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Waldo County General Hospital prices. From its own published file.

Waldo County General Hospital in Belfast, 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.

15,425prices published
Sep 2025file last updated
$559cash price for emergency visit, highest (level 5) (list $1,392)

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283
$230$472$70.30–$1,360
Emergency visit, high (level 4)
99284
$358$918$119–$2,092
Emergency visit, highest (level 5)
99285
$559$1,392$172–$3,012
Comprehensive metabolic panel
80053
$159$159$10.56–$150
Basic metabolic panel
80048
$136$136$8.46–$128
Complete blood count (CBC)
85025
$64.00$70.47$6.29–$72.49
Blood draw (venipuncture)
36415
$17.00$17.00$2.43–$50.12
Urinalysis
81001
$6.00$6.00$2.57–$33.02
Troponin (heart test)
84484
$194$194$12.47–$183
EKG tracing
93005
$65.00$109$5.85–$292
Chest X-ray, 2 views
71046
$471$471$10.33–$444
CT head without contrast
70450
$1,715$1,715$39.97–$1,616
CT abdomen and pelvis with contrast
74177
$4,782$4,782$85.80–$4,505
MRI lower back without contrast
72148
$2,440$2,440$69.85–$2,299
Ultrasound, abdomen
76700
$1,159$1,159$37.96–$1,092
IV push, single drug
96374
$180$180$35.14–$1,035
IV fluids, first hour
96360
$328$328$30.81–$1,035
Ketorolac injection, 15 mg
J1885
$109$109$0.49–$103
Ondansetron injection
J2405
$38.33$38.33$0.09–$36.11
Colonoscopy, diagnostic
45378
——$88.28–$4,479
Upper GI endoscopy with biopsy
43239
——$132–$4,606
Knee arthroscopy
29881
——$522–$15,942
Vaginal delivery, routine care
59400
——$2,282–$4,936
Cesarean delivery, routine care
59510
——$2,515–$5,483

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: Waldo County General Hospital price transparency page.

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