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 |
|---|---|---|---|---|
| Fusion of skull arteries CPT 61711 | not published | not published | $2,408.54 – $5,391.22 | 8 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $763.26 – $1,632.83 | 8 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $1,004.98 – $2,151.34 | 8 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $666.88 – $1,443.04 | 8 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $622.89 – $1,343.40 | 8 |
| Fusion of thumb CPT 26841 | not published | not published | $747.13 – $1,588.76 | 8 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $664.96 – $1,427.45 | 8 |
| Fusion of toes CPT 28280 | not published | not published | $332.06 – $973.98 | 9 |
| Fusion of ureter & bowel CPT 50810 | not published | not published | $1,316.89 – $2,882.00 | 8 |
| Fusion of ureter & kidney CPT 50740 | not published | not published | $1,145.53 – $2,509.89 | 8 |
| Fusion of ureter & kidney CPT 50750 | not published | not published | $1,091.30 – $2,337.73 | 8 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $120.02 – $575.89 | 7 |
| Fxn gene detc abnor alleles CPT 81284 | not published | not published | $59.83 – $287.07 | 7 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $120.02 – $575.89 | 7 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $80.88 – $388.07 | 7 |
| G0180 home health certification HCPCS G0180 | not published | not published | $50.34 – $109.13 | 8 |
| G6pc gene CPT 81250 | not published | not published | $25.55 – $122.56 | 7 |
| G6pd full gene sequence CPT 81249 | not published | not published | $262.03 – $1,257.26 | 7 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $76.34 – $366.01 | 7 |
| G6pd known familial variant CPT 81248 | not published | not published | $163.88 – $786.25 | 7 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | not published | not published | $34.12 – $137.72 | 9 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | not published | not published | $51.09 – $116.42 | 8 |
| Gabapentin non-blood CPT 80355 | not published | not published | $4.08 – $50.16 | 3 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | not published | not published | $0.31 – $0.54 | 4 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | not published | not published | $1.50 – $2.93 | 4 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $922.00 | $922.00 | $0.12 – $217.59 | 6 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | not published | not published | $14.73 – $29.06 | 4 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | not published | not published | $11.35 – $46.13 | 8 |
| Galactokinase - sendout CPT 82759 | not published | not published | $11.58 – $47.06 | 8 |
| Galactose transferase test CPT 82776 | not published | not published | $5.13 – $24.39 | 8 |
| Galectin-3 CPT 82777 | not published | not published | $19.32 – $92.72 | 7 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $1,348.35 | $1,348.35 | $32.97 – $951.94 | 9 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $1,402.40 | $1,402.40 | $40.11 – $990.09 | 9 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $622.42 – $1,359.67 | 8 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $4.05 – $7,623.03 | 7 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $372.17 – $1,653.93 | 8 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $534.91 – $1,689.21 | 8 |
| Gallium illuccix 1 millicure HCPCS A9596 | not published | not published | $511.55 – $2,150.02 | 8 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $840.48 – $1,830.24 | 8 |
| Gallium nitrate injection HCPCS J1457 | not published | not published | $2.08 – $2.70 | 3 |
| Galsulfase injection HCPCS J1458 | not published | not published | $441.56 – $958.60 | 5 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $167.06 – $976.87 | 8 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $48.42 – $97.69 | 8 |
| Gammaglobulin iga CPT 82784 | $46.05 | $46.05 | $5.01 – $43.29 | 9 |
| Gammaglobulin ige CPT 82785 | $36.20 | $36.20 | $8.88 – $34.07 | 9 |
| Gamma glutamyltransferase CPT 82977 | $62.00 | $62.00 | $5.82 – $58.28 | 9 |
| Gammagraft HCPCS Q4111 | not published | not published | $7.14 – $14.48 | 4 |
| Gammaplex injection HCPCS J1557 | not published | not published | $54.57 – $112.21 | 8 |
| Gamunex-c/gammaked HCPCS J1561 | not published | not published | $48.03 – $96.87 | 8 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | not published | not published | $32.01 – $56.83 | 4 |
