St Mary's Regional Medical Center

93 Campus Avenue - Po Box 291, Lewiston, ME 04243 · (207) 777-8100

Acute Care HospitalsVoluntary non-profit - ChurchCMS rating 4/5Lewiston, ME metro Website ↗

Price file

Prices published

File dated 2026-04-01

229 price rows for 61 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · metro median $8

$80

cash

$19 to $19

1 negotiated rates

$211

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · metro median $344

$1,758

cash

—

$4,627

list

CT scan of the head, no contrast

CPT 70450 · metro median $103

$601

cash

—

$1,582

list

CT scan of the pelvis, with contrast

CPT 72193 · metro median $173

$821

cash

—

$2,161

list

Cataract surgery with lens implant

CPT 66984

—

cash

$9,125 to $9,125

1 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$12,458 to $12,458

1 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 3 lines · metro median $35

$86

cash

$80 to $80

1 negotiated rates

$225

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$3,998 to $3,998

1 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

$3,998 to $3,998

1 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$3,998 to $3,998

1 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025 · metro median $7

$39

cash

$18 to $18

1 negotiated rates

$103

list

Comprehensive metabolic panel (blood test)

CPT 80053 · metro median $10

$82

cash

$24 to $24

1 negotiated rates

$216

list

Diagnostic mammogram (both breasts)

CPT 77066 · metro median $101

$212

cash

—

$557

list

Electrocardiogram (ECG) with interpretation

CPT 93000 · metro median $27

$27

cash

—

$70

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 3 lines · metro median $48

$48

cash

—

$127

list

Family psychotherapy with the patient

CPT 90847 · metro median $122

$122

cash

—

$322

list

Family psychotherapy without the patient

CPT 90846 · metro median $122

$122

cash

—

$322

list

Gallbladder removal (laparoscopic)

CPT 47562 · metro median $4,656

$4,656

cash

$5,697 to $5,697

1 negotiated rates

$12,252

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 3 lines · metro median $35

$80

cash

$80 to $80

1 negotiated rates

$211

list

Group psychotherapy

CPT 90853 · lowest of 2 lines · metro median $122

$122

cash

—

$322

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$25,062 to $25,062

1 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$10,129 to $10,129

1 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$16,120 to $16,120

1 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$5,645 to $5,645

1 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$5,645 to $5,645

1 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$3,998 to $3,998

1 negotiated rates

—

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $13

$82

cash

$30 to $30

1 negotiated rates

$216

list

Liver function panel

CPT 80076 · metro median $8

$63

cash

$19 to $19

1 negotiated rates

$167

list

MRI of the brain, with and without contrast

CPT 70553 · metro median $344

$1,685

cash

—

$4,434

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · metro median $235

$1,124

cash

—

$2,959

list

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

CPT 72148 · metro median $235

$1,124

cash

—

$2,959

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $235

$1,124

cash

—

$2,959

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$31,720 to $31,720

1 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · metro median $872

$966

cash

$2,983 to $2,983

1 negotiated rates

$2,541

list

New patient office visit (about 30 minutes)

CPT 99203 · lowest of 3 lines · metro median $48

$48

cash

—

$127

list

New patient office visit (about 45 minutes)

CPT 99204 · lowest of 3 lines · metro median $48

$48

cash

—

$127

list

New patient office visit (about 60 minutes)

CPT 99205 · lowest of 3 lines · metro median $48

$48

cash

—

$127

list

PSA test (prostate)

CPT 84153 · lowest of 2 lines · metro median $18

$73

cash

$42 to $42

1 negotiated rates

$191

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 2 lines · metro median $6

$68

cash

$14 to $14

1 negotiated rates

$179

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $103

$441

cash

—

$1,160

list

Preventive visit, new patient age 18 to 39

CPT 99385 · metro median $104

$104

cash

—

$274

list

Prostate biopsy

CPT 55700

—

cash

$3,998 to $3,998

1 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 2 lines · metro median $4

$29

cash

$10 to $10

1 negotiated rates

$76

list

Psychotherapy, 30 minutes

CPT 90832 · lowest of 2 lines · metro median $138

$138

cash

—

$364

list

Psychotherapy, 45 minutes

CPT 90834 · metro median $122

$122

cash

—

$322

list

Psychotherapy, 60 minutes

CPT 90837 · metro median $122

$122

cash

—

$322

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$4,569 to $4,569

1 negotiated rates

—

list

Screening mammogram (both breasts)

CPT 77067 · metro median $83

$185

cash

—

$488

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$4,569 to $4,569

1 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810 · lowest of 2 lines · metro median $847

$1,630

cash

—

$4,289

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · metro median $872

$1,416

cash

$2,983 to $2,983

1 negotiated rates

$3,726

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · metro median $696

$1,414

cash

$2,983 to $2,983

1 negotiated rates

$3,720

list

TSH test (thyroid)

CPT 84443 · lowest of 2 lines · metro median $16

$73

cash

$38 to $38

1 negotiated rates

$191

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$4,569 to $4,569

1 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830 · metro median $103

$328

cash

—

$863

list

Ultrasound of the abdomen (complete)

CPT 76700 · metro median $103

$413

cash

—

$1,087

list

Upper endoscopy (EGD)

CPT 43235

—

cash

$2,983 to $2,983

1 negotiated rates

—

list

Upper endoscopy with biopsy

CPT 43239

—

cash

$3,998 to $3,998

1 negotiated rates

—

list

Urinalysis with microscope

CPT 81001 · metro median $3

$41

cash

$7 to $7

1 negotiated rates

$108

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$8,760 to $8,760

1 negotiated rates

—

list

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

CPT 72110 · metro median $103

$330

cash

—

$868

list

Source files

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

https://stmarysmaine.com/CMS%20Files/010211551_st-mary-_s-regional-medical-center_standardcharges.csv
St. Mary's Health System · parsed · tall v3.0.0 · file dated 2026-04-01 · 5.4 MB · 229 price rows read · read Nov 2026