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 |
|---|---|---|---|---|
| Pentastarch 10% solution HCPCS J2513 | not published | not published | $12.72 – $12.72 | 2 |
| Pentazocine injection HCPCS J3070 | not published | not published | $55.57 – $108.39 | 3 |
| Pentobarbital sodium inj HCPCS J2515 | not published | not published | $14.23 – $53.88 | 4 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,273.15 – $5,401.74 | 8 |
| Perc cryo ablate renal tum CPT 50593 | not published | not published | $428.55 – $7,092.82 | 9 |
| Perc d-e cor revasc chro sin HCPCS C9607 | not published | not published | $17,536.53 – $18,062.63 | 5 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | not published | not published | $11,075.20 – $11,407.46 | 5 |
| Perc d-e cor stent ather s HCPCS C9602 | not published | not published | $17,536.53 – $18,062.63 | 5 |
| Perc drug-el cor stent sing HCPCS C9600 | not published | not published | $11,075.20 – $11,407.46 | 5 |
| Perc rf ablate renal tumor CPT 50592 | not published | not published | $320.92 – $5,304.19 | 9 |
| Percut ablate liver rf CPT 47382 | not published | not published | $687.43 – $6,891.09 | 9 |
| Percutaneous islet celltrans HCPCS G0341 | not published | not published | $289.64 – $3,047.86 | 8 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $760.72 | $760.72 | $41.79 – $718.12 | 7 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $193.90 – $416.84 | 8 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $2,247.83 – $4,946.59 | 8 |
| Pericardiocentesis wwo imaging CPT 33016 | not published | not published | $212.66 – $467.01 | 8 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $761.66 – $1,669.41 | 8 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $684.49 – $1,470.16 | 8 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $258.49 – $555.12 | 8 |
| Peripheral vascular rehab CPT 93668 | not published | not published | $13.36 – $29.82 | 8 |
| Peri-proc device eval icd CPT 93287 | not published | not published | $20.66 – $43.38 | 8 |
| Peri-proc device eval pm CPT 93286 | not published | not published | $13.84 – $29.15 | 8 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $387.39 – $844.54 | 8 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $20.75 – $44.07 | 8 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $39.79 – $84.05 | 8 |
| Permanent tear duct plug HCPCS A4263 | not published | not published | $28.63 – $54.23 | 2 |
| Peroneal straps pair pre ots HCPCS L0980 | not published | not published | $20.72 – $54.96 | 7 |
| Perp bk ptb thermopls direct HCPCS L5520 | not published | not published | $1,810.77 – $4,803.51 | 7 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $0.55 – $1.36 | 3 |
| Perphenazine injeciton HCPCS J3310 | not published | not published | $6.38 – $6.38 | 2 |
| Perq art m-thrombect &/nfs CPT 61645 | not published | not published | $776.81 – $1,721.61 | 8 |
| Perq clsr tcat l atr apndge CPT 33340 | not published | not published | $707.05 – $1,550.12 | 8 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $117.60 – $1,209.12 | 9 |
| Perq dev breast 1st strtctc CPT 19283 | not published | not published | $92.83 – $496.62 | 9 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $1,063.52 – $2,278.77 | 8 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | $10,794.10 | $10,794.10 | $662.93 – $7,620.63 | 9 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $799.76 – $1,758.89 | 8 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $678.53 – $1,492.52 | 8 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $702.93 – $1,546.05 | 8 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $534.76 – $1,175.98 | 8 |
| Perq p-art revsc each addl CPT 33904 | not published | not published | $268.02 – $589.68 | 8 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $217.29 – $7,063.91 | 9 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $390.94 – $7,943.45 | 9 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $404.69 – $7,926.74 | 9 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | not published | not published | $82.32 – $642.47 | 9 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $514.80 – $1,126.51 | 8 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $475.15 – $1,032.30 | 8 |
| Perq transcath closure each CPT 93592 | not published | not published | $360.58 – $765.92 | 8 |
