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Northern Light Sebasticook Valley Hospital

447 North Main Street, Pittsfield, ME 04967 · (207) 487-5141

Critical Access HospitalsVoluntary non-profit - PrivateCMS rating 2/5Website ↗Website taken from the domain of its price file

Price file

Prices published

File dated 2026-03-30

5,651 price rows for 62 procedures

Published prices

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

CPT 80048 · lowest of 4 lines

$65
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Chlamydia test (DNA)

CPT 87491 · lowest of 4 lines

$3
cash
Colonoscopy (diagnostic)

CPT 45378 · lowest of 2 lines

$298
cash
Colonoscopy with biopsy

CPT 45380 · lowest of 2 lines

$333
cash
Colonoscopy with polyp removal

CPT 45385 · lowest of 2 lines

$357
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 4 lines

$41
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 4 lines

$97
cash
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$117
cash
Family psychotherapy with the patient

CPT 90847 · lowest of 2 lines

$65
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Gallbladder removal (laparoscopic)

CPT 47562 · lowest of 2 lines

$504
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 4 lines

$3
cash
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Inguinal hernia repair (age 5 and up)

CPT 49505 · lowest of 2 lines

$400
cash
Knee arthroscopy with meniscus repair

CPT 29881 · lowest of 2 lines

$565
cash
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Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines

$46
cash
Liver function panel

CPT 80076 · lowest of 4 lines

$50
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$171
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New patient office visit (about 30 minutes)

CPT 99203 · lowest of 17 lines

$64
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 17 lines

$87
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 17 lines

$153
cash
PSA test (prostate)

CPT 84153 · lowest of 4 lines

$50
cash
$29
cash
$45
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Preventive visit, new patient age 18 to 39

CPT 99385 · lowest of 10 lines

$21
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Preventive visit, new patient age 40 to 64

CPT 99386 · lowest of 10 lines

$24
cash
Prostate biopsy

CPT 55700 · lowest of 4 lines

$156
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Prothrombin time (blood clotting test)

CPT 85610 · lowest of 2 lines

$16
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 8 lines

$53
cash
Psychotherapy, 45 minutes

CPT 90834 · lowest of 4 lines

$170
cash
Psychotherapy, 60 minutes

CPT 90837 · lowest of 4 lines

$254
cash
Removal of a breast lump (biopsy by excision)

CPT 19120 · lowest of 4 lines

$244
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Sleep study (overnight, attended)

CPT 95810 · lowest of 2 lines

$1,586
cash
$77
cash
$94
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TSH test (thyroid)

CPT 84443 · lowest of 2 lines

$54
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Upper endoscopy (EGD)

CPT 43235 · lowest of 2 lines

$221
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Upper endoscopy with biopsy

CPT 43239 · lowest of 4 lines

$342
cash
Urinalysis with microscope

CPT 81001 · lowest of 4 lines

$16
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Source files

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