| Procedure | Central Maine Medical Center | Mainehealth Stephens Hospital | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $21 | $262 | $51 |
| Abdominal fluid drain (paracentesis) | $894 | $1,348 | $284 |
| Abdominal ultrasound | $103 | $894 | $100 |
| Abdominal ultrasound (complete) | $103 | $1,040 | $114 |
| Abdominal ultrasound (limited) | $103 | $747 | $86 |
| Abscess drainage (complex or multiple) | $401 | $243 | $220 |
| Abscess drainage (simple) | $197 | $243 | $129 |
| Abscess incision and drainage | $299 | $243 | $174 |
| Albumin blood test | $4 | $64 | $5 |
| Aldosterone test | $40 | $449 | $41 |
| Alkaline phosphatase test | $5 | $73 | $5 |
| Alpha-fetoprotein (AFP) test | $16 | $195 | $17 |
| ALT liver enzyme test | $5 | $68 | $5 |
| Ammonia blood test | $14 | $183 | $15 |
| Anoscopy | $131 | $99 | $129 |
| Antinuclear antibody (ANA) test | $12 | $153 | $12 |
| Arterial blood gas (ABG) | $26 | $245 | $26 |
| AST liver enzyme test | $5 | $65 | $5 |
| Barium swallow study | $173 | $657 | $107 |
| Bartholin cyst removal | $199 | $234 | $182 |
| Bilirubin blood test | $5 | $64 | $5 |
| Blood clotting test (PT/INR) | $4 | $50 | $4 |
| Blood glucose test | $4 | $49 | $5 |
| Blood transfusion | $435 | $1,264 | $47 |
| Blood type and screen | $51 | $101 | $10 |
| Blood type test (Rh/D antigen) | $36 | $39 | $3 |
| BNP (heart failure) test | $39 | $428 | $39 |
| Bone density scan (DEXA) | $103 | $1,001 | $39 |
| Bone marrow biopsy | $2,248 | $1,963 | $172 |
| Bone scan (nuclear) | $394 | $2,800 | $259 |
| Breast biopsy | $1,629 | $2,349 | $478 |
| Breast ultrasound | $94 | $520 | $92 |
| Breast ultrasound (complete) | $103 | $555 | $100 |
| Breast ultrasound (limited) | $85 | $485 | $84 |
| Breathing tube insertion (intubation) | $233 | $356 | $133 |
| Burn dressing and debridement (medium) | $197 | $181 | $166 |
| Burn dressing and debridement (small) | $197 | $181 | $93 |
| Burn treatment | $197 | $181 | $129 |
| CA 19-9 tumor marker test | $20 | $262 | $21 |
| CA-125 ovarian marker test | $20 | $262 | $21 |
| Calcium blood test | $5 | $65 | $5 |
| Cardiac rehabilitation | $127 | $287 | $26 |
| Cardioversion | $652 | $727 | $155 |
| Carotid artery ultrasound | $169 | $1,536 | $156 |
| CEA tumor marker test | $18 | $239 | $19 |
| Central line placement | $3,115 | $1,291 | $238 |
| Chemotherapy infusion | $198 | $382 | $81 |
| Chemotherapy infusion (each additional) | $71 | $188 | $28 |
| Chemotherapy infusion (first hour) | $325 | $576 | $133 |
| Chest fluid drain (thoracentesis) | $618 | $2,186 | $311 |
| Chest tube insertion | $1,553 | $679 | $143 |
| Chest X-ray | $85 | $362 | $37 |
| Chest X-ray (1 view) | $85 | $246 | $25 |
| Chest X-ray (2 views) | $85 | $331 | $33 |
| CK-MB heart enzyme test | $11 | $98 | $12 |
| Clotting time test (PTT) | $6 | $76 | $6 |
| Complete blood count (CBC) | $7 | $88 | $7 |
| Complete blood count (CBC) (complete) | $7 | $96 | $8 |
| Copper blood test | $12 | $137 | $12 |
| Cortisol test | $16 | $197 | $16 |
| COVID-19 PCR test | $51 | $83 | $51 |
| CPAP titration study | $216 | $298 | $69 |
| Creatine kinase (CK) test | $6 | $82 | $7 |
| CT scan of the abdomen | $173 | $2,401 | $230 |
| CT scan of the abdomen and pelvis | $344 | $2,277 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $344 | $2,925 | $338 |
| CT scan of the abdomen and pelvis with contrast | $344 | $2,277 | $300 |
| CT scan of the abdomen and pelvis without contrast | $235 | $1,209 | $183 |
| CT scan of the abdomen with contrast | $173 | $2,401 | $230 |
| CT scan of the arm | $173 | $2,716 | $199 |
| CT scan of the arm with contrast | $344 | $2,716 | $199 |