| Perq transcath closure pda CPT 93582 | not published | not published | $596.72 – $1,312.22 | 8 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $826.20 – $1,760.92 | 8 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $997.56 – $2,124.23 | 8 |
| Perq transcath septal reduxn CPT 93583 | not published | not published | $669.52 – $1,471.50 | 8 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $523.97 – $1,152.26 | 8 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $238.92 – $981.05 | 9 |
| Perq tx malar fracture CPT 21355 | not published | not published | $318.04 – $873.11 | 9 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $439.53 – $1,410.86 | 9 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $723.97 – $1,548.09 | 8 |
| Pertussis ag if CPT 87265 | not published | not published | $6.46 – $25.12 | 8 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | not published | not published | $14.72 – $32.00 | 8 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $63.39 – $126.27 | 8 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $58.00 | $58.00 | $29.00 – $145.47 | 9 |
| Pessary reusable rub anytype HCPCS A4561 | $56.00 | $56.00 | $15.99 – $58.40 | 9 |
| Pet CT skull-mid thgh initial CPT 78815 | $4,398.30 | $4,398.30 | $107.99 – $3,105.20 | 9 |
| Pet CT whole body initial CPT 78816 | $4,398.30 | $4,398.30 | $108.85 – $3,105.20 | 9 |
| Pet fdg brain metoblic eval sb CPT 78608 | $4,543.25 | $4,543.25 | $65.62 – $3,207.53 | 9 |
| Pet image full body CPT 78813 | not published | not published | $86.69 – $183.02 | 8 |
| Pet image ltd area CPT 78811 | not published | not published | $67.78 – $143.01 | 8 |
| Pet image skull-thigh CPT 78812 | not published | not published | $85.08 – $179.62 | 8 |
| Pet image w/ct lmtd CPT 78814 | $4,398.30 | $4,398.30 | $96.53 – $3,105.20 | 9 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $392.43 – $404.20 | 5 |
| Pet scan brain perf study CPT 78609 | not published | not published | $70.89 – $143.68 | 4 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $12,797.00 | $12,797.00 | $28.24 – $37.76 | 6 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | $71.60 | $71.60 | $21.80 – $46.26 | 9 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | $105.00 | $105.00 | $30.58 – $64.39 | 9 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | $37.15 | $37.15 | $11.06 – $25.05 | 9 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $270.01 – $807.59 | 9 |
| Pharmacologic management w/psytx CPT 90863 | not published | not published | $23.44 – $48.19 | 4 |
| Ph body fluid CPT 83986 | $19.70 | $19.70 | $1.93 – $9.00 | 9 |
| Phencyclidine (pcp) CPT 83992 | $73.50 | $73.50 | $7.86 – $117.86 | 9 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $181.34 | $181.34 | $31.43 – $125.30 | 6 |
| Phenobarbital therapeutic drug level CPT 80184 | $32.10 | $32.10 | $6.68 – $30.21 | 9 |
| Phentolaine mesylate inj HCPCS J2760 | $1,676.41 | $1,676.41 | $399.33 – $1,575.83 | 9 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $201.49 | $201.49 | $0.02 – $0.07 | 6 |
| Phenylep ketorolac opth soln HCPCS J1097 | $1,614.95 | $1,614.95 | $95.14 – $1,518.05 | 9 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | not published | not published | $0.43 – $0.92 | 4 |
| Phenytoin total therapeutic drug level CPT 80185 | $261.20 | $261.20 | $7.14 – $245.53 | 9 |
| Phlebotomy therapeutic CPT 99195 | $314.70 | $314.70 | $87.60 – $222.18 | 9 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $246.38 – $806.29 | 9 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $303.35 – $948.28 | 9 |
| Phone e/m phys/qhp 11-20 min CPT 99442 | not published | not published | $33.85 – $174.75 | 6 |
| Phone e/m phys/qhp 21-30 min CPT 99443 | not published | not published | $50.22 – $247.35 | 6 |
| Phone e/m phys/qhp 5-10 min CPT 99441 | not published | not published | $17.47 – $108.58 | 6 |
| Phosphorus CPT 84100 | $159.00 | $159.00 | $2.55 – $149.46 | 9 |
| Phosphorus 24 hour urine CPT 84105 | $213.15 | $213.15 | $2.80 – $200.36 | 9 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $58.01 – $237.92 | 8 |
| Photochemotherapy puva CPT 96912 | not published | not published | $58.01 – $201.98 | 8 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $115.82 – $306.37 | 8 |
| Photodynamic tx addl 15 min CPT 96571 | not published | not published | $23.55 – $50.16 | 8 |
| Photodynmc tx 30 min add-on CPT 96570 | not published | not published | $50.43 – $109.13 | 8 |
| Photo patch test CPT 95052 | not published | not published | $5.45 – $12.21 | 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.