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 |
|---|---|---|---|---|
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $920.50 – $1,985.28 | 8 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $871.21 – $1,880.21 | 8 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $653.27 – $1,413.20 | 8 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $935.67 – $2,015.10 | 8 |
| Optx sho dislc fx CPT 23670 | not published | not published | $838.68 – $1,811.08 | 8 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $894.40 – $1,928.35 | 8 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $605.44 – $1,310.19 | 8 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $557.07 – $1,204.46 | 8 |
| Optx thigh fx CPT 27269 | not published | not published | $1,180.02 – $2,550.56 | 8 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $762.94 – $1,634.86 | 8 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $709.44 – $1,531.16 | 8 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $604.71 – $1,309.50 | 8 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $603.14 – $1,307.47 | 8 |
| Oral aprepitant HCPCS J8501 | $300.92 | $300.92 | $3.05 – $284.07 | 6 |
| Oral busulfan HCPCS J8510 | not published | not published | $4.74 – $140.11 | 8 |
| Oral everolimus HCPCS J7527 | not published | not published | $2.75 – $4.59 | 3 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | not published | not published | $6.46 – $25.08 | 7 |
| Oral methotrexate (jylamvo) HCPCS J8611 | not published | not published | $18.53 – $40.57 | 6 |
| Oral methotrexate (xatmep) HCPCS J8612 | not published | not published | $22.66 – $43.40 | 6 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $393.86 – $790.48 | 8 |
| Orbitocranial approach/skull CPT 61584 | not published | not published | $2,675.72 – $5,915.16 | 8 |
| Orbitocranial approach/skull CPT 61585 | not published | not published | $3,028.91 – $6,723.10 | 8 |
| Orbitocranial approach/skull CPT 61592 | not published | not published | $2,930.04 – $6,489.94 | 8 |
| Orchiectomy partial CPT 54522 | not published | not published | $561.69 – $1,201.06 | 8 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $680.73 – $1,455.24 | 8 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $413.00 – $885.22 | 8 |
| Organic acids total quant ea spec CPT 83918 | not published | not published | $10.31 – $49.45 | 8 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | not published | not published | $40.92 – $85.64 | 8 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | not published | not published | $27.20 – $56.41 | 8 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $112.46 – $308.38 | 9 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | not published | not published | $5.49 – $27.66 | 4 |
| Ortho dvc repair per 15 min HCPCS L4205 | not published | not published | $22.71 – $58.30 | 7 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $758.35 | $758.35 | $244.11 – $712.85 | 9 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | not published | not published | $422.77 – $1,121.48 | 7 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | $3,362.00 | $3,362.00 | $1,084.01 – $3,160.28 | 9 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $3,362.00 | $3,362.00 | $615.13 – $3,160.28 | 9 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $758.35 | $758.35 | $228.97 – $712.85 | 9 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | not published | not published | $271.55 – $720.37 | 7 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | not published | not published | $89.34 – $237.01 | 7 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | not published | not published | $228.97 – $607.38 | 7 |
| Orthopantogram CPT 70355 | not published | not published | $8.72 – $18.63 | 8 |
| Orthopedic shoe add rub insl HCPCS L3510 | not published | not published | $27.17 – $72.08 | 7 |
| Orthop traing pfrmd phys/qhp CPT 92065 | not published | not published | $23.30 – $65.75 | 8 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $24.00 – $54.23 | 8 |
| Ortho shoe add full sole HCPCS L3540 | not published | not published | $47.27 – $125.39 | 7 |
| Ortho shoe add half sole HCPCS L3530 | not published | not published | $29.51 – $78.29 | 7 |
| Ortho shoe add leather insol HCPCS L3500 | not published | not published | $27.17 – $72.08 | 7 |
| Ortho shoe add march bar HCPCS L3595 | not published | not published | $38.97 – $103.39 | 7 |
| Ortho sidebar disconnect HCPCS L2768 | not published | not published | $121.02 – $321.02 | 7 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | not published | not published | $428.89 – $1,137.74 | 7 |
