Mainehealth Maine Medical Center — procedure prices

Published prices for 388 procedures at Mainehealth Maine Medical Center (Portland, ME), from its machine-readable file.

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ProcedureCashChargemasterInsurerMedicare
3D mammogram (tomosynthesis) $262 $262 $112 $51
Abdominal fluid drain (paracentesis) $1,348 $1,348 $550 $284
Abdominal ultrasound $894 $894 $168 $100
Abscess incision and drainage $243 $243 $206 $174
Achilles tendon repair — — $1,272 $624
ACL knee reconstruction — — $1,869 $889
Acupuncture — — $48 $38
Adenoid removal (adenoidectomy) — — $389 $204
Albumin blood test $64 $64 $23 $5
Aldosterone test $449 $449 $159 $41
Alkaline phosphatase test $73 $73 $26 $5
Allergy patch testing — — $9 $5
Allergy shots — — $16 $11
Allergy testing — — $7 $4
Alpha-fetoprotein (AFP) test $195 $195 $69 $17
ALT liver enzyme test $68 $68 $24 $5
Ammonia blood test $183 $183 $65 $15
Amniocentesis — — $146 $120
Amylase test $81 $81 $29 $6
Anal fistula repair — — $806 $541
Ankle fracture repair — — $1,181 $608
Ankle replacement — — $1,845 $885
Annual physical (established patient) — — $171 —
Annual physical (new patient) — — $188 —
Anoscopy $99 $99 $83 $129
Antinuclear antibody (ANA) test $153 $153 $54 $12
Aortic aneurysm repair (AAA) — — $2,238 $1,345
Aortic valve replacement — — $2,430 $1,603
Arterial blood gas (ABG) $245 $245 $196 $26
AST liver enzyme test $65 $65 $23 $5
Barium swallow study $657 $657 $196 $107
Bartholin cyst removal $234 $234 $197 $182
Basic metabolic panel $106 $106 $37 $8
Benign skin lesion removal — — $210 $171
Bilirubin blood test $64 $64 $23 $5
Bladder function test (urodynamics) — — $383 $345
Bladder scope (cystoscopy) — — $154 $216
Bladder tumor removal (TURBT) — — $463 $236
Blood clotting test (PT/INR) $50 $50 $40 $4
Blood crossmatch $177 $177 $145 —
Blood glucose test $49 $49 $26 $5
Blood transfusion $1,264 $1,264 $436 $47
Blood type and screen $101 $101 $84 $10
Blood type test $39 $39 $33 $3
BNP (heart failure) test $428 $428 $151 $39
Bone density scan (DEXA) $1,001 $1,001 $73 $39
Bone marrow biopsy $1,963 $1,963 $314 $172
Bone scan (nuclear) $2,800 $2,800 $519 $259
Botox for migraine — — $234 $157
Brain shunt (VP shunt) — — $1,657 $1,023
Breast biopsy $2,349 $2,349 $349 $478
Breast MRI — — $252 $216
Breast reconstruction — — $2,097 $1,227
Breast reduction — — $1,976 $980
Breast ultrasound $520 $520 $164 $92
Breathing tube insertion (intubation) $356 $356 $276 $133
Bronchoscopy — — $256 $303
Bunion surgery (bunionectomy) — — $989 $883
Burn treatment $181 $181 $151 $129
C-reactive protein (CRP) $65 $65 $23 $5
CA 19-9 tumor marker test $262 $262 $93 $21
CA-125 ovarian marker test $262 $262 $93 $21
Calcium blood test $65 $65 $23 $5
Capsule endoscopy — — $758 $802
Cardiac ablation — — $1,552 $759
Cardiac catheterization — — $1,095 $1,049
Cardiac event monitor — — $286 $170
Cardiac MRI — — $320 $322
Cardiac rehabilitation $287 $287 $99 $26
Cardiac stress test $1,044 $1,044 $78 $39
Cardioversion $727 $727 $294 $155
Carotid artery surgery — — $1,760 $1,026
Carotid artery ultrasound $1,536 $1,536 $208 $156
