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 |
|---|---|---|---|---|
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $73.27 – $152.51 | 8 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $1,376.70 – $2,949.79 | 8 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $437.56 – $920.46 | 8 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $369.53 – $791.68 | 8 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $359.99 – $759.13 | 8 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $195.13 – $600.06 | 9 |
| Ligation common iliac vein CPT 37660 | not published | not published | $1,248.84 – $2,678.66 | 8 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $231.03 – $494.80 | 8 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $715.09 – $1,527.09 | 8 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $691.78 – $1,474.89 | 8 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $694.50 – $1,474.22 | 8 |
| Ligation major artery chest CPT 37616 | not published | not published | $1,046.35 – $2,314.68 | 8 |
| Ligation/major artery/extremity 37618 CPT 37618 | $533.10 | $533.10 | $266.55 – $794.38 | 9 |
| Ligation major artery neck CPT 37615 | not published | not published | $492.39 – $1,053.29 | 8 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $586.63 – $1,227.51 | 8 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $1,248.98 – $2,669.86 | 8 |
| Ligation of femoral vein CPT 37650 | not published | not published | $431.38 – $923.84 | 8 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $1,638.92 – $3,508.28 | 8 |
| Ligation of neck artery CPT 37606 | not published | not published | $689.13 – $1,527.09 | 8 |
| Ligation of salivary duct CPT 42665 | not published | not published | $209.34 – $731.13 | 9 |
| Ligation of shunt CPT 49428 | not published | not published | $410.99 – $884.53 | 8 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $849.07 – $1,771.77 | 8 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $240.07 – $671.38 | 9 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $352.20 – $752.37 | 8 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $546.50 – $1,166.49 | 8 |
| Liletta, 52 mg HCPCS J7297 | not published | not published | $862.00 – $1,859.41 | 3 |
| Limb exercise test CPT 95875 | not published | not published | $56.13 – $116.59 | 8 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $205.17 – $435.83 | 8 |
| Limited ankle motion ea jnt HCPCS L2200 | not published | not published | $42.31 – $112.23 | 3 |
| Limited autopsy CPT 88036 | not published | not published | $203.66 – $222.16 | 3 |
| Limited autopsy CPT 88037 | not published | not published | $177.41 – $189.11 | 3 |
| Limited motion knee joint HCPCS L2184 | not published | not published | $114.11 – $302.75 | 3 |
| Limited visual field xm CPT 92081 | not published | not published | $15.60 – $31.85 | 8 |
| Lincomycin injection HCPCS J2010 | not published | not published | $9.84 – $13.47 | 8 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $266.85 | $266.85 | $2.62 – $250.84 | 9 |
| Lipase CPT 83690 | $99.90 | $99.90 | $6.89 – $94.11 | 9 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $337.32 – $950.21 | 9 |
| Lipoprotein blood high res frac & quant CPT 83701 | $97.45 | $97.45 | $33.86 – $91.80 | 9 |
| Lipoprotein blood quant CPT 83704 | $63.10 | $63.10 | $25.35 – $59.44 | 9 |
| Lipoprotein direct measurement hdl CPT 83718 | $118.75 | $118.75 | $6.63 – $27.00 | 9 |
| Lipoprotein direct measurement ldl CPT 83721 | $98.55 | $98.55 | $10.50 – $92.83 | 9 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $34.19 – $71.64 | 7 |
| Lip surgery procedure CPT 40799 | $3,143.45 | $3,143.45 | $82.05 – $171.18 | 9 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $482,927.60 – $1,021,002.79 | 6 |
| Listeria monocytogenes CPT 86723 | not published | not published | $13.19 – $27.64 | 7 |
| Lith ion batt cid, ear level HCPCS L8624 | not published | not published | $150.10 – $398.17 | 3 |
| Lith ion batt cid,non-earlvl HCPCS L8623 | not published | not published | $60.20 – $159.74 | 3 |
| Lithium ion battery charger HCPCS L7368 | not published | not published | $469.73 – $1,246.09 | 3 |
| Lithium therapeutic drug level CPT 80178 | $136.35 | $136.35 | $6.61 – $128.44 | 9 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | not published | not published | $259.33 – $292.12 | 5 |
