Maine · 1,500 published self-pay prices, from $1,674 to $126,974.
These items are published without a standard CPT or HCPCS code, so they cannot be reliably matched against the same service at another hospital. They are shown exactly as this facility published them, and are excluded from every median, average and comparison elsewhere on this site.
Showing the 300 lowest-priced of 1,500 published items.
| Item | Cash price | Setting |
|---|---|---|
| 3-D Radiotherapy Plan FC | $5,469 | Outpatient |
| Abatacept 250MG Inj | $1,818 | Outpatient |
| Abbott Emboshield Filter | $4,417 | Outpatient |
| Abbott Gallant DR | $19,637 | Outpatient |
| Abd Paracentesis W/Imaging FC | $4,582 | Outpatient |
| Ablate Bone Tumor(s) Perq FC | $20,697 | Outpatient |
| Ablate Pulm Tumor Perq Rf FC | $8,305 | Outpatient |
| Acf Spacer Lordotic | $4,015 | Outpatient |
| Acumed Dist Rad Plate | $2,029 | Outpatient |
| Acute Gi Blood Loss Imaging FC | $1,690 | Outpatient |
| Adhesiolysis Tube Ovary PR | $1,709 | Outpatient |
| Adstiladrin 75mL Dose | $84,000 | Both |
| Aflibercept 2MG Inj | $3,466 | Both |
| Aflibercept hd 8mg Inj | $3,592 | Outpatient |
| AICD Dual Chamber | $22,340 | Outpatient |
| AICD Other Than Sing/Dual | $10,821 | Outpatient |
| AICD Single Chamber | $18,515 | Outpatient |
| Alemtuzumab 1Mg Inj | $3,359 | Outpatient |
| Alemtuzumab 1Mg Inj (JW) | $3,359 | Both |
| Allgrft Implnt Knee W/Scope PR | $2,451 | Outpatient |
| Amer Med Sys Monarch Slin | $3,643 | Outpatient |
| Amputation Finger/Thumb FC | $5,529 | Outpatient |
| Amputation Of Toe FC | $6,222 | Outpatient |
| Ams 800 Accessory Kit | $2,376 | Outpatient |
| AMS 800 Urinary Control System | $23,155 | Outpatient |
| Anchor/Screw Expedium | $5,882 | Outpatient |
| Anoscopy Remove For Body FC | $1,898 | Outpatient |
| Ant Fusion 2-3 Vert Seg PR | $3,444 | Outpatient |
| Antepartum Manipulation FC | $2,914 | Outpatient |
| Appi Med Hand Access Dev | $1,875 | Outpatient |
| Apply Interstit Radiat Comp FC | $3,072 | Outpatient |
| Aqua 2.3 Biploar Sealer | $1,867 | Outpatient |
| Argatroban 250MG/250mL D5W | $2,458 | Outpatient |
| Aripiprazole 300 mg ER Inj | $2,309 | Outpatient |
| Aripiprazole ER Inj 400mg | $3,078 | Both |
| Art Byp Aortobi Iliac PR | $3,347 | Outpatient |
| Art Byp Aortobifemoral PR | $3,186 | Outpatient |
| Art Byp Axil Fem Femoral PR | $2,612 | Outpatient |
| Art Byp Axillary Femoral PR | $2,089 | Outpatient |
| Art Byp Axillary-Axillary PR | $2,181 | Outpatient |
| Art Byp Carotid-Subclavian PR | $2,184 | Outpatient |
| Art Byp Fem Ant Pst Tib/Prl PR | $2,412 | Outpatient |
| Art Byp Femoral-Femoral PR | $2,222 | Outpatient |
| Art Byp Femoral-Popliteal PR | $2,212 | Outpatient |
| Art Byp Grft Axill-Brachial PR | $2,306 | Outpatient |
| Art Byp Grft Brachial-Brchl PR | $2,136 | Outpatient |
| Art Byp Grft Brchl-Ulnr-Rdl PR | $2,609 | Outpatient |
