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 |
|---|---|---|---|---|
| Csf leakage imaging CPT 78650 | $3,880.20 | $3,880.20 | $23.22 – $2,739.42 | 9 |
| Csf shunt reprogram 62252 CPT 62252 | not published | not published | $41.13 – $88.02 | 8 |
| Csf ventriculography CPT 78635 | not published | not published | $27.57 – $58.30 | 8 |
| Cstb gene detc abnor allele CPT 81188 | not published | not published | $59.83 – $287.07 | 7 |
| Cstb gene full gene sequence CPT 81189 | not published | not published | $120.02 – $575.89 | 7 |
| Cstb gene known famil vrnt CPT 81190 | not published | not published | $80.88 – $388.07 | 7 |
| CT 3d report other modality w/workstation CPT 76377 | not published | not published | $35.90 – $75.92 | 8 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $530.55 | $530.55 | $85.19 – $374.57 | 9 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $2,229.85 | $2,229.85 | $99.13 – $681.20 | 9 |
| CT Angiogram of the Abdomen CPT 74175 | $2,658.80 | $2,658.80 | $81.94 – $681.20 | 9 |
| CT Angiogram of the Abdomen and Both Legs CPT 75635 | $2,658.80 | $2,658.80 | $106.91 – $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 Angiogram of the Neck CPT 70498 | $2,658.80 | $2,658.80 | $78.93 – $681.20 | 9 |
| CT angio hrt w/3d image CPT 75574 | $500.75 | $500.75 | $108.00 – $228.42 | 9 |
| CT angio pelvis CPT 72191 | $2,658.80 | $2,658.80 | $80.96 – $681.20 | 9 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $1,816.20 | $1,816.20 | $80.96 – $681.20 | 9 |
| CT bone density axial CPT 77078 | $220.00 | $220.00 | $11.24 – $110.00 | 9 |
| CT colonography dx CPT 74261 | not published | not published | $103.85 – $230.46 | 8 |
| CT colonography dx w/dye CPT 74262 | not published | not published | $113.41 – $239.95 | 8 |
| CT colonography screening CPT 74263 | not published | not published | $107.23 – $227.73 | 7 |
| CT guidance for needle placement CPT 77012 | $716.50 | $716.50 | $56.19 – $505.85 | 9 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $945.20 | $945.20 | $52.42 – $667.31 | 9 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $234.27 – $241.29 | 5 |
| CT guid parench tis ablat CPT 77013 | not published | not published | $172.99 – $367.37 | 8 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $245.25 | $245.25 | $26.27 – $55.57 | 9 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | not published | not published | $115.03 – $243.32 | 8 |
| CT hrt w/3d image CPT 75572 | not published | not published | $78.39 – $165.39 | 8 |
| CT limited or localized follow-up study CPT 76380 | not published | not published | $42.91 – $90.82 | 8 |
| Ctlso a-p-l control molded HCPCS L0700 | not published | not published | $1,998.85 – $5,302.46 | 7 |
| Ctlso a-p-l control with inter HCPCS L0710 | not published | not published | $2,156.60 – $5,720.96 | 7 |
| Ctlso axilla sling HCPCS L1010 | not published | not published | $65.91 – $174.89 | 7 |
| Ctlso milwauke initial model HCPCS L1000 | not published | not published | $2,279.70 – $6,047.49 | 7 |
| CT lwr extremity w/o&w/dye CPT 73702 | $548.05 | $548.05 | $54.60 – $386.92 | 9 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | not published | not published | $123.73 – $724.70 | 9 |
| CT scan for localization CPT 77011 | not published | not published | $58.63 – $124.03 | 8 |
| CT scan for therapy guide CPT 77014 | not published | not published | $43.73 – $92.18 | 8 |
| 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 |
| CT t-spine w /wo contrast CPT 72130 | $2,649.25 | $2,649.25 | $57.41 – $681.20 | 9 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,596.55 | $1,596.55 | $54.60 – $681.20 | 9 |
| Cuffs adj lock with active con HCPCS L3740 | not published | not published | $1,240.90 – $3,291.82 | 7 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $167.35 – $2,271.98 | 7 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $167.35 – $2,362.81 | 7 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $697.85 – $1,533.56 | 9 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $602.90 – $1,363.96 | 9 |
| Culture aerobic additional method definitive id each CPT 87077 | $93.60 | $93.60 | $6.53 – $87.98 | 9 |
| Culture afb any source CPT 87116 | $87.45 | $87.45 | $5.83 – $82.20 | 9 |
| Culture anaerobic additional method definitive id each CPT 87076 | $21.00 | $21.00 | $4.36 – $19.74 | 9 |
| Culture anaerobic except blood CPT 87075 | $184.60 | $184.60 | $5.11 – $173.52 | 9 |
| Culture bacteria anaerobic CPT 87073 | not published | not published | $5.09 – $20.24 | 8 |
| Culture bacterial urine HCPCS P7001 | not published | not published | $22.30 – $36.61 | 3 |
