Fth/gft fr n/e/e/l each addl cost in Maine

FTH/GFT FR N/E/E/L EACH ADDL · CPT 15261

Hospital City Cash price Negotiated range Payers
Lincoln Health Damariscotta not published $130.36 – $394.47 9
Stephens Memorial Hospital Norway not published $130.36 – $394.47 9
Franklin Memorial Hospital Farmington not published $130.36 – $394.47 8
Mid Coast Hospital Brunswick not published $127.26 – $394.47 9
Waldo County General Hospital Belfast not published $130.36 – $394.47 9
Spring Harbor Hospital Westbrook not published $127.26 – $394.47 6
Pen Bay Medical Center Rockport not published $128.53 – $394.47 9