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 |
|---|---|---|---|---|
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $1,540.81 – $3,378.83 | 8 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $1,684.16 – $3,695.36 | 8 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $1,123.03 – $2,344.52 | 4 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $662.31 – $1,443.04 | 8 |
| G-tube reposition CPT 43761 | not published | not published | $96.13 – $237.71 | 9 |
| Gu dilat ureter/urethra s&i CPT 74485 | $3,416.60 | $3,416.60 | $37.30 – $2,412.12 | 9 |
| Guided cath fluid drainage 10030 CPT 10030 | $2,232.30 | $2,232.30 | $126.20 – $1,220.05 | 9 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | not published | not published | $527.76 – $1,400.02 | 7 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $320.00 | $320.00 | $6.30 – $8.42 | 6 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $40.00 | $40.00 | $23.27 – $31.11 | 6 |
| Guid loc target vol rad tx CPT 77387 | not published | not published | $40.96 – $246.70 | 3 |
| Gum graft CPT 41870 | not published | not published | $406.37 – $1,490.02 | 7 |
| Gw stiffened micro access kit HCPCS C1894 | $1,200.00 | $1,200.00 | $5.93 – $7.93 | 6 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $414.46 – $1,118.53 | 9 |
| Hair analysis HCPCS P2031 | not published | not published | $4.95 – $10.16 | 7 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $88.87 – $615.74 | 7 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $241.91 – $725.99 | 9 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $330.48 – $981.69 | 9 |
| Hallus-valgus nt dyn pre ots HCPCS L3100 | not published | not published | $40.17 – $106.53 | 7 |
| Halo cervical into body jack HCPCS L0820 | not published | not published | $2,563.01 – $6,799.06 | 7 |
| Halo cervical into jckt vest HCPCS L0810 | not published | not published | $3,009.62 – $7,983.80 | 7 |
| Halo cerv into milwaukee typ HCPCS L0830 | not published | not published | $3,333.28 – $8,842.40 | 7 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | not published | not published | $6.53 – $10.96 | 4 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $12.07 | $12.07 | $1.16 – $11.39 | 6 |
| Halo repl liner/interface HCPCS L0861 | not published | not published | $200.21 – $531.11 | 7 |
| Hand-held pefr meter a4614 HCPCS A4614 | not published | not published | $26.44 – $69.63 | 7 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $7.92 – $10.85 | 3 |
| Hand orthosis metacarpal fracture orthosis prefa l3918 HCPCS L3918 | not published | not published | $89.34 – $237.01 | 7 |
| Hand restoration multiple fi HCPCS L6905 | not published | not published | $1,391.98 – $3,692.60 | 7 |
| Hand restoration no fingers HCPCS L6910 | not published | not published | $1,356.07 – $3,597.34 | 7 |
| Hand restoration replacmnt g HCPCS L6915 | not published | not published | $637.18 – $1,690.30 | 7 |
| Hand restorat thumb/1 finger HCPCS L6900 | not published | not published | $1,432.04 – $3,798.86 | 7 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $120.45 | $120.45 | $26.66 – $85.04 | 9 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $812.51 – $1,731.77 | 8 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $642.09 – $1,413.20 | 8 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $729.19 – $1,551.48 | 8 |
| Hand X-ray CPT 73130 | $230.60 | $230.60 | $8.00 – $16.95 | 9 |
| Hand X-ray (2 views, both hands) CPT 73120 | $199.65 | $199.65 | $7.68 – $16.26 | 9 |
| Haptoglobin quantitative CPT 83010 | $31.00 | $31.00 | $6.78 – $29.14 | 9 |
| Harness chest/shlder saddle HCPCS L6672 | not published | not published | $159.86 – $424.07 | 7 |
| Harness figure of 8 dual con HCPCS L6676 | not published | not published | $120.27 – $319.05 | 7 |
| Harness figure of 8 sing con HCPCS L6675 | not published | not published | $151.81 – $402.72 | 7 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $79.45 – $168.10 | 8 |
| Harvest auto stem cells CPT 38206 | not published | not published | $78.14 – $165.39 | 8 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $118.43 – $503.69 | 9 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $392.19 – $830.30 | 8 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $306.68 – $679.84 | 8 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $46.00 – $439.76 | 7 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $283.53 – $629.68 | 8 |
| Hast w/i&r phys/qhp CPT 94452 | not published | not published | $13.51 – $28.48 | 8 |
| Hast w/oxygen titrate CPT 94453 | not published | not published | $17.29 – $36.61 | 8 |