Carpal tunnel release — — $831 $483
Cataract surgery — — $1,036 $547
CEA tumor marker test $239 $239 $85 $19
Celiac disease test $93 $93 $38 $12
Central line placement $1,291 $1,291 $446 $238
Cervical cerclage — — $264 $137
Cervical LEEP procedure — — $354 $325
Chalazion (eyelid cyst) removal — — $199 $131
Chemotherapy infusion $382 $382 $174 $81
Chest fluid drain (thoracentesis) $2,186 $2,186 $754 $311
Chest tube insertion $679 $679 $305 $143
Chest X-ray $362 $362 $61 $37
Chickenpox (varicella) vaccine $770 $770 $631 —
Chiropractic adjustment — — $52 $38
Circumcision $247 $247 $214 $167
CK-MB heart enzyme test $98 $98 $38 $12
Clotting time test (PTT) $76 $76 $27 $6
Colon resection (colectomy) — — $2,082 $1,238
Colonoscopy — — $310 $480
Colostomy — — $1,913 $1,122
Colposcopy — — $197 $161
Complete blood count (CBC) $88 $88 $33 $7
Complex wound repair — — $457 $390
Comprehensive eye exam — — $134 $138
Comprehensive metabolic panel $135 $135 $47 $11
Contact lens fitting — — $79 —
Continuous glucose monitor setup — — $56 $35
Contraceptive implant (Nexplanon) — — $126 $115
Copper blood test $137 $137 $48 $12
Corneal transplant — — $2,388 $1,066
Coronary CT angiography — — $315 $326
Cortisol test $197 $197 $70 $16
COVID-19 PCR test $83 $83 $69 $51
CPAP titration study $298 $298 $120 $69
Craniotomy (brain surgery) — — $3,499 $2,161
Creatine kinase (CK) test $82 $82 $29 $7
CT angiography of the chest $4,260 $4,260 $523 $281
CT angiography of the head $3,727 $3,727 $517 $274
CT colonography (virtual colonoscopy) — — $361 $835
CT scan of the abdomen $2,401 $2,401 $357 $230
CT scan of the abdomen and pelvis $2,277 $2,277 $425 $300
CT scan of the arm $2,716 $2,716 $341 $199
CT scan of the chest $2,482 $2,482 $279 $167
CT scan of the head $1,987 $1,987 $233 $148
CT scan of the leg $2,716 $2,716 $276 $166
CT scan of the lower back (lumbar spine) $2,482 $2,482 $276 $169
CT scan of the neck $1,987 $1,987 $311 $183
CT scan of the neck (cervical spine) $2,108 $2,108 $192 $168
CT scan of the pelvis $2,401 $2,401 $359 $226
CT scan of the sinuses $1,987 $1,987 $266 $152
D-dimer test $131 $131 $46 $10
Defibrillator (ICD) implant — — $1,695 $798
Developmental screening (child) — — $15 —
DHEA-sulfate test $246 $246 $87 $22
Diagnostic mammogram $938 $938 $242 $140
Dialysis fistula creation — — $1,217 $601
Dilation and curettage (D&C) — — $436 $298
Droopy eyelid repair (ptosis) — — $1,159 $745
Drug screen (urine) $183 $183 $73 $17
Ear pressure test (tympanometry) — — $18 $16
Ear tubes (myringotomy) — — $258 $174
Eardrum repair (tympanoplasty) — — $1,724 $799
Echocardiogram $1,195 $1,195 $240 $138
Elbow replacement — — $2,767 $1,301
Electrocardiogram (EKG) $331 $331 $17 $8
Electroencephalogram (EEG) — — $416 $448
Electrolyte panel $89 $89 $71 $7
Electromyography (EMG) — — $139 $141
Emergency department visit $276 $276 $206 $69
Endometrial biopsy — — $117 $98
Epidural steroid injection $515 $515 $213 $275
ERCP (bile duct endoscopy) — — $610 $311
Esophageal dilation — — $158 $522
Esophageal variceal banding — — $265 $126
Estradiol (estrogen) test $347 $347 $123 $28
Eye refraction (glasses prescription) — — $34 —
