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 |
|---|---|---|---|---|
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $383.71 | $383.71 | $154.14 – $361.11 | 9 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | not published | not published | $132.88 – $283.51 | 8 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | not published | not published | $21.82 – $56.79 | 3 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | not published | not published | $129.08 – $360.14 | 8 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | not published | not published | $31,905.54 – $127,119.59 | 3 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | not published | not published | $339.63 – $379.65 | 3 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | not published | not published | $67.56 – $145.13 | 8 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | $2,497.25 | $2,497.25 | $78.34 – $2,347.42 | 9 |
| Menacwy-tt menb-fhbp vacc im CPT 90623 | not published | not published | $483.52 – $483.52 | 1 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $1,598.22 – $3,428.99 | 8 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $116.51 | $116.51 | $6.02 – $101.93 | 9 |
| Meperidine/promethazine inj HCPCS J2180 | not published | not published | $3.79 – $15.59 | 3 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $13,237.05 | $13,237.05 | $29.96 – $12,442.83 | 9 |
| Mercaptopurine 50 mg HCPCS S0108 | not published | not published | $2.91 – $5.43 | 2 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $105.68 | $105.68 | $0.32 – $98.69 | 9 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $242.26 – $506.32 | 8 |
| Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364 | not published | not published | $18.39 – $18.39 | 1 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $203.23 | $203.23 | $1.37 – $191.04 | 9 |
| Metabolic Blood Panel (Basic) CPT 80048 | $136.35 | $136.35 | $8.46 – $128.44 | 9 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $159.35 | $159.35 | $10.56 – $150.11 | 9 |
| Metabolic panel ionized ca CPT 80047 | not published | not published | $13.73 – $28.48 | 7 |
| Metal frame recipro hip & ca HCPCS L2628 | not published | not published | $1,738.66 – $4,612.26 | 3 |
| Metatarsal joint implant HCPCS L8641 | not published | not published | $442.50 – $1,173.84 | 3 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | not published | not published | $0.85 – $3.19 | 8 |
| Methadone injection HCPCS J1230 | not published | not published | $17.02 – $40.84 | 8 |
| Methadone oral 5mg HCPCS S0109 | not published | not published | $0.31 – $0.67 | 3 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | not published | not published | $5.42 – $12.97 | 8 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | not published | not published | $0.24 – $0.36 | 8 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $114.52 | $114.52 | $2.38 – $82.05 | 9 |
| Methotrexate therapeutic drug level CPT 80204 | $290.15 | $290.15 | $24.70 – $273.32 | 9 |
| Methyl aminolevulinate, top HCPCS J7309 | not published | not published | $83.69 – $83.69 | 2 |
| Methyldopate hcl injection HCPCS J0210 | not published | not published | $19.66 – $42.40 | 3 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $5,287.68 | $5,287.68 | $9.53 – $4,970.42 | 9 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $252.94 | $252.94 | $19.60 – $237.76 | 9 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $1,184.06 | $1,184.06 | $1.31 – $1,113.02 | 9 |
| Methylphenidate CPT 80360 | $96.25 | $96.25 | $10.84 – $90.67 | 9 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $2.99 | $2.99 | $0.23 – $2.81 | 9 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $201.31 | $201.31 | $0.23 – $134.73 | 9 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $355.64 | $355.64 | $0.52 – $100.08 | 9 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $42.57 | $42.57 | $0.93 – $40.02 | 9 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $86.17 | $86.17 | $0.02 – $81.00 | 9 |
| Metyrapone panel CPT 80436 | not published | not published | $91.16 – $191.02 | 7 |
| Mgmt promoter methylation analysis CPT 81287 | not published | not published | $124.64 – $260.94 | 7 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $756.06 | $756.06 | $0.42 – $710.70 | 9 |
| Microalbumin urine screen CPT 82044 | $33.00 | $33.00 | $5.05 – $24.75 | 9 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $22.67 – $84.05 | 7 |
| Microdissection laser CPT 88380 | not published | not published | $51.83 – $104.37 | 8 |
| Microdissection manual CPT 88381 | $134.25 | $134.25 | $23.24 – $126.46 | 9 |
