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Calais Community Hospital prices. From its own published file.

Calais Community Hospital in Calais, ME publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

1,829prices published
—file last updated
$14,751cash price for knee arthroscopy (list $19,668)

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283
$105$276$25.00–$454
Emergency visit, high (level 4)
99284
$199$319$47.00–$632
Emergency visit, highest (level 5)
99285
$368$1,006$72.00–$926
Comprehensive metabolic panel
80053
$102$142$24.00–$136
Basic metabolic panel
80048
$82.00$119$19.00–$109
Complete blood count (CBC)
85025
$83.00$110$19.00–$101
Blood draw (venipuncture)
36415
$14.00$19.00$3.00–$17.00
Urinalysis
81001
$81.00$108$19.00–$99.00
Troponin (heart test)
84484
$104$138$24.00–$127
EKG tracing
93005
$108$144$25.00–$132
Chest X-ray, 2 views
71046
$59.00$297$4.00–$474
CT head without contrast
70450
$230$1,120$17.00–$1,777
CT abdomen and pelvis with contrast
74177
$652$2,723$36.00–$4,210
MRI lower back without contrast
72148
$453$1,575$29.00–$2,342
Ultrasound, abdomen
76700
$219$713$16.00–$1,042
IV push, single drug
96374
$278$370$65.00–$340
IV fluids, first hour
96360
$323$430$76.00–$396
Ketorolac injection, 15 mg
J1885
$2.00$44.00$1.00–$57.00
Ondansetron injection
J2405
$33.00$44.00$8.00–$40.00
Colonoscopy, diagnostic
45378
$188$834$44.00–$4,776
Upper GI endoscopy with biopsy
43239
$653$3,214$52.00–$5,113
Knee arthroscopy
29881
$14,751$19,668$3,462–$18,095

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: Calais Community Hospital price transparency page.

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