| Art Byp Grft Fem-Femoral PR | $2,524 | Outpatient |
| Art Byp Grft Fem-Popliteal PR | $2,604 | Outpatient |
| Art Byp Grft Iliofemoral PR | $2,314 | Outpatient |
| Art Byp Iofemoral PR | $2,240 | Outpatient |
| Art Byp Pop-Tibl-Prl-Other PR | $2,724 | Outpatient |
| Art Byp Subclav-Subclavian PR | $1,996 | Outpatient |
| Art Byp Tibial Tib/Peroneal PR | $2,734 | Outpatient |
| Artery XR Abdomen FC | $11,590 | Outpatient |
| Artery XR Arm/Leg FC | $11,035 | Outpatient |
| Artery XR Arms/Legs FC | $11,590 | Outpatient |
| Artery XR Lung FC | $4,086 | Outpatient |
| Artery XR Lungs FC | $14,293 | Outpatient |
| Artery XR Pelvis FC | $11,590 | Outpatient |
| Arthrd Cmbn 1ntrspc Lumbar PR | $3,582 | Outpatient |
| Arthrex Button Biosurge Allosync | $1,875 | Outpatient |
| Arthrex Knotless Fibertak Disp Kit Obturator Drill | $2,100 | Outpatient |
| Arthrex Knotless Tightrope Syn | $2,635 | Outpatient |
| Arthrex Mini Anchor Kit | $2,352 | Outpatient |
| Arthrex Mpfl Kit | $2,732 | Outpatient |
| Arthrex Quadlink Implant System | $3,411 | Outpatient |
| Arthrex Speedbridge Implant System | $3,940 | Outpatient |
| Arthrex Syndesmosis Kit | $1,780 | Outpatient |
| Arthroscop Rotator Cuff Rpr PR | $1,942 | Outpatient |
| Arthroscpy Biceps Tenodesis PR | $1,774 | Outpatient |
| Arthrotomy Wrist Joint W/Explore FC | $6,169 | Outpatient |
| Arthrp Ntrcrpl/Crp/Mtcrp ssp PR | $1,717 | Outpatient |
| Ascension Disposables | $1,904 | Outpatient |
| Ascension Pyrosphere | $6,522 | Outpatient |
| Aspirate Pleura W/ Imaging FC | $2,226 | Outpatient |
| Atezolizumab 1200MG Inj | $20,484 | Both |
| Atezolizumab 840MG Inj | $14,339 | Outpatient |
| Atgam Inj 250MG | $3,193 | Both |
| Attemptd Vbac Delivery Only PR | $1,752 | Outpatient |
| Attempted Vbac After Care PR | $2,402 | Outpatient |
| Attempted Vbac Delivery PR | $4,590 | Outpatient |
| Autgrft Implnt Knee W/Scope PR | $2,015 | Outpatient |
| Autochondrocyte Implt Knee PR | $3,175 | Outpatient |
| Autograft Transf Sys Oats | $2,915 | Outpatient |
| Avelumab 200Mg Vial | $2,681 | Both |
| Axoguard Nerve Connector | $2,997 | Outpatient |
| Axoguard Nerve Protector | $4,253 | Outpatient |
| Baclofen 40MG/20Ml Inj | $2,150 | Both |
| Balloon Pump Catheter | $2,701 | Outpatient |
| Balloon Sinuplasty System | $5,014 | Outpatient |
| Balo Angiop Ctr DialysIs Seg FC | $2,202 | Outpatient |
| Bard Access Systems All | $2,047 | Outpatient |
| Bard Crosser Catheter | $5,720 | Outpatient |
| Bard Distafl Bypas Graft B | $7,135 | Outpatient |
| Bard Dynaflo Bypass Graft | $4,516 | Outpatient |
| Bard Fluency Plus Stent | $5,459 | Outpatient |
| Bard Hickman Cath 9.5FR | $1,986 | Outpatient |
| Bard Lifestream Stent All | $6,755 | Outpatient |
| Bard Lifstent Bilary Stent Sys | $1,801 | Outpatient |
| Bard Lifstnt Vasc Bil Stnt Sys | $3,552 | Outpatient |