| Microfluid analy tears CPT 83861 | not published | not published | $9.60 – $46.77 | 7 |
| Microprcsr cu combo vad, rep HCPCS Q0482 | not published | not published | $4,266.39 – $11,237.25 | 3 |
| Microsatellite instability CPT 81301 | $594.25 | $594.25 | $238.71 – $559.78 | 9 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $202.44 – $443.96 | 8 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $36.07 – $73.89 | 8 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $475.10 | $475.10 | $9.99 – $447.54 | 9 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $41.59 | $41.59 | $0.14 – $38.62 | 9 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | $242.59 | $242.59 | $0.21 – $228.03 | 9 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $33.09 – $67.10 | 8 |
| Mifepristone 200 mg ta HCPCS S0190 | not published | not published | $36.55 – $122.69 | 3 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $169.79 | $169.79 | $1.39 – $159.60 | 9 |
| Milwaukee type superstructur HCPCS L1230 | not published | not published | $568.80 – $1,508.92 | 3 |
| Minocycline hydrochloride HCPCS J2265 | not published | not published | $2.44 – $7.85 | 4 |
| Minoxidil, 10 mg HCPCS S0139 | not published | not published | $0.47 – $1.36 | 2 |
| Miroderm HCPCS Q4175 | not published | not published | $62.86 – $136.50 | 8 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | not published | not published | $65.71 – $134.63 | 8 |
| Misoprostol, oral, 200 mcg HCPCS S0191 | not published | not published | $1.02 – $3.39 | 3 |
| Mitochondrial gene CPT 81440 | not published | not published | $3,324.00 – $6,965.08 | 7 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | not published | not published | $24.50 – $116.63 | 8 |
| Mitomycin instillation HCPCS J9281 | not published | not published | $295.30 – $615.49 | 8 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $2,367.12 | $2,367.12 | $42.22 – $2,225.09 | 9 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $2,630.95 – $5,602.69 | 8 |
| Mlh1 gene CPT 81288 | $467.05 | $467.05 | $187.61 – $439.96 | 9 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $202.40 – $424.12 | 7 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $675.40 – $1,415.24 | 7 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $144.91 – $693.38 | 7 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $21.08 – $45.62 | 9 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $5.94 – $12.20 | 8 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $1,016.42 – $2,187.26 | 8 |
| Mnl appl strs jt radiography CPT 77071 | $387.30 | $387.30 | $52.03 – $364.84 | 9 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $81.07 – $170.13 | 8 |
| Mnl prep&insj i-artic rx dev CPT 20704 | not published | not published | $140.62 – $305.01 | 8 |
| Mnl prep&insj imed rx dev CPT 20702 | not published | not published | $136.23 – $290.09 | 8 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $188.92 – $408.04 | 8 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $422.19 – $932.66 | 8 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $233.93 – $735.62 | 9 |
| Mnt subs tx for change dx HCPCS G0270 | $71.55 | $71.55 | $26.72 – $67.40 | 9 |
| Mobility cart pneum vad, rep HCPCS Q0502 | not published | not published | $609.46 – $1,605.25 | 3 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $114.38 – $242.65 | 8 |
| Modification of contact lens CPT 92325 | not published | not published | $42.15 – $91.51 | 8 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $1,277.79 – $2,730.86 | 8 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $548.57 – $1,176.67 | 8 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $635.35 | $635.35 | $7.71 – $598.50 | 9 |
| Molded inner boot HCPCS L2280 | not published | not published | $444.60 – $1,179.44 | 3 |
| Molded socket shin sach foot HCPCS L5100 | not published | not published | $2,648.56 – $7,026.02 | 3 |
| Mold sckt ext knee shin sach HCPCS L5150 | not published | not published | $3,405.67 – $9,034.45 | 3 |
| Mold socket ank hgt with toe f HCPCS L5010 | not published | not published | $1,161.10 – $3,080.12 | 3 |
| Mold socket bent knee shin s HCPCS L5160 | not published | not published | $3,993.82 – $10,594.63 | 3 |
| Molecular pathology interpr HCPCS G0452 | not published | not published | $5.61 – $88.02 | 8 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $11.35 – $22.42 | 8 |
| Mon cable elec/pneum vad rep HCPCS Q0486 | not published | not published | $274.28 – $722.40 | 3 |
| Monitor cable elec vad, rep HCPCS Q0485 | not published | not published | $329.51 – $867.91 | 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.