| Hba1/hba2 full gene sequence CPT 81259 | not published | not published | $262.03 – $1,257.26 | 7 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | not published | not published | $88.39 – $424.12 | 7 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $163.88 – $786.25 | 7 |
| Hbb full gene sequence CPT 81364 | not published | not published | $141.75 – $679.84 | 7 |
| Hbb gene com variants CPT 81361 | $519.40 | $519.40 | $76.34 – $488.24 | 9 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $88.39 – $424.12 | 7 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $163.88 – $786.25 | 7 |
| Hb glycosylated a1c home dev CPT 83037 | $23.00 | $23.00 | $7.85 – $20.33 | 9 |
| Hbot, full body chamber, 30m HCPCS G0277 | not published | not published | $92.46 – $356.52 | 8 |
| Hc ea ha check monaural CPT 92594 | not published | not published | $23.95 – $44.74 | 3 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | not published | not published | $48.20 – $111.16 | 8 |
| Hcg free betachain test CPT 84704 | not published | not published | $8.12 – $31.85 | 7 |
| Hcg qualitative CPT 84703 | $90.10 | $90.10 | $6.08 – $24.75 | 9 |
| Hcg quantitative CPT 84702 | $334.30 | $334.30 | $8.12 – $45.75 | 9 |
| Hc hearing aid chck binaurl CPT 92593 | not published | not published | $41.41 – $75.92 | 3 |
| Hc hearing aid chck monarl CPT 92592 | not published | not published | $25.18 – $46.77 | 3 |
| Hc hearing aid exam both ears CPT 92591 | not published | not published | $80.40 – $148.44 | 3 |
| Hc hearing aid exam one ear CPT 92590 | not published | not published | $62.93 – $116.59 | 3 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | not published | not published | $36.41 – $109,179.99 | 4 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $127.76 – $334.72 | 9 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $337.21 – $1,313.84 | 9 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $179.64 – $797.30 | 9 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $302.68 – $1,234.81 | 9 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $47.19 – $154.20 | 9 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | not published | not published | $165.91 – $763.89 | 9 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | $106.00 | $106.00 | $43.14 – $90.82 | 9 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $392.43 – $404.20 | 5 |
| Hc nm kidney imaging with flow CPT 78701 | not published | not published | $22.17 – $46.77 | 8 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $3,200.40 | $3,200.40 | $41.08 – $2,259.48 | 9 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | not published | not published | $69.83 – $147.08 | 8 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | not published | not published | $121.00 – $266.37 | 8 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | not published | not published | $99.91 – $210.11 | 8 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | not published | not published | $194.73 – $410.08 | 8 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | not published | not published | $274.60 – $578.17 | 8 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $53.80 – $113.20 | 8 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $71.55 – $150.47 | 8 |
| Head CT scan (with and without contrast) CPT 70470 | $2,649.25 | $2,649.25 | $57.41 – $681.20 | 9 |
| Head CT scan (with contrast) CPT 70460 | $2,233.90 | $2,233.90 | $51.03 – $681.20 | 9 |
| Head CT scan (without contrast) CPT 70450 | $1,692.70 | $1,692.70 | $38.49 – $681.20 | 9 |
| Hearing loss dup/del analys CPT 81431 | not published | not published | $296.78 – $1,424.00 | 7 |
| Hearing loss sequence analys CPT 81430 | not published | not published | $709.67 – $3,405.08 | 7 |
| Heart first pass add-on CPT 78496 | not published | not published | $18.54 – $44.33 | 8 |
| Heart first pass multiple CPT 78483 | not published | not published | $65.09 – $136.92 | 8 |
| Heart image spect CPT 78494 | not published | not published | $52.76 – $111.16 | 8 |
| Heart infarct image CPT 78466 | $77.00 | $77.00 | $30.27 – $63.72 | 9 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $35.68 – $75.23 | 8 |
| Heart revascularize (tmr) CPT 33140 | not published | not published | $1,415.80 – $3,109.06 | 8 |
| Heart tmr w/other procedure 33141 CPT 33141 | not published | not published | $118.77 – $262.98 | 8 |
| Heavy duty control cable HCPCS L6660 | not published | not published | $110.39 – $292.86 | 7 |
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.