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 |
|---|---|---|---|---|
| Facial nerve function test CPT 92516 | not published | not published | $21.42 – $139.42 | 9 |
| Facility svs dental rehab HCPCS G0330 | not published | not published | $3,167.18 – $3,262.20 | 5 |
| Factor ix CPT 85250 | $113.55 | $113.55 | $10.26 – $106.74 | 9 |
| Factor ix alprolix recomb HCPCS J7201 | not published | not published | $3.11 – $7.06 | 8 |
| Factor ix complex HCPCS J7194 | not published | not published | $1.17 – $3.27 | 8 |
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $4.94 – $10.29 | 8 |
| Factor ix non-recombinant HCPCS J7193 | not published | not published | $1.05 – $2.66 | 8 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $4.41 – $8.70 | 8 |
| Factor ix recombinan rixubis HCPCS J7200 | not published | not published | $1.37 – $3.27 | 5 |
| Factor ix recombinant nos HCPCS J7195 | not published | not published | $1.41 – $3.65 | 8 |
| Factor viia recomb sevenfact HCPCS J7212 | not published | not published | $1.95 – $4.65 | 5 |
| Factor viii CPT 85240 | $75.70 | $75.70 | $9.65 – $71.16 | 9 |
| Factor viii HCPCS J7190 | not published | not published | $0.97 – $2.20 | 8 |
| Factor viii fc fusion recomb HCPCS J7205 | not published | not published | $2.06 – $4.63 | 8 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $1.18 – $2.45 | 8 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $1.97 – $4.15 | 8 |
| Factor viii recombinant nos HCPCS J7192 | not published | not published | $1.22 – $3.04 | 8 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $1.28 – $2.83 | 8 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $3.22 – $6.39 | 8 |
| Factor xiii anti-hem factor HCPCS J7180 | not published | not published | $9.68 – $20.70 | 8 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $16.84 – $33.95 | 8 |
| Fallopian tube recnl CPT 58345 | not published | not published | $274.41 – $591.04 | 8 |
| Fam adapt bhv tx gdn phy/qhp CPT 97156 | not published | not published | $28.78 – $71.85 | 7 |
| Family therapy without pt 50min 90846 CPT 90846 | $416.25 | $416.25 | $95.17 – $206.04 | 9 |
| Family therapy with patient 50 min 90847 CPT 90847 | $298.15 | $298.15 | $99.25 – $214.87 | 9 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $28.21 | $28.21 | $1.58 – $2.11 | 6 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | not published | not published | $26.14 – $56.95 | 8 |
| Fancc gene CPT 81242 | $158.10 | $158.10 | $15.99 – $148.61 | 9 |
| Fasciotomy hip/thigh any typ CPT 27025 | not published | not published | $885.72 – $1,939.87 | 8 |
| Fat/lipids feces qualitative CPT 82705 | $15.20 | $15.20 | $2.75 – $14.29 | 9 |
| Fatty acids nonesterified CPT 82725 | not published | not published | $8.20 – $39.31 | 8 |
| Fda ide #g240020 carry bag HCPCS Q0499 | not published | not published | $156.44 – $412.07 | 7 |
| Fecal bilirubin test CPT 82252 | not published | not published | $2.46 – $9.93 | 8 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | not published | not published | $62.98 – $125.73 | 8 |
| Fecal microbiota prep instil HCPCS G0455 | not published | not published | $66.38 – $252.49 | 8 |
| #fecal-sodium CPT 84302 | $53.80 | $53.80 | $2.62 – $50.57 | 9 |
| Feeding tube reposition CPT 74355 | not published | not published | $34.60 – $73.19 | 8 |
| Fees w/laryngeal sense i&r CPT 92617 | not published | not published | $38.51 – $81.34 | 9 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $95.34 – $440.73 | 9 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $96.60 | $96.60 | $8.14 – $90.80 | 9 |
| Fem focal defic constant fri HCPCS L5230 | not published | not published | $3,784.13 – $10,038.37 | 7 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $209.02 – $464.29 | 8 |
| Femoral lgth sock fx or equa HCPCS L2850 | not published | not published | $70.55 – $187.12 | 7 |
| Fem/popl revasc w/stent CPT 37226 | $30,622.00 | $30,622.00 | $464.47 – $15,277.19 | 9 |
| Fem urinary collect pouch HCPCS A4328 | not published | not published | $9.87 – $25.96 | 7 |
| Feno poc CPT 95012 | not published | not published | $17.43 – $37.95 | 8 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $219.12 | $219.12 | $0.84 – $9.08 | 6 |
| Fern test HCPCS Q0114 | $67.70 | $67.70 | $4.26 – $20.33 | 9 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | not published | not published | $1.13 – $2.18 | 8 |
| Ferritin CPT 82728 | $187.25 | $187.25 | $7.35 – $176.02 | 9 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | not published | not published | $0.31 – $0.75 | 8 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $0.31 – $0.75 | 8 |
