Tc-99m exame autol wbc diag per dose cost in Maine
TC-99M EXAME AUTOL WBC DIAG PER DOSE · HCPCS A9569
$1,946.50
lowest in Maine
$2,303.90
state median
$3,169.95
highest in Maine
$2,503.15
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Franklin Memorial Hospital | Farmington | $1,946.50 | $583.95 – $1,829.71 | 8 |
| Waldo County General Hospital | Belfast | $2,303.90 | $925.48 – $2,168.20 | 9 |
| Pen Bay Medical Center | Rockport | $3,169.95 | $1,040.32 – $2,979.75 | 9 |
| Mid Coast Hospital | Brunswick | $3,169.95 | $1,040.32 – $2,983.24 | 9 |
| Lincoln Health | Damariscotta | not published | $1,618.75 – $3,851.93 | 3 |
| Spring Harbor Hospital | Westbrook | not published | $1,040.32 – $3,637.08 | 5 |