Tlh w/t/o 250 g or less cost in Maine
Tlh w/t/o 250 g or less · CPT 58571
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Lincoln Health | Damariscotta | not published | $878.42 – $1,855.82 | 8 |
| Stephens Memorial Hospital | Norway | not published | $878.42 – $1,855.82 | 8 |
| Franklin Memorial Hospital | Farmington | not published | $878.42 – $1,855.82 | 7 |
| Mid Coast Hospital | Brunswick | not published | $861.78 – $1,855.82 | 8 |
| Waldo County General Hospital | Belfast | not published | $878.42 – $1,855.82 | 8 |
| Spring Harbor Hospital | Westbrook | not published | $861.78 – $1,859.21 | 5 |
| Pen Bay Medical Center | Rockport | not published | $870.40 – $1,855.82 | 8 |