healthcosts.net
Mid Coast Hospital
123 Medical Center Drive, Brunswick, ME · MaineHealth · · NPI 1932164795
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 |
|---|---|---|---|---|
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,509.20 | $1,509.20 | $62.93 – $681.20 | 9 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,325.95 | $1,325.95 | $57.41 – $681.20 | 9 |
| Abdominal CT scan (without contrast) CPT 74150 | $861.85 | $861.85 | $53.63 – $608.47 | 9 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,456.90 | $2,456.90 | $99.57 – $943.20 | 9 |
| Abdominal MRI (with contrast) CPT 74182 | not published | not published | $77.95 – $164.70 | 8 |
| Abdominal MRI (without contrast) CPT 74181 | $1,624.80 | $1,624.80 | $65.73 – $943.20 | 9 |
| Abdominal Ultrasound (complete) CPT 76700 | $924.60 | $924.60 | $36.54 – $652.77 | 9 |
| Abdominal Ultrasound (limited) CPT 76705 | $844.10 | $844.10 | $26.60 – $595.93 | 9 |
| Allergy Skin Testing CPT 95004 | not published | not published | $3.48 – $7.46 | 8 |
| Ankle X-ray CPT 73610 | $237.45 | $237.45 | $8.00 – $16.95 | 9 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | not published | not published | $84.23 – $224.22 | 5 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | not published | not published | $91.30 – $238.36 | 5 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | not published | not published | $92.21 – $248.63 | 5 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | not published | not published | $111.84 – $286.53 | 5 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $568.45 – $1,239.70 | 8 |
| Blood Clotting (PT/INR) Test CPT 85610 | $90.60 | $90.60 | $3.18 – $12.75 | 9 |
| Blood Clotting (PTT) Test CPT 85730 | $190.05 | $190.05 | $3.24 – $178.65 | 9 |
| Blood Count (CBC) Test CPT 85025 | $105.05 | $105.05 | $6.28 – $17.25 | 9 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $79.70 | $79.70 | $5.23 – $74.92 | 9 |
| Blood Culture Test CPT 87040 | $399.85 | $399.85 | $5.57 – $375.86 | 9 |
| Bone Density Scan (DEXA) CPT 77080 | $219.50 | $219.50 | $8.97 – $18.98 | 9 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | not published | not published | $66.71 – $140.98 | 8 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | not published | not published | $53.95 – $113.87 | 8 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $1,884.20 | $1,884.20 | $53.95 – $943.20 | 9 |
| Brain MRI (with and without contrast) CPT 70553 | $2,174.90 | $2,174.90 | $103.67 – $943.20 | 9 |
| Brain MRI (with contrast) CPT 70552 | $1,844.85 | $1,844.85 | $80.55 – $943.20 | 9 |
| Brain MRI (without contrast) CPT 70551 | $1,330.10 | $1,330.10 | $66.71 – $939.05 | 9 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $5,542.20 | $5,542.20 | $143.63 – $950.85 | 9 |
| C-Section Delivery (full care) CPT 59510 | not published | not published | $2,490.33 – $5,482.73 | 8 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $2,229.85 | $2,229.85 | $99.13 – $681.20 | 9 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $2,658.80 | $2,658.80 | $82.27 – $681.20 | 9 |
| CT Angiogram of the Head CPT 70496 | $2,658.80 | $2,658.80 | $78.93 – $681.20 | 9 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $2,029.70 | $2,029.70 | $90.71 – $681.20 | 9 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $1,791.20 | $1,791.20 | $82.60 – $681.20 | 9 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,153.85 | $1,153.85 | $78.60 – $681.20 | 9 |
