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 lamotrigine therapeutic drug level CPT 80175 | $177.10 | $177.10 | $13.25 – $166.83 | 9 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $133.10 | $133.10 | $12.79 – $125.38 | 9 |
| Mayo legionella antibody CPT 86713 | $341.10 | $341.10 | $15.30 – $321.32 | 9 |
| Mayo leptospira antibody igm CPT 86720 | not published | not published | $16.20 – $33.88 | 7 |
| Mayo lipoprotein electrophoresis CPT 83700 | $21.25 | $21.25 | $8.54 – $20.02 | 9 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $229.50 | $229.50 | $15.49 – $216.19 | 9 |
| Mayo manganese CPT 83785 | $276.90 | $276.90 | $26.65 – $260.84 | 9 |
| Mayo metanephrines plasma CPT 83835 | $478.05 | $478.05 | $16.94 – $450.32 | 9 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $98.65 | $98.65 | $13.12 – $92.93 | 9 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $334.95 | $334.95 | $11.78 – $315.52 | 9 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $38.25 | $38.25 | $15.37 – $36.03 | 9 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $192.35 | $192.35 | $14.55 – $181.19 | 9 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $300.15 | $300.15 | $18.64 – $282.74 | 9 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $473.15 | $473.15 | $69.70 – $445.71 | 9 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | not published | not published | $118.53 – $388.07 | 7 |
| Mayo muramidase CPT 85549 | not published | not published | $18.75 – $39.29 | 7 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $1,093.65 | $1,093.65 | $18.40 – $1,030.22 | 9 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | not published | not published | $18.05 – $37.82 | 7 |
| Mayo myoglobin CPT 83874 | $148.55 | $148.55 | $12.92 – $139.93 | 9 |
| Mayo nickel CPT 83885 | $86.75 | $86.75 | $24.51 – $81.72 | 9 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $284.10 | $284.10 | $17.00 – $267.62 | 9 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $86.75 | $86.75 | $13.80 – $81.72 | 9 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $284.10 | $284.10 | $14.18 – $267.62 | 9 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $264.70 | $264.70 | $21.21 – $249.35 | 9 |
| Mayo organic acids qualitative each specimen CPT 83919 | not published | not published | $16.45 – $34.47 | 7 |
| Mayo oxalate 24 hour urine CPT 83945 | $80.80 | $80.80 | $14.45 – $76.11 | 9 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | not published | not published | $11.53 – $24.16 | 7 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $260.30 | $260.30 | $15.03 – $245.20 | 9 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $122.20 | $122.20 | $12.05 – $115.11 | 9 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $35.65 | $35.65 | $14.32 – $33.58 | 9 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | not published | not published | $10.27 – $37.68 | 7 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $156.55 | $156.55 | $13.76 – $147.47 | 9 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $57.05 | $57.05 | $8.44 – $53.74 | 9 |
| Mayo pregnenolone CPT 84140 | $78.40 | $78.40 | $20.67 – $73.85 | 9 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $137.90 | $137.90 | $16.59 – $129.90 | 9 |
| Mayo proinsulin CPT 84206 | $136.65 | $136.65 | $26.69 – $128.72 | 9 |
| Mayo psaft prostate specific antigen free CPT 84154 | $152.55 | $152.55 | $18.39 – $143.70 | 9 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $294.95 | $294.95 | $18.40 – $277.84 | 9 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | not published | not published | $13.36 – $27.79 | 7 |
| Mayo receptor assay transferrin soluble CPT 84238 | not published | not published | $36.57 – $76.59 | 7 |
| Mayo renin CPT 84244 | $316.10 | $316.10 | $21.99 – $297.77 | 9 |
| Mayo repu protein electrophoresis urine CPT 84166 | $93.15 | $93.15 | $17.39 – $87.75 | 9 |
| Mayo selenium CPT 84255 | $202.00 | $202.00 | $25.53 – $190.28 | 9 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | not published | not published | $15.50 – $32.48 | 7 |
| Mayo serotonin CPT 84260 | $250.75 | $250.75 | $30.98 – $236.21 | 9 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $49.95 | $49.95 | $19.35 – $47.05 | 9 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $329.20 | $329.20 | $13.73 – $310.11 | 9 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $137.65 | $137.65 | $55.29 – $129.67 | 9 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $59.35 | $59.35 | $4.27 – $55.91 | 9 |
