not published | $931.37 – $2,470.69 | 3 |
| Kafo without joint multi-axis an HCPCS L2038 | not published | not published | $1,696.43 – $4,500.22 | 3 |
| Keratomileusis CPT 65760 | not published | not published | $2,224.85 – $2,612.21 | 3 |
| Keratophakia CPT 65765 | not published | not published | $3,030.89 – $3,406.63 | 3 |
| Keratoprosthesis CPT 65770 | not published | not published | $1,345.72 – $2,823.72 | 8 |
| Kerecis marigen shld sq cm HCPCS A2019 | not published | not published | $510.00 – $1,175.98 | 3 |
| Ketamine and metabolite screen - quest CPT 80357 | not published | not published | $12.30 – $50.16 | 3 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $15.47 – $32.42 | 7 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $73.70 | $73.70 | $8.17 – $69.43 | 9 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | $109.38 | $109.38 | $0.49 – $102.82 | 9 |
| Kidney endoscopy CPT 50551 | not published | not published | $281.49 – $693.86 | 9 |
| Kidney endoscopy CPT 50553 | not published | not published | $300.79 – $744.62 | 9 |
| Kidney endoscopy CPT 50570 | not published | not published | $469.01 – $985.53 | 8 |
| Kidney endoscopy CPT 50575 | not published | not published | $681.83 – $1,430.83 | 8 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $326.12 – $793.44 | 9 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $539.60 – $1,133.27 | 8 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $330.40 – $806.93 | 9 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $376.64 – $916.80 | 9 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $538.24 – $1,130.57 | 8 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $579.73 – $1,216.65 | 8 |
| Kidney function study CPT 78725 | not published | not published | $17.42 – $33.88 | 8 |
| Kidney imaging morphology CPT 78700 | not published | not published | $20.70 – $42.01 | 8 |
| Kidney imag w/bld flow multi CPT 78709 | $733.15 | $733.15 | $64.79 – $690.63 | 9 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $2,532.05 | $2,532.05 | $43.78 – $2,385.19 | 9 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $781.50 | $781.50 | $34.61 – $177.00 | 9 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $642.50 | $642.50 | $21.71 – $50.92 | 9 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | not published | not published | $40.92 – $107.81 | 3 |
| Kit cath f 8f w/glv + wipe ster HCPCS A4353 | not published | not published | $7.77 – $20.47 | 3 |
| Kit gene analys d816 variant CPT 81273 | $1,247.90 | $1,247.90 | $124.87 – $1,175.52 | 9 |
| Kit irrigator stoma cone 7721 HCPCS A4398 | not published | not published | $15.09 – $39.75 | 3 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $265.00 | $265.00 | $106.45 – $249.63 | 9 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | not published | not published | $23.96 – $59.85 | 8 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | not published | not published | $1,602.84 – $4,251.95 | 3 |
| Kit trach suct cls 30.5cm HCPCS A4605 | not published | not published | $2.70 – $18.23 | 2 |
| Knee Arthroscopy (Cartilage Smoothing) CPT 29877 | not published | not published | $598.53 – $1,291.88 | 8 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $497.42 – $1,075.67 | 8 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $392.75 – $1,079.34 | 9 |
| Knee Arthroscopy (Meniscus Trimming) CPT 29881 | not published | not published | $521.96 – $1,127.87 | 8 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $601.52 – $1,302.73 | 8 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $893.16 – $1,925.62 | 8 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $516.94 – $1,123.11 | 8 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $517.09 – $1,115.65 | 8 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $479.02 – $1,035.67 | 8 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $628.62 – $1,357.63 | 8 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $637.10 – $1,375.93 | 8 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $542.07 – $1,169.88 | 8 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $664.37 – $1,428.79 | 8 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $811.31 – $1,737.20 | 8 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $596.99 – $1,289.17 | 8 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $613.47 – $1,328.49 | 8 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $724.91 – $1,567.74 | 8 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $937.83 – $2,006.30 | 8 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $1,174.87 – $2,530.91 | 8 |
| Knee cap medial or lateral p HCPCS L2800 | not published | not published | $126.57 – $335.75 | 3 |
| Knee control condylar pad HCPCS L2810 | not published | not published | $92.67 – $245.84 | 3 |
| Knee control full kneecap HCPCS L2795 | not published | not published | $100.82 – $267.46 | 3 |
| Knee disart expand wall sock HCPCS L5653 | not published | not published | $577.81 – $1,532.79 | 3 |
| Knee disarticulat leather so HCPCS L5640 | not published | not published | $606.23 – $1,608.18 | 3 |
| Knee disc/dial lock/adj flex HCPCS L2425 | not published | not published | $133.15 – $353.21 | 3 |
| Knee jnt ratchet lock ea jnt HCPCS L2430 | not published | not published | $133.15 – $353.21 | 3 |
| Knee joint cam lock each joi HCPCS L2415 | not published | not published | $112.82 – $299.29 | 3 |
| Knee joint drop lock ea jnt HCPCS L2405 | not published | not published | $80.98 – $214.82 | 3 |
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.