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 |
|---|---|---|---|---|
| Hpa-4 genotyping CPT 81108 | not published | not published | $65.90 – $256.10 | 7 |
| Hpa-5 genotyping CPT 81109 | not published | not published | $65.90 – $256.10 | 7 |
| Hpa-6 genotyping CPT 81110 | not published | not published | $65.90 – $256.10 | 7 |
| Hpa-9 genotyping CPT 81111 | not published | not published | $65.90 – $256.10 | 7 |
| Hpv combo assay ca screen HCPCS G0476 | not published | not published | $18.92 – $73.19 | 7 |
| Hpv low-risk types CPT 87623 | not published | not published | $18.92 – $73.19 | 7 |
| Hpv types 16 & 18 only CPT 87625 | not published | not published | $18.92 – $84.72 | 7 |
| H pylori ag ia CPT 87339 | not published | not published | $6.99 – $33.21 | 8 |
| H pylori (c-13) blood CPT 83009 | not published | not published | $36.31 – $140.98 | 7 |
| H pylori (c-13) breath CPT 83013 | not published | not published | $36.31 – $147.51 | 8 |
| H pylori drug admin CPT 83014 | not published | not published | $6.35 – $17.20 | 8 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | not published | not published | $366.11 – $1,422.70 | 7 |
| Hrdtry brst ca-rlatd dsordrs CPT 81433 | not published | not published | $236.66 – $919.75 | 4 |
| Hrdtry cardmypy gene panel CPT 81439 | not published | not published | $315.36 – $1,225.45 | 7 |
| Hrdtry perph neurphy panel CPT 81448 | not published | not published | $315.36 – $1,225.45 | 7 |
| Hrv skn cll ssp agrft 1st 25 CPT 15011 | not published | not published | $1,786.43 – $1,840.02 | 5 |
| Hsv dna dir probe CPT 87528 | not published | not published | $10.81 – $43.92 | 8 |
| Htt gene charac alleles CPT 81274 | not published | not published | $120.02 – $575.89 | 7 |
| Htt gene detc abnor alleles CPT 81271 | not published | not published | $59.83 – $287.07 | 7 |
| Human epididymis protein 4 (he4) CPT 86305 | not published | not published | $11.22 – $43.38 | 7 |
| Human ig IV CPT 90283 | not published | not published | $59.29 – $148.52 | 3 |
| Human ig sc CPT 90284 | not published | not published | $15.88 – $29.71 | 3 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $4,789.89 | $4,789.89 | $1.26 – $2,251.25 | 9 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | not published | not published | $21.20 – $59.43 | 3 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | not published | not published | $0.48 – $0.67 | 4 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $190.92 | $190.92 | $0.36 – $180.23 | 6 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $17.63 | $17.63 | $4.11 – $16.64 | 6 |
| Hydrocolld drg >16<=48 w/bdr HCPCS A6238 | not published | not published | $25.34 – $66.76 | 7 |
| Hydrocolld drg >16<=48 without b HCPCS A6235 | not published | not published | $18.70 – $49.24 | 7 |
| Hydrocolld drg <=16 in w/bdr HCPCS A6237 | not published | not published | $8.79 – $23.15 | 7 |
| Hydrocolld drg <=16 without bdr HCPCS A6234 | not published | not published | $7.27 – $19.17 | 7 |
| Hydrocolld drg filler paste HCPCS A6240 | not published | not published | $13.61 – $35.85 | 7 |
| Hydrocortisone acetate inj HCPCS J1700 | not published | not published | $0.65 – $0.65 | 2 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $113.34 | $113.34 | $17.85 – $106.99 | 6 |
| Hydrocortisone sodium ph inj HCPCS J1710 | not published | not published | $4.68 – $4.68 | 2 |
| Hydrogel drg <= 16 in w/bdr HCPCS A6245 | not published | not published | $8.08 – $21.29 | 7 |
| Hydrogel drg >48 in without bdr HCPCS A6244 | not published | not published | $43.67 – $115.02 | 7 |
| Hydrogel drg > 48 sq in w/b HCPCS A6247 | not published | not published | $26.44 – $69.63 | 7 |
| Hydrogel drsg gel filler HCPCS A6248 | not published | not published | $18.06 – $47.57 | 7 |
| Hydrogel dsg>16<=48 sq in HCPCS A6232 | not published | not published | $7.62 – $20.10 | 7 |
| Hydrogel dsg<=16 sq in HCPCS A6231 | not published | not published | $5.20 – $13.68 | 7 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $233.01 | $233.01 | $0.17 – $12.37 | 6 |
| Hydromorphone 250 mg HCPCS S0092 | not published | not published | $85.09 – $156.57 | 2 |
| Hydromorphone injection HCPCS J1170 | not published | not published | $2.70 – $6.60 | 4 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | not published | not published | $0.01 – $0.02 | 6 |
| Hydroxyurea 500 mg HCPCS S0176 | not published | not published | $0.57 – $2.03 | 2 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $162.50 | $162.50 | $9.91 – $153.40 | 6 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | not published | not published | $0.08 – $4.07 | 3 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | not published | not published | $9.45 – $38.37 | 8 |