| CT scan of the chest | $173 | $2,482 | $167 |
| CT scan of the chest with contrast | $173 | $2,482 | $167 |
| CT scan of the head | $173 | $1,987 | $148 |
| CT scan of the head with and without contrast | $173 | $2,482 | $173 |
| CT scan of the head with contrast | $173 | $1,987 | $148 |
| CT scan of the leg | $173 | $2,716 | $166 |
| CT scan of the leg with contrast | $173 | $2,716 | $166 |
| CT scan of the lower back (lumbar spine) | $173 | $2,482 | $169 |
| CT scan of the lower back (lumbar spine) with contrast | $344 | $2,482 | $169 |
| CT scan of the neck | $173 | $1,987 | $183 |
| CT scan of the neck (cervical spine) | $173 | $2,108 | $168 |
| CT scan of the neck with and without contrast | $173 | $2,482 | $220 |
| CT scan of the neck with contrast | $173 | $1,987 | $183 |
| CT scan of the pelvis | $173 | $2,401 | $226 |
| CT scan of the pelvis with and without contrast | $173 | $2,974 | $251 |
| CT scan of the pelvis with contrast | $173 | $2,401 | $226 |
| CT scan of the sinuses | $173 | $1,987 | $152 |
| CT scan of the sinuses with and without contrast | $173 | $2,482 | $184 |
| CT scan of the sinuses with contrast | $173 | $1,987 | $152 |
| DHEA-sulfate test | $22 | $246 | $22 |
| Diagnostic mammogram | $90 | $938 | $140 |
| Drug screen (urine) | $17 | $183 | $17 |
| Echocardiogram | $387 | $1,195 | $138 |
| Echocardiogram with and without contrast | $235 | $796 | $101 |
| Electrolyte panel | $7 | $89 | $7 |
| Emergency department visit | $269 | $276 | $69 |
| Emergency department visit (level 1) | $83 | $196 | $11 |
| Emergency department visit (level 2) | $151 | $262 | $40 |
| Emergency department visit (level 3) | $269 | $523 | $69 |
| Emergency department visit (level 4) | $411 | $949 | $118 |
| Emergency department visit (level 5) | $587 | $1,570 | $171 |
| Epidural steroid injection | $696 | $515 | $275 |
| Estradiol (estrogen) test | $27 | $347 | $28 |
| Fallopian tube X-ray (HSG) | $235 | $544 | $164 |
| Fecal occult blood (stool) test | $10 | $150 | $10 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $15 | $150 | $16 |
| Ferritin (iron) test | $13 | $171 | $14 |
| Fibrinogen test | $9 | $106 | $10 |
| Folate (folic acid) test | $14 | $186 | $15 |
| Foreign body removal (skin) | $401 | $323 | $157 |
| Free T4 thyroid test | $9 | $115 | $9 |
| FSH hormone test | $18 | $230 | $19 |
| Gallbladder scan (HIDA) | $465 | $2,879 | $334 |
| GGT liver test | $7 | $90 | $7 |
| Glucose tolerance test | $8 | $105 | $8 |
| HDL cholesterol test | $8 | $98 | $8 |
| Hemoglobin A1c (diabetes test) | $9 | $116 | $10 |
| Hepatitis B test | $10 | $132 | $10 |
| Hepatitis C test | $14 | $165 | $14 |
| HIV test | $13 | $186 | $19 |
| HIV test (antibody) | $13 | $130 | $14 |
| Iron blood test | $6 | $81 | $6 |
| IUD removal | $300 | $870 | $112 |
| IV infusion therapy | $128 | $198 | $44 |
| IV infusion therapy (each additional) | $46 | $98 | $21 |
| IV infusion therapy (initial) | $209 | $298 | $67 |
| Joint aspiration (small/intermediate) | $302 | $323 | $57 |
| Joint aspiration or injection (mid-size joint) | $302 | $323 | $57 |
| Joint aspiration or injection (small joint) | $302 | $440 | $56 |
| Kidney scan (nuclear) | $535 | $2,932 | $172 |
| Kidney ultrasound | $103 | $781 | $84 |
| Kidney ultrasound (limited) | $103 | $522 | $61 |
| Knee joint injection | $302 | $323 | $69 |
| Lactate test | $11 | $136 | $12 |
| LDH test | $6 | $77 | $6 |
| LDL cholesterol test | $10 | $126 | $11 |
| Leg vein ultrasound (Doppler) | $169 | $988 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $103 | $988 | $116 |
| LH hormone test | $18 | $231 | $19 |
