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 |
|---|---|---|---|---|
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | not published | not published | $22.80 – $694.50 | 9 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | not published | not published | $23.57 – $82.87 | 9 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | not published | not published | $25.51 – $98.29 | 9 |
| Wrist arthroscopy CPT 29840 | not published | not published | $437.31 – $954.35 | 8 |
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $469.77 – $1,019.41 | 8 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $483.82 – $1,047.89 | 8 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $566.56 – $1,222.75 | 8 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $505.94 – $1,091.93 | 8 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $525.24 – $1,135.31 | 8 |
| Wrist/elbow bowden cable mol HCPCS L6580 | not published | not published | $1,537.85 – $4,079.54 | 7 |
| Wrist/elbow bowden cbl dir f HCPCS L6582 | not published | not published | $1,360.88 – $3,610.12 | 7 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $494.77 – $1,074.31 | 8 |
| Wrist X-ray CPT 73110 | $266.20 | $266.20 | $8.00 – $16.95 | 9 |
| Wrist X-ray (2 views, both wrists) CPT 73100 | $228.05 | $228.05 | $7.68 – $16.26 | 9 |
| Wrst mld sck flx hng tri pad HCPCS L6050 | not published | not published | $1,995.21 – $5,292.82 | 7 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $865.40 – $1,746.78 | 8 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $710.03 – $1,497.25 | 8 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $651.93 – $1,375.93 | 8 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $706.20 – $1,420.75 | 8 |
| Xcellistem, 1 mg HCPCS A2004 | not published | not published | $13.26 – $300.95 | 2 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $814.52 – $1,718.22 | 8 |
| Xe133 xenon 10mci HCPCS A9558 | not published | not published | $236.01 – $580.37 | 9 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | not published | not published | $598.54 – $1,472.54 | 9 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | not published | not published | $541.84 – $1,364.60 | 9 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $914.00 – $1,915.23 | 7 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $914.00 – $1,915.23 | 7 |
| Xm archive tissue molec anal CPT 88363 | not published | not published | $15.46 – $44.33 | 9 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | not published | not published | $334.87 – $740.15 | 8 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | not published | not published | $183.39 – $407.35 | 8 |
| X-ray abdomen >=3 views CPT 74021 | $323.75 | $323.75 | $12.22 – $228.57 | 9 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $2,304.00 | $2,304.00 | $25.63 – $1,626.62 | 9 |
| X-ray assay calculus CPT 82370 | not published | not published | $6.75 – $27.45 | 8 |
| X-ray bone length studies CPT 77073 | $663.00 | $663.00 | $12.44 – $26.44 | 9 |
| X-ray bone survey infant CPT 77076 | $421.20 | $421.20 | $32.00 – $297.37 | 9 |
| X-ray consultation CPT 76140 | not published | not published | $36.63 – $36.63 | 1 |
| Xray endovasc thor ao repr CPT 75956 | not published | not published | $301.98 – $663.56 | 8 |
| Xray endovasc thor ao repr CPT 75957 | not published | not published | $258.96 – $568.68 | 8 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $632.15 | $632.15 | $16.44 – $34.57 | 9 |
| X-ray exam entire spi 6/> vw CPT 72084 | $632.15 | $632.15 | $19.25 – $40.67 | 9 |
| X-ray exam of arm infant CPT 73092 | $663.00 | $663.00 | $7.35 – $15.59 | 9 |
| X-ray exam of femur 1 CPT 73551 | $200.25 | $200.25 | $7.68 – $16.26 | 9 |
| X-ray exam of jaw joint CPT 70328 | not published | not published | $8.33 – $17.62 | 8 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $24.65 – $52.20 | 8 |
| X-ray exam of mastoids CPT 70120 | $456.50 | $456.50 | $8.33 – $322.29 | 9 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $16.45 – $34.57 | 8 |
| X-ray exam of penis CPT 74445 | not published | not published | $49.59 – $101.51 | 8 |
| X-ray exam of perineum CPT 74775 | not published | not published | $28.22 – $59.64 | 8 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $7.68 – $16.26 | 8 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $13.73 – $29.15 | 8 |