| Ganciclovir long act implant HCPCS J7310 | not published | not published | $8,601.28 – $16,960.00 | 3 |
| Gardner vag dna amp probe CPT 87511 | $65.30 | $65.30 | $18.92 – $61.45 | 9 |
| Gardner vag dna quant CPT 87512 | not published | not published | $22.51 – $91.41 | 8 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $2.94 – $14.06 | 7 |
| Gastric emptying imag study CPT 78265 | $1,094.60 | $1,094.60 | $43.35 – $772.79 | 9 |
| Gastric emptying imag study CPT 78266 | $1,453.30 | $1,453.30 | $46.26 – $1,026.03 | 9 |
| Gastric motility studies CPT 91020 | not published | not published | $68.38 – $143.68 | 8 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $26.13 – $54.90 | 8 |
| Gastrin test CPT 82938 | not published | not published | $9.54 – $38.75 | 8 |
| Gastroduodenostomy CPT 43810 | not published | not published | $950.41 – $2,084.22 | 8 |
| Gastroesophageal reflux study CPT 78262 | $3,459.90 | $3,459.90 | $30.82 – $2,442.69 | 9 |
| Gastroesophageal reflux test CPT 91034 | not published | not published | $46.51 – $98.28 | 8 |
| Gastrointestinal repair CPT 43360 | not published | not published | $2,056.08 – $4,522.96 | 8 |
| Gastrointestinal repair CPT 43361 | not published | not published | $2,506.28 – $5,503.74 | 8 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $1,256.60 – $2,751.87 | 8 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $1,224.48 – $2,685.45 | 8 |
| Gastro/jejuno tube, std HCPCS B4087 | not published | not published | $35.83 – $75.08 | 6 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $1,827.72 – $4,010.54 | 8 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $578.85 – $1,256.63 | 8 |
| Gated heart multiple CPT 78473 | $155.00 | $155.00 | $65.30 – $137.59 | 9 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | $4.00 | $4.00 | $1.95 – $7.10 | 9 |
| Gauze >16 <=48 sq in w/bordr HCPCS A6220 | not published | not published | $2.88 – $7.59 | 7 |
| Gauze <=16 in no w/sal without b HCPCS A6222 | not published | not published | $2.37 – $6.24 | 7 |
| Gauze <= 16 sq in w/border HCPCS A6219 | not published | not published | $1.06 – $2.79 | 7 |
| Gauze > 48 in no w/sal without b HCPCS A6224 | not published | not published | $4.00 – $10.54 | 7 |
| Gba gene CPT 81251 | $158.10 | $158.10 | $47.25 – $148.61 | 9 |
| Gc stocking full lngth 18-30 HCPCS A6536 | not published | not published | $72.01 – $150.89 | 7 |
| Gc stocking full lngth 30-40 HCPCS A6537 | not published | not published | $75.03 – $178.89 | 7 |
| Gc stocking full lngth 40+ HCPCS A6538 | not published | not published | $75.03 – $209.44 | 7 |
| Gc stocking thighlngth 18-30 HCPCS A6533 | not published | not published | $53.42 – $111.94 | 7 |
| Gc stocking thighlngth 30-40 HCPCS A6534 | not published | not published | $61.00 – $127.82 | 7 |
| Gc stocking thighlngth 40+ HCPCS A6535 | not published | not published | $58.52 – $147.16 | 7 |
| Gc stocking waistlngth 18-30 HCPCS A6539 | not published | not published | $95.29 – $199.67 | 7 |
| Gc stocking waistlngth 30-40 HCPCS A6540 | not published | not published | $113.61 – $238.06 | 7 |
| Gc stocking waistlngth 40+ HCPCS A6541 | not published | not published | $134.58 – $282.00 | 7 |
| Gefitinib oral HCPCS J8565 | not published | not published | $108.44 – $143.39 | 3 |
| Gel cap app device for trach HCPCS L8515 | not published | not published | $58.74 – $155.80 | 7 |
| Gel cap for trach voice pros HCPCS L8512 | not published | not published | $2.01 – $5.32 | 7 |
| Gel-one HCPCS J7326 | not published | not published | $497.29 – $1,040.55 | 8 |
| Gel-syn injection 0.1 mg HCPCS J7328 | not published | not published | $0.49 – $1.11 | 5 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $867.41 | $867.41 | $3.30 – $215.35 | 6 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $221.84 – $460.83 | 8 |
| General health panel CPT 80050 | $400.50 | $400.50 | $18.95 – $378.07 | 7 |
| Generator barostim neo2 2014 HCPCS C1767 | $17,100.00 | $17,100.00 | $7,554.20 – $10,100.80 | 6 |
| Genetic counseling 30 min CPT 96040 | not published | not published | $45.32 – $99.58 | 3 |
| Genetic tstg severe inh cond CPT 81443 | not published | not published | $1,069.33 – $5,130.80 | 7 |
| Genioplasty augmentation CPT 21120 | not published | not published | $486.42 – $1,281.07 | 9 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $811.85 – $1,717.54 | 8 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $514.02 – $1,220.68 | 9 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $717.46 – $1,530.46 | 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.