| Lipid (cholesterol) panel | $13 | $170 | $13 |
| Lung function test (PFT) | $291 | $203 | $37 |
| Lung scan (V/Q) | $535 | $3,580 | $291 |
| Magnesium blood test | $6 | $84 | $7 |
| MRA of the brain | $344 | $3,933 | $226 |
| MRA of the neck | $344 | $5,800 | $245 |
| MRA of the neck without contrast | $344 | $7,667 | $343 |
| MRI of the abdomen | $344 | $4,655 | $300 |
| MRI of the abdomen with contrast | $344 | $4,655 | $300 |
| MRI of the abdomen without contrast | $235 | $3,883 | $194 |
| MRI of the ankle | $344 | $3,989 | $261 |
| MRI of the ankle with contrast | $344 | $3,989 | $261 |
| MRI of the ankle without contrast | $235 | $3,615 | $222 |
| MRI of the brain | $344 | $4,714 | $269 |
| MRI of the brain with contrast | $344 | $4,714 | $269 |
| MRI of the brain without contrast | $235 | $3,933 | $195 |
| MRI of the chest | $344 | $4,655 | $371 |
| MRI of the chest with contrast | $773 | $4,655 | $371 |
| MRI of the chest without contrast | $344 | $8,523 | $466 |
| MRI of the knee | $344 | $3,946 | $315 |
| MRI of the knee with contrast | $773 | $3,946 | $315 |
| MRI of the knee without contrast | $235 | $3,615 | $204 |
| MRI of the lower back (lumbar spine) | $344 | $4,714 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $344 | $4,714 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $235 | $4,362 | $192 |
| MRI of the mid-back (thoracic spine) | $344 | $4,714 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $344 | $8,731 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $344 | $4,714 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $235 | $4,362 | $190 |
| MRI of the neck (cervical spine) | $344 | $4,714 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $344 | $8,731 | $318 |
| MRI of the neck (cervical spine) with contrast | $344 | $4,714 | $274 |
| MRI of the neck (cervical spine) without contrast | $235 | $3,933 | $191 |
| MRI of the pelvis | $344 | $4,655 | $268 |
| MRI of the pelvis with contrast | $344 | $4,655 | $268 |
| MRI of the pelvis without contrast | $235 | $3,883 | $227 |
| MRI of the shoulder | $344 | $3,989 | $313 |
| MRI of the shoulder with contrast | $773 | $3,989 | $313 |
| MRI of the shoulder without contrast | $235 | $3,615 | $205 |
| MRI of the wrist | $344 | $3,989 | $330 |
| MRI of the wrist with contrast | $344 | $3,989 | $330 |
| MRI of the wrist without contrast | $235 | $3,615 | $303 |
| Nuclear cardiac stress test | $1,277 | $2,643 | $428 |
| Occupational therapy evaluation | $96 | $343 | $101 |
| Occupational therapy evaluation (high complexity) | $96 | $343 | $101 |
| Occupational therapy evaluation (low complexity) | $96 | $343 | $101 |
| Occupational therapy evaluation (moderate complexity) | $96 | $343 | $101 |
| Pap smear (cervical screening) | $20 | $167 | $20 |
| Parathyroid hormone (PTH) test | $41 | $516 | $41 |
| Pelvic ultrasound | $103 | $430 | $78 |
| Pelvic ultrasound (complete) | $103 | $810 | $105 |
| Pelvic ultrasound (limited) | $103 | $51 | $51 |
| Physical therapy evaluation | $94 | $321 | $98 |
| Physical therapy evaluation (high complexity) | $94 | $321 | $98 |
| Physical therapy evaluation (moderate complexity) | $94 | $321 | $98 |
| Platelet count | $4 | $59 | $4 |
| Pregnancy ultrasound | $103 | $1,108 | $126 |
| Pregnancy ultrasound (first trimester) | $103 | $1,108 | $117 |
| Pregnancy ultrasound (second or third trimester) | $103 | $611 | $136 |
| Prolactin test | $19 | $241 | $19 |
| Prostate test (PSA) | $18 | $182 | $18 |
| Pulmonary rehabilitation | $58 | $140 | $87 |
| Scoliosis spine X-ray | $94 | $247 | $58 |
| Scoliosis spine X-ray (1 view) | $85 | $226 | $44 |
