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 |
|---|---|---|---|---|
| Cytopath smear other source CPT 88160 | $75.85 | $75.85 | $11.94 – $53.55 | 9 |
| Cytopath smear other source CPT 88162 | not published | not published | $17.76 – $77.28 | 8 |
| Cytopath smear oth prep screen & interp CPT 88161 | not published | not published | $11.47 – $50.16 | 8 |
| Cytopath tbs c/v auto redo CPT 88166 | not published | not published | $6.54 – $37.28 | 8 |
| Cytopath tbs c/v manual CPT 88164 | not published | not published | $6.54 – $37.28 | 8 |
| Cytopath tbs c/v redo CPT 88165 | not published | not published | $18.44 – $88.47 | 8 |
| Cytopath tbs c/v select CPT 88167 | not published | not published | $6.40 – $37.28 | 8 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $34.35 – $164.70 | 8 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $16.01 – $65.02 | 8 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $22.80 – $95.57 | 8 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $62.41 | $62.41 | $3.60 – $58.92 | 6 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $302.92 – $668.90 | 8 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | not published | not published | $15.29 – $30.84 | 8 |
| Dalteparin sodium HCPCS J1645 | not published | not published | $14.25 – $27.41 | 4 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $93.64 | $93.64 | $0.02 – $62.15 | 6 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.05 – $0.08 | 6 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | not published | not published | $49.05 – $101.59 | 8 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $3,530.83 | $3,530.83 | $2.93 – $622.34 | 9 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $2.93 – $5.87 | 8 |
| Dark field exam spec collj CPT 87164 | not published | not published | $5.79 – $35.34 | 9 |
| Dark field exam without collj CPT 87166 | not published | not published | $6.09 – $23.68 | 8 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $223.52 – $491.07 | 8 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | not published | not published | $19.76 – $46.50 | 8 |
| Daunorubicin citrate inj HCPCS J9151 | not published | not published | $57.66 – $108.44 | 3 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $194.05 – $548.33 | 8 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $174.98 – $531.96 | 9 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $222.48 – $579.51 | 9 |
| Dch glucoscan CPT 82948 | $45.00 | $45.00 | $3.30 – $12.75 | 9 |
| Dch pulmonary stress test CPT 94621 | not published | not published | $64.00 – $135.55 | 8 |
| Dch validity tests CPT 81002 | $16.00 | $16.00 | $2.28 – $9.73 | 9 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $546.96 – $1,229.54 | 8 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $1,669.29 – $3,725.18 | 8 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $262.81 – $559.19 | 8 |
| D&c of cervical stump CPT 57558 | not published | not published | $122.79 – $308.38 | 9 |
| Deamidated gliadin antibody iga CPT 86258 | $34.25 | $34.25 | $5.03 – $32.20 | 9 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $646.83 – $1,416.60 | 8 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | not published | not published | $25.49 – $114.36 | 9 |
| Debridement (>20 cm) charge pt CPT 97598 | $250.70 | $250.70 | $11.38 – $86.73 | 9 |
| Debridement bone <= 20 sq cm CPT 11044 | not published | not published | $211.34 – $600.70 | 9 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | not published | not published | $50.56 – $140.71 | 9 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | not published | not published | $89.87 – $232.57 | 9 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | not published | not published | $57.63 – $250.56 | 9 |
| Debride nail1-5 11720 CPT 11720 | not published | not published | $13.61 – $63.61 | 9 |
| Debride nail6 or more 11721 CPT 11721 | not published | not published | $22.57 – $86.09 | 9 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $280.54 – $964.34 | 9 |
| Debride skin bone at fx site CPT 11012 | not published | not published | $390.45 – $1,255.38 | 9 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $525.63 – $1,146.16 | 8 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $709.10 – $1,560.30 | 8 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | not published | not published | $23.22 – $77.10 | 9 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $49.25 – $151.62 | 9 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | not published | not published | $262.53 – $863.48 | 9 |
| Debr inf skin add-on 11001 CPT 11001 | not published | not published | $13.94 – $52.69 | 9 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $1,287.15 | $1,287.15 | $145.35 – $449.09 | 9 |
| Decalcification CPT 88311 | $127.20 | $127.20 | $5.82 – $89.80 | 9 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | not published | not published | $1.43 – $4.61 | 4 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $393.65 | $393.65 | $30.79 – $277.92 | 9 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $444.40 – $971.30 | 8 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $711.77 – $1,506.07 | 8 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $1,173.20 – $2,530.91 | 8 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $543.28 – $1,175.31 | 8 |
| Decompress fingers/hand CPT 26035 | not published | not published | $828.97 – $1,791.43 | 8 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $1,255.46 – $2,677.32 | 8 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $746.48 – $1,613.84 | 8 |
| Decompression fasct forearm CPT 24495 | not published | not published | $883.68 – $1,877.51 | 8 |
| Decompression of leg CPT 27892 | not published | not published | $514.66 – $1,119.05 | 8 |
| Decompression of leg CPT 27893 | not published | not published | $592.25 – $1,282.41 | 8 |
| Decompression of leg CPT 27894 | not published | not published | $778.30 – $1,687.04 | 8 |
| Decompression of lower leg CPT 27600 | not published | not published | $382.42 – $826.23 | 8 |
| Decompression of lower leg CPT 27601 | not published | not published | $422.40 – $906.90 | 8 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $529.77 – $1,151.59 | 8 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $560.56 – $1,211.92 | 8 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $634.09 – $1,373.22 | 8 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $677.36 – $1,462.01 | 8 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $347.12 – $1,019.59 | 9 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $351.15 – $772.69 | 8 |
| Decompressive craniotomy CPT 61322 | not published | not published | $2,206.61 – $4,930.31 | 8 |
| Decompress optic nerve CPT 67570 | not published | not published | $1,207.64 – $2,539.04 | 8 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $1,515.71 – $3,361.20 | 8 |
| Decompress small bowel CPT 44021 | not published | not published | $910.56 – $1,993.41 | 8 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $1,393.62 – $3,072.47 | 8 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $1,646.96 – $3,642.50 | 8 |
| Decompress spine cord add-on CPT 63066 | not published | not published | $186.14 – $420.24 | 8 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $294.43 – $656.79 | 8 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $144.92 – $587.85 | 9 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | not published | not published | $6.90 – $17.66 | 4 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | not published | not published | $4.14 – $8.47 | 8 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $731.17 – $1,569.10 | 8 |
| Delay flap arms/legs CPT 15610 | not published | not published | $233.48 – $714.41 | 9 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $329.51 – $897.52 | 9 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $312.84 – $867.97 | 9 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $201.77 – $656.59 | 9 |
| Delivery of placenta 59414 CPT 59414 | not published | not published | $82.98 – $185.05 | 8 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $856.75 – $1,908.00 | 8 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | not published | not published | $1,274.68 – $2,826.43 | 8 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | not published | not published | $591.78 – $1,303.40 | 8 |
| Demonstrate use home inr mon HCPCS G0248 | not published | not published | $76.31 – $202.67 | 8 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $492.30 | $492.30 | $15.86 – $347.56 | 9 |
| Denervation of hip joint CPT 27035 | not published | not published | $1,097.29 – $2,312.65 | 8 |
| Dengue vacc quad 3 dose subq CPT 90587 | not published | not published | $73.92 – $160.27 | 3 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $2,851.78 | $2,851.78 | $23.48 – $2,680.67 | 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.