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 |
|---|---|---|---|---|
| Intro cath svc/ivc CPT 36010 | $769.80 | $769.80 | $98.10 – $578.43 | 9 |
| Intro long gi tube CPT 44500 | $689.90 | $689.90 | $18.05 – $487.07 | 9 |
| Intro long gi tube w/mult fluo CPT 74340 | $443.10 | $443.10 | $24.32 – $312.83 | 9 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $137.65 – $2,017.99 | 9 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | not published | not published | $80.59 – $1,789.27 | 9 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | not published | not published | $64.30 – $328.93 | 9 |
| Intubation endotracheal emergency procedure CPT 31500 | $649.40 | $649.40 | $131.89 – $458.48 | 9 |
| Io anal gast n-stim init CPT 95980 | not published | not published | $41.48 – $90.82 | 8 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $16.66 – $75.17 | 9 |
| Iodine i-123 sod iodide mil HCPCS A9509 | not published | not published | $94.36 – $1,844.67 | 9 |
| Iodine i-125 sodium iodide HCPCS A9527 | not published | not published | $43.13 – $450.62 | 9 |
| Iodine i-131 iobenguane 1mci HCPCS A9590 | not published | not published | $326.80 – $711.63 | 4 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $34.26 – $114.36 | 9 |
| Ionm in operatng room 15 min CPT 95940 | not published | not published | $30.73 – $65.06 | 8 |
| Ionm remote/>1 pt or per hr CPT 95941 | not published | not published | $244.13 – $244.13 | 1 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $25.00 | $25.00 | $0.17 – $23.60 | 7 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $165.01 | $165.01 | $0.12 – $116.95 | 7 |
| Io radiation tx management CPT 77469 | not published | not published | $310.75 – $659.50 | 8 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $7,465.61 – $7,689.58 | 5 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $7,465.61 – $7,689.58 | 5 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | not published | not published | $0.29 – $109,179.99 | 3 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | not published | not published | $168.76 – $355.93 | 8 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | $299.40 | $299.40 | $98.10 – $224.55 | 6 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | $435.00 | $435.00 | $136.32 – $326.25 | 6 |
| Ip/obs consltj new/est hi 80 CPT 99255 | $523.30 | $523.30 | $183.42 – $392.48 | 6 |
| Ip/obs consltj new/est sf 35 CPT 99252 | $194.50 | $194.50 | $70.36 – $145.88 | 6 |
| Ipratropium bromide comp HCPCS J7645 | not published | not published | $0.05 – $0.05 | 2 |
| Ipratropium bromide non-comp HCPCS J7644 | not published | not published | $0.24 – $0.73 | 4 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | not published | not published | $1.95 – $3.90 | 4 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $61.15 – $126.94 | 8 |
| Iron CPT 83540 | $49.95 | $49.95 | $3.49 – $46.95 | 9 |
| Iron binding capacity CPT 83550 | $53.65 | $53.65 | $4.72 – $50.43 | 9 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | not published | not published | $16.90 – $34.41 | 8 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $3.48 – $14.23 | 8 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $431.45 | $431.45 | $0.21 – $203.68 | 6 |
| Irradiation of blood product each unit reference CPT 86945 | not published | not published | $13.52 – $42.70 | 7 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $197.80 | $197.80 | $23.44 – $139.65 | 9 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $180.58 – $380.24 | 8 |
| Irrigation syringe HCPCS A4322 | not published | not published | $3.39 – $8.93 | 7 |
| Irrigation tray HCPCS A4320 | not published | not published | $5.94 – $15.63 | 7 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $23.88 – $111.78 | 9 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $73.13 – $156.86 | 8 |
| Island pedicle flap graft CPT 15740 | not published | not published | $807.61 – $1,962.09 | 9 |
| IV cipaglucosidase alfa-atga HCPCS G0138 | not published | not published | $173.61 – $360.58 | 6 |
| Ivc venogram s&i CPT 75825 | $2,859.80 | $2,859.80 | $49.88 – $2,019.02 | 9 |
| IV Fluids (each additional hour) CPT 96361 | $122.75 | $122.75 | $11.63 – $86.66 | 9 |
| IV Fluids (first hour) CPT 96360 | $624.55 | $624.55 | $30.26 – $440.93 | 9 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $101.41 – $225.26 | 3 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $134.25 | $134.25 | $18.48 – $94.78 | 9 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $37.33 – $81.34 | 8 |
