Gauze <= 16 sq in w/border cost in Maine

Gauze <= 16 sq in w/border · HCPCS A6219

Hospital City Cash price Negotiated range Payers
Lincoln Health Damariscotta not published $1.06 – $2.79 2
Stephens Memorial Hospital Norway not published $1.06 – $2.79 3
Franklin Memorial Hospital Farmington not published $1.06 – $2.79 3
Mid Coast Hospital Brunswick not published $1.06 – $2.79 7
Waldo County General Hospital Belfast not published $1.06 – $2.79 3
Spring Harbor Hospital Westbrook not published $1.06 – $2.65 4
Pen Bay Medical Center Rockport not published $1.06 – $2.79 7