Eyelid surgery (blepharoplasty) — — $786 $552
Facet joint injection (spine) — — $102 $99
Fallopian tube X-ray (HSG) $544 $544 $181 $164
Family therapy session — — $161 $110
Fecal occult blood (stool) test $150 $150 $53 $10
Feeding tube (PEG) placement — — $375 $178
Femoral hernia repair — — $989 $584
Ferritin (iron) test $171 $171 $61 $14
Fibrinogen test $106 $106 $37 $10
Fibroid removal (myomectomy) — — $1,603 $914
Flexible sigmoidoscopy — — $119 $323
Flu test $131 $131 $50 $17
Flu vaccine $36 $36 $26 —
Folate (folic acid) test $186 $186 $66 $15
Foreign body removal (skin) $323 $323 $258 $157
Free T4 thyroid test $115 $115 $41 $9
FSH hormone test $230 $230 $81 $19
Gallbladder removal (laparoscopic) — — $1,269 $658
Gallbladder scan (HIDA) $2,879 $2,879 $601 $334
Ganglion cyst removal — — $635 $321
GGT liver test $90 $90 $32 $7
Glaucoma surgery — — $2,090 $984
Glucose tolerance test $105 $105 $42 $8
Group therapy session — — $39 $30
H. pylori test — — $79 $67
Hammertoe repair — — $745 $548
HDL cholesterol test $98 $98 $35 $8
Hearing test (audiometry) — — $55 $36
Hematocrit test $33 $33 $12 $2
Hemodialysis — — $133 $75
Hemoglobin A1c (diabetes test) $116 $116 $41 $10
Hemorrhoid removal — — $399 $338
Hepatitis A vaccine $431 $431 $344 —
Hepatitis B test $132 $132 $47 $10
Hepatitis B vaccine — — $83 —
Hepatitis C test $165 $165 $134 $14
Hip arthroscopy — — $1,926 $931
Hip fracture repair — — $1,966 $1,120
Hip replacement — — $2,449 $1,162
HIV test $186 $186 $85 $19
Holter heart monitor $553 $553 $86 $26
Home sleep apnea test — — $105 $123
HPV vaccine — — $456 —
Hydrocele repair — — $650 $315
Hysterectomy — — $1,689 $933
Hysteroscopy — — $425 $1,270
Ileostomy — — $1,657 $968
Inguinal hernia repair — — $897 $538
Iron blood test $81 $81 $29 $6
IUD insertion — — $90 —
IUD removal $870 $870 $300 $112
IV infusion therapy $198 $198 $88 $44
IVC filter placement — — $415 $1,885
Joint aspiration (small/intermediate) $323 $323 $150 $57
Kidney biopsy — — $242 $492
Kidney removal (nephrectomy) — — $2,072 $1,164
Kidney scan (nuclear) $2,932 $2,932 $337 $172
Kidney stone shock-wave (lithotripsy) — — $1,111 $760
Kidney ultrasound $781 $781 $115 $84
Knee arthroscopy — — $1,054 $524
Knee joint injection $323 $323 $121 $69
Lactate test $136 $136 $109 $12
Laminectomy (spine) — — $2,141 $1,157
Laryngoscopy — — $181 $189
LDH test $77 $77 $27 $6
LDL cholesterol test $126 $126 $44 $11
Leg artery angiogram — — $159 $149
Leg artery angioplasty — — $763 —
Leg vein ultrasound (Doppler) $988 $988 $242 $150
LH hormone test $231 $231 $81 $19
Lipase test $88 $88 $31 $7
Lipid (cholesterol) panel $170 $170 $60 $13
Liver biopsy — — $168 $288
Liver function panel $103 $103 $37 $8
Lumbar discectomy — — $1,762 $898
Lumpectomy (breast) — — $1,233 $750
Lung function test (PFT) $203 $203 $55 $37
Lung scan (V/Q) $3,580 $3,580 $585 $291
Magnesium blood test $84 $84 $30 $7
Mastectomy — — $1,786 $1,021
Mastoidectomy — — $1,820 $840
Meniscus repair (knee) — — $1,336 $714
MMR vaccine $504 $504 $413 —
Mohs skin cancer surgery — — $409 $535
MRA of the brain $3,933 $3,933 $315 $226
MRA of the neck $5,800 $5,800 $394 $245