| IV Medicine Infusion (additional drug) CPT 96367 | $134.25 | $134.25 | $26.65 – $94.78 | 9 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $81.80 | $81.80 | $19.46 – $57.75 | 9 |
| IV Medicine Infusion (first hour) CPT 96365 | $435.55 | $435.55 | $58.05 – $307.50 | 9 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $99.29 – $216.23 | 8 |
| IV Push Injection (each additional drug) CPT 96375 | $81.80 | $81.80 | $14.25 – $57.75 | 9 |
| IV Push Injection (first drug) CPT 96374 | $271.65 | $271.65 | $34.07 – $191.78 | 9 |
| Ivp w/nephrotomography CPT 74415 | $2,395.65 | $2,395.65 | $22.05 – $1,691.33 | 9 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $2,395.65 | $2,395.65 | $21.84 – $1,691.33 | 9 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $124.32 – $269.68 | 8 |
| Jak2 targeted sequence analysis CPT 81279 | not published | not published | $80.88 – $388.07 | 7 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $511.34 – $1,108.21 | 8 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $576.96 – $1,222.75 | 8 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $663.00 | $663.00 | $10.92 – $468.08 | 9 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $663.00 | $663.00 | $11.57 – $468.08 | 9 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $224.07 – $481.24 | 8 |
| John cunningham antibody CPT 86711 | $43.90 | $43.90 | $7.76 – $41.27 | 9 |
| J-tube placement CPT 44015 | not published | not published | $129.21 – $284.69 | 8 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | not published | not published | $1,321.57 – $3,505.81 | 7 |
| Kafo dbl solid stirrup without j HCPCS L2030 | not published | not published | $1,071.87 – $2,843.40 | 7 |
| Kafo fem fx cast molded to p HCPCS L2128 | not published | not published | $2,034.60 – $5,397.30 | 7 |
| Kafo fem fx cast semi-rigid HCPCS L2134 | not published | not published | $1,058.19 – $2,807.11 | 7 |
| Kafo fem fx cast thermoplas HCPCS L2126 | not published | not published | $1,277.87 – $3,389.89 | 7 |
| Kafo femoral fx cast rigid HCPCS L2136 | not published | not published | $1,182.79 – $3,137.64 | 7 |
| Kafo femoral fx cast soft HCPCS L2132 | not published | not published | $751.72 – $1,994.12 | 7 |
| Kafo pla sin up w/wo k/a cus HCPCS L2034 | not published | not published | $1,858.72 – $4,930.73 | 7 |
| Kafo plas sing free knee mol HCPCS L2037 | not published | not published | $1,976.29 – $5,242.63 | 7 |
| Kafo plastic pediatric size HCPCS L2035 | not published | not published | $163.68 – $434.17 | 7 |
| Kafo sing fre stirr thi/calf HCPCS L2000 | not published | not published | $1,024.69 – $2,718.24 | 7 |
| Kafo sng/dbl mechanical act HCPCS L2005 | not published | not published | $3,806.44 – $10,097.55 | 7 |
| Kafo sng solid stirrup without j HCPCS L2010 | not published | not published | $931.37 – $2,470.69 | 7 |
| Kafo without joint multi-axis an HCPCS L2038 | not published | not published | $1,696.43 – $4,500.22 | 7 |
| Keratomileusis CPT 65760 | not published | not published | $1,491.55 – $2,349.26 | 3 |
| Keratophakia CPT 65765 | not published | not published | $2,162.93 – $3,406.63 | 3 |
| Keratoprosthesis CPT 65770 | not published | not published | $1,338.21 – $2,823.72 | 8 |
| Kerecis marigen shld sq cm HCPCS A2019 | not published | not published | $510.00 – $1,175.98 | 3 |
| Ketamine and metabolite screen - quest CPT 80357 | not published | not published | $5.35 – $50.16 | 3 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $7.64 – $32.42 | 8 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $33.30 | $33.30 | $6.61 – $31.30 | 9 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | $8.82 | $8.82 | $0.34 – $3.34 | 9 |
| Kidney endoscopy CPT 50551 | not published | not published | $275.56 – $693.86 | 9 |
| Kidney endoscopy CPT 50553 | not published | not published | $294.26 – $744.62 | 9 |
| Kidney endoscopy CPT 50570 | not published | not published | $459.02 – $985.53 | 8 |
| Kidney endoscopy CPT 50575 | not published | not published | $666.03 – $1,430.83 | 8 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $319.86 – $793.44 | 9 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $527.62 – $1,133.27 | 8 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $323.75 – $806.93 | 9 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $368.92 – $916.80 | 9 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $526.33 – $1,130.57 | 8 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $566.52 – $1,216.65 | 8 |
| Kidney function study CPT 78725 | not published | not published | $16.10 – $33.88 | 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.