| Hymenotomy CPT 56442 | not published | not published | $45.59 – $98.28 | 8 |
| Hymovis injection 1 mg HCPCS J7322 | not published | not published | $16.99 – $34.43 | 8 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $938.56 – $2,008.33 | 8 |
| Hyoscyamine sulfate inj HCPCS J1980 | not published | not published | $18.98 – $55.08 | 4 |
| Hyperbaric oxygen therapy CPT 99183 | not published | not published | $99.51 – $214.17 | 8 |
| #hypersens-actinomyces ab CPT 86602 | not published | not published | $5.48 – $21.37 | 8 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $93.04 – $201.98 | 8 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $68.97 – $145.05 | 8 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $76.99 – $168.77 | 8 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $67.00 – $140.98 | 8 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $94.39 – $198.61 | 8 |
| Hypnotherapy CPT 90880 | not published | not published | $81.72 – $197.87 | 9 |
| Hypothermia ill neonate CPT 99184 | not published | not published | $202.45 – $429.73 | 8 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $16.19 – $34.97 | 8 |
| Hysterectomy/bladder repair CPT 51925 | not published | not published | $1,017.00 – $2,189.98 | 8 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $938.14 – $2,023.92 | 8 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $1,000.36 – $2,158.80 | 8 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $866.65 – $1,870.05 | 8 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $253.82 – $565.29 | 8 |
| Hysterosalpingography s&i CPT 74740 | $1,856.55 | $1,856.55 | $17.30 – $1,310.72 | 9 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $230.67 – $4,026.32 | 9 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $217.38 – $2,540.95 | 9 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $143.16 – $696.43 | 9 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $265.88 – $575.45 | 8 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $207.88 – $832.64 | 9 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $334.92 – $725.25 | 8 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $292.67 – $633.74 | 8 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $795.12 – $1,754.15 | 8 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | not published | not published | $221.65 – $414.69 | 3 |
| I-123 iobenguane diag HCPCS A9582 | not published | not published | $2,074.81 – $4,962.45 | 8 |
| I-123 ioflupane diag HCPCS A9584 | not published | not published | $1,388.02 – $5,171.53 | 8 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $481.20 | $481.20 | $91.12 – $197.73 | 9 |
| I125 iothalamate, dx HCPCS A9554 | not published | not published | $38.25 – $109,179.99 | 4 |
| I125 serum albumin, dx HCPCS A9532 | not published | not published | $176.46 – $109,179.99 | 3 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | not published | not published | $753.92 – $1,880.93 | 9 |
| I131 iodide cap, rx HCPCS A9517 | not published | not published | $23.13 – $450.62 | 9 |
| I131 iodide sol, rx HCPCS A9530 | not published | not published | $9.46 – $23.05 | 8 |
| I131 max 100uci HCPCS A9531 | $429.30 | $429.30 | $3.62 – $109,179.99 | 7 |
| I131 serum albumin, dx HCPCS A9524 | not published | not published | $80.75 – $755.07 | 9 |
| I-131 sod iodide sol diag per mci HCPCS A9529 | not published | not published | $109,179.99 – $109,179.99 | 1 |
| Iaadi respiratory synctial virus CPT 87280 | not published | not published | $6.46 – $27.79 | 8 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | not published | not published | $18.92 – $73.19 | 8 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $11.85 – $37.91 | 8 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $45.28 – $94.88 | 7 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | not published | not published | $25.60 – $50.12 | 4 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $1,069.33 – $5,130.80 | 7 |
| Ibuprofen injection HCPCS J1741 | not published | not published | $2.93 – $5.87 | 3 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $1,915.46 | $1,915.46 | $205.06 – $1,800.53 | 9 |
| Icatibant injection HCPCS J1744 | not published | not published | $95.06 – $317.75 | 8 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $44.38 – $94.21 | 8 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $11.80 – $25.08 | 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.