Mainehealth Mid Coast Hospital

123 Medical Center Drive, Brunswick, ME 04011 · (207) 729-0181

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 3/5Portland, ME metro Website ↗

Price file

Prices published

File dated 2026-10-30

2,402 price rows for 68 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $106

$215

cash

$7 to $203

23 negotiated rates

$215

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $1,996

$1,965

cash

$280 to $1,850

33 negotiated rates

$1,965

list

CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $1,017

$1,857

cash

$100 to $1,748

33 negotiated rates

$1,857

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $1,424

$1,424

cash

$179 to $1,340

33 negotiated rates

$1,424

list

Cataract surgery with lens implant

CPT 66984

—

cash

$439 to $8,395

19 negotiated rates

—

list

Cesarean delivery with prenatal and postpartum care

CPT 59510

—

cash

$2,256 to $7,463

18 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$7,775 to $17,224

7 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 2 lines · metro median $120

$192

cash

$22 to $180

23 negotiated rates

$192

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$156 to $3,383

21 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

$169 to $4,353

21 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$212 to $4,353

21 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines · metro median $28

$115

cash

$6 to $109

23 negotiated rates

$115

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $135

$225

cash

$7 to $212

23 negotiated rates

$225

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines · metro median $346

$434

cash

$146 to $474

33 negotiated rates

$434

list

Electrocardiogram (ECG) with interpretation

CPT 93000

—

cash

$14 to $46

18 negotiated rates

—

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 3 lines · metro median $98

$387

cash

$121 to $569

35 negotiated rates

$387

list

Family psychotherapy with the patient

CPT 90847 · lowest of 4 lines · metro median $181

$327

cash

$102 to $646

56 negotiated rates

$327

list

Family psychotherapy without the patient

CPT 90846 · lowest of 4 lines · metro median $65

$315

cash

$98 to $646

56 negotiated rates

$315

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$582 to $21,990

19 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 2 lines · metro median $120

$192

cash

$22 to $180

23 negotiated rates

$192

list

Group psychotherapy

CPT 90853 · lowest of 4 lines · metro median $40

$261

cash

$24 to $370

56 negotiated rates

$261

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$15,733 to $36,926

7 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$6,646 to $14,430

7 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$10,709 to $24,489

7 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$468 to $13,024

19 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$479 to $11,902

19 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$260 to $2,001

21 negotiated rates

—

list

Left heart catheterization

CPT 93452

—

cash

$809 to $11,792

19 negotiated rates

—

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $53

$221

cash

$11 to $208

23 negotiated rates

$221

list

Liver function panel

CPT 80076 · lowest of 2 lines · metro median $44

$224

cash

$4 to $211

23 negotiated rates

$224

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $2,999

$2,386

cash

$296 to $2,246

33 negotiated rates

$2,386

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 2 lines · metro median $1,657

$1,500

cash

$191 to $1,411

33 negotiated rates

$1,500

list

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

CPT 72148 · lowest of 2 lines · metro median $1,849

$1,419

cash

$179 to $1,336

33 negotiated rates

$1,419

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $1,691

$1,419

cash

$178 to $1,336

33 negotiated rates

$1,419

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$19,511 to $46,279

7 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 2 lines · metro median $240

$2,857

cash

$95 to $3,217

35 negotiated rates

$2,857

list

New patient office visit (about 30 minutes)

CPT 99203 · lowest of 3 lines · metro median $79

$324

cash

$68 to $364

35 negotiated rates

$324

list

New patient office visit (about 45 minutes)

CPT 99204 · lowest of 3 lines · metro median $120

$387

cash

$112 to $525

35 negotiated rates

$387

list

New patient office visit (about 60 minutes)

CPT 99205 · lowest of 3 lines · metro median $151

$387

cash

$153 to $701

35 negotiated rates

$387

list

PSA test (prostate)

CPT 84153 · lowest of 2 lines · metro median $74

$141

cash

$11 to $132

23 negotiated rates

$141

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 2 lines · metro median $35

$209

cash

$3 to $196

23 negotiated rates

$209

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 2 lines · metro median $102

$159

cash

$28 to $149

33 negotiated rates

$159

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines · metro median $497

$1,015

cash

$107 to $955

33 negotiated rates

$1,015

list

Preventive visit, new patient age 18 to 39

CPT 99385

—

cash

$113 to $399

10 negotiated rates

—

list

Preventive visit, new patient age 40 to 64

CPT 99386

—

cash

$138 to $460

10 negotiated rates

—

list

Prostate biopsy

CPT 55700

—

cash

$165 to $437

6 negotiated rates

—

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$1,026 to $38,666

19 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 6 lines · metro median $11

$99

cash

$3 to $94

65 negotiated rates

$99

list

Psychotherapy, 30 minutes

CPT 90832 · lowest of 4 lines · metro median $47

$195

cash

$69 to $646

56 negotiated rates

$195

list

Psychotherapy, 45 minutes

CPT 90834 · lowest of 4 lines · metro median $68

$261

cash

$91 to $646

56 negotiated rates

$261

list

Psychotherapy, 60 minutes

CPT 90837 · lowest of 4 lines · metro median $108

$392

cash

$134 to $646

56 negotiated rates

$392

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$376 to $14,242

21 negotiated rates

—

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines · metro median $138

$389

cash

$118 to $381

33 negotiated rates

$389

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$138 to $445

18 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810 · lowest of 2 lines · metro median $1,831

$3,635

cash

$624 to $3,421

33 negotiated rates

$3,635

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 2 lines · metro median $237

$2,141

cash

$71 to $3,217

35 negotiated rates

$2,141

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 2 lines · metro median $220

$2,004

cash

$85 to $2,568

35 negotiated rates

$2,004

list

TSH test (thyroid)

CPT 84443 · lowest of 2 lines · metro median $60

$235

cash

$14 to $222

23 negotiated rates

$235

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$245 to $21,533

19 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830 · lowest of 2 lines · metro median $475

$808

cash

$107 to $760

33 negotiated rates

$808

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $798

$1,015

cash

$107 to $955

33 negotiated rates

$1,015

list

Upper endoscopy (EGD)

CPT 43235

—

cash

$105 to $3,299

21 negotiated rates

—

list

Upper endoscopy with biopsy

CPT 43239

—

cash

$117 to $3,299

21 negotiated rates

—

list

Urinalysis with microscope

CPT 81001 · lowest of 2 lines · metro median $36

$165

cash

$3 to $155

23 negotiated rates

$165

list

Vaginal delivery after a previous cesarean

CPT 59610

—

cash

$2,124 to $7,032

18 negotiated rates

—

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$6,006 to $12,845

7 negotiated rates

—

list

Vaginal delivery with prenatal and postpartum care

CPT 59400

—

cash

$2,031 to $6,680

18 negotiated rates

—

list

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

CPT 72110 · lowest of 2 lines · metro median $322

$294

cash

$50 to $380

33 negotiated rates

$294

list

Source files

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

https://sthpiprd.blob.core.windows.net/machine-readable-files/8025/010238552-1932164795_mainehealth_standardcharges.csv
Mid Coast Hospital · parsed · tall v3.0.0 · file dated 2026-10-30 · 127.1 MB · 2402 price rows read · read Nov 2026