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 |
|---|---|---|---|---|
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $2,091.90 – $4,386.73 | 8 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $1,885.58 – $3,955.64 | 8 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $1,752.29 – $3,673.00 | 8 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $2,720.23 – $5,698.26 | 8 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $2,507.54 – $5,255.67 | 8 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $721.75 – $1,548.78 | 8 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $878.69 – $1,881.58 | 8 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $1,047.17 – $2,231.99 | 8 |
| Realignment of knee CPT 27457 | not published | not published | $923.06 – $1,972.39 | 8 |
| Realignment of knee CPT 27455 | not published | not published | $924.28 – $1,984.61 | 8 |
| Realignment of tendons CPT 26437 | not published | not published | $646.10 – $1,371.19 | 8 |
| Realignment of thigh bone CPT 27454 | not published | not published | $1,240.49 – $2,663.76 | 8 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $1,051.14 – $2,195.39 | 8 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $1,019.28 – $2,138.45 | 8 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $1,364.33 – $2,866.41 | 8 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $1,080.13 – $2,272.67 | 8 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $1,510.75 – $3,171.42 | 8 |
| Rechanneling of artery CPT 35361 | not published | not published | $1,423.43 – $3,028.41 | 8 |
| Rechanneling of artery CPT 35306 | not published | not published | $416.25 – $881.82 | 8 |
| Rechanneling of artery CPT 35311 | not published | not published | $1,461.21 – $3,098.90 | 8 |
| Rechanneling of artery CPT 35363 | not published | not published | $1,517.71 – $3,231.08 | 8 |
| Rechanneling of artery 35305 CPT 35305 | not published | not published | $1,144.28 – $2,429.24 | 8 |
| Rechanneling of artery 35341 CPT 35341 | not published | not published | $1,292.83 – $2,735.59 | 8 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | not published | not published | $1,188.98 – $2,531.58 | 8 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | not published | not published | $1,366.66 – $2,877.26 | 8 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | not published | not published | $912.71 – $1,937.84 | 8 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | not published | not published | $1,157.16 – $2,436.01 | 8 |
| Recipient nephrectomy CPT 50340 | not published | not published | $913.59 – $1,983.25 | 8 |
| Recon, cta for surg plan HCPCS G0288 | not published | not published | $36.66 – $94.90 | 8 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $1,388.04 – $2,907.75 | 8 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $1,381.56 – $2,899.62 | 8 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $1,298.79 – $2,722.05 | 8 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $1,194.56 – $2,509.22 | 8 |
| Reconst major injured chest 32820 CPT 32820 | not published | not published | $1,254.97 – $2,823.03 | 8 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | not published | not published | $971.28 – $2,082.88 | 8 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $990.59 – $2,063.23 | 8 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $988.41 – $2,074.75 | 8 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $925.77 – $1,981.88 | 8 |
| Reconstruct bronchus CPT 31775 | not published | not published | $1,316.31 – $2,810.84 | 8 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $1,055.78 – $2,273.34 | 8 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $890.52 – $1,900.56 | 8 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $926.98 – $1,975.12 | 8 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $1,034.38 – $2,206.24 | 8 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $674.79 – $1,443.71 | 8 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $555.54 – $1,189.54 | 8 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $941.39 – $2,023.92 | 8 |
| Reconstruct cranial bone CPT 21182 | not published | not published | $2,029.61 – $4,318.27 | 8 |
| Reconstruct cranial bone CPT 21183 | not published | not published | $2,208.15 – $4,695.12 | 8 |
| Reconstruct cranial bone CPT 21184 | not published | not published | $2,374.67 – $5,047.57 | 8 |
| Reconstruct elbow joint CPT 24360 | not published | not published | $868.82 – $1,870.05 | 8 |
| Reconstruct elbow joint CPT 24361 | not published | not published | $968.52 – $2,084.92 | 8 |
| Reconstruct elbow joint CPT 24362 | not published | not published | $1,019.40 – $2,191.32 | 8 |
