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 |
|---|---|---|---|---|
| Liver/spleen imag static only CPT 78215 | $1,972.25 | $1,972.25 | $21.84 – $1,392.41 | 9 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $1,019.15 | $1,019.15 | $25.95 – $719.52 | 9 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $69.95 – $147.08 | 8 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $451.38 – $1,274.01 | 9 |
| Lockingelbow forearm cntrbal HCPCS L6693 | not published | not published | $2,642.35 – $7,009.50 | 7 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | not published | not published | $1.06 – $2.39 | 5 |
| Lomustine 10 mg HCPCS S0178 | not published | not published | $38.64 – $114.74 | 2 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $195.65 – $419.32 | 8 |
| Long tongue stirrup HCPCS L2265 | not published | not published | $139.74 – $370.68 | 7 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $50.37 | $50.37 | $1.12 – $6.75 | 6 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | not published | not published | $58.96 – $123.55 | 7 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | not published | not published | $72.40 – $192.05 | 7 |
| Loudness balance test CPT 92562 | not published | not published | $44.65 – $101.00 | 8 |
| Low back disk surgery CPT 63030 | not published | not published | $867.39 – $1,901.90 | 8 |
| Low cost skin substitute app HCPCS C5271 | not published | not published | $597.81 – $615.74 | 5 |
| Low cost skin substitute app HCPCS C5273 | not published | not published | $1,786.43 – $1,840.02 | 5 |
| Low cost skin substitute app HCPCS C5275 | not published | not published | $597.81 – $615.74 | 5 |
| Low cost skin substitute app HCPCS C5277 | not published | not published | $597.81 – $615.74 | 5 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $382.45 | $382.45 | $48.76 – $270.01 | 9 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,649.25 | $2,649.25 | $57.08 – $681.20 | 9 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,310.45 | $1,310.45 | $54.93 – $681.20 | 9 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $2,649.25 | $2,649.25 | $44.98 – $681.20 | 9 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $2,183.30 | $2,183.30 | $104.00 – $943.20 | 9 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,854.70 | $1,854.70 | $80.98 – $943.20 | 9 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,293.45 | $1,293.45 | $67.03 – $913.18 | 9 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $263.85 | $263.85 | $10.27 – $21.69 | 9 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $268.30 | $268.30 | $12.22 – $189.42 | 9 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $1,160.70 | $1,160.70 | $14.06 – $819.45 | 9 |
| Lower jaw bone graft CPT 21215 | not published | not published | $761.87 – $7,811.10 | 9 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $197.15 | $197.15 | $7.35 – $15.59 | 9 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $17.05 – $824.28 | 9 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $15.30 – $31.43 | 3 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $694.15 – $1,493.19 | 8 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $796.60 – $1,718.22 | 8 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $785.73 – $1,693.15 | 8 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $856.68 – $1,848.36 | 8 |
| Lso corset front HCPCS L0972 | not published | not published | $91.58 – $242.94 | 7 |
| Lso flex no ri stays pre ots HCPCS L0628 | not published | not published | $63.45 – $132.96 | 7 |
| Lso full corset HCPCS L0976 | not published | not published | $152.10 – $403.50 | 7 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | not published | not published | $150.44 – $399.08 | 7 |
| Lso sag-coronal panel custom HCPCS L0638 | not published | not published | $1,225.15 – $3,250.02 | 7 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $898.49 – $1,882.73 | 7 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $122.50 – $256.69 | 7 |
| Lso sagit rigid panel prefab HCPCS L0635 | not published | not published | $870.42 – $2,309.00 | 7 |
| Lso sagittal rigid panel cus HCPCS L0636 | not published | not published | $1,402.00 – $3,719.17 | 7 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | not published | not published | $266.38 – $706.64 | 7 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | not published | not published | $216.91 – $454.52 | 7 |