| Bard Powerport W/Plugs | $2,255 | Outpatient |
| Bard Rotarex 6F 110CM Catheter Set | $5,250 | Outpatient |
| Bard Valeo Stent | $2,607 | Outpatient |
| Bard Wavelinq 4Fr Catheter | $12,854 | Outpatient |
| Baxter Actifuse Abx 10Ml | $7,087 | Outpatient |
| Baxter Actifuse Abx 5Ml | $3,554 | Outpatient |
| Benralizumab 30Mg Inj | $8,078 | Outpatient |
| Biliary Endoscopy Thru Skin FC | $8,921 | Outpatient |
| Bilobectomy PR | $3,131 | Outpatient |
| Bimatoprost Intracam 10 mCg Implant | $2,968 | Outpatient |
| Biocompste Stimulan Beads 10mL | $3,878 | Outpatient |
| Biomet Reverse Shoulder | $12,824 | Outpatient |
| Biomet Toggleloc Device | $1,898 | Outpatient |
| Biomet Toggleloc Kit | $2,074 | Outpatient |
| Biopsy Abdominal Mass FC | $1,896 | Outpatient |
| Biopsy Breast Open FC | $2,056 | Outpatient |
| Biopsy Finger Joint Lining FC | $3,066 | Outpatient |
| Biopsy Hand Joint Lining FC | $6,045 | Outpatient |
| Biopsy Of Eyelid Lining FC | $3,789 | Outpatient |
| Biopsy Of Salivary Gland FC | $1,906 | Outpatient |
| Biopsy Of Upper Nose/Throat FC | $5,839 | Outpatient |
| Biopsy Thigh Soft Tissues FC | $4,971 | Outpatient |
| Biopsy/Removal Lymph Nodes FC | $2,008 | Outpatient |
| Bleomycin 15 U. Inj | $1,848 | Both |
| Bleomycin 15 U. Ivpb | $1,848 | Both |
| Bone Biopsy Excisional FC | $2,012 | Outpatient |
| Bone Biopsy Trocar Needle FC | $1,932 | Outpatient |
| Bone Imaging 3 Phase FC | $1,690 | Outpatient |
| Bone Imaging Limited Area FC | $1,690 | Outpatient |
| Bone Imaging Whole Body FC | $1,690 | Outpatient |
| Bone Marrow Imaging Ltd FC | $1,690 | Outpatient |
| Bos Sci Agile Esophageal Stent | $2,900 | Outpatient |
| Bos Sci Atherectomy Catheter | $8,599 | Outpatient |
| Bos Sci Device Guidewire | $4,431 | Outpatient |
| Bos Sci Offroad Re-entry Dvc | $4,431 | Outpatient |
| Bos Sci Renal / Vascular Stent | $2,883 | Outpatient |
| Bos Sci Spaceoar | $5,446 | Outpatient |
| Bos Sci Spaceoar Vue | $5,400 | Outpatient |
| Boston Sci Dynagen ICD DR | $19,382 | Outpatient |
| Boston Sci Eluvia Drug Eluting Stent | $5,042 | Outpatient |
| Boston Sci Promus Stent 3X20MM | $2,755 | Outpatient |
| Boston Sci Rotablator Burr | $4,224 | Outpatient |
| Boston Sci Solent Angiojet Catheter Dista | $4,114 | Outpatient |
| Boston Sci Solent Angiojet Catheter Proxi/Omni | $3,251 | Outpatient |
| Botulinum Toxn 100U(Botox) | $2,616 | Outpatient |
| Bowel To Bowel Fusion PR | $2,496 | Outpatient |
| Brain Image < 4 Views FC | $1,690 | Outpatient |
| Brain Imaging (Pet) FC | $7,549 | Outpatient |
| Breast Reconstr W/Lat Flap PR | $2,705 | Outpatient |
| Breast Reconstruction FC | $2,555 | Outpatient |
| Bronchoscopy Complx FC | $3,782 | Outpatient |
| Bronchoscopy Intermediate FC | $3,103 | Outpatient |
| Bronchoscopy Intermediate Respiratory ACH FC | $3,856 | Outpatient |