| X-ray exam of teeth CPT 70300 | not published | not published | $4.76 – $10.16 | 8 |
| X-ray exam of teeth CPT 70310 | not published | not published | $7.63 – $16.26 | 8 |
| X-ray exam si joints CPT 72200 | $334.40 | $334.40 | $7.98 – $16.95 | 9 |
| X-ray exam thorac spine4/>vw CPT 72074 | $304.75 | $304.75 | $11.24 – $215.15 | 9 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $663.00 | $663.00 | $8.33 – $468.08 | 9 |
| X-ray fallopian tube CPT 74742 | not published | not published | $27.57 – $58.30 | 8 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $8.29 – $17.62 | 8 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $331.40 | $331.40 | $12.76 – $27.11 | 9 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $632.15 | $632.15 | $14.38 – $30.51 | 9 |
| X-ray joint survey 1 view CPT 77077 | $39.00 | $39.00 | $15.68 – $33.21 | 9 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $209.10 | $209.10 | $7.35 – $15.59 | 9 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $208.10 | $208.10 | $10.27 – $146.92 | 9 |
| X-ray male genital tract CPT 74440 | not published | not published | $17.09 – $35.92 | 8 |
| X-ray mandible ltd <4 views CPT 70100 | $663.00 | $663.00 | $8.33 – $468.08 | 9 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $15.95 – $24.10 | 2 |
| X-ray nose to rectum for foreign body child CPT 76010 | $663.00 | $663.00 | $8.33 – $468.08 | 9 |
| X-ray of mammary ducts CPT 77054 | $1,452.30 | $1,452.30 | $20.22 – $1,025.32 | 9 |
| X-ray optic foramina CPT 70190 | $443.10 | $443.10 | $10.28 – $312.83 | 9 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $150.34 – $330.09 | 8 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $171.57 – $377.53 | 8 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $1,503.55 | $1,503.55 | $20.00 – $49.47 | 9 |
| X-ray ribs 2 views left CPT 71100 | $564.00 | $564.00 | $10.27 – $21.69 | 9 |
| X-ray sella turcica CPT 70240 | not published | not published | $8.65 – $18.29 | 8 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $1,157.40 | $1,157.40 | $23.55 – $817.12 | 9 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $26.27 – $55.57 | 8 |
| X-ray small intestine follow-through study CPT 74248 | $1.15 | $1.15 | $0.81 – $36.42 | 9 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $663.00 | $663.00 | $9.95 – $21.02 | 9 |
| X-ray surgical specimen CPT 76098 | $663.00 | $663.00 | $11.31 – $468.08 | 9 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $200.25 | $200.25 | $11.90 – $25.08 | 9 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $26.60 – $56.26 | 8 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $190.45 – $544.27 | 8 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $68.57 – $143.01 | 8 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $1,479.00 – $6,263.55 | 3 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $6.39 – $27.05 | 8 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.29 – $2.95 | 8 |
| Yersinia antibody CPT 86793 | not published | not published | $7.11 – $27.64 | 8 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $56,824.55 – $117,397.00 | 8 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $236.09 – $627.10 | 4 |
| Ziconotide injection HCPCS J2278 | not published | not published | $9.04 – $19.32 | 8 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $1.51 – $3.00 | 4 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $1.55 – $2.70 | 2 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $27.67 – $107.52 | 7 |
| Zika virus igm antibody CPT 86794 | not published | not published | $9.08 – $35.25 | 7 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | not published | not published | $1.40 – $3.67 | 7 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $220.45 | $220.45 | $8.08 – $208.10 | 6 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $7.09 – $15.78 | 8 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | not published | not published | $33.56 – $34.56 | 5 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $615.87 | $615.87 | $5.73 – $581.38 | 6 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $238.19 – $337.52 | 3 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $84.40 – $404.65 | 7 |
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.