| Lso s/c shell/panel custom HCPCS L0640 | not published | not published | $972.04 – $2,578.60 | 7 |
| Lso s/c shell/panel prefab HCPCS L0639 | not published | not published | $1,087.69 – $2,885.39 | 7 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $11.86 – $48.13 | 8 |
| Lubricant per ounce HCPCS A4402 | not published | not published | $1.51 – $4.67 | 7 |
| Lumbar bolster pad HCPCS L1030 | not published | not published | $56.61 – $150.18 | 7 |
| Lumbar derotation pad HCPCS L1240 | not published | not published | $75.12 – $199.25 | 7 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $37.84 – $79.98 | 8 |
| Lumbar or lumbar rib pad HCPCS L1040 | not published | not published | $69.43 – $184.17 | 7 |
| Lumbar sling HCPCS L1090 | not published | not published | $81.57 – $216.37 | 7 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $1,486.65 – $3,255.47 | 8 |
| Lumizyme injection HCPCS J0221 | not published | not published | $192.02 – $398.61 | 8 |
| Lung Function Test Before and After an Inhaler CPT 94060 | not published | not published | $9.62 – $20.33 | 8 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $2.48 – $5.43 | 8 |
| Lung Function Test (Spirometry) CPT 94010 | $313.30 | $313.30 | $7.68 – $221.19 | 9 |
| Lung perfusion imaging CPT 78580 | $1,859.35 | $1,859.35 | $32.97 – $1,312.70 | 9 |
| Lung transplant double CPT 32853 | not published | not published | $4,164.20 – $9,178.09 | 8 |
| Lung transplant single CPT 32851 | not published | not published | $2,978.50 – $6,560.43 | 8 |
| Lung transplant with bypass CPT 32852 | not published | not published | $3,212.91 – $7,062.69 | 8 |
| Lung transplant with bypass CPT 32854 | not published | not published | $4,399.48 – $9,700.67 | 8 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $1,353.26 – $2,969.44 | 8 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $192.14 – $405.05 | 8 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $39.23 – $81.60 | 8 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $285.07 – $620.77 | 8 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $232.14 – $505.50 | 8 |
| Lvad shower bag heartmate HCPCS Q0501 | not published | not published | $478.70 – $1,260.87 | 7 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $23.92 – $110.51 | 9 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | not published | $276.08 – $732.38 | 7 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $10.81 – $43.92 | 8 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $674.95 – $1,453.88 | 8 |
| Lymphatics/lymph node imaging CPT 78195 | $3,944.20 | $3,944.20 | $52.64 – $2,784.61 | 9 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $19.72 – $123.64 | 8 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $26.43 – $107.34 | 8 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $82.76 – $397.11 | 8 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $25.66 – $104.21 | 8 |
| Lymph vessel x-ray arm/leg CPT 75801 | $1,192.45 | $1,192.45 | $40.09 – $841.87 | 9 |
| Lymph vessel x-ray arms/legs CPT 75803 | $1,269.75 | $1,269.75 | $52.98 – $896.44 | 9 |
| Lymph vessel x-ray trunk CPT 75805 | $1,192.45 | $1,192.45 | $36.87 – $841.87 | 9 |
| Lymph vessel x-ray trunk CPT 75807 | $1,269.75 | $1,269.75 | $49.48 – $896.44 | 9 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $144.96 – $623.19 | 9 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $148.96 – $357.21 | 9 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $192.48 – $497.26 | 9 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $15.53 – $30.59 | 4 |
| Macro exam dissect molec study ea CPT 88387 | $106.90 | $106.90 | $7.09 – $75.47 | 9 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $2.30 – $9.36 | 8 |
| Macroscopic exam parasite CPT 87169 | $11.95 | $11.95 | $2.30 – $11.23 | 9 |
| Magnesium CPT 83735 | $46.65 | $46.65 | $3.61 – $43.85 | 9 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $40.30 | $40.30 | $0.50 – $10.80 | 6 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $72.55 – $153.18 | 8 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $18.36 – $30.30 | 3 |
| Malaria antibody CPT 86750 | not published | not published | $7.11 – $27.64 | 8 |
| Male sling procedure CPT 53440 | not published | not published | $717.39 – $1,534.53 | 8 |
| Mammosite ced HCPCS C1728 | $155.00 | $155.00 | $109.43 – $146.32 | 6 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $2,788.37 – $6,115.78 | 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.