| Bronchoscopy Simple FC | $1,700 | Outpatient |
| Bronchoscopy W/Fb Removal FC | $2,072 | Outpatient |
| BS Axios Stent | $8,079 | Outpatient |
| BS Lithovue Flex Ureteroscope | $2,755 | Outpatient |
| Buprenorphine XR 100mg inj. | $2,847 | Outpatient |
| Buprenorphine XR 300mg inj. | $2,847 | Outpatient |
| Buttock Fascia W/Dbrdmt PR | $1,807 | Outpatient |
| Bx Breast 1st Les Strtctc FC | $6,029 | Outpatient |
| Bx Breast 1st Les US Imag FC | $7,219 | Outpatient |
| Bx Breast Add Les Strtctc FC | $4,804 | Outpatient |
| Bx Breast Add Les US Imag FC | $4,960 | Outpatient |
| Bx Haparin Endo Cath | $4,988 | Outpatient |
| Bx Of Cervix W/Scope Leep FC | $1,764 | Outpatient |
| Bxa Heparin Stent | $4,988 | Outpatient |
| C Motor Evokd Upr&Lwr Limbs FC | $4,037 | Outpatient |
| C Motor Evoked Lwr Limbs FC | $2,141 | Outpatient |
| Cabenuva 400Mg/600Mg Inj | $6,333 | Outpatient |
| Cabenuva 600Mg/900Mg Inj | $9,500 | Both |
| Calcitonin Inj 400U/2Ml Inj | $4,767 | Outpatient |
| Cardioverter defibrillator dual chamber | $16,740 | Outpatient |
| Cardioverter-defibrillator Dual Chamber | $19,485 | Outpatient |
| Cardioverter-defibrillator Single Chamber | $18,696 | Outpatient |
| Care Of Miscarriage FC | $7,292 | Outpatient |
| Carmustine 100MG Injection | $5,766 | Both |
| Cath Balloon Tissue Dissector | $3,689 | Outpatient |
| Cath Thrombectomy/Embolect | $4,035 | Outpatient |
| Cath Trans Atherec Rotation | $4,500 | Outpatient |
| Cath Translumin Drug Coat | $2,980 | Outpatient |
| Catheter Balloon 601-1000 | $1,735 | Outpatient |
| Catheter Throm/Embol >$3000 | $5,193 | Outpatient |
| Cerament Bone Void Filler 10mL | $4,200 | Outpatient |
| Cerament Bone Void Filler 5mL | $2,100 | Outpatient |
| Cerebrospinal Fluid Scan FC | $2,193 | Outpatient |
| Certolizumab Pegol 200 Mg Inj | $3,401 | Outpatient |
| Cerv Artific Diskectomy PR | $3,124 | Outpatient |
| Cesarean Delivery Only PR | $1,809 | Outpatient |
| Cesarean Delivery PR | $2,466 | Outpatient |
| Cessj Therapy Cath Removal FC | $12,267 | Outpatient |
| Cftr Gene Com Variants FC | $1,716 | Outpatient |
| Change G-Tube To G-J Perc FC | $6,007 | Outpatient |
| Change Nephroureteral Cath FC | $5,277 | Outpatient |
| Change Of Ureter Tube/Stent FC | $3,855 | Outpatient |
| Change Ureter Stent Percut FC | $3,882 | Outpatient |
| Cisatracurium 200mg/100mL Inj | $2,368 | Outpatient |
| Closure Of Eyelid By Suture FC | $1,746 | Outpatient |
| Co Xcapsl Ctrc Rmvl w/Ecp PR | $1,900 | Outpatient |
| Collagen Wound Dsg | $2,763 | Outpatient |
| Colonoscopy Complex FC | $6,599 | Outpatient |
| Colonoscopy Diag/Scrn FC | $2,940 | Outpatient |
| Colonoscopy Intermediate FC | $5,037 | Outpatient |
| Colonoscopy Screening FC | $2,481 | Outpatient |
| Coloplast Altis Single Sling | $3,546 | Outpatient |
| Coloplast Retropubic Sling Sys | $2,080 | Outpatient |
