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 sp train/fitting sp device - kx CPT 92609 | $413.40 | $413.40 | $100.92 – $211.47 | 9 |
| Ghs st - eval for alt comm CPT 92567 | not published | not published | $10.28 – $31.48 | 9 |
| Ghs strapping shoulder - 29240 CPT 29240 | not published | not published | $17.08 – $57.18 | 9 |
| Ghs st - re-eval for alt comm CPT 92597 | $548.15 | $548.15 | $70.73 – $149.11 | 9 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $14.89 – $33.21 | 8 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $131.09 – $281.29 | 8 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | not published | not published | $180.80 – $580.15 | 9 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $134.93 – $343.72 | 9 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | not published | not published | $296.89 – $644.60 | 8 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $3.93 – $15.30 | 8 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | not published | not published | $234.27 – $643.10 | 9 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $226.94 – $618.05 | 9 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $13.10 – $53.22 | 8 |
| Ghs urine, porphyrins quant CPT 84120 | $92.80 | $92.80 | $7.93 – $87.23 | 9 |
| Ghs vaginal delivery only CPT 59409 | not published | not published | $735.28 – $1,626.04 | 8 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $1,289.00 | $1,289.00 | $518.18 – $1,714.74 | 9 |
| Ghs windowing of cast CPT 29730 | not published | not published | $42.08 – $127.20 | 9 |
| Giardia ag if CPT 87269 | not published | not published | $6.46 – $28.48 | 7 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $7.94 – $31.30 | 8 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $38.62 – $81.34 | 8 |
| Gi inhouse confirmation CPT 87045 | $126.55 | $126.55 | $5.09 – $118.96 | 9 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $290.03 – $912.94 | 9 |
| Gi protein loss CPT 78282 | not published | not published | $14.47 – $30.51 | 8 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $2,529.65 | $2,529.65 | $106.46 – $1,785.93 | 9 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $114.79 – $241.29 | 8 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $42.84 – $90.15 | 8 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $99.86 – $210.11 | 8 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $44.16 – $211.89 | 7 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $26.87 – $128.79 | 7 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $15.29 – $73.19 | 7 |
| Glassia injection HCPCS J0257 | not published | not published | $5.25 – $10.90 | 8 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $23.92 – $128.09 | 8 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $38.33 – $84.05 | 8 |
| Glaucoma surgery CPT 66150 | not published | not published | $836.18 – $1,763.64 | 8 |
| Glaucoma surgery CPT 66155 | not published | not published | $835.51 – $1,762.28 | 8 |
| Glaucoma surgery CPT 66160 | not published | not published | $940.53 – $1,980.52 | 8 |
| Glaucoma surgery CPT 66170 | not published | not published | $1,042.79 – $2,199.45 | 8 |
| Glove finger flexion right lg xl HCPCS L3912 | not published | not published | $82.58 – $219.08 | 7 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $188.37 – $364.08 | 8 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $513.23 | $513.23 | $123.83 – $482.44 | 9 |
| Glucagon plasma - sendout CPT 82943 | not published | not published | $7.71 – $31.30 | 8 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $24.84 – $100.91 | 8 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $27.23 – $110.62 | 8 |
| Glucagon tolerance test CPT 82946 | not published | not published | $8.12 – $37.24 | 8 |
| Glucose 1 hr post dose CPT 82950 | $166.35 | $166.35 | $3.84 – $156.37 | 9 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $3.26 – $12.75 | 8 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $9.00 | $9.00 | $2.15 – $6.77 | 9 |
| Glucose blood quantitative CPT 82947 | $90.80 | $90.80 | $2.12 – $12.75 | 9 |
| Glucose body fluid CPT 82945 | $233.25 | $233.25 | $2.12 – $219.26 | 9 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $56.58 – $134.21 | 8 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $207.40 | $207.40 | $10.40 – $194.96 | 9 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $17.30 | $17.30 | $3.17 – $16.26 | 9 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $28.21 | $28.21 | $0.43 – $26.52 | 9 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $27.79 – $30.15 | 3 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $11.03 – $20.83 | 8 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $188.05 | $188.05 | $15.02 – $176.77 | 9 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $80.02 – $325.11 | 8 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $187.60 | $187.60 | $14.98 – $176.34 | 9 |
| Gonioscopy CPT 92020 | not published | not published | $19.38 – $52.69 | 9 |
| Goniotomy CPT 65820 | not published | not published | $784.05 – $1,647.05 | 8 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $572.82 – $1,389.82 | 8 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | not published | not published | $30.40 – $60.24 | 4 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $1,309.05 – $2,292.36 | 3 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | not published | not published | $149.15 – $174.25 | 3 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $885.38 – $1,887.67 | 8 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $9,157.00 | $9,157.00 | $31.11 – $8,644.21 | 6 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $762.88 – $2,304.98 | 3 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $4,670.00 | $4,670.00 | $731.52 – $978.13 | 6 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $2,190.00 | $2,190.00 | $17.65 – $23.60 | 6 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | not published | $39.06 – $129.29 | 4 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $176.37 | $176.37 | $103.75 – $208.94 | 5 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $1,027.98 – $2,249.62 | 8 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | not published | not published | $135.45 – $274.29 | 4 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $1,345.00 | $1,345.00 | $45.00 – $1,062.00 | 6 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | not published | not published | $162.08 – $320.39 | 3 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | not published | not published | $97.32 – $345.97 | 4 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $12,670.00 | $12,670.00 | $28.59 – $38.23 | 6 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $1,127.00 | $1,127.00 | $75.06 – $100.37 | 6 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $1.46 – $77.95 | 3 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.30 – $0.44 | 4 |
| Granulocyte pheresis ea unit HCPCS P9050 | not published | not published | $1,345.16 – $1,345.16 | 1 |
| Great toe-hand transfer CPT 26551 | not published | not published | $3,112.26 – $6,719.70 | 8 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $144.62 – $357.21 | 9 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $481.01 – $1,155.15 | 9 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $486.51 – $1,184.06 | 9 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $139.83 – $369.42 | 9 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $460.73 – $988.92 | 8 |
| Ground mileage HCPCS A0425 | not published | not published | $8.94 – $19.17 | 2 |
| Group behave couns 2-10 HCPCS G0473 | not published | not published | $10.93 – $23.78 | 8 |
| Group health education CPT 99078 | not published | not published | $61.04 – $61.04 | 1 |
| Group mnt 2 or more 30 mins HCPCS G0271 | $54.25 | $54.25 | $14.85 – $38.30 | 9 |
| Group train without patient HCPCS G0543 | not published | not published | $10.27 – $21.69 | 6 |
| Growth hormone antibody CPT 86277 | not published | not published | $8.48 – $34.47 | 8 |
| Growth hormone panel CPT 80428 | not published | not published | $35.96 – $146.04 | 8 |
| Growth hormone panel CPT 80430 | not published | not published | $56.48 – $271.00 | 8 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $33.02 – $158.41 | 7 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $5.75 – $40.64 | 7 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $9.49 – $29.97 | 7 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $1,789.05 – $3,925.82 | 8 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $1,199.69 – $2,629.86 | 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.