| Procedure | Central Maine Medical Center | Lincolnhealth | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $21 | $337 | $51 |
| Abdominal fluid drain (paracentesis) | $894 | $1,805 | $284 |
| Abdominal ultrasound | $103 | $538 | $100 |
| Abdominal ultrasound (complete) | $103 | $700 | $114 |
| Abdominal ultrasound (limited) | $103 | $538 | $86 |
| Abscess drainage (complex or multiple) | $401 | $452 | $220 |
| Abscess drainage (simple) | $197 | $430 | $129 |
| Abscess incision and drainage | $299 | $441 | $174 |
| Albumin blood test | $4 | $34 | $5 |
| Aldosterone test | $40 | $329 | $41 |
| Alkaline phosphatase test | $5 | $81 | $5 |
| Allergy shots | $46 | $92 | $11 |
| Alpha-fetoprotein (AFP) test | $16 | $99 | $17 |
| ALT liver enzyme test | $5 | $62 | $5 |
| Ammonia blood test | $14 | $159 | $15 |
| Anoscopy | $131 | $127 | $129 |
| Antinuclear antibody (ANA) test | $12 | $133 | $12 |
| Arterial blood gas (ABG) | $26 | $210 | $26 |
| AST liver enzyme test | $5 | $60 | $5 |
| Barium swallow study | $173 | $750 | $107 |
| Bartholin cyst removal | $199 | $400 | $182 |
| Benign skin lesion removal | $698 | $1,160 | $171 |
| Bilirubin blood test | $5 | $56 | $5 |
| Bladder scope (cystoscopy) | $688 | $1,861 | $216 |
| Blood clotting test (PT/INR) | $4 | $47 | $4 |
| Blood glucose test | $4 | $38 | $5 |
| Blood transfusion | $435 | $1,550 | $47 |
| Blood type and screen | $51 | $116 | $10 |
| Blood type test (Rh/D antigen) | $36 | $34 | $3 |
| BNP (heart failure) test | $39 | $368 | $39 |
| Bone density scan (DEXA) | $103 | $457 | $39 |
| Bone scan (nuclear) | $394 | $1,476 | $259 |
| Breast biopsy | $1,629 | $4,324 | $478 |
| Breast MRI | $235 | $1,459 | $216 |
| Breast ultrasound | $94 | $386 | $92 |
| Breast ultrasound (complete) | $103 | $386 | $100 |
| Breast ultrasound (limited) | $85 | $499 | $84 |
| Breathing tube insertion (intubation) | $233 | $466 | $133 |
| Bronchoscopy | $1,756 | $4,843 | $303 |
| Burn dressing and debridement (medium) | $197 | $195 | $166 |
| Burn dressing and debridement (small) | $197 | $418 | $93 |
| Burn treatment | $197 | $366 | $129 |
| CA 19-9 tumor marker test | $20 | $227 | $21 |
| CA-125 ovarian marker test | $20 | $227 | $21 |
| Calcium blood test | $5 | $60 | $5 |
| Cardiac rehabilitation | $127 | $218 | $26 |
| Cardioversion | $652 | $2,130 | $155 |
| Carotid artery ultrasound | $169 | $510 | $156 |
| CEA tumor marker test | $18 | $208 | $19 |
| Central line placement | $3,115 | $2,354 | $238 |
| Chemotherapy infusion | $198 | $542 | $81 |
| Chemotherapy infusion (each additional) | $71 | $542 | $28 |
| Chemotherapy infusion (first hour) | $325 | $542 | $133 |
| Chest fluid drain (thoracentesis) | $618 | $1,734 | $311 |
| Chest tube insertion | $1,553 | $752 | $143 |
| Chest X-ray | $85 | $295 | $37 |
| Chest X-ray (1 view) | $85 | $183 | $25 |
| Chest X-ray (2 views) | $85 | $253 | $33 |
| CK-MB heart enzyme test | $11 | $88 | $12 |
| Clotting time test (PTT) | $6 | $67 | $6 |
| Complete blood count (CBC) | $7 | $80 | $7 |
| Complete blood count (CBC) (complete) | $7 | $88 | $8 |
| Contraceptive implant (Nexplanon) | $440 | $904 | $115 |
| Copper blood test | $12 | $121 | $12 |
| Cortisol test | $16 | $179 | $16 |
| COVID-19 PCR test | $51 | $86 | $51 |
| CPAP titration study | $216 | $318 | $69 |
| Creatine kinase (CK) test | $6 | $72 | $7 |
| CT scan of the abdomen | $173 | $2,191 | $230 |
| CT scan of the abdomen and pelvis | $344 | $1,961 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $344 | $2,590 | $338 |
| CT scan of the abdomen and pelvis with contrast | $344 | $1,961 | $300 |
| CT scan of the abdomen and pelvis without contrast | $235 | $1,029 | $183 |
| CT scan of the abdomen with contrast | $173 | $2,191 | $230 |
| CT scan of the arm | $173 | $1,945 | $199 |