| Colostomy PR | $2,224 | Outpatient |
| Comp Multiplane Ext Fixatn PR | $2,116 | Outpatient |
| Compl Rplcmt PICC Rs&I FC | $3,207 | Outpatient |
| Completion Pneumonectomy PR | $4,497 | Outpatient |
| Conformis Itotal Implant Kit | $10,292 | Outpatient |
| Connective Tissue Nonhuman | $2,818 | Outpatient |
| Const Dep Bipolar Primary Stm | $8,411 | Outpatient |
| Const Dep Del Mod Rev Shl | $25,655 | Outpatient |
| Const Dep Global Total Shouldr | $19,667 | Outpatient |
| Const Dep Unipolar Prim Stem | $6,728 | Outpatient |
| Construct Attune FB Pressfit/Femur/Tibia | $7,350 | Both |
| Construct Attune FB Pressfit/Femur/Tibia No Patella | $6,900 | Outpatient |
| Construct Attune RP Pressfit/Femur/Tibia | $6,375 | Outpatient |
| Construct Biomet Uni Knee | $11,910 | Outpatient |
| Construct Dep Bi Pf Hip | $6,227 | Outpatient |
| Construct Dep Bipolar Fx Stem | $4,278 | Outpatient |
| Construct Dep Cer/Poly Pf | $12,257 | Outpatient |
| Construct Dep Global Shld | $18,854 | Outpatient |
| Construct Dep Hem Shld | $14,355 | Outpatient |
| Construct Dep Met/Poly | $11,117 | Outpatient |
| Construct Dep Met/Poly Pf | $11,117 | Outpatient |
| Construct Dep Ps Cem Knee | $10,831 | Outpatient |
| Construct Dep Rever Shld | $18,815 | Outpatient |
| Construct Dep Rot Cr Cem | $10,274 | Outpatient |
| Construct Dep Rot Ps Cem | $10,274 | Outpatient |
| Construct Dep Uni Fb-3Pc | $8,418 | Outpatient |
| Construct Dep Uni Pf Hip | $4,204 | Outpatient |
| Construct Dep Unipolar Fx Stem | $3,351 | Outpatient |
| Construct Depuy Total Knee | $11,403 | Outpatient |
| Construct Depuy Total Knee W/O Patella | $6,611 | Outpatient |
| Construct Str Cer/Poly Pf | $16,381 | Outpatient |
| Construct Tornier Asc Flex Shld Rev Incl of Asc Flex Stem Glenoi | $15,525 | Outpatient |
| Construct Tornier Asc Flex Shld-Hemi Incl of Ascend Flex Stem & | $8,948 | Outpatient |
| Construct Tornier Ascend Flex Reverse w Perform Reverse Lat Aug | $17,925 | Outpatient |
| Construct Tornier Ascend Flex Shoulder-Total Shoulder w Perform | $11,850 | Outpatient |
| Construct Tornier Ascend Flex TSA w Perform+ Glenoid | $11,850 | Outpatient |
| Construct Tornier Perform Stem Hemi | $10,988 | Outpatient |
| Construct Tornier Perform Stem RSA-Perf Rev Lat Aug | $18,750 | Outpatient |
| Construct Tornier Perform Stem RSA-Perf Rev Std | $16,350 | Both |
| Construct Tornier Perform Stem TSA-Perform Glenoid | $13,890 | Both |
| Construct Tornier Perform Stem TSA-Perform+ | $13,890 | Outpatient |
| Construct Tornier Simpliciti Total w Perform Glenoid | $12,900 | Outpatient |
| Construct Tornier Simpliciti w Perform+ Glenoid | $12,900 | Outpatient |
| Construct Zimmer Dual Mobility Hip Ceramic | $11,376 | Outpatient |
| Construct Zimmer Metal Dual Mobility Hip | $11,116 | Outpatient |
| Constuct Dep Cr Cem Knee | $9,699 | Outpatient |