| Litt icr 1 traj 1 smpl les CPT 61736 | not published | not published | $870.47 – $2,515.32 | 8 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | not published | not published | $1,037.52 – $2,985.70 | 8 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $1,156.38 – $2,483.47 | 8 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $369.19 – $971.44 | 3 |
| Liver elastography 91200 CPT 91200 | not published | not published | $10.30 – $21.02 | 8 |
| Liver Function Test CPT 80076 | $159.35 | $159.35 | $8.17 – $150.11 | 9 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $1,366.92 – $2,896.92 | 8 |
| Liver imaging CPT 78201 | not published | not published | $20.04 – $40.67 | 8 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $23.08 – $48.13 | 8 |
| Liver/spleen imag static only CPT 78215 | $2,276.90 | $2,276.90 | $22.71 – $2,144.84 | 9 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $26.23 – $54.90 | 8 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $69.95 – $147.08 | 8 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $451.38 – $1,274.01 | 9 |
| Lockingelbow forearm cntrbal HCPCS L6693 | not published | not published | $2,642.35 – $7,009.50 | 3 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | not published | not published | $1.06 – $2.39 | 8 |
| Lomustine 10 mg HCPCS S0178 | not published | not published | $38.64 – $114.74 | 2 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $195.65 – $419.32 | 8 |
| Long tongue stirrup HCPCS L2265 | not published | not published | $139.74 – $370.68 | 3 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $161.77 | $161.77 | $1.03 – $40.50 | 9 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | not published | not published | $72.40 – $123.55 | 3 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | not published | not published | $72.40 – $192.05 | 3 |
| Loudness balance test CPT 92562 | not published | not published | $44.65 – $101.00 | 8 |
| Low back disk surgery CPT 63030 | not published | not published | $867.39 – $1,901.90 | 8 |
| Low cost skin substitute app HCPCS C5271 | $305.10 | $305.10 | $122.56 – $287.40 | 9 |
| Low cost skin substitute app HCPCS C5273 | $653.30 | $653.30 | $262.43 – $615.41 | 9 |
| Low cost skin substitute app HCPCS C5275 | $323.95 | $323.95 | $130.13 – $305.16 | 9 |
| Low cost skin substitute app HCPCS C5277 | $600.00 | $600.00 | $241.02 – $565.20 | 9 |
| Low cost skin substitute app HCPCS C5272 | $59.45 | $59.45 | $23.88 – $56.00 | 9 |
| Low cost skin substitute app HCPCS C5274 | $156.55 | $156.55 | $62.89 – $147.47 | 9 |
| Low cost skin substitute app HCPCS C5276 | $65.20 | $65.20 | $26.19 – $61.42 | 9 |
| Low cost skin substitute app HCPCS C5278 | $165.95 | $165.95 | $66.66 – $156.32 | 9 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $430.50 | $430.50 | $50.88 – $405.53 | 9 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,812.75 | $2,812.75 | $59.86 – $2,649.61 | 9 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,254.00 | $2,254.00 | $57.28 – $2,123.27 | 9 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,853.10 | $1,853.10 | $46.73 – $1,745.62 | 9 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $3,382.30 | $3,382.30 | $107.81 – $3,186.13 | 9 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,775.00 | $2,775.00 | $84.11 – $2,614.05 | 9 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,440.30 | $2,440.30 | $69.85 – $2,298.76 | 9 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $514.30 | $514.30 | $10.65 – $484.47 | 9 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $577.60 | $577.60 | $12.34 – $544.10 | 9 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $754.45 | $754.45 | $14.58 – $710.69 | 9 |
| Lower jaw bone graft CPT 21215 | not published | not published | $761.87 – $7,811.10 | 9 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $332.00 | $332.00 | $7.63 – $312.74 | 9 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $17.81 – $824.28 | 9 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $15.30 – $31.43 | 3 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $709.23 – $1,493.19 | 8 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $818.40 – $1,718.22 | 8 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $806.32 – $1,693.15 | 8 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $880.94 – $1,848.36 | 8 |
| Lso corset front HCPCS L0972 | not published | not published | $91.58 – $242.94 | 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.