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 |
|---|---|---|---|---|
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $181.65 | $181.65 | $13.47 – $171.11 | 9 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $256.45 | $256.45 | $11.21 – $241.58 | 9 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $115.30 | $115.30 | $14.78 – $108.61 | 9 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $96.10 | $96.10 | $20.35 – $90.53 | 9 |
| Mayo alpha 1 antitrypsin CPT 82103 | $110.40 | $110.40 | $13.44 – $104.00 | 9 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $125.05 | $125.05 | $15.08 – $117.80 | 9 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | not published | not published | $13.00 – $13.00 | 1 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $284.10 | $284.10 | $10.12 – $267.62 | 9 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $772.50 | $772.50 | $121.63 – $727.70 | 9 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $496.15 | $496.15 | $39.06 – $467.37 | 9 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $257.55 | $257.55 | $103.46 – $242.61 | 9 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,082.95 | $1,082.95 | $25.72 – $1,020.14 | 9 |
| Mayo androstenedione CPT 82157 | $193.70 | $193.70 | $29.28 – $182.47 | 9 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $155.70 | $155.70 | $14.60 – $146.67 | 9 |
| Mayo antithrombin iii antigen CPT 85301 | not published | not published | $10.81 – $22.36 | 7 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $142.65 | $142.65 | $15.05 – $134.38 | 9 |
| Mayo avwpr vw factor activity CPT 85397 | not published | not published | $30.86 – $64.39 | 7 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $107.30 | $107.30 | $22.47 – $101.08 | 9 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $71.30 | $71.30 | $10.90 – $67.16 | 9 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $51.10 | $51.10 | $10.18 – $48.14 | 9 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $293.55 | $293.55 | $97.40 – $276.52 | 9 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $326.80 | $326.80 | $131.28 – $307.85 | 9 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | not published | not published | $12.90 – $27.03 | 7 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $265.45 | $265.45 | $10.50 – $250.05 | 9 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $64.80 | $64.80 | $13.19 – $61.04 | 9 |
| Mayo brcmg brucella antibody igm CPT 86622 | not published | not published | $8.93 – $18.71 | 7 |
| Mayo c1 esterase inhibitor CPT 83883 | $88.05 | $88.05 | $13.60 – $82.94 | 9 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $179.45 | $179.45 | $13.42 – $169.04 | 9 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $76.10 | $76.10 | $16.87 – $71.69 | 9 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $50.65 | $50.65 | $20.35 – $47.71 | 9 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $283.75 | $283.75 | $113.98 – $267.29 | 9 |
| Mayo ceruloplasmin CPT 82390 | $90.30 | $90.30 | $10.74 – $85.06 | 9 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $248.50 | $248.50 | $14.12 – $234.09 | 9 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $35.65 | $35.65 | $12.88 – $33.58 | 9 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $85.60 | $85.60 | $11.82 – $80.64 | 9 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $85.60 | $85.60 | $12.68 – $80.64 | 9 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $266.25 | $266.25 | $75.76 – $250.81 | 9 |
| Mayo chromium CPT 82495 | $244.80 | $244.80 | $20.28 – $230.60 | 9 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $71.30 | $71.30 | $12.20 – $67.16 | 9 |
| Mayo coccidioides antibody CPT 86635 | $51.65 | $51.65 | $11.47 – $48.65 | 9 |
| Mayo cocou cortisone urine CPT 82542 | $314.35 | $314.35 | $24.09 – $296.12 | 9 |
| Mayo cortisol free CPT 82530 | $219.85 | $219.85 | $16.71 – $207.10 | 9 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $83.30 | $83.30 | $26.96 – $78.39 | 9 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $70.15 | $70.15 | $12.12 – $66.08 | 9 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $74.40 | $74.40 | $23.04 – $70.08 | 9 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $274.50 | $274.50 | $15.93 – $258.58 | 9 |
| Mayo cyanide CPT 82600 | not published | not published | $19.40 – $40.65 | 7 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | not published | not published | $56.63 – $114.56 | 8 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $92.65 | $92.65 | $13.25 – $87.28 | 9 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $62.95 | $62.95 | $25.27 – $59.30 | 9 |