| Cardiac Stress Test CPT 93015 | not published | not published | $67.80 – $148.44 | 8 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,407.45 | $1,407.45 | $35.66 – $993.66 | 9 |
| Carpal Tunnel Release Surgery CPT 64721 | not published | not published | $420.72 – $914.34 | 9 |
| Cataract Surgery CPT 66984 | not published | not published | $518.82 – $1,093.29 | 8 |
| Chest CT scan (with and without contrast) CPT 71270 | $2,649.25 | $2,649.25 | $56.44 – $681.20 | 9 |
| Chest CT scan (with contrast) CPT 71260 | $1,129.80 | $1,129.80 | $52.66 – $681.20 | 9 |
| Chest CT scan (without contrast) CPT 71250 | $936.55 | $936.55 | $48.76 – $661.20 | 9 |
| Chest X-ray CPT 71046 | $391.40 | $391.40 | $9.95 – $276.33 | 9 |
| Chest X-ray (single view) CPT 71045 | $346.05 | $346.05 | $8.33 – $244.31 | 9 |
| Cholesterol (Lipid) Test CPT 80061 | $201.65 | $201.65 | $10.83 – $27.79 | 9 |
| Circumcision (newborn) CPT 54150 | $283.40 | $283.40 | $90.45 – $212.95 | 9 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $86.85 – $654.68 | 9 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $188.30 – $834.57 | 9 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | $237.61 – $873.75 | 9 |
| Cystoscopy (Bladder Scope) CPT 52000 | not published | not published | $75.57 – $461.94 | 9 |
| Diabetes (HbA1c) Test CPT 83036 | $30.25 | $30.25 | $7.85 – $20.33 | 9 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $395.80 | $395.80 | $44.98 – $279.43 | 9 |
| Diagnostic Mammogram (one breast) CPT 77065 | $279.55 | $279.55 | $36.54 – $197.36 | 9 |
| EKG (Electrocardiogram) CPT 93000 | not published | not published | $13.78 – $29.15 | 8 |
| ER Visit (level 1, minor) CPT 99281 | $214.05 | $214.05 | $10.69 – $27.48 | 9 |
| ER Visit (level 2) CPT 99282 | $351.30 | $351.30 | $39.41 – $84.72 | 9 |
| ER Visit (level 3) CPT 99283 | $926.75 | $926.75 | $66.61 – $143.01 | 9 |
| ER Visit (level 4) CPT 99284 | $1,754.55 | $1,754.55 | $113.44 – $244.01 | 9 |
| ER Visit (level 5, high severity) CPT 99285 | $3,306.00 | $3,306.00 | $164.37 – $353.81 | 9 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,780.25 | $1,780.25 | $65.10 – $1,256.86 | 9 |
| Established Patient Office Visit (level 1) CPT 99211 | $165.30 | $165.30 | $8.33 – $44.97 | 9 |
| Established Patient Office Visit (level 2) CPT 99212 | $352.80 | $352.80 | $33.40 – $109.21 | 9 |
| Established Patient Office Visit (level 3) CPT 99213 | $352.80 | $352.80 | $55.39 – $175.39 | 9 |
| Established Patient Office Visit (level 4) CPT 99214 | $352.80 | $352.80 | $90.65 – $247.35 | 9 |
| Established Patient Office Visit (level 5) CPT 99215 | $396.35 | $396.35 | $125.85 – $290.78 | 9 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $53.63 – $359.14 | 9 |
| Foot X-ray CPT 73630 | $225.70 | $225.70 | $7.68 – $16.26 | 9 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $622.42 – $1,359.67 | 8 |
| Hand X-ray CPT 73130 | $230.60 | $230.60 | $8.00 – $16.95 | 9 |
| Head CT scan (with and without contrast) CPT 70470 | $2,649.25 | $2,649.25 | $57.41 – $681.20 | 9 |
| Head CT scan (with contrast) CPT 70460 | $2,233.90 | $2,233.90 | $51.03 – $681.20 | 9 |
| Head CT scan (without contrast) CPT 70450 | $1,692.70 | $1,692.70 | $38.49 – $681.20 | 9 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $495.79 – $1,080.41 | 8 |
| Hip X-ray CPT 73502 | $200.25 | $200.25 | $10.27 – $21.69 | 9 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $924.60 | $924.60 | $33.30 – $70.49 | 9 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $598.53 – $1,291.88 | 8 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $521.96 – $1,127.87 | 8 |
