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 |
|---|---|---|---|---|
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $856.69 – $1,892.41 | 8 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | not published | not published | $283.82 – $639.84 | 8 |
| Driver pneumatic vad, rep HCPCS Q0480 | not published | not published | $84,425.73 – $209,543.35 | 7 |
| Drm agrft f/s/n/h/f/g/m ea CPT 15136 | not published | not published | $84.25 – $184.38 | 9 |
| Drm agrft t/a/l ea addl CPT 15131 | not published | not published | $84.25 – $186.95 | 9 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $735.39 – $1,609.11 | 8 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $538.32 – $1,165.15 | 8 |
| Drng of eyelid abscess 67700 CPT 67700 | not published | not published | $110.92 – $544.81 | 9 |
| Drng of finger abscess comp 26011 CPT 26011 | not published | not published | $178.93 – $920.66 | 9 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $80.63 – $232.57 | 9 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $190.60 – $563.44 | 9 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $302.05 – $705.42 | 9 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $475.72 – $1,030.26 | 8 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $406.15 – $876.39 | 8 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $410.42 – $881.82 | 8 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $224.22 – $767.75 | 9 |
| Drng of scrotum abscess 55100 CPT 55100 | not published | not published | $160.75 – $448.43 | 9 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $1,034.74 – $2,257.08 | 8 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $942.71 – $2,058.47 | 8 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $677.07 – $1,458.63 | 8 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $1,489.84 – $3,254.13 | 8 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $151.29 – $418.25 | 9 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $130.71 – $330.86 | 9 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $0.80 – $3.65 | 4 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $53.55 | $53.55 | $6.10 – $50.55 | 6 |
| Drop lock knee HCPCS L2182 | not published | not published | $108.71 – $288.39 | 7 |
| Drop lock retainer each HCPCS L2785 | not published | not published | $30.51 – $80.95 | 7 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $330.01 | $330.01 | $195.68 – $261.65 | 6 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | not published | not published | $12.36 – $24.66 | 4 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | not published | not published | $11.79 – $23.87 | 4 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | not published | not published | $7.84 – $20.20 | 4 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | not published | not published | $25.89 – $33.21 | 2 |
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | not published | not published | $12.15 – $32.02 | 7 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | not published | not published | $188.42 – $188.42 | 1 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | not published | not published | $16.91 – $60.10 | 4 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $2,580.30 | $2,580.30 | $48.58 – $2,435.80 | 6 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | not published | not published | $168.77 – $168.77 | 1 |
| Drug admin & hemodynmic meas CPT 93463 | $1,218.00 | $1,218.00 | $91.33 – $859.91 | 9 |
| Drug assay caffeine CPT 80155 | not published | not published | $16.85 – $80.65 | 7 |
| Drug assay posaconazole CPT 80187 | $164.40 | $164.40 | $11.84 – $154.54 | 9 |
| Drug assay rufinamide CPT 80210 | not published | not published | $11.84 – $56.81 | 7 |
| Drug assay vedolizumab CPT 80280 | $96.40 | $96.40 | $16.85 – $90.62 | 9 |
| Drug assay voriconazole CPT 80285 | $296.60 | $296.60 | $11.84 – $278.80 | 9 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $8.14 – $39.06 | 7 |
| Drug of abuse screen urine CPT 80305 | $32.75 | $32.75 | $8.82 – $26.40 | 9 |
| Drug screening tapentadol CPT 80372 | not published | not published | $5.50 – $50.16 | 3 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $11.84 – $56.81 | 7 |
| Drug/substance nos 4-6 CPT 80376 | not published | not published | $9.75 – $50.16 | 3 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $49.97 – $416.17 | 7 |
