Lsh w/t/o ut 250 g or less cost in Maine

Lsh w/t/o ut 250 g or less · CPT 58542

Hospital City Cash price Negotiated range Payers
Lincoln Health Damariscotta not published $806.32 – $1,693.15 8
Stephens Memorial Hospital Norway not published $806.32 – $1,693.15 8
Spring Harbor Hospital Westbrook not published $785.73 – $1,695.85 5
Franklin Memorial Hospital Farmington not published $806.32 – $1,693.15 7
Mid Coast Hospital Brunswick not published $785.73 – $1,693.15 8
Waldo County General Hospital Belfast not published $806.32 – $1,693.15 8
Pen Bay Medical Center Rockport not published $793.59 – $1,693.15 8