| Fetal aneuploidy trisom risk CPT 81507 | not published | not published | $704.21 – $1,665.87 | 7 |
| Fetal biophys profile w/nst 76818 CPT 76818 | not published | not published | $47.81 – $100.31 | 8 |
| Fetal chrmoml microdeltj CPT 81422 | not published | not published | $331.49 – $1,590.54 | 7 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $2,255.30 | $2,255.30 | $704.21 – $2,119.98 | 9 |
| Fetal contract stress test 59020 - 26 CPT 59020 | not published | not published | $33.47 – $70.67 | 8 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $184.08 – $408.71 | 8 |
| Fetal fibronectin CPT 82731 | $763.25 | $763.25 | $34.73 – $717.46 | 9 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $283.11 – $743.34 | 9 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $119.90 | $119.90 | $4.17 – $112.71 | 9 |
| Fetal hemoglobin rosette CPT 85461 | $27.80 | $27.80 | $4.08 – $26.13 | 9 |
| Fetal lung maturity assess lam body dnst CPT 83664 | not published | not published | $10.20 – $40.48 | 8 |
| Fetal monitor/interpret only CPT 59051 | not published | not published | $38.10 – $84.72 | 8 |
| Fetal monitor w/report CPT 59050 | not published | not published | $45.65 – $101.67 | 8 |
| Fetal non stress test CPT 59025 | $446.45 | $446.45 | $19.85 – $315.19 | 9 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $102.31 – $227.73 | 8 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $297.07 – $1,058.72 | 8 |
| #_fet/norfentcnfrmur CPT 80354 | $59.45 | $59.45 | $6.61 – $117.86 | 9 |
| Fiasp for insulin pump use HCPCS J1811 | not published | not published | $6.80 – $15.61 | 8 |
| Fibrin degradation d dimer quantitative CPT 85379 | $111.55 | $111.55 | $5.48 – $104.86 | 9 |
| Fibrin degradation products CPT 85362 | not published | not published | $3.71 – $15.11 | 8 |
| Fibrin degrade semiquant CPT 85378 | not published | not published | $4.25 – $20.33 | 8 |
| Fibrin degradj d-dimer CPT 85380 | not published | not published | $5.48 – $21.02 | 7 |
| Fibrinogen activity CPT 85384 | $302.10 | $302.10 | $4.59 – $283.97 | 9 |
| Fibrinogen test CPT 85370 | not published | not published | $6.12 – $25.75 | 8 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $38.70 | $38.70 | $6.76 – $36.38 | 9 |
| Fibrinolytic antiplasmin CPT 85410 | not published | not published | $4.15 – $16.90 | 8 |
| Fibrinolytic plasmin CPT 85400 | not published | not published | $4.15 – $19.38 | 8 |
| Fibrinolytic plasminogen CPT 85415 | not published | not published | $9.27 – $37.66 | 8 |
| Fibrinolytic plasminogen CPT 85421 | not published | not published | $5.49 – $22.29 | 8 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $85.45 | $85.45 | $3.52 – $80.32 | 9 |
| Fibula bone graft microvasc CPT 20955 | not published | not published | $2,311.49 – $4,968.95 | 8 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | not published | not published | $0.28 – $0.57 | 8 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $1,141.77 | $1,141.77 | $0.99 – $1,073.26 | 9 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | not published | not published | $0.22 – $0.71 | 8 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $642.36 – $1,363.73 | 8 |
| Filtered speech hearing test CPT 92571 | not published | not published | $28.07 – $64.39 | 8 |
| Filters elec/combo vad, rep HCPCS Q0500 | not published | not published | $28.64 – $75.41 | 7 |
| Filter vena cava fem denali HCPCS C1880 | $1,225.00 | $1,225.00 | $864.85 – $1,156.40 | 6 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $775.98 – $1,673.50 | 8 |
| Finasteride, 5 mg HCPCS S0138 | not published | not published | $0.16 – $4.07 | 2 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | not published | not published | $83.72 – $585.28 | 9 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | not published | not published | $48.44 – $271.77 | 9 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | not published | not published | $40.75 – $100.87 | 9 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $1.15 | $1.15 | $0.81 – $53.95 | 9 |
| Fine needle asp without image guide 10021 CPT 10021 | not published | not published | $51.89 – $195.31 | 9 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | not published | not published | $425.89 – $1,129.77 | 7 |
| Finger tendon transfer CPT 26497 | not published | not published | $871.21 – $1,859.20 | 8 |
| Finger tendon transfer CPT 26498 | not published | not published | $1,129.39 – $2,419.08 | 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.