| Scoliosis spine X-ray (3 views) | $103 | $268 | $72 |
| Screening mammogram | $83 | $1,036 | $126 |
| Scrotal ultrasound | $103 | $822 | $99 |
| Sedimentation rate (ESR) test | $4 | $41 | $3 |
| Semen analysis | $12 | $152 | $12 |
| Sex hormone binding globulin test | $21 | $210 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $197 | $154 | $114 |
| Simple wound stitches | $197 | $154 | $127 |
| Skin biopsy | $401 | $512 | $121 |
| Skin biopsy (punch) | $401 | $512 | $121 |
| Skin tag removal | $197 | $132 | $92 |
| Sleep study (polysomnography) | $847 | $3,137 | $691 |
| Soft tissue ultrasound | $103 | $149 | $64 |
| Speech therapy | $73 | $330 | $76 |
| Spinal tap (lumbar puncture) | $696 | $484 | $165 |
| Spirometry (lung function test) | $213 | $203 | $30 |
| Spirometry with bronchodilator | $368 | $323 | $43 |
| Strep throat test | $16 | $78 | $17 |
| Stress echocardiogram | $539 | $1,499 | $209 |
| Stress echocardiogram (complete) | $539 | $1,499 | $233 |
| Swallow study | $56 | $758 | $85 |
| T3 thyroid test | $14 | $179 | $14 |
| Testosterone test | $25 | $278 | $26 |
| Thyroid test (TSH) | $16 | $211 | $17 |
| Thyroid ultrasound | $103 | $823 | $109 |
| Thyroid uptake scan | $394 | $1,957 | $145 |
| Transesophageal echocardiogram (TEE) | $539 | $1,371 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $539 | $1,371 | $239 |
| Transvaginal ultrasound | $103 | $916 | $118 |
| Trigger point injection | $302 | $374 | $56 |
| Trigger point injection (1-2 muscles) | $302 | $374 | $52 |
| Triglycerides test | $5 | $72 | $6 |
| Troponin (heart) test | $12 | $124 | $12 |
| Upper GI series (barium) | $173 | $820 | $128 |
| Urine microalbumin test | $5 | $67 | $5 |
| Urine pregnancy test | $8 | $35 | $9 |
| Vitamin B12 test | $15 | $152 | $15 |
| Vitamin D test | $29 | $296 | $30 |
| Wound debridement | $565 | $243 | $186 |
| X-ray of the abdomen | $103 | $300 | $36 |
| X-ray of the ankle | $85 | $277 | $37 |
| X-ray of the collarbone | $85 | $270 | $33 |
| X-ray of the elbow | $85 | $305 | $33 |
| X-ray of the facial bones | $94 | $372 | $39 |
| X-ray of the foot | $85 | $338 | $34 |
| X-ray of the forearm | $85 | $270 | $29 |
| X-ray of the hand | $85 | $277 | $38 |
| X-ray of the hip | $85 | $305 | $49 |
| X-ray of the hip (1 view) | $85 | $247 | $34 |
| X-ray of the hip (3 views) | $85 | $305 | $49 |
| X-ray of the knee | $85 | $305 | $42 |
| X-ray of the knee (2 views) | $85 | $270 | $34 |
| X-ray of the knee (3 views) | $85 | $305 | $42 |
| X-ray of the knee (4+ views) | $103 | $331 | $49 |
| X-ray of the lower back (lumbar spine) | $103 | $421 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $103 | $356 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $103 | $485 | $53 |
| X-ray of the lower leg | $85 | $268 | $31 |
| X-ray of the mid-back (thoracic spine) | $103 | $370 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $103 | $347 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $103 | $392 | $39 |
| X-ray of the neck (cervical spine) | $94 | $399 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $85 | $322 | $40 |
| X-ray of the pelvis | $103 | $313 | $36 |
| X-ray of the pelvis (1 view) | $103 | $270 | $28 |
| X-ray of the ribs | $103 | $356 | $42 |
| X-ray of the ribs (2 views) | $85 | $305 | $36 |
| X-ray of the ribs (3 views) | $103 | $356 | $42 |
| X-ray of the shoulder | $85 | $305 | $36 |
| X-ray of the skull | $103 | $404 | $40 |
| X-ray of the upper arm | $85 | $305 | $32 |
| X-ray of the wrist | $85 | $313 | $43 |
| Zinc blood test | $11 | $115 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
