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 |
|---|---|---|---|---|
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | not published | not published | $147.39 – $548.02 | 9 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | not published | not published | $145.45 – $508.18 | 9 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | not published | not published | $139.43 – $509.48 | 9 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | not published | not published | $162.68 – $548.02 | 9 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | not published | not published | $191.85 – $609.70 | 9 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | not published | not published | $187.87 – $599.43 | 9 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | not published | not published | $206.73 – $702.22 | 9 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | not published | not published | $196.98 – $646.96 | 9 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | not published | not published | $205.24 – $740.12 | 9 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | not published | not published | $209.80 – $739.48 | 9 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | not published | not published | $260.35 – $799.23 | 9 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | not published | not published | $286.37 – $972.05 | 9 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | not published | not published | $301.23 – $968.19 | 9 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | not published | not published | $367.69 – $1,119.17 | 9 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | not published | not published | $333.18 – $1,060.08 | 9 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | not published | not published | $390.18 – $1,171.22 | 9 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | not published | not published | $4.64 – $18.81 | 8 |
| Ghs low level laser therapy CPT 97039 | not published | not published | $28.48 – $28.48 | 1 |
| Ghs mbp CPT 83873 | not published | not published | $9.28 – $37.67 | 8 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $556.40 | $556.40 | $22.70 – $116.93 | 9 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $981.55 | $981.55 | $77.37 – $692.97 | 9 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $702.55 | $702.55 | $69.53 – $496.00 | 9 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $389.60 | $389.60 | $10.15 – $275.06 | 9 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $79.45 | $79.45 | $53.99 – $74.77 | 9 |
| Ghs musc test done w/n test comp CPT 95886 | not published | not published | $42.86 – $90.15 | 8 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | not published | not published | $17.43 – $36.61 | 8 |
| Ghs musc tst done w/n tst non ext CPT 95887 | not published | not published | $35.06 – $73.89 | 8 |
| Ghs myocardial strain img spckl track CPT 93356 | $650.10 | $650.10 | $11.13 – $71.31 | 9 |
| Ghs nailbed repair/nail removal CPT 11760 | not published | not published | $105.32 – $357.21 | 9 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $2,257.30 | $2,257.30 | $23.24 – $64.25 | 9 |
| Ghs nerve blk intercostal, single level CPT 64420 | $1,826.80 | $1,826.80 | $55.81 – $188.88 | 9 |
| Ghs nerve block axillary nerve CPT 64417 | $2,524.15 | $2,524.15 | $61.17 – $309.02 | 9 |
| Ghs nerve block brachial plexus CPT 64415 | $2,498.00 | $2,498.00 | $66.01 – $258.28 | 9 |
| Ghs nerve block celiac plexus CPT 64530 | $2,596.95 | $2,596.95 | $90.51 – $440.73 | 9 |
| Ghs nerve block interscaline CPT 64510 | $2,259.25 | $2,259.25 | $73.11 – $282.69 | 9 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $2,256.65 | $2,256.65 | $81.27 – $444.59 | 9 |
| Ghs nerve block sciatic nerve CPT 64445 | $1,990.35 | $1,990.35 | $68.32 – $305.81 | 9 |
| Ghs nerve block suprascapular CPT 64418 | $1,926.85 | $1,926.85 | $52.42 – $166.40 | 9 |
| Ghs ng placement w fluoro guidance CPT 43752 | $719.75 | $719.75 | $37.49 – $508.14 | 9 |
| Ghs o2 saturation CPT 82810 | not published | not published | $4.71 – $20.33 | 8 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $11.78 – $25.08 | 8 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $3.46 – $7.46 | 8 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $45.06 – $140.65 | 6 |
| Ghs opcc repair cvp without subq port CPT 36575 | $2,655.20 | $2,655.20 | $31.34 – $274.97 | 9 |
| Ghs opcc repair cvp w subq port CPT 36576 | $3,389.65 | $3,389.65 | $170.58 – $656.59 | 9 |
| Ghs optokenetic CPT 92544 | not published | not published | $3.49 – $26.98 | 8 |