| CT scan of the arm with contrast | $344 | $1,945 | $199 |
| CT scan of the chest | $173 | $2,049 | $167 |
| CT scan of the chest with contrast | $173 | $2,049 | $167 |
| CT scan of the head | $173 | $1,653 | $148 |
| CT scan of the head with and without contrast | $173 | $2,033 | $173 |
| CT scan of the head with contrast | $173 | $1,653 | $148 |
| CT scan of the leg | $173 | $1,960 | $166 |
| CT scan of the leg with contrast | $173 | $1,960 | $166 |
| CT scan of the lower back (lumbar spine) | $173 | $2,049 | $169 |
| CT scan of the lower back (lumbar spine) with contrast | $344 | $2,049 | $169 |
| CT scan of the neck | $173 | $1,934 | $183 |
| CT scan of the neck (cervical spine) | $173 | $2,050 | $168 |
| CT scan of the neck (cervical spine) with contrast | $344 | $2,050 | $168 |
| CT scan of the neck with and without contrast | $173 | $2,435 | $220 |
| CT scan of the neck with contrast | $173 | $1,934 | $183 |
| CT scan of the pelvis | $173 | $1,949 | $226 |
| CT scan of the pelvis with and without contrast | $173 | $2,505 | $251 |
| CT scan of the pelvis with contrast | $173 | $1,949 | $226 |
| CT scan of the sinuses | $173 | $2,003 | $152 |
| CT scan of the sinuses with and without contrast | $173 | $2,503 | $184 |
| CT scan of the sinuses with contrast | $173 | $2,003 | $152 |
| DHEA-sulfate test | $22 | $212 | $22 |
| Diagnostic mammogram | $90 | $446 | $140 |
| Drug screen (urine) | $17 | $66 | $17 |
| Echocardiogram | $387 | $940 | $138 |
| Echocardiogram with and without contrast | $235 | $866 | $101 |
| Electrolyte panel | $7 | $81 | $7 |
| Emergency department visit | $269 | $449 | $69 |
| Emergency department visit (level 1) | $83 | $332 | $11 |
| Emergency department visit (level 2) | $151 | $414 | $40 |
| Emergency department visit (level 3) | $269 | $558 | $69 |
| Emergency department visit (level 4) | $411 | $921 | $118 |
| Emergency department visit (level 5) | $587 | $1,142 | $171 |
| Endometrial biopsy | $199 | $213 | $98 |
| Epidural steroid injection | $696 | $2,114 | $275 |
| Estradiol (estrogen) test | $27 | $297 | $28 |
| Facet joint injection (spine) | $872 | $546 | $99 |
| Fallopian tube X-ray (HSG) | $235 | $392 | $164 |
| Fecal occult blood (stool) test | $10 | $35 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $4 | $17 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $15 | $35 | $16 |
| Ferritin (iron) test | $13 | $150 | $14 |
| Fibrinogen test | $9 | $96 | $10 |
| Folate (folic acid) test | $14 | $160 | $15 |
| Foreign body removal (skin) | $401 | $675 | $157 |
| Free T4 thyroid test | $9 | $100 | $9 |
| FSH hormone test | $18 | $200 | $19 |
| Gallbladder scan (HIDA) | $465 | $1,719 | $334 |
| GGT liver test | $7 | $81 | $7 |
| Glucose tolerance test | $8 | $88 | $8 |
| HDL cholesterol test | $8 | $93 | $8 |
| Hemoglobin A1c (diabetes test) | $9 | $103 | $10 |
| Hepatitis B test | $10 | $115 | $10 |
| Hepatitis C test | $14 | $252 | $14 |
| HIV test | $13 | $165 | $19 |
| HIV test (antibody) | $13 | $116 | $14 |
| Iron blood test | $6 | $72 | $6 |
| IUD removal | $300 | $511 | $112 |
| IV infusion therapy | $128 | $465 | $44 |
| IV infusion therapy (each additional) | $46 | $465 | $21 |
| IV infusion therapy (initial) | $209 | $489 | $67 |
| Joint aspiration (small/intermediate) | $302 | $278 | $57 |
| Joint aspiration or injection (mid-size joint) | $302 | $182 | $57 |
| Joint aspiration or injection (small joint) | $302 | $929 | $56 |
| Kidney biopsy | $1,629 | $1,103 | $492 |
| Kidney scan (nuclear) | $535 | $963 | $172 |
| Kidney ultrasound | $103 | $596 | $84 |
| Kidney ultrasound (limited) | $103 | $596 | $61 |
| Knee joint injection | $302 | $1,003 | $69 |
| Lactate test | $11 | $119 | $12 |
| Laryngoscopy | $976 | $549 | $189 |
| LDH test | $6 | $67 | $6 |
| LDL cholesterol test | $10 | $86 | $11 |
