Cary Medical Center

163 Van Buren Rd, Suite 1, Caribou, ME 04736 · (207) 498-3111

Acute Care HospitalsGovernment - LocalCMS rating 1/5Website ↗

Price file

Prices published

File dated 2026-04-01

381 price rows for 41 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048

—

cash

$8 to $83

8 negotiated rates

—

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177

—

cash

$326 to $345

7 negotiated rates

—

list

CT scan of the head, no contrast

CPT 70450

—

cash

$98 to $103

7 negotiated rates

—

list

CT scan of the pelvis, with contrast

CPT 72193

—

cash

$164 to $173

7 negotiated rates

—

list

Cataract surgery with lens implant

CPT 66984

—

cash

$2,160 to $2,282

7 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$8,208 to $8,672

7 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491

—

cash

$33 to $343

8 negotiated rates

—

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$870 to $920

7 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

$1,120 to $1,183

7 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$1,120 to $1,183

7 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025

—

cash

$7 to $76

8 negotiated rates

—

list

Comprehensive metabolic panel (blood test)

CPT 80053

—

cash

$10 to $103

8 negotiated rates

—

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$5,657 to $5,978

7 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591

—

cash

$33 to $343

8 negotiated rates

—

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$16,512 to $17,447

7 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$6,674 to $7,052

7 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$3,351 to $3,540

7 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$3,062 to $3,235

7 negotiated rates

—

list

Lipid panel (cholesterol test)

CPT 80061

—

cash

$13 to $131

8 negotiated rates

—

list

Liver function panel

CPT 80076

—

cash

$8 to $80

8 negotiated rates

—

list

MRI of the brain, with and without contrast

CPT 70553

—

cash

$326 to $345

7 negotiated rates

—

list

MRI of the knee or other lower joint, no contrast

CPT 73721

—

cash

$223 to $236

7 negotiated rates

—

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148

—

cash

$223 to $236

7 negotiated rates

—

list

MRI of the neck (cervical spine), no contrast

CPT 72141

—

cash

$223 to $236

7 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483

—

cash

$828 to $875

7 negotiated rates

—

list

PSA test (prostate)

CPT 84153

—

cash

$17 to $180

8 negotiated rates

—

list

Partial thromboplastin time (blood clotting test)

CPT 85730

—

cash

$6 to $59

8 negotiated rates

—

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110

—

cash

$26 to $28

7 negotiated rates

—

list

Pregnancy ultrasound (after first trimester)

CPT 76805

—

cash

$98 to $103

7 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610

—

cash

$4 to $42

8 negotiated rates

—

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$3,664 to $3,872

7 negotiated rates

—

list

Spinal injection, lower back, no imaging guidance

CPT 62322

—

cash

$828 to $875

7 negotiated rates

—

list

Spinal injection, lower back, with imaging guidance

CPT 62323

—

cash

$661 to $698

7 negotiated rates

—

list

TSH test (thyroid)

CPT 84443

—

cash

$16 to $164

8 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830

—

cash

$98 to $103

7 negotiated rates

—

list

Ultrasound of the abdomen (complete)

CPT 76700

—

cash

$98 to $103

7 negotiated rates

—

list

Upper endoscopy (EGD)

CPT 43235

—

cash

$849 to $897

7 negotiated rates

—

list

Upper endoscopy with biopsy

CPT 43239

—

cash

$849 to $897

7 negotiated rates

—

list

Urinalysis with microscope

CPT 81001

—

cash

$3 to $31

8 negotiated rates

—

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$5,771 to $6,098

7 negotiated rates

—

list

X-ray of the lower spine (4 or more views)

CPT 72110

—

cash

$98 to $103

7 negotiated rates

—

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://www.carymedicalcenter.org/wp-content/uploads/2025/06/010530375_cary-medical-center_standardcharges.csv
Cary Medical Center · parsed · wide v3.0.0 · file dated 2026-04-01 · 2.2 MB · 381 price rows read · read Nov 2026