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 |
|---|---|---|---|---|
| Esoph imped function test CPT 91037 | not published | not published | $46.30 – $97.61 | 8 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $52.47 – $110.47 | 8 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $125.63 – $584.01 | 9 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $127.46 – $272.47 | 8 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $97.83 – $500.48 | 9 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $3,244.15 – $7,136.55 | 8 |
| Esphg thrsc moblj CPT 43288 | not published | not published | $3,426.57 – $7,534.43 | 8 |
| Esphg tot w/laps moblj CPT 43286 | not published | not published | $2,923.06 – $6,422.82 | 8 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $3,112.68 – $6,856.62 | 8 |
| Esrd home pt serv p mo 12-19 CPT 90965 | not published | not published | $475.71 – $1,007.88 | 8 |
| Esrd home pt serv p mo 20+ CPT 90966 | not published | not published | $282.01 – $596.47 | 8 |
| Esrd home pt serv p mo 2-11 CPT 90964 | not published | not published | $493.96 – $1,046.52 | 8 |
| Esrd home pt serv p mo <2yrs CPT 90963 | not published | not published | $575.99 – $1,220.72 | 8 |
| Esrd serv 1 visit p mo 20+ CPT 90962 | not published | not published | $195.22 – $412.11 | 8 |
| Esrd serv 1 visit p mo <2yrs CPT 90953 | not published | not published | $606.13 – $1,138.70 | 3 |
| Esrd serv 1 vst p mo 12-19 CPT 90959 | not published | not published | $311.61 – $659.50 | 8 |
| Esrd serv 2-3 vsts p mo <2yr CPT 90952 | not published | not published | $909.21 – $1,708.05 | 3 |
| Esrd serv 4 visits p mo <2yr CPT 90951 | not published | not published | $1,104.45 – $2,345.19 | 8 |
| Esrd serv 4 vsts p mo 2-11 CPT 90954 | not published | not published | $952.18 – $2,020.52 | 8 |
| Esrd srv 1 visit p mo 2-11 CPT 90956 | not published | not published | $334.03 – $706.27 | 8 |
| Esrd srv 2-3 vsts p mo 12-19 CPT 90958 | not published | not published | $476.66 – $1,009.92 | 8 |
| Esrd srv 2-3 vsts p mo 20+ CPT 90961 | not published | not published | $282.01 – $596.47 | 8 |
| Esrd srv 2-3 vsts p mo 2-11 CPT 90955 | not published | not published | $498.75 – $1,056.02 | 8 |
| Esrd srv 4 visits p mo 20+ CPT 90960 | not published | not published | $339.52 – $718.46 | 8 |
| Esrd srv 4 vsts p mo 12-19 CPT 90957 | not published | not published | $731.36 – $1,550.12 | 8 |
| Esrd svc pr day pt 12-19 CPT 90969 | not published | not published | $16.01 – $33.88 | 8 |
| Esrd svc pr day pt <2 CPT 90967 | not published | not published | $16.66 – $35.25 | 8 |
| Esrd svc pr day pt 20+ CPT 90970 | not published | not published | $9.26 – $19.66 | 8 |
| Esrd svc pr day pt 2-11 CPT 90968 | not published | not published | $16.33 – $34.57 | 8 |
| Essure 58565 CPT 58565 | not published | not published | $434.40 – $3,193.70 | 9 |
| Establish access to aorta CPT 36160 | not published | not published | $113.16 – $1,045.93 | 9 |
| Establish access to artery CPT 36100 | not published | not published | $137.53 – $1,028.69 | 9 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $969.79 – $2,141.18 | 8 |
| Establish brain cavity shunt CPT 62180 | not published | not published | $1,490.22 – $3,325.29 | 8 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $877.72 – $1,946.64 | 8 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $923.38 – $2,069.33 | 8 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $1,284.56 – $2,864.38 | 8 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $910.55 – $2,021.89 | 8 |
| 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 |
| Estim aid bone healg invasiv CPT 20975 | not published | not published | $166.12 – $366.01 | 8 |
| Estradiol total CPT 82670 | $49.25 | $49.25 | $15.07 – $46.35 | 9 |
| Estradiol valerate 10 mg inj HCPCS J1380 | not published | not published | $8.32 – $15.69 | 4 |
| Estrogens total-sendout CPT 82672 | $116.70 | $116.70 | $11.69 – $109.70 | 9 |
| Etanercept injection HCPCS J1438 | not published | not published | $294.85 – $1,113.31 | 8 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $468.15 – $971.90 | 8 |
| Eth estr and eton monthly HCPCS J7295 | not published | not published | $125.17 – $289.67 | 3 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $905.55 – $1,906.66 | 8 |
| Ethylene glycol -sendout CPT 82693 | $44.25 | $44.25 | $8.04 – $41.60 | 9 |
