St Joseph Hospital

360 Broadway, Bangor, ME 04401 · (207) 262-1000

Acute Care HospitalsVoluntary non-profit - ChurchCMS rating 3/5Bangor, ME metro Website ↗

Price file

Prices published

File dated 2026-04-01

176 price rows for 42 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · metro median $55

$55

cash

$8 to $64

2 negotiated rates

$108

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · metro median $1,923

$1,923

cash

—

$3,771

list

CT scan of the head, no contrast

CPT 70450 · metro median $966

$966

cash

—

$1,895

list

CT scan of the pelvis, with contrast

CPT 72193 · metro median $1,280

$1,280

cash

—

$2,510

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$16,549 to $16,549

1 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 3 lines · metro median $33

$124

cash

$35 to $264

2 negotiated rates

$244

list

Complete blood count (CBC) with differential

CPT 85025 · metro median $25

$57

cash

$8 to $58

2 negotiated rates

$112

list

Comprehensive metabolic panel (blood test)

CPT 80053 · metro median $66

$66

cash

$11 to $80

2 negotiated rates

$130

list

Diagnostic mammogram (both breasts)

CPT 77066 · metro median $390

$390

cash

—

$764

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 3 lines · metro median $64

$64

cash

—

$126

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 3 lines · metro median $32

$121

cash

$35 to $264

2 negotiated rates

$238

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$33,292 to $33,292

1 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$13,456 to $13,456

1 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$21,414 to $21,414

1 negotiated rates

—

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $31

$85

cash

$13 to $155

2 negotiated rates

$166

list

Liver function panel

CPT 80076 · metro median $11

$52

cash

$8 to $62

2 negotiated rates

$102

list

MRI of the brain, with and without contrast

CPT 70553 · metro median $1,819

$1,819

cash

—

$3,566

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · metro median $1,176

$1,176

cash

—

$2,306

list

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

CPT 72148 · metro median $1,176

$1,176

cash

—

$2,306

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $1,176

$1,176

cash

—

$2,306

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$42,136 to $42,136

1 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · metro median $113

$904

cash

—

$1,772

list

New patient office visit (about 30 minutes)

CPT 99203 · lowest of 3 lines · metro median $37

$58

cash

—

$114

list

New patient office visit (about 45 minutes)

CPT 99204 · lowest of 3 lines · metro median $51

$64

cash

—

$126

list

New patient office visit (about 60 minutes)

CPT 99205 · lowest of 3 lines · metro median $64

$64

cash

—

$126

list

PSA test (prostate)

CPT 84153 · lowest of 2 lines · metro median $15

$23

cash

$18 to $138

2 negotiated rates

$46

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 2 lines · metro median $15

$40

cash

$6 to $45

2 negotiated rates

$78

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $706

$706

cash

—

$1,385

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 2 lines · metro median $11

$27

cash

$4 to $29

2 negotiated rates

$53

list

Psychotherapy, 30 minutes

CPT 90832 · lowest of 2 lines · metro median $34

$186

cash

—

$364

list

Psychotherapy, 45 minutes

CPT 90834 · metro median $46

$170

cash

—

$333

list

Psychotherapy, 60 minutes

CPT 90837 · lowest of 2 lines · metro median $69

$246

cash

—

$482

list

Removal of a breast lump (biopsy by excision)

CPT 19120 · metro median $244

$3,868

cash

—

$7,585

list

Screening mammogram (both breasts)

CPT 77067 · metro median $110

$295

cash

—

$579

list

Sleep study (overnight, attended)

CPT 95810 · metro median $2,170

$2,170

cash

—

$4,254

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · metro median $96

$1,834

cash

—

$3,596

list

TSH test (thyroid)

CPT 84443 · lowest of 2 lines · metro median $36

$104

cash

$17 to $126

2 negotiated rates

$203

list

Transvaginal ultrasound

CPT 76830 · metro median $155

$388

cash

—

$761

list

Ultrasound of the abdomen (complete)

CPT 76700 · metro median $429

$429

cash

—

$841

list

Urinalysis with microscope

CPT 81001 · metro median $7

$56

cash

$3 to $23

2 negotiated rates

$109

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$11,637 to $11,637

1 negotiated rates

—

list

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

CPT 72110 · metro median $301

$301

cash

—

$591

list

Source files

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

https://stjosephbangor.org/CMS%20Files/010212435_st-joseph-hospital_standardcharges.csv
St. Joseph Healthcare · parsed · tall v3.0.0 · file dated 2026-04-01 · 5.3 MB · 176 price rows read · read Nov 2026