Dornhoffer fixed part w/window cost in Maine

DORNHOFFER FIXED PART W/WINDOW · HCPCS L8614

Hospital City Cash price Negotiated range Payers
Lincoln Health Damariscotta not published $48,153.04 – $48,153.04 1
Stephens Memorial Hospital Norway not published $30,669.00 – $48,153.04 2
Franklin Memorial Hospital Farmington not published $30,669.00 – $48,153.04 2
Waldo County General Hospital Belfast not published $30,669.00 – $48,153.04 2
Spring Harbor Hospital Westbrook not published $22,979.97 – $45,695.14 3
Pen Bay Medical Center Rockport not published $27,812.64 – $48,153.04 6