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Northern Light A R Gould Hospital

Po Box 151, Presque Isle, ME 04769 · (207) 768-4000

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 2/5Website ↗

Price file

Prices published

File dated 2026-03-30

9,467 price rows for 62 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 4 lines

$20
cash
—
cash
—
cash
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cash
Cataract surgery with lens implant

CPT 66984 · lowest of 2 lines

$240
cash
$2,411
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 6 lines

$34
cash
Colonoscopy (diagnostic)

CPT 45378 · lowest of 2 lines

$230
cash
Colonoscopy with biopsy

CPT 45380 · lowest of 2 lines

$196
cash
Colonoscopy with polyp removal

CPT 45385 · lowest of 2 lines

$210
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 4 lines

$15
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 4 lines

$36
cash
—
cash
—
cash
$69
cash
Family psychotherapy with the patient

CPT 90847 · lowest of 8 lines

$44
cash
Family psychotherapy without the patient

CPT 90846 · lowest of 6 lines

$42
cash
Gallbladder removal (laparoscopic)

CPT 47562 · lowest of 4 lines

$296
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 6 lines

$34
cash
Group psychotherapy

CPT 90853 · lowest of 6 lines

$41
cash
Inguinal hernia repair (age 5 and up)

CPT 49505 · lowest of 4 lines

$235
cash
Knee arthroscopy with meniscus repair

CPT 29881 · lowest of 2 lines

$441
cash
Laser treatment after cataract surgery (YAG)

CPT 66821 · lowest of 4 lines

$148
cash
—
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 4 lines

$24
cash
Liver function panel

CPT 80076 · lowest of 4 lines

$22
cash
—
cash
—
cash
—
cash
—
cash
$109
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 36 lines

$37
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 35 lines

$51
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 52 lines

$90
cash
PSA test (prostate)

CPT 84153 · lowest of 6 lines

$26
cash
$20
cash
$24
cash
—
cash
Preventive visit, new patient age 18 to 39

CPT 99385 · lowest of 4 lines

$30
cash
Preventive visit, new patient age 40 to 64

CPT 99386 · lowest of 4 lines

$37
cash
Prostate biopsy

CPT 55700 · lowest of 4 lines

$90
cash
—
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 4 lines

$10
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 18 lines

$38
cash
Psychotherapy, 45 minutes

CPT 90834 · lowest of 20 lines

$55
cash
Psychotherapy, 60 minutes

CPT 90837 · lowest of 18 lines

$81
cash
Removal of a breast lump (biopsy by excision)

CPT 19120 · lowest of 8 lines

$244
cash
—
cash
Shoulder arthroscopy with decompression

CPT 29826 · lowest of 2 lines

$129
cash
Sleep study (overnight, attended)

CPT 95810 · lowest of 2 lines

$933
cash
$50
cash
$55
cash
TSH test (thyroid)

CPT 84443 · lowest of 2 lines

$33
cash
Tonsils and adenoids removal (under age 12)

CPT 42820 · lowest of 2 lines

$220
cash
Transvaginal ultrasound

CPT 76830 · lowest of 2 lines

$115
cash
—
cash
Upper endoscopy (EGD)

CPT 43235 · lowest of 2 lines

$130
cash
Upper endoscopy with biopsy

CPT 43239 · lowest of 4 lines

$190
cash
Urinalysis with microscope

CPT 81001 · lowest of 4 lines

$9
cash
Vaginal delivery after a previous cesarean

CPT 59610 · lowest of 2 lines

$1,832
cash
$2,194
cash
—
cash

Source files

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