| Mayo tau phosphorylated 217 each CPT 84393 | $137.30 | $137.30 | $55.15 – $129.34 | 9 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | not published | not published | $208.92 – $437.78 | 7 |
| Mayo tgrp testosterone free CPT 84402 | $37.80 | $37.80 | $15.18 – $35.61 | 9 |
| Mayo tgrp testosterone total CPT 84403 | $168.70 | $168.70 | $25.81 – $158.92 | 9 |
| Mayo thiopurine s-methyltransferase CPT 84433 | not published | not published | $14.19 – $46.46 | 7 |
| Mayo thyroglobulin CPT 84432 | $384.10 | $384.10 | $16.06 – $361.82 | 9 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $30.90 | $30.90 | $10.18 – $29.11 | 9 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $39.95 | $39.95 | $12.39 – $37.63 | 9 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $119.85 | $119.85 | $12.30 – $112.90 | 9 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $138.25 | $138.25 | $51.28 – $130.23 | 9 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | not published | not published | $14.16 – $29.67 | 7 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | not published | not published | $13.54 – $28.37 | 7 |
| Mayo vasoactive intestinal peptide CPT 84586 | $221.05 | $221.05 | $35.33 – $208.23 | 9 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $55.85 | $55.85 | $20.24 – $52.61 | 9 |
| Mayo vitamin b3 (niacin) CPT 84591 | $313.25 | $313.25 | $17.06 – $295.08 | 9 |
| Mayo vitamin k CPT 84597 | $174.40 | $174.40 | $13.72 – $164.28 | 9 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $161.60 | $161.60 | $13.25 – $152.23 | 9 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $796.49 – $1,708.05 | 8 |
| Mcoln1 gene CPT 81290 | $72.45 | $72.45 | $29.10 – $68.25 | 9 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $486.53 – $1,059.41 | 8 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $521.81 – $1,133.97 | 8 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $553.20 – $1,201.06 | 8 |
| Mcrscp xm hair pluck/clipped CPT 96902 | not published | not published | $19.62 – $41.76 | 8 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $881.92 – $2,741.39 | 9 |
| Md inr test revie inter mgmt HCPCS G0250 | not published | not published | $8.64 – $17.62 | 8 |
| Md service required for pmd HCPCS G0372 | not published | not published | $8.60 – $17.62 | 8 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $18.51 – $37.28 | 8 |
| Measure kidney pressure CPT 50396 | not published | not published | $111.86 – $233.16 | 8 |
| Measurement post void urine by ultrasound CPT 51798 | $41.80 | $41.80 | $9.92 – $39.38 | 9 |
| Measure ureter pressure CPT 50686 | not published | not published | $84.39 – $276.90 | 9 |
| Mecasermin injection HCPCS J2170 | not published | not published | $14.23 – $149.99 | 3 |
| Mech hip extension assist HCPCS L5855 | not published | not published | $292.80 – $776.74 | 3 |
| Mechlorethamine hcl inj HCPCS J9230 | not published | not published | $265.70 – $321.72 | 3 |
| #mec-opiates CPT 80356 | $88.00 | $88.00 | $15.90 – $82.90 | 9 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $97.42 – $314.32 | 7 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $527.87 – $1,106.12 | 7 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $14.28 – $251.45 | 7 |
| Med genetics&genetic counseling svcs each 30 min CPT 96041 | not published | not published | $105.07 – $105.07 | 1 |
| Medial canthopexy CPT 21280 | not published | not published | $564.03 – $1,202.42 | 8 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $378.77 – $811.33 | 8 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $290.04 – $622.22 | 8 |
| Medical services after hrs CPT 99050 | not published | not published | $34.70 – $42.27 | 3 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $849.50 – $2,002.23 | 8 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | not published | not published | $0.54 – $0.78 | 4 |
| Med serv 10pm-8am 24 hr fac CPT 99053 | not published | not published | $34.70 – $135.94 | 3 |
| Med serv eve/wkend/holiday CPT 99051 | not published | not published | $34.70 – $135.94 | 3 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | not published | not published | $0.20 – $0.67 | 2 |
| Meg evoked each addl CPT 95967 | not published | not published | $178.89 – $344.99 | 8 |
| Meg evoked single CPT 95966 | not published | not published | $204.21 – $399.89 | 8 |
| Meg spontaneous CPT 95965 | not published | not published | $400.73 – $818.79 | 8 |
| Melphalan oral 2 mg HCPCS J8600 | not published | not published | $9.34 – $12.00 | 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.