| Contrast Exm Abdominl Aorta FC | $11,590 | Outpatient |
| Contrast XR Bladder FC | $1,839 | Outpatient |
| Contrast XR Of Ankle FC | $1,768 | Outpatient |
| Contrast XR Of Elbow FC | $1,768 | Outpatient |
| Contrast XR Of Hip FC | $1,768 | Outpatient |
| Contrast XR Of Knee Joint FC | $1,768 | Outpatient |
| Contrast XR Of Shoulder FC | $1,768 | Outpatient |
| Contrast XR Of Wrist FC | $1,768 | Outpatient |
| Conversion Ext Bil Drg Cath FC | $6,079 | Outpatient |
| Convert Nephrostomy Cath FC | $3,854 | Outpatient |
| Cook Biodesign Fistula Plug Set 0.2CM | $2,026 | Outpatient |
| Cook Hemospray | $2,691 | Outpatient |
| Cook Ureteral Stent Metal 6FR 24CM or 26CM | $1,721 | Outpatient |
| Copper Cu 64 Dotatate Diag | $2,020 | Outpatient |
| Copper Cu64 Dotatate Diagnostic 1 Millicurie | $2,020 | Outpatient |
| Cordis Palmz Stent 40MM XL | $2,027 | Outpatient |
| Core Ndl Bx Lng/Med Perq FC | $4,642 | Outpatient |
| Coronary Art/Grft Angio S&I FC | $7,613 | Outpatient |
| Coronary Artery Angio S&I FC | $10,686 | Outpatient |
| Correct Malrotation Bowel PR | $2,856 | Outpatient |
| Correct Rectal Prolapse PR | $2,025 | Outpatient |
| Cosmetic Abdominoplasty + Flank Liposuction PR | $1,785 | Outpatient |
| Cosmetic Abdominoplasty Mini (Under 2 hours) PR | $1,785 | Outpatient |
| Cosmetic Bilateral Breast Capsulectomy PR | $2,038 | Outpatient |
| Cosmetic Bilateral Breast Mastopexy PR | $2,269 | Outpatient |
| Cosmetic Bilateral Brst Implnt Exchge W/ Diff Capsul (Incl Extra | $8,635 | Outpatient |
| Cosmetic Brachioplasty PR | $1,867 | Outpatient |
| Cosmetic Breast Augmentation - Bilateral PR | $1,909 | Outpatient |
| Cosmetic Breast Augmentation with Mastopexy PR | $2,713 | Outpatient |
| Cosmetic Brst Implnt Exchge W/ Diff Capsulectomy (Incl Extracaps | $5,756 | Outpatient |
| Cosmetic Facelift Mini No Neck PR | $6,819 | Outpatient |
| Cosmetic Facelift Rhytidectomy Cheek Chin & Neck PR | $3,992 | Outpatient |
| Cosmetic Necklift PR | $1,925 | Outpatient |
| Cosmetic Necklift With Liposuction PR | $1,925 | Outpatient |
| Cosmetic Overnight Stay FC | $3,146 | Outpatient |
| Cosmetic Panniculectomy Major PR | $1,785 | Outpatient |
| Cosmetic Panniculectomy Minor PR | $1,785 | Outpatient |
| Cosmetic Thigh Lift PR | $2,111 | Outpatient |
| Cov Rein Endogia Tristaple | $1,866 | Outpatient |
| Covera Covered AV Stent Graft Flared | $3,443 | Both |
| Covid Clip Applier 5Mm | $1,682 | Outpatient |
| Covid Eea Stapler All | $2,358 | Outpatient |
| Covid Endogia Reload 60 V M FC | $1,877 | Outpatient |
| Covid Endogia Reload 60Mm | $1,832 | Outpatient |
| Covid Endogia Reload 60V | $1,877 | Outpatient |
| Covid Fixation 30 Tacks | $1,945 | Outpatient |
| Covid Gia Stapler B | $2,047 | Outpatient |
For procedures with standard CPT codes — where prices can be compared across hospitals — see prices in Maine or browse all procedures.