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 |
|---|---|---|---|---|
| Punc of shunt for asp or inj CPT 61070 | not published | not published | $53.98 – $114.56 | 8 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $156.55 | $156.55 | $14.64 – $52.69 | 9 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $364.35 | $364.35 | $92.70 – $236.43 | 9 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $46.85 – $179.89 | 9 |
| Puncture spinal lumbar diagnostic CPT 62270 | $784.15 | $784.15 | $60.17 – $282.04 | 9 |
| Puraply 1 sq cm HCPCS Q4195 | not published | not published | $71.23 – $203.19 | 8 |
| Puraply xt 1 sq cm HCPCS Q4197 | $1,700.00 | $1,700.00 | $94.44 – $1,598.00 | 9 |
| Pvb thoracic 2nd+ inj site CPT 64462 | $140.35 | $140.35 | $47.78 – $130.04 | 9 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $80.45 – $438.80 | 9 |
| Pvb thoracic single inj site CPT 64461 | $263.85 | $263.85 | $76.51 – $244.84 | 9 |
| Pwr adpt pneum vad, rep veh HCPCS Q0504 | not published | not published | $643.23 – $1,694.18 | 3 |
| Pwr pck base combo vad, rep HCPCS Q0489 | not published | not published | $15,237.10 – $40,133.08 | 3 |
| Pyelotomy complicated CPT 50135 | not published | not published | $1,077.75 – $2,141.34 | 7 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $944.10 – $1,996.11 | 8 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $912.60 – $1,930.38 | 8 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $992.68 – $2,097.11 | 8 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $886.25 – $1,903.93 | 8 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $215.29 | $215.29 | $5.73 – $202.37 | 9 |
| Pyruvate CPT 84210 | not published | not published | $14.48 – $30.34 | 7 |
| Pyruvate kinase CPT 84220 | $371.95 | $371.95 | $9.44 – $350.38 | 9 |
| Quadrilateral brim HCPCS L2188 | not published | not published | $334.38 – $887.04 | 3 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $9.58 – $18.63 | 8 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $2,614.35 | $2,614.35 | $38.73 – $2,462.72 | 9 |
| Quant diff pulm perf w/imaging CPT 78597 | $305.75 | $305.75 | $33.70 – $288.02 | 9 |
| Quest t3 uptake CPT 84479 | $129.15 | $129.15 | $6.47 – $121.66 | 9 |
| Quick disconn hook adapter o HCPCS L6628 | not published | not published | $539.31 – $1,430.66 | 3 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $18.89 – $503.85 | 5 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $174.32 – $746.44 | 8 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $236.67 – $495.24 | 8 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $3,161.06 | $3,161.06 | $283.29 – $2,971.40 | 9 |
| Rabies vaccine id CPT 90676 | not published | not published | $186.50 – $846.52 | 3 |
| Radial keratotomy CPT 65771 | not published | not published | $1,223.25 – $1,535.32 | 3 |
| Radiation handling CPT 77790 | not published | not published | $15.59 – $30.86 | 8 |
| Radiation physics consult CPT 77336 | not published | not published | $80.00 – $185.72 | 8 |
| Radiation therapy dose plan CPT 77300 | $82.00 | $82.00 | $0.54 – $1.27 | 9 |
| Radiation therapy management CPT 77431 | not published | not published | $104.50 – $222.33 | 8 |
| Radiation treatment aid(s) CPT 77332 | not published | not published | $23.51 – $45.62 | 8 |
| Radiation treatment aid(s) CPT 77333 | not published | not published | $39.03 – $81.34 | 8 |
| Radiation treatment aid(s) CPT 77334 | not published | not published | $59.42 – $123.36 | 8 |
| Radiation treatment delivery CPT 77401 | not published | not published | $38.39 – $83.38 | 8 |
| Radiation treatment delivery CPT 77402 | not published | not published | $243.50 – $297.83 | 3 |
| Radiation treatment delivery CPT 77412 | not published | not published | $440.59 – $453.45 | 3 |
| Radiation tx management x5 CPT 77427 | not published | not published | $186.77 – $393.80 | 8 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $1,758.65 – $3,719.77 | 8 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $1,441.17 – $3,092.80 | 8 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $1,852.67 – $3,966.49 | 8 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $1,690.29 – $3,623.51 | 8 |
| Radical resection of elbow CPT 24149 | not published | not published | $1,135.28 – $2,444.83 | 8 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $1,261.95 – $2,696.28 | 8 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $1,003.54 – $2,141.18 | 8 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $1,370.37 – $2,957.25 | 8 |
