Belfast, ME
1 known revision on file.
| Revision date | Added | Payer-specific rates |
|---|---|---|
| Sep 9, 2025 | Sep 18, 2026 | Yes |
Search by billing code or procedure name (CPT, HCPCS, MS-DRG and more) to see MaineHealth’s price for it.
The codes MaineHealth has the most pricing samples for.
| Procedure | |||||||
|---|---|---|---|---|---|---|---|
| Cannulated stainless steel femoral locking bone screwHCPCS C1713 | $188 | $480 | $596 | 124% | 2,466–24,660 | $3 | $6.6k |
| Phasix mesh plug and patchHCPCS C1781 | $230 | $381 | $413 | 108% | 120–1,200 | $16 | $2.3k |
| Unscheduled hospital outpatient clinic visitHCPCS G0463 | $98 | $146 | $138 | 94% | 260–566 | $17 | $633 |
| Therapeutic exercise sessionCPT 97110 | $65 | $99 | $56 | 56% | 260 | $29 | $226 |
| Complete blood count with automated differentialCPT 85025 | $33 | $42 | $27 | 65% | 202 | $6 | $72 |
| Manual therapy, one or more body regionsCPT 97140 | $65 | $98 | $58 | 59% | 182 | $27 | $233 |
| Bilateral screening mammogram with computer-aided detectionCPT 77067 | $167 | $209 | $126 | 60% | 161–170 | $36 | $475 |
| Outpatient office visit, established patient, level 4CPT 99214 | $129 | $150 | $105 | 70% | 117–171 | $26 | $633 |
| Iodixanol contrast injection, 320 mg/mLHCPCS Q9967 | $41 | $53 | $51 | 96% | 25–250 | $0 | $130 |
| Outpatient office visit, established patientCPT 99213 | $80 | $112 | $96 | 85% | 78–132 | $26 | $633 |
EIN: 01-0238552
Last updated: Sep 9, 2025
Query MaineHealth’s procedure pricing directly from Claude or any MCP client — see how to connect.
Hospital ID: c63576e66d2d2b1e5e4ee9129b7373b380b65fbba8728a0b0e73e7cc2c12c349