| Reconstruct elbow lat ligmnt CPT 24344 | not published | not published | $1,051.12 – $2,289.60 | 8 |
| Reconstruct elbow med ligmnt CPT 24346 | not published | not published | $1,061.30 – $2,289.60 | 8 |
| Reconstruct extra finger CPT 26587 | not published | not published | $1,003.67 – $2,164.21 | 8 |
| Reconstruct finger joint CPT 26545 | not published | not published | $710.04 – $1,506.74 | 8 |
| Reconstruct finger joint CPT 26548 | not published | not published | $774.85 – $1,646.38 | 8 |
| Reconstruct head of radius CPT 24365 | not published | not published | $619.04 – $1,337.98 | 8 |
| Reconstruct head of radius CPT 24366 | not published | not published | $657.40 – $1,419.32 | 8 |
| Reconstruction ankle joint CPT 27703 | not published | not published | $1,069.49 – $2,292.32 | 8 |
| Reconstruction knee CPT 27427 | not published | not published | $685.46 – $1,471.50 | 8 |
| Reconstruction knee CPT 27428 | not published | not published | $1,072.86 – $2,314.01 | 8 |
| Reconstruction knee CPT 27429 | not published | not published | $1,208.72 – $2,608.86 | 8 |
| Reconstruction of anus CPT 46753 | not published | not published | $592.61 – $1,279.68 | 8 |
| Reconstruction of bile ducts 47800 CPT 47800 | not published | not published | $1,488.22 – $3,180.91 | 8 |
| Reconstruction of eyelid CPT 67971 | not published | not published | $686.64 – $1,446.42 | 8 |
| Reconstruction of eyelid CPT 67973 | not published | not published | $882.78 – $1,859.89 | 8 |
| Reconstruction of eyelid CPT 67974 | not published | not published | $880.84 – $1,854.46 | 8 |
| Reconstruction of eyelid CPT 67975 | not published | not published | $650.19 – $1,371.86 | 8 |
| Reconstruction of hip socket CPT 27120 | not published | not published | $1,245.13 – $2,671.89 | 8 |
| Reconstruction of hip socket CPT 27122 | not published | not published | $1,058.41 – $2,273.34 | 8 |
| Reconstruction of jaw CPT 21245 | not published | not published | $917.78 – $2,348.85 | 9 |
| Reconstruction of jaw CPT 21246 | not published | not published | $824.08 – $1,733.81 | 8 |
| Reconstruction of jaw CPT 21248 | not published | not published | $767.89 – $1,890.13 | 9 |
| Reconstruction of jaw CPT 21249 | not published | not published | $1,076.32 – $2,560.87 | 9 |
| Reconstruction of jaw joint CPT 21240 | not published | not published | $1,020.73 – $2,147.95 | 8 |
| Reconstruction of jaw joint CPT 21242 | not published | not published | $980.23 – $2,067.29 | 8 |
| Reconstruction of jaw joint CPT 21243 | not published | not published | $1,623.33 – $3,301.57 | 8 |
| Reconstruction of lower jaw CPT 21244 | not published | not published | $973.52 – $2,050.34 | 8 |
| Reconstruction of midface CPT 21188 | not published | not published | $1,531.72 – $3,208.70 | 8 |
| Reconstruction of mouth CPT 40840 | not published | not published | $612.50 – $1,674.91 | 9 |
| Reconstruction of mouth CPT 40842 | not published | not published | $651.20 – $1,802.76 | 9 |
| Reconstruction of mouth CPT 40843 | not published | not published | $836.99 – $2,319.94 | 9 |
| Reconstruction of mouth CPT 40844 | not published | not published | $1,131.23 – $2,912.30 | 9 |
| Reconstruction of mouth CPT 40845 | not published | not published | $1,169.97 – $2,860.25 | 9 |
| Reconstruction of nail bed CPT 11762 | not published | not published | $180.54 – $556.37 | 9 |
| Reconstruction of nose CPT 30410 | not published | not published | $1,363.71 – $2,875.90 | 8 |
| Reconstruction of nose CPT 30420 | not published | not published | $1,410.18 – $2,932.16 | 8 |
| Reconstruction of orbit CPT 21256 | not published | not published | $1,189.67 – $2,547.84 | 8 |
| Reconstruction of throat CPT 42950 | not published | not published | $769.24 – $1,621.30 | 8 |
| Reconstruction of urethra CPT 53410 | not published | not published | $941.77 – $1,989.34 | 8 |
| Reconstruction of urethra CPT 53415 | not published | not published | $1,085.76 – $2,290.29 | 8 |
| Reconstruction of urethra CPT 53430 | not published | not published | $936.62 – $1,979.85 | 8 |
| Reconstruction of urethra CPT 54308 | not published | not published | $690.09 – $1,461.34 | 8 |
| Reconstruction of urethra CPT 54312 | not published | not published | $787.99 – $1,668.07 | 8 |
| Reconstruction of urethra CPT 54316 | not published | not published | $956.31 – $2,019.85 | 8 |
| Reconstruction of urethra CPT 54318 | not published | not published | $685.89 – $1,454.57 | 8 |
| Reconstruction of urethra CPT 54322 | not published | not published | $752.28 – $1,591.48 | 8 |
| Reconstruction of urethra CPT 54324 | not published | not published | $931.20 – $1,969.02 | 8 |
| Reconstruction of urethra CPT 54326 | not published | not published | $906.52 – $1,916.82 | 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.