| Drug test def 1-7 classes HCPCS G0480 | not published | not published | $49.97 – $239.78 | 4 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $49.97 – $517.15 | 7 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $49.97 – $328.06 | 7 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $31.37 – $130.15 | 7 |
| Drug test prsmv instrmnt CPT 80306 | $50.90 | $50.90 | $7.84 – $47.85 | 9 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $189.40 | $189.40 | $34.85 – $178.04 | 9 |
| Drvvt confirm - quest CPT 85597 | not published | not published | $9.70 – $37.68 | 8 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $242.79 – $565.37 | 9 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $5,074.65 | $5,074.65 | $140.74 – $749.11 | 9 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $193.95 – $549.31 | 9 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $163.99 – $470.93 | 9 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $191.25 – $534.53 | 9 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $259.36 – $685.50 | 9 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $528.19 – $1,263.72 | 8 |
| Ductogram sgl duct CPT 77053 | $1,409.90 | $1,409.90 | $16.32 – $995.39 | 9 |
| Duodenal exclusion CPT 48547 | not published | not published | $1,664.46 – $3,655.38 | 8 |
| Duodenal motility study CPT 91022 | not published | not published | $68.38 – $143.68 | 8 |
| Duplex scan bilateral study 93985 CPT 93985 | not published | not published | $35.18 – $76.59 | 8 |
| Duplex scan unilateral study 93986 CPT 93986 | not published | not published | $21.37 – $46.10 | 8 |
| Dup scan/hemodialysis access 93990 CPT 93990 | not published | not published | $21.26 – $46.10 | 8 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $1,233.10 | $1,233.10 | $22.14 – $870.57 | 9 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,407.45 | $1,407.45 | $35.55 – $993.66 | 9 |
| Duragen 1x1 5ea/bx HCPCS C9354 | not published | not published | $19.38 – $19.38 | 1 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $80.14 – $165.81 | 8 |
| Dxa bone density axl vrt fx CPT 77085 | $397.65 | $397.65 | $13.52 – $28.48 | 9 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $63.98 – $152.27 | 8 |
| Dx aly aud oi snd prcsr each CPT 92623 | not published | not published | $16.78 – $39.20 | 8 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $123.34 – $527.46 | 9 |
| Dx bronchoscope/lavage 31624 CPT 31624 | not published | not published | $125.19 – $490.85 | 9 |
| Dx bronchoscope/wash 31622 CPT 31622 | not published | not published | $123.34 – $480.57 | 9 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $14.78 – $71.46 | 8 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $48.21 – $530.68 | 9 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $72.96 – $712.50 | 9 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $35.64 – $451.66 | 9 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $57.17 – $391.27 | 9 |
| Dx intraop epcar Ultrasound chd i&r CPT 76989 | not published | not published | $33.37 – $72.52 | 8 |
| Dx intraop epicar car Ultrasound chd CPT 76987 | not published | not published | $89.45 – $193.18 | 8 |
| Dx intraop thoracic aorta Ultrasound CPT 76984 | not published | not published | $28.83 – $63.03 | 8 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $148.70 – $319.24 | 8 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $149.35 – $320.60 | 8 |
| Dx ntrop epcr Ultrasound chd img acq CPT 76988 | not published | not published | $56.50 – $122.00 | 8 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $110.36 – $277.54 | 9 |
| Dynamic fine wire emg CPT 96003 | not published | not published | $16.45 – $32.48 | 5 |
| Dynamic surface emg CPT 96002 | not published | not published | $20.45 – $43.38 | 8 |
| Ear and throat examination CPT 92502 | not published | not published | $91.88 – $193.85 | 8 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $61.17 – $279.47 | 9 |
| Ear cartilage graft CPT 21235 | not published | not published | $549.33 – $1,429.48 | 9 |
| Ear irrigation 69209 CPT 69209 | not published | not published | $14.30 – $31.85 | 8 |
| Ear protector evaluation CPT 92596 | not published | not published | $38.33 – $162.67 | 8 |
| Ecallantide injection HCPCS J1290 | not published | not published | $530.91 – $1,113.14 | 8 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $6.37 – $13.56 | 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.