| Culture bact stool aero addl path ea CPT 87046 | $61.60 | $61.60 | $5.09 – $57.90 | 9 |
| Culture body fluid CPT 87070 | $145.05 | $145.05 | $4.65 – $18.06 | 9 |
| Culture fungi definitive id mold CPT 87107 | $26.85 | $26.85 | $5.57 – $25.24 | 9 |
| Culture fungi definitive id yeast CPT 87106 | $30.70 | $30.70 | $5.57 – $21.62 | 9 |
| Culture fungi other (except blood) CPT 87102 | $124.25 | $124.25 | $4.53 – $116.80 | 9 |
| Culture fungi skin/hair/nail CPT 87101 | $146.35 | $146.35 | $4.15 – $16.16 | 9 |
| Culture mycobacteria definitive id each isolate CPT 87118 | not published | not published | $6.38 – $30.51 | 8 |
| Culture mycoplasma any source CPT 87109 | not published | not published | $8.30 – $33.69 | 8 |
| Culture of specimen by kit CPT 87084 | not published | not published | $11.82 – $56.72 | 8 |
| Culture quantitative aerobic other source CPT 87071 | not published | not published | $5.09 – $20.72 | 8 |
| Culture screening strep group a CPT 87081 | $47.00 | $47.00 | $3.57 – $13.56 | 9 |
| Culture type pulse field gel CPT 87152 | not published | not published | $3.38 – $16.22 | 8 |
| Culture typing added method CPT 87158 | not published | not published | $3.38 – $16.22 | 8 |
| Culture typing glc/hplc CPT 87143 | not published | not published | $6.75 – $27.45 | 8 |
| Culture typing immunologic CPT 87147 | not published | not published | $2.80 – $11.35 | 8 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | not published | not published | $95.23 – $456.85 | 7 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $87.75 | $87.75 | $18.92 – $82.49 | 9 |
| Culture urine each isolate CPT 87088 | not published | not published | $4.37 – $17.72 | 8 |
| Culture virus isolation CPT 87250 | not published | not published | $10.55 – $42.85 | 8 |
| Curette/treat cornea CPT 65435 | not published | not published | $65.91 – $158.04 | 9 |
| Curette/treat cornea CPT 65436 | not published | not published | $352.60 – $747.61 | 9 |
| Cus elbo skt in for con/atyp HCPCS L6696 | not published | not published | $1,224.27 – $3,247.72 | 7 |
| Cus elbo skt in not con/atyp HCPCS L6697 | not published | not published | $1,224.27 – $3,247.72 | 7 |
| Custom glove for term device HCPCS L6895 | not published | not published | $705.86 – $1,872.48 | 7 |
| Custom shape cover ak HCPCS L5705 | not published | not published | $1,032.71 – $2,739.51 | 7 |
| Custom shape cover bk HCPCS L5704 | not published | not published | $563.30 – $1,494.32 | 7 |
| Custom shape cvr hip disart HCPCS L5707 | not published | not published | $1,353.28 – $3,589.94 | 7 |
| Custom shape cvr knee disart HCPCS L5706 | not published | not published | $1,007.29 – $2,672.08 | 7 |
| Cutter lead HCPCS C1773 | $1,596.55 | $1,596.55 | $84.72 – $113.28 | 6 |
| Cv line/pic reposition CPT 36597 | $2,655.20 | $2,655.20 | $55.96 – $211.36 | 9 |
| Cv stress test i&r only 93018 CPT 93018 | not published | not published | $13.52 – $28.48 | 8 |
| Cv stress test/supervision only 93016 CPT 93016 | not published | not published | $20.01 – $42.01 | 8 |
| Cyanocobalamin unsat binding capacity CPT 82608 | not published | not published | $7.72 – $31.35 | 8 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $34.81 | $34.81 | $1.11 – $32.86 | 6 |
| Cyclic citrullinated peptide antibody CPT 86200 | $139.35 | $139.35 | $6.98 – $130.99 | 9 |
| Cyclophosphamide 100 mg inj HCPCS J9070 | not published | not published | $17.94 – $127.78 | 4 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | not published | not published | $0.62 – $1.74 | 6 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | not published | not published | $0.62 – $1.66 | 4 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | not published | not published | $39.89 – $141.06 | 4 |
| Cyclosporine 2 hour CPT 80158 | $65.60 | $65.60 | $9.73 – $61.66 | 9 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | not published | not published | $0.76 – $1.63 | 4 |
| Cyclosporine oral 100 mg HCPCS J7502 | not published | not published | $2.19 – $4.34 | 4 |
| Cygnus matrix, per sq cm HCPCS Q4199 | not published | not published | $273.20 – $719.15 | 4 |
| Cygnus, per sq cm HCPCS Q4170 | not published | not published | $45.56 – $276.53 | 4 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $2,875.00 | $2,875.00 | $2,029.75 – $2,714.00 | 6 |
| Cymetra injectable HCPCS Q4112 | not published | not published | $872.08 – $872.08 | 2 |
| Cyp2c19 gene com variants CPT 81225 | not published | not published | $127.24 – $610.53 | 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.