| Knee MRI (with and without contrast) CPT 73723 | $2,703.85 | $2,703.85 | $97.62 – $943.20 | 9 |
| Knee MRI (with contrast) CPT 73722 | $2,197.30 | $2,197.30 | $73.53 – $943.20 | 9 |
| Knee MRI (without contrast) CPT 73721 | $1,366.70 | $1,366.70 | $61.31 – $943.20 | 9 |
| Knee X-ray CPT 73564 | $311.20 | $311.20 | $10.60 – $22.36 | 9 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,407.45 | $1,407.45 | $30.58 – $993.66 | 9 |
| Liver Function Test CPT 80076 | $203.95 | $203.95 | $4.41 – $191.71 | 9 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,649.25 | $2,649.25 | $57.08 – $681.20 | 9 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,310.45 | $1,310.45 | $54.93 – $681.20 | 9 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $2,649.25 | $2,649.25 | $44.98 – $681.20 | 9 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $2,183.30 | $2,183.30 | $104.00 – $943.20 | 9 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,854.70 | $1,854.70 | $80.98 – $943.20 | 9 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,293.45 | $1,293.45 | $67.03 – $913.18 | 9 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $263.85 | $263.85 | $10.27 – $21.69 | 9 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $1,486.65 – $3,255.47 | 8 |
| Lung Function Test (Spirometry) CPT 94010 | $313.30 | $313.30 | $7.68 – $221.19 | 9 |
| Metabolic Blood Panel (Basic) CPT 80048 | $196.30 | $196.30 | $6.83 – $184.52 | 9 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $204.95 | $204.95 | $6.54 – $192.65 | 9 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $2,649.25 | $2,649.25 | $57.08 – $681.20 | 9 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $2,233.90 | $2,233.90 | $54.93 – $681.20 | 9 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,060.75 | $1,060.75 | $44.98 – $681.20 | 9 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $2,187.60 | $2,187.60 | $104.00 – $943.20 | 9 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $1,878.55 | $1,878.55 | $81.30 – $943.20 | 9 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $1,293.45 | $1,293.45 | $67.03 – $913.18 | 9 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $2,892.85 | $2,892.85 | $81.20 – $943.20 | 9 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | not published | not published | $67.68 – $143.01 | 8 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $1,895.65 | $1,895.65 | $54.28 – $943.20 | 9 |
| New Patient Office Visit (level 2) CPT 99202 | $352.80 | $352.80 | $44.66 – $139.42 | 9 |
| New Patient Office Visit (level 3) CPT 99203 | $352.80 | $352.80 | $77.74 – $215.22 | 9 |
| New Patient Office Visit (level 4) CPT 99204 | $445.65 | $445.65 | $125.85 – $270.44 | 9 |
| New Patient Office Visit (level 5) CPT 99205 | $551.30 | $551.30 | $125.85 – $332.02 | 9 |
| Nuclear Stress Test (Heart) CPT 78452 | $3,200.40 | $3,200.40 | $71.79 – $151.14 | 9 |
| PSA (Prostate) Test CPT 84153 | $128.25 | $128.25 | $11.38 – $38.54 | 9 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,495.15 | $1,495.15 | $54.93 – $681.20 | 9 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,297.60 | $1,297.60 | $52.33 – $681.20 | 9 |
| Pelvic CT scan (without contrast) CPT 72192 | $839.25 | $839.25 | $49.09 – $592.51 | 9 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,451.45 | $2,451.45 | $99.57 – $943.20 | 9 |
| Pelvic MRI (with contrast) CPT 72196 | not published | not published | $77.95 – $164.70 | 8 |