| Radiesse injection HCPCS Q2026 | not published | not published | $367.66 – $625.97 | 2 |
| Radiofq trsmtr for implt neu HCPCS L8683 | not published | not published | $4,884.12 – $12,956.39 | 3 |
| Radiof trsmtr implt scrl neu HCPCS L8684 | not published | not published | $645.58 – $1,712.58 | 3 |
| Radiology port images(s) CPT 77417 | not published | not published | $12.74 – $33.21 | 8 |
| Radiotherapy dose plan imrt CPT 77301 | not published | not published | $413.96 – $861.48 | 8 |
| Radium ra223 dichl ther/uci HCPCS A9606 | not published | not published | $159.32 – $500.91 | 4 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $5,756.40 | $5,756.40 | $36.69 – $5,422.53 | 9 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | not published | not published | $46.13 – $93.54 | 8 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $915.65 | $915.65 | $83.16 – $862.54 | 9 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,930.25 | $2,930.25 | $49.52 – $2,760.30 | 9 |
| Radphm lcl tumor plr sgl day CPT 78800 | $758.60 | $758.60 | $29.91 – $714.60 | 9 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | not published | $21.07 – $42.70 | 8 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $1,478.38 – $3,171.42 | 8 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $1,077.93 – $2,324.17 | 8 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $1,266.26 – $2,725.43 | 8 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $989.57 – $2,109.31 | 8 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $690.05 – $1,454.57 | 8 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $1,267.82 – $2,732.22 | 8 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $715.14 – $1,553.51 | 8 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $1,013.94 – $2,181.16 | 8 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $1,286.61 – $2,764.74 | 8 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $915.58 – $1,956.13 | 8 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | not published | not published | $68.19 – $144.12 | 8 |
| Range of motion measurements CPT 95852 | not published | not published | $5.27 – $34.70 | 9 |
| Ranibizumab injection HCPCS J2778 | not published | not published | $137.63 – $245.08 | 8 |
| Rapid desensitization CPT 95180 | not published | not published | $100.05 – $266.62 | 9 |
| Rapid Strep Test CPT 87880 | $96.15 | $96.15 | $13.39 – $39.00 | 9 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $4,749.60 | $4,749.60 | $349.73 – $4,464.62 | 9 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | not published | not published | $221.21 – $436.06 | 8 |
| Rb82 rubidium HCPCS A9555 | not published | not published | $389.10 – $106,089.99 | 6 |
| Rbc count only automated CPT 85041 | not published | not published | $3.02 – $6.10 | 7 |
| Rbc deglycerolized each unit HCPCS P9039 | not published | not published | $197.62 – $3,212.00 | 2 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $46.00 – $95.57 | 7 |
| Rbc irradiated each unit HCPCS P9038 | not published | not published | $117.05 – $733.13 | 2 |
| Rbc mechanical fragility CPT 85547 | not published | not published | $8.60 – $18.02 | 7 |
| Rbc o2 co2 reduced HCPCS P9027 | not published | not published | $529.06 – $2,393.26 | 2 |
| Rbc osmotic fragility CPT 85555 | not published | not published | $7.47 – $15.59 | 7 |
| Rbc serum pretx incubj drugs CPT 86975 | not published | not published | $37.57 – $48.09 | 3 |
| Rcm img acquisj&i&r 1st les CPT 96931 | not published | not published | $88.10 – $338.89 | 8 |
| Rcm img acquisj&i&r ea addl CPT 96934 | not published | not published | $44.06 – $239.26 | 8 |
| Rcm img acquisj only 1st les CPT 96932 | not published | not published | $52.88 – $251.47 | 8 |
| Rcm img acquisj only ea addl CPT 96935 | not published | not published | $26.43 – $154.54 | 8 |
| Rcm i&r only 1st lesion CPT 96933 | not published | not published | $35.24 – $87.44 | 8 |
| Rcm i&r only ea addl lesion CPT 96936 | not published | not published | $17.61 – $84.72 | 8 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $2,121.65 – $4,502.63 | 8 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $1,630.19 – $3,468.30 | 8 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $1,459.44 – $3,106.36 | 8 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $1,503.58 – $3,154.49 | 8 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $1,569.52 – $3,294.78 | 8 |
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.