| Ghs oscillating trac CPT 92545 | not published | not published | $3.49 – $25.05 | 8 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | not published | not published | $21.74 – $60.39 | 9 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | not published | not published | $24.71 – $86.73 | 9 |
| Ghs ot dds rom CPT 95851 | not published | not published | $7.35 – $41.76 | 9 |
| Ghs ot group caregiver training CPT 97552 | $27.45 | $27.45 | $10.27 – $21.69 | 9 |
| Ghs ot prosthetic training/15 min CPT 97761 | $104.55 | $104.55 | $40.61 – $84.72 | 9 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $141.75 | $141.75 | $48.67 – $126.75 | 9 |
| Ghs ot work hardening-additional hours CPT 97546 | $291.20 | $291.20 | $70.79 – $274.89 | 7 |
| Ghs pacing - transcutaneous CPT 92953 | $115.65 | $115.65 | $0.86 – $81.65 | 9 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $1.00 | $1.00 | $0.71 – $65.27 | 9 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $1,204.80 | $1,204.80 | $48.77 – $175.39 | 9 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $17.00 | $17.00 | $8.50 – $50.84 | 9 |
| Ghs peritonsillar abscess i andd CPT 42700 | not published | not published | $131.23 – $373.92 | 9 |
| Ghs phenylketonurid CPT 84030 | $55.50 | $55.50 | $2.97 – $52.17 | 9 |
| Ghs picc line insert < 5 CPT 36568 | $2,411.75 | $2,411.75 | $86.00 – $1,702.70 | 9 |
| Ghs plngl fx pm cl CPT 26725 | not published | not published | $234.27 – $688.09 | 9 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $2.33 – $8.82 | 7 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | not published | not published | $116.36 – $244.68 | 8 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $3.81 – $46.90 | 8 |
| Ghs ppd (tb intradermal) CPT 86580 | $119.00 | $119.00 | $5.43 – $26.63 | 9 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $38.85 | $38.85 | $5.21 – $36.52 | 9 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $2.80 – $11.52 | 8 |
| Ghs protoporphyrins fract CPT 84202 | $31.60 | $31.60 | $7.73 – $29.74 | 9 |
| Ghs pr without cont pulse ox CPT 94625 | $165.30 | $165.30 | $16.47 – $124.21 | 9 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $6.61 – $26.80 | 8 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $582.35 | $582.35 | $117.38 – $549.74 | 7 |
| Ghs quinidine CPT 80194 | not published | not published | $7.87 – $31.97 | 8 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $83.49 – $176.90 | 8 |
| Ghs removal intranasal foreign body CPT 30300 | not published | not published | $117.54 – $407.33 | 9 |
| Ghs removal pharyngeal foreign body CPT 42809 | not published | not published | $120.98 – $402.19 | 9 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $582.18 – $1,231.57 | 8 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $479.47 – $1,038.39 | 8 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $41.30 | $41.30 | $6.94 – $38.82 | 9 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $2.33 – $9.42 | 8 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $535.70 | $535.70 | $6.46 – $503.56 | 9 |
| Ghs sedimentation rate CPT 85651 | not published | not published | $2.87 – $8.82 | 8 |
| Ghs semen analysis fert CPT 89320 | $30.80 | $30.80 | $6.50 – $28.95 | 9 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $4.81 – $20.33 | 8 |
| Ghs sensitivity (per antimicro) CPT 87184 | $161.25 | $161.25 | $3.71 – $151.58 | 9 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | not published | not published | $87.06 – $343.08 | 9 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | not published | not published | $117.35 – $422.75 | 9 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | not published | not published | $107.56 – $395.76 | 9 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $141.63 – $311.78 | 8 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | not published | not published | $68.61 – $276.26 | 9 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | not published | not published | $67.91 – $257.62 | 9 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | not published | not published | $86.61 – $333.45 | 9 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | not published | not published | $133.82 – $449.09 | 9 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $160.28 – $353.14 | 8 |
| Ghs sleep study unattended CPT 95800 | not published | not published | $36.97 – $77.95 | 8 |
| Ghs somatosensory testing lower extremit CPT 95926 | not published | not published | $25.09 – $52.87 | 8 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | not published | not published | $42.74 – $90.15 | 8 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $89.90 | $89.90 | $47.48 – $84.60 | 9 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $98.59 – $280.76 | 9 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $4.14 – $39.83 | 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.