| Leg vein ultrasound (Doppler) | $169 | $926 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $103 | $795 | $116 |
| LH hormone test | $18 | $200 | $19 |
| Lipid (cholesterol) panel | $13 | $147 | $13 |
| Liver biopsy | $1,629 | $1,437 | $288 |
| Lung function test (PFT) | $291 | $227 | $37 |
| Lung scan (V/Q) | $535 | $1,806 | $291 |
| Magnesium blood test | $6 | $77 | $7 |
| MRA of the brain | $344 | $3,137 | $226 |
| MRA of the brain with contrast | $344 | $3,137 | $226 |
| MRA of the brain without contrast | $344 | $3,955 | $328 |
| MRA of the neck | $344 | $3,137 | $245 |
| MRA of the neck with contrast | $344 | $3,137 | $245 |
| MRA of the neck without contrast | $344 | $3,955 | $343 |
| MRI of the abdomen | $344 | $3,137 | $300 |
| MRI of the abdomen with contrast | $344 | $3,137 | $300 |
| MRI of the abdomen without contrast | $235 | $2,555 | $194 |
| MRI of the ankle | $344 | $3,137 | $261 |
| MRI of the ankle with contrast | $344 | $3,137 | $261 |
| MRI of the ankle without contrast | $235 | $2,555 | $222 |
| MRI of the brain | $344 | $3,137 | $269 |
| MRI of the brain with contrast | $344 | $3,137 | $269 |
| MRI of the brain without contrast | $235 | $2,560 | $195 |
| MRI of the chest | $344 | $3,137 | $371 |
| MRI of the chest with contrast | $773 | $3,137 | $371 |
| MRI of the chest without contrast | $344 | $3,955 | $466 |
| MRI of the knee | $344 | $3,137 | $315 |
| MRI of the knee with contrast | $773 | $3,137 | $315 |
| MRI of the knee without contrast | $235 | $2,555 | $204 |
| MRI of the lower back (lumbar spine) | $344 | $3,137 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $344 | $3,137 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $235 | $2,555 | $192 |
| MRI of the mid-back (thoracic spine) | $344 | $3,137 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $344 | $3,956 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $344 | $3,137 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $235 | $2,555 | $190 |
| MRI of the neck (cervical spine) | $344 | $3,137 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $344 | $3,956 | $318 |
| MRI of the neck (cervical spine) with contrast | $344 | $3,137 | $274 |
| MRI of the neck (cervical spine) without contrast | $235 | $2,555 | $191 |
| MRI of the pelvis | $344 | $3,137 | $268 |
| MRI of the pelvis with contrast | $344 | $3,137 | $268 |
| MRI of the pelvis without contrast | $235 | $2,555 | $227 |
| MRI of the shoulder | $344 | $3,137 | $313 |
| MRI of the shoulder with contrast | $773 | $3,137 | $313 |
| MRI of the shoulder without contrast | $235 | $2,555 | $205 |
| MRI of the wrist | $344 | $3,140 | $330 |
| MRI of the wrist with contrast | $344 | $3,140 | $330 |
| MRI of the wrist without contrast | $235 | $2,555 | $303 |
| Nuclear cardiac stress test | $1,277 | $2,207 | $428 |
| Occupational therapy evaluation | $96 | $484 | $101 |
| Occupational therapy evaluation (high complexity) | $96 | $534 | $101 |
| Occupational therapy evaluation (low complexity) | $96 | $437 | $101 |
| Occupational therapy evaluation (moderate complexity) | $96 | $484 | $101 |
| Pap smear (cervical screening) | $20 | $200 | $20 |
| Parathyroid hormone (PTH) test | $41 | $446 | $41 |
| Pelvic ultrasound | $103 | $465 | $78 |
| Pelvic ultrasound (complete) | $103 | $630 | $105 |
| Pelvic ultrasound (limited) | $103 | $465 | $51 |
| Physical therapy evaluation | $94 | $480 | $98 |
| Physical therapy evaluation (high complexity) | $94 | $529 | $98 |
| Physical therapy evaluation (moderate complexity) | $94 | $480 | $98 |
| Platelet count | $4 | $53 | $4 |
| Pregnancy ultrasound | $103 | $596 | $126 |
| Pregnancy ultrasound (first trimester) | $103 | $596 | $117 |
| Pregnancy ultrasound (second or third trimester) | $103 | $708 | $136 |
| Prolactin test | $19 | $210 | $19 |