| Etonogestrel implant system HCPCS J7307 | not published | not published | $1,114.33 – $2,422.91 | 3 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $47.20 | $47.20 | $0.88 – $44.56 | 6 |
| Etoposide 50 mg cap HCPCS J8560 | not published | not published | $75.76 – $151.27 | 5 |
| Euflexxa inj per dose HCPCS J7323 | not published | not published | $114.48 – $238.57 | 8 |
| Euglobulin lysis CPT 85360 | not published | not published | $4.53 – $18.39 | 8 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $504.51 – $1,097.36 | 8 |
| Eval aud funcj ea addl 15 CPT 92627 | not published | not published | $16.78 – $39.20 | 9 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $71.67 – $165.76 | 9 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $548.15 | $548.15 | $117.38 – $253.51 | 9 |
| Evaluation cervical mucus CPT 89330 | not published | not published | $5.33 – $21.69 | 8 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $228.45 | $228.45 | $42.84 – $214.74 | 9 |
| Evaluation heart device CPT 93640 | not published | not published | $159.97 – $348.39 | 8 |
| Evaluation of speech fluency 92521 CPT 92521 | $284.20 | $284.20 | $117.38 – $267.46 | 9 |
| Evaluation psychiatric diagnostic CPT 90791 | $366.80 | $366.80 | $142.05 – $299.58 | 9 |
| Evasc prlng admn rx agnt 1st CPT 61650 | not published | not published | $535.15 – $1,193.60 | 8 |
| Evasc prlng admn rx agnt add CPT 61651 | not published | not published | $228.51 – $509.71 | 8 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | not published | not published | $1,107.77 – $2,452.29 | 8 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | not published | not published | $1,111.56 – $2,457.02 | 8 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | not published | not published | $1,604.42 – $3,562.51 | 8 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | not published | not published | $2,039.01 – $4,517.53 | 8 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | not published | not published | $393.91 – $874.36 | 8 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | not published | not published | $1,230.61 – $2,722.72 | 8 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | not published | not published | $2,043.34 – $4,523.65 | 8 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | not published | not published | $1,045.03 – $2,308.58 | 8 |
| Evasc rpr ilio-iliac rpt CPT 34708 | not published | not published | $1,625.76 – $3,609.95 | 8 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | not published | not published | $885.68 – $1,948.00 | 8 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | not published | not published | $704.55 – $1,549.45 | 8 |
| Event monitor CPT 93270 | not published | not published | $7.73 – $16.26 | 8 |
| Evoked auditory tst complete CPT 92588 | not published | not published | $4.80 – $53.96 | 8 |
| Evoked oa emissions ltd CPT 92587 | not published | not published | $3.49 – $34.04 | 8 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $101.25 | $101.25 | $26.61 – $95.58 | 7 |
| Evoked potentials upper limbs CPT 95925 | not published | not published | $25.96 – $54.90 | 8 |
| Evoked potential visual not glaucoma CPT 95930 | not published | not published | $17.43 – $36.61 | 8 |
| Evok oa screening qual CPT 92558 | not published | not published | $8.29 – $17.99 | 5 |
| Ewhfo w/joint(s) cf HCPCS L3766 | not published | not published | $1,147.88 – $3,045.04 | 7 |
| Ewho w/joint(s) cf HCPCS L3764 | $3,799.55 | $3,799.55 | $803.82 – $3,571.58 | 9 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $84.98 – $258.28 | 9 |
| Exam pelvic add-on CPT 99459 | not published | not published | $20.95 – $43.69 | 8 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $100.52 – $216.23 | 8 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $527.27 – $1,138.70 | 8 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $663.59 – $1,435.58 | 8 |
| Exc 1st&/crv rib w/sympth CPT 21616 | not published | not published | $660.00 – $1,451.17 | 8 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $420.28 – $912.31 | 8 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $541.09 – $1,172.58 | 8 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $633.28 – $1,376.62 | 8 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | $1,142.91 – $2,303.24 | 5 |
| Exc abd tum over 10 cm 49205 CPT 49205 | not published | not published | $1,670.95 – $3,365.87 | 5 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $389.11 – $842.51 | 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.