| Pelvic MRI (without contrast) CPT 72195 | $1,822.25 | $1,822.25 | $66.06 – $943.20 | 9 |
| Pelvic Ultrasound (complete) CPT 76856 | $924.60 | $924.60 | $31.14 – $652.77 | 9 |
| Pelvic Ultrasound (limited) CPT 76857 | $568.40 | $568.40 | $22.49 – $401.29 | 9 |
| Postpartum Care Only CPT 59430 | not published | not published | $158.29 – $513.33 | 9 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $924.60 | $924.60 | $45.31 – $652.77 | 9 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $701.40 | $701.40 | $44.98 – $495.19 | 9 |
| Prenatal Care Only (4-6 visits) CPT 59425 | not published | not published | $398.77 – $1,092.19 | 9 |
| Prenatal Care Only (7+ visits) CPT 59426 | not published | not published | $717.30 – $1,998.07 | 9 |
| Rapid Strep Test CPT 87880 | $49.15 | $49.15 | $10.83 – $34.57 | 9 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $86.85 – $655.32 | 8 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $86.64 – $654.68 | 8 |
| Screening Mammogram CPT 77067 | $354.90 | $354.90 | $34.60 – $250.56 | 9 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $1,021.95 – $2,200.81 | 8 |
| Shoulder MRI (with and without contrast) CPT 73223 | $2,708.00 | $2,708.00 | $97.62 – $943.20 | 9 |
| Shoulder MRI (with contrast) CPT 73222 | $2,183.30 | $2,183.30 | $73.53 – $943.20 | 9 |
| Shoulder MRI (without contrast) CPT 73221 | $1,366.70 | $1,366.70 | $61.31 – $943.20 | 9 |
| Shoulder X-ray CPT 73030 | $220.70 | $220.70 | $8.65 – $18.29 | 9 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,649.25 | $2,649.25 | $57.08 – $681.20 | 9 |
| Sinus CT scan (with contrast) CPT 70487 | $963.40 | $963.40 | $51.03 – $680.16 | 9 |
| Sinus CT scan (without contrast) CPT 70486 | $799.75 | $799.75 | $38.82 – $564.62 | 9 |
| Skin Biopsy CPT 11102 | not published | not published | $35.72 – $194.03 | 9 |
| Sleep Study (Polysomnography) CPT 95810 | $3,312.90 | $3,312.90 | $111.70 – $2,338.91 | 9 |
| Thyroid (TSH) Test CPT 84443 | $214.55 | $214.55 | $13.59 – $35.20 | 9 |
| Thyroid Ultrasound CPT 76536 | $634.90 | $634.90 | $25.62 – $54.23 | 9 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $248.12 – $530.04 | 8 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $260.52 – $557.83 | 8 |
| Total Hip Replacement CPT 27130 | not published | not published | $1,220.81 – $2,638.68 | 8 |
| Total Knee Replacement CPT 27447 | not published | not published | $1,219.28 – $2,635.28 | 8 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $353.47 – $760.50 | 8 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,191.75 | $2,191.75 | $104.00 – $943.20 | 9 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $1,864.50 | $1,864.50 | $80.55 – $943.20 | 9 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,296.25 | $1,296.25 | $67.03 – $915.15 | 9 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $115.56 – $554.44 | 9 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $129.94 – $724.70 | 9 |
| Urinalysis (with microscopy) CPT 81001 | $150.20 | $150.20 | $2.57 – $22.50 | 9 |
| Urinalysis (without microscopy) CPT 81003 | $59.35 | $59.35 | $1.81 – $22.50 | 9 |
| Urine Culture Test CPT 87086 | $120.00 | $120.00 | $4.35 – $16.91 | 9 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $2,253.53 – $4,935.74 | 8 |
| Vasectomy CPT 55250 | not published | not published | $220.27 – $648.25 | 9 |
| Vitamin D Test CPT 82306 | $167.40 | $167.40 | $18.32 – $157.36 | 9 |
| Wrist X-ray CPT 73110 | $266.20 | $266.20 | $8.00 – $16.95 | 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.