| Prostate test (PSA) | $18 | $200 | $18 |
| Psychiatric evaluation | $175 | $341 | $188 |
| Pulmonary rehabilitation | $58 | $182 | $87 |
| Scoliosis spine X-ray | $94 | $305 | $58 |
| Scoliosis spine X-ray (1 view) | $85 | $305 | $44 |
| Scoliosis spine X-ray (3 views) | $103 | $504 | $72 |
| Screening mammogram | $83 | $399 | $126 |
| Scrotal ultrasound | $103 | $635 | $99 |
| Sedimentation rate (ESR) test | $4 | $42 | $3 |
| Semen analysis | $12 | $133 | $12 |
| Sex hormone binding globulin test | $21 | $172 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $197 | $293 | $114 |
| Simple wound stitches | $197 | $293 | $127 |
| Skin biopsy | $401 | $1,151 | $121 |
| Skin biopsy (punch) | $401 | $1,151 | $121 |
| Skin tag removal | $197 | $146 | $92 |
| Soft tissue ultrasound | $103 | $151 | $64 |
| Speech therapy | $73 | $334 | $76 |
| Spinal tap (lumbar puncture) | $696 | $555 | $165 |
| Spirometry (lung function test) | $213 | $227 | $30 |
| Spirometry with bronchodilator | $368 | $468 | $43 |
| Strep throat test | $16 | $105 | $17 |
| Stress echocardiogram | $539 | $1,802 | $209 |
| Stress echocardiogram (complete) | $539 | $1,868 | $233 |
| Swallow study | $56 | $480 | $85 |
| T3 thyroid test | $14 | $155 | $14 |
| Testosterone test | $25 | $240 | $26 |
| Thyroid test (TSH) | $16 | $183 | $17 |
| Thyroid ultrasound | $103 | $604 | $109 |
| Thyroid uptake scan | $394 | $1,096 | $145 |
| Transesophageal echocardiogram (TEE) | $539 | $3,795 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $539 | $3,795 | $239 |
| Transvaginal ultrasound | $103 | $626 | $118 |
| Trigger point injection | $302 | $413 | $56 |
| Trigger point injection (1-2 muscles) | $302 | $413 | $52 |
| Triglycerides test | $5 | $66 | $6 |
| Troponin (heart) test | $12 | $109 | $12 |
| Upper GI series (barium) | $173 | $855 | $128 |
| Urine microalbumin test | $5 | $56 | $5 |
| Urine pregnancy test | $8 | $60 | $9 |
| Vitamin B12 test | $15 | $164 | $15 |
| Vitamin D test | $29 | $320 | $30 |
| Wart removal | $197 | $607 | $121 |
| Wound debridement | $565 | $562 | $186 |
| X-ray of the abdomen | $103 | $318 | $36 |
| X-ray of the ankle | $85 | $263 | $37 |
| X-ray of the collarbone | $85 | $229 | $33 |
| X-ray of the elbow | $85 | $307 | $33 |
| X-ray of the facial bones | $94 | $309 | $39 |
| X-ray of the foot | $85 | $260 | $34 |
| X-ray of the forearm | $85 | $229 | $29 |
| X-ray of the hand | $85 | $263 | $38 |
| X-ray of the hip | $85 | $305 | $49 |
| X-ray of the hip (1 view) | $85 | $305 | $34 |
| X-ray of the hip (3 views) | $85 | $305 | $49 |
| X-ray of the knee | $85 | $236 | $42 |
| X-ray of the knee (2 views) | $85 | $236 | $34 |
| X-ray of the knee (3 views) | $85 | $295 | $42 |
| X-ray of the knee (4+ views) | $103 | $338 | $49 |
| X-ray of the lower back (lumbar spine) | $103 | $330 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $103 | $330 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $103 | $461 | $53 |
| X-ray of the lower leg | $85 | $221 | $31 |
| X-ray of the mid-back (thoracic spine) | $103 | $274 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $103 | $274 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $103 | $330 | $39 |
| X-ray of the neck (cervical spine) | $94 | $307 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $85 | $307 | $40 |
| X-ray of the pelvis | $103 | $209 | $36 |
| X-ray of the pelvis (1 view) | $103 | $209 | $28 |
| X-ray of the ribs | $103 | $313 | $42 |
| X-ray of the ribs (2 views) | $85 | $260 | $36 |
| X-ray of the ribs (3 views) | $103 | $313 | $42 |
| X-ray of the shoulder | $85 | $248 | $36 |
| X-ray of the skull | $103 | $293 | $40 |
| X-ray of the upper arm | $85 | $248 | $32 |
| X-ray of the wrist | $85 | $301 | $43 |
| Zinc blood test | $11 | $81 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