| Orthovisc inj per dose HCPCS J7324 | not published | not published | $97.70 – $182.14 | 8 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $784.95 | $784.95 | $357.14 – $738.72 | 9 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $2,604.40 | $2,604.40 | $838.38 – $2,448.14 | 9 |
| Oscillation chest wall mechanical per session CPT 94669 | $570.40 | $570.40 | $17.97 – $402.70 | 9 |
| O shoe add felt w leath insl HCPCS L3520 | not published | not published | $29.51 – $78.29 | 7 |
| O shoe add horseshoe toe tap HCPCS L3560 | not published | not published | $21.29 – $56.45 | 7 |
| O shoe add instep extension HCPCS L3570 | not published | not published | $79.18 – $210.07 | 7 |
| O shoe add instep velcro clo HCPCS L3580 | not published | not published | $60.25 – $159.84 | 7 |
| O shoe add standard toe tap HCPCS L3550 | not published | not published | $8.25 – $21.88 | 7 |
| O shoe convert to sof counte HCPCS L3590 | not published | not published | $49.62 – $131.61 | 7 |
| Osmolality blood CPT 83930 | $109.35 | $109.35 | $3.56 – $102.79 | 9 |
| Osmolality urine CPT 83935 | $112.25 | $112.25 | $3.68 – $105.52 | 9 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $309.87 – $915.51 | 9 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $556.20 – $1,203.09 | 8 |
| Osteoart algrft w/surf & b1 CPT 20932 | not published | not published | $702.81 – $1,529.12 | 8 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $1,311.81 – $2,829.82 | 8 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $940.65 – $2,027.98 | 8 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $1,171.79 – $2,526.84 | 8 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | not published | not published | $24.71 – $113.07 | 9 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | not published | not published | $24.71 – $138.12 | 9 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | not published | not published | $24.71 – $162.54 | 9 |
| Osteoplasty humerus CPT 24420 | not published | not published | $1,021.39 – $2,192.68 | 8 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $1,537.07 – $3,367.99 | 8 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $331.71 – $732.71 | 8 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $1,504.31 – $3,273.09 | 8 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $1,652.70 – $3,666.91 | 8 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $797.43 – $1,718.91 | 8 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $1,056.20 – $2,276.73 | 8 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $649.30 – $1,388.14 | 8 |
| Ostomy clamp, replacement HCPCS A4363 | not published | not published | $2.63 – $5.89 | 7 |
| Ostomy irrigation set HCPCS A4400 | not published | not published | $54.33 – $143.08 | 7 |
| Ost pch drain 2 piece system HCPCS A4426 | not published | not published | $3.04 – $7.98 | 7 |
| Ost pch drain for barrier fl HCPCS A4425 | not published | not published | $3.98 – $10.48 | 7 |
| Ost pch drain w bar & filter HCPCS A4424 | not published | not published | $5.29 – $13.93 | 7 |
| Ost pch for bar w flange/flt HCPCS A4419 | not published | not published | $1.92 – $5.05 | 7 |
| Ost skn barr extnd >4 sq HCPCS A4410 | not published | not published | $10.05 – $26.47 | 7 |
| Ost urine pch w b/bltin conv HCPCS A4430 | not published | not published | $9.46 – $24.94 | 7 |
| Other bone graft microvasc CPT 20962 | not published | not published | $2,537.71 – $5,477.30 | 8 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $8.18 – $48.98 | 9 |
| Oth resp proc, group HCPCS G0239 | $140.00 | $140.00 | $10.44 – $98.84 | 9 |
| Oth resp proc, indiv HCPCS G0238 | not published | not published | $8.35 – $21.02 | 8 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $179.35 | $179.35 | $50.44 – $117.38 | 9 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | not published | not published | $8.98 – $55.89 | 9 |
| Otoplasty 69300 CPT 69300 | not published | not published | $453.29 – $1,263.08 | 9 |
| Ot re-evaluation patient/family CPT 97168 | $168.05 | $168.05 | $67.55 – $145.72 | 9 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $60.15 | $60.15 | $20.65 – $43.38 | 9 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $62.75 | $62.75 | $21.30 – $44.74 | 9 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $1,441.71 – $3,168.05 | 8 |
| Out of office emerg med serv CPT 99060 | not published | not published | $34.14 – $48.80 | 3 |
| Outrigger HCPCS L1080 | not published | not published | $52.43 – $139.09 | 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.