MRI of the abdomen $4,655 $4,655 $478 $300
MRI of the ankle $3,989 $3,989 $477 $261
MRI of the brain $4,714 $4,714 $433 $269
MRI of the chest $4,655 $4,655 $711 $371
MRI of the knee $3,946 $3,946 $555 $315
MRI of the lower back (lumbar spine) $4,714 $4,714 $434 $270
MRI of the mid-back (thoracic spine) $4,714 $4,714 $437 $271
MRI of the neck (cervical spine) $4,714 $4,714 $436 $274
MRI of the pelvis $4,655 $4,655 $481 $268
MRI of the shoulder $3,989 $3,989 $558 $313
MRI of the wrist $3,989 $3,989 $625 $330
Nebulizer breathing treatment $117 $117 $41 $9
Neck (cervical) spinal fusion — — $2,435 $1,410
Nerve conduction study — — $118 $118
Newborn hospital care $232 $232 $91 $58
Nuchal translucency ultrasound — — $116 $116
Nuclear cardiac stress test $2,643 $2,643 $835 $428
Occupational therapy evaluation $343 $343 $205 $101
Office visit (established patient) $73 $73 $68 $115
Office visit (new patient) $151 $151 $120 $177
Orthopedic hardware removal — — $811 $632
Ovarian cyst removal — — $1,389 $698
Ovary removal (oophorectomy) — — $1,135 $822
Pap smear (cervical screening) $167 $167 $65 $20
Parathyroid hormone (PTH) test $516 $516 $182 $41
Parathyroid removal — — $1,847 $891
Pelvic ultrasound $430 $430 $95 $78
PET scan — — $1,050 —
Phosphorus blood test $369 $369 $130 $5
Physical therapy evaluation $321 $321 $203 $98
Pilonidal cyst removal — — $511 $541
Platelet count $59 $59 $21 $4
Pneumonia vaccine — — $157 —
Pregnancy blood test (hCG) $96 $96 $34 $8
Pregnancy ultrasound $1,108 $1,108 $150 $126
Procalcitonin test $90 $90 $72 $27
Prolactin test $241 $241 $85 $19
Prostate biopsy — — $250 —
Prostate removal (prostatectomy) — — $2,209 $1,063
Prostate surgery (TURP) — — $1,379 $526
Prostate test (PSA) $182 $182 $146 $18
Psychiatric evaluation — — $263 $188
Psychotherapy session — — $179 $140
Pterygium removal (eye) — — $744 $540
Pulmonary rehabilitation $140 $140 $109 $87
Radiofrequency nerve ablation — — $374 $462
Retina scan (OCT) — — $42 $33
Retinal (fundus) photography — — $40 $37
Retinal detachment repair — — $2,132 $966
Rheumatoid factor test — — $7 $6
Rotator cuff repair — — $1,597 $792
Routine eye exam — — $76 $88
RSV vaccine — — $468 —
Sacroiliac joint injection — — $157 $176
Scoliosis spine X-ray $247 $247 $83 $58
Screening colonoscopy — — $203 $378
Screening mammogram $1,036 $1,036 $224 $126
Scrotal ultrasound $822 $822 $169 $99
Sedimentation rate (ESR) test $41 $41 $16 $3
Semen analysis $152 $152 $54 $12
Septoplasty (deviated septum) — — $1,312 $613
Sex hormone binding globulin test $210 $210 $74 $22
Shingles vaccine — — $291 —
Shoulder arthroscopy — — $1,999 $962
Shoulder replacement — — $2,755 $1,300
Simple wound stitches $154 $154 $123 $127
Sinus surgery (endoscopic) — — $420 $224
Skin biopsy $512 $512 $111 $121
Skin cancer lesion removal — — $292 $240
Skin graft — — $1,306 $898
Skin lesion freezing (cryotherapy) — — $52 $36
Skin tag removal $132 $132 $111 $92
Sleep study (polysomnography) $3,137 $3,137 $1,090 $691
Small bowel resection — — $1,945 $1,136
Soft tissue ultrasound $149 $149 $67 $64
Speech therapy $330 $330 $154 $76
Spinal cord stimulator — — $806 $2,388
