Clsd ostomy pouch w/flange cost in Maine

Clsd ostomy pouch w/flange · HCPCS A5054

Hospital City Cash price Negotiated range Payers
Lincoln Health Damariscotta not published $2.00 – $5.26 2
Stephens Memorial Hospital Norway not published $2.00 – $5.26 3
Franklin Memorial Hospital Farmington not published $2.00 – $5.26 3
Mid Coast Hospital Brunswick not published $2.00 – $5.26 7
Waldo County General Hospital Belfast not published $2.00 – $5.26 3
Spring Harbor Hospital Westbrook not published $2.00 – $4.99 4
Pen Bay Medical Center Rockport not published $2.00 – $5.26 7