| Mayo dihydrotestosterone CPT 82642 | $114.10 | $114.10 | $29.28 – $107.48 | 9 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $9.64 – $20.20 | 7 |
| Mayo efpo chloride stool CPT 82438 | not published | not published | $5.00 – $10.16 | 7 |
| Mayo estriol CPT 82677 | $92.65 | $92.65 | $24.18 – $87.28 | 9 |
| Mayo estrone CPT 82679 | $153.35 | $153.35 | $24.95 – $144.46 | 9 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $202.00 | $202.00 | $16.34 – $190.28 | 9 |
| Mayo everolimus therapeutic drug level CPT 80169 | not published | not published | $13.73 – $28.48 | 7 |
| Mayo factor ii CPT 85210 | $275.35 | $275.35 | $12.98 – $259.38 | 9 |
| Mayo factor v CPT 85220 | $225.40 | $225.40 | $17.65 – $212.33 | 9 |
| Mayo factor vii CPT 85230 | $288.80 | $288.80 | $17.90 – $272.05 | 9 |
| Mayo factor viii vw factor antigen CPT 85246 | $421.15 | $421.15 | $22.94 – $396.72 | 9 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | not published | not published | $22.94 – $48.07 | 7 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $319.90 | $319.90 | $22.94 – $301.35 | 9 |
| Mayo factor x CPT 85260 | $452.20 | $452.20 | $17.90 – $425.97 | 9 |
| Mayo factor xi CPT 85270 | $469.65 | $469.65 | $17.90 – $442.41 | 9 |
| Mayo fat/lipids feces quantitative CPT 82710 | $61.85 | $61.85 | $16.80 – $58.26 | 9 |
| Mayo fbl culture fungi blood CPT 87103 | $152.55 | $152.55 | $19.73 – $143.70 | 9 |
| Mayo fdp/fsp paracoagulation CPT 85366 | not published | not published | $16.49 – $168.60 | 7 |
| Mayo ffspg allergen clam igg CPT 86001 | $44.55 | $44.55 | $7.82 – $41.97 | 9 |
| Mayo fibrinogen antigen CPT 85385 | not published | not published | $14.46 – $30.30 | 7 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $188.95 | $188.95 | $21.67 – $177.99 | 9 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $222.85 | $222.85 | $89.52 – $209.92 | 9 |
| Mayo hemosiderin qualitative urine CPT 83070 | $98.55 | $98.55 | $4.75 – $92.83 | 9 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $169.95 | $169.95 | $35.09 – $160.09 | 9 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | not published | not published | $35.09 – $73.19 | 7 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | not published | not published | $13.79 – $28.90 | 7 |
| Mayo hla typing a/b/c single antigen CPT 86812 | not published | not published | $25.81 – $54.08 | 7 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $50.35 | $50.35 | $8.89 – $47.43 | 9 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $65.70 | $65.70 | $13.52 – $61.89 | 9 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $241.45 | $241.45 | $27.17 – $227.45 | 9 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $159.10 | $159.10 | $17.27 – $149.87 | 9 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $61.05 | $61.05 | $14.99 – $57.51 | 9 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $336.65 | $336.65 | $20.81 – $317.12 | 9 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $291.20 | $291.20 | $20.81 – $274.31 | 9 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | not published | not published | $73.53 – $193.47 | 2 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $47.25 | $47.25 | $16.07 – $44.51 | 9 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $118.85 | $118.85 | $11.98 – $111.96 | 9 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $337.40 | $337.40 | $35.09 – $317.83 | 9 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | not published | not published | $22.47 – $73.19 | 7 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | not published | not published | $35.09 – $73.19 | 7 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | not published | not published | $73.53 – $193.47 | 2 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $1,015.05 | $1,015.05 | $42.84 – $956.18 | 9 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $333.20 | $333.20 | $72.19 – $313.87 | 9 |
| Mayo infliximab therapeutic drug level CPT 80230 | $356.55 | $356.55 | $24.69 – $335.87 | 9 |
| Mayo inhab inhibin a CPT 86336 | $71.30 | $71.30 | $15.59 – $67.16 | 9 |
| Mayo insft insulin free CPT 83527 | not published | not published | $12.95 – $27.11 | 7 |
| Mayo insulin antibodies CPT 86337 | $71.30 | $71.30 | $21.41 – $67.16 | 9 |
| Mayo iodine CPT 83789 | $45.60 | $45.60 | $18.32 – $42.96 | 9 |
| Mayo itraconazole therapeutic drug level CPT 80189 | not published | not published | $17.35 – $56.81 | 7 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $177.10 | $177.10 | $17.35 – $166.83 | 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.