Spinal tap (lumbar puncture) $484 $484 $261 $165
Spine fracture repair (kyphoplasty) — — $920 $5,803
Spleen removal (splenectomy) — — $2,009 $1,036
Stomach removal (gastrectomy) — — $2,655 $1,595
Strabismus (eye muscle) surgery — — $870 $475
Strep throat test $78 $78 $62 $17
Stress echocardiogram $1,499 $1,499 $357 $209
Swallow study $758 $758 $258 $85
T3 thyroid test $179 $179 $63 $14
Tdap (tetanus) vaccine $261 $261 $92 —
Testicle removal (orchiectomy) — — $629 $306
Testosterone test $278 $278 $98 $26
Thyroid removal (thyroidectomy) — — $1,759 $1,004
Thyroid test (TSH) $211 $211 $74 $17
Thyroid ultrasound $823 $823 $213 $109
Thyroid uptake scan $1,957 $1,957 $161 $145
Tilt table test — — $178 $168
Tonsillectomy — — $500 $252
Total IgE allergy test $205 $205 $72 $16
Total protein test $46 $46 $16 $4
Tracheostomy — — $572 $273
Transesophageal echocardiogram (TEE) $1,371 $1,371 $301 $239
Transvaginal ultrasound $916 $916 $205 $118
Trigger finger release — — $573 $630
Trigger point injection $374 $374 $102 $56
Triglycerides test $72 $72 $25 $6
Troponin (heart) test $124 $124 $44 $12
Tubal ligation — — $672 $333
Turbinate reduction — — $342 $294
Turning a breech baby (version) $1,146 $1,146 $401 $94
Ulnar nerve surgery (elbow) — — $1,176 $575
Upper GI endoscopy (EGD) — — $242 $371
Upper GI series (barium) $820 $820 $237 $128
Ureteral stent placement — — $298 $373
Ureteroscopy (stone removal) — — $775 $365
Uric acid (gout) test $59 $59 $21 $5
Urinalysis $33 $33 $15 $3
Urine microalbumin test $67 $67 $52 $5
Urine pregnancy test $35 $35 $28 $9
UV light therapy (skin) — — $178 $106
Vaccine administration $46 $46 $34 $19
Varicocele repair — — $675 $327
Varicose vein ablation — — $522 $1,018
Vasectomy — — $450 $347
Visual field test — — $64 $64
Vitamin B12 test $152 $152 $54 $15
Vitamin D test $296 $296 $105 $30
Vitrectomy (eye) — — $1,706 $814
Vocal cord injection — — $470 $211
Wart removal — — $123 $121
Well-child visit — — $134 —
Whipple procedure (pancreas) — — $4,950 $2,871
Wound debridement $243 $243 $197 $186
Wrist fracture repair — — $1,441 $735
X-ray of the abdomen $300 $300 $51 $36
X-ray of the ankle $277 $277 $71 $37
X-ray of the collarbone $270 $270 $63 $33
X-ray of the elbow $305 $305 $63 $33
X-ray of the facial bones $372 $372 $65 $39
X-ray of the foot $338 $338 $66 $34
X-ray of the forearm $270 $270 $57 $29
X-ray of the hand $277 $277 $71 $38
X-ray of the hip $305 $305 $76 $49
X-ray of the knee $305 $305 $70 $42
X-ray of the lower back (lumbar spine) $421 $421 $79 $47
X-ray of the lower leg $268 $268 $61 $31
X-ray of the mid-back (thoracic spine) $370 $370 $64 $36
X-ray of the neck (cervical spine) $399 $399 $80 $47
X-ray of the pelvis $313 $313 $57 $36
X-ray of the ribs $356 $356 $71 $42
X-ray of the shoulder $305 $305 $67 $36
X-ray of the skull $404 $404 $70 $40
X-ray of the upper arm $305 $305 $62 $32
X-ray of the wrist $313 $313 $79 $43
YAG laser capsulotomy (eye) — — $601 $335
Zinc blood test $115 $115 $41 $11

Source: this hospital’s machine-readable price file (45 CFR §180). Medicare from CMS fee schedules. Estimates — confirm with the hospital. Report an incorrect price.