Rumford Hospital
Rumford Hospital in Rumford, ME publishes cash prices for 283 common procedures listed here, from its own machine-readable price file updated Apr 29, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Maine median for 234 of 280 procedures and above it for 42. By typical cash price it ranks #9 of 28 Maine hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
420 Franklin Street, Rumford, ME 04276 Collected Sep 23, 2026 Source price file Check a bill from this hospital (207) 369-1000
Critical access hospital (rural, 25 beds or fewer) For-profit hospital Emergency department CCN 201306 · CMS hospital register NPI 1205991122
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Maine | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 HC CT SCAN OF ABDOMEN COMBO | $1,131.00 | $3,903.13 | $650.00–$3,540.14 | 19% below | 71% |
| Abdominal X-ray, 2 views CPT 74019 HC X-RAY ABDOMEN 2 VW | $223.00 | $769.06 | $87.07–$697.54 | 9% below | 71% |
| Ankle X-ray, complete, 3 or more views CPT 73610 HC X-RAY ANKLE 3+ VW | $140.00 | $483.44 | $85.80–$438.48 | 34% below | 71% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXTREMITY WO CONTRAST | $545.00 | $1,879.38 | $545.02–$1,704.60 | 52% below | 71% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC ESOPHAGRAM | $342.00 | $1,179.69 | $247.38–$1,069.98 | 3% below | 71% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC NM BONE IMAGING, WHOLE BODY | $423.00 | $1,461.88 | $423.95–$1,461.88 | 64% below | 71% |
| Breast ultrasound, complete, one breast one side CPT 76641 HC US, BREAST UNILAT COMPLETE | $177.00 | $612.19 | $177.54–$578.02 | 13% below | 71% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US BREAST UNILAT LIMITED | $177.00 | $612.19 | $177.54–$555.26 | 25% below | 71% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT ANGIO ABD & PLVIS WO/W CONTRAST | $910.00 | $3,140.00 | $650.00–$2,847.98 | 41% below | 71% |
| CT angiography (CTA) of the head CPT 70496 HC CT ANGIO,HEAD COMBO,INCL IMAGE PROCESS | $553.00 | $1,910.00 | $553.90–$1,744.70 | 64% below | 71% |
| CT angiography (CTA) of the neck CPT 70498 HC CT ANGIO,NECK COMBO,INCL IMAGE PROCESS | $551.00 | $1,901.25 | $551.36–$1,744.70 | 65% below | 71% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT ANGIO, CHEST, COMBO, INCL IMAGE PROC | $763.00 | $2,631.25 | $650.00–$2,386.54 | 58% below | 71% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT ANGIOGRAPHY CORO/HEART 3D | $526.00 | $1,814.06 | $526.08–$1,814.06 | at median | 71% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT HEART W/O CONTRAST QUANT EVAL CORONARY CALCIUM | $91.00 | $316.25 | $91.71–$316.25 | 31% below | 71% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT SCAN ABDOMEN/PELVIS WO CONTRAST | $700.00 | $2,415.63 | $554.88–$2,190.98 | 50% below | 71% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT SCAN ABDOMEN/PELVIS W CONTRAST | $1,003.00 | $3,459.06 | $650.00–$3,137.37 | 50% below | 71% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT SCAN ABDOMEN/PELVIS COMBO | $1,131.00 | $3,903.13 | $650.00–$3,540.14 | 49% below | 71% |
| CT scan of the abdomen with contrast CPT 74160 HC CT SCAN OF ABDOMEN CONTRAST | $999.00 | $3,446.56 | $650.00–$3,126.03 | 11% below | 71% |
| CT scan of the abdomen without contrast CPT 74150 HC CT SCAN,ABDOMEN,W/O CONTRAST | $629.00 | $2,172.19 | $629.94–$1,970.18 | 25% below | 71% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT SCAN,MAXILLOFACIAL AREA,W/O CONTRAST | $410.00 | $1,417.19 | $410.99–$1,285.39 | 53% below | 71% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL | $565.00 | $1,950.31 | $565.59–$1,768.93 | 42% below | 71% |
| CT scan of the head with contrast CPT 70460 HC CT SCAN HEAD CONTRAST | $678.00 | $2,340.31 | $650.00–$2,122.66 | 36% below | 71% |
| CT scan of the head without and with contrast CPT 70470 HC CT SCAN HEAD COMBO | $817.00 | $2,818.13 | $650.00–$2,556.04 | 44% below | 71% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT SCAN LUMBAR SPINE WO CONTRAST | $690.00 | $2,379.69 | $650.00–$2,158.38 | 30% below | 71% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT SCAN,CERVICAL SPINE,W/O CONTRAST | $618.00 | $2,131.88 | $618.25–$1,933.62 | 37% below | 71% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT SCAN OF PELVIS CONTRAST | $703.00 | $2,424.38 | $650.00–$2,198.91 | 30% below | 71% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC DUPLEX SCAN EXTRACRANIAL,BILAT | $535.00 | $1,845.63 | $535.23–$1,673.99 | — | 71% |
| Chest CT scan without and with contrast CPT 71270 HC DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX C-/C+ | $1,140.00 | $3,931.56 | $650.00–$3,565.92 | 33% below | 71% |
| Chest X-ray, 2 views CPT 71046 HC CHEST X-RAY 2 VW | $92.00 | $319.06 | $78.51–$289.39 | 57% below | 71% |
| Chest X-ray, single view CPT 71045 HC CHEST X-RAY 1 VW | $92.00 | $319.06 | $42.82–$289.39 | 54% below | 71% |
| Collarbone (clavicle) X-ray, complete CPT 73000 HC X-RAY CLAVICLE | $121.00 | $417.50 | $74.35–$378.67 | 45% below | 71% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US,RETROPERIT, B-SCAN/REAL TIME,COMPLETE | $343.00 | $1,185.94 | $343.92–$1,075.65 | 25% below | 71% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DEXA,BONE DENSITY, 1 + SITE, AXIAL SKELETON | $240.00 | $827.81 | $240.06–$750.82 | 4% below | 71% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DEXA,BONE DENSITY, 1 + SITE, APPENDICULR SKELTN | $111.00 | $384.06 | $77.24–$348.34 | 31% below | 71% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US,PREG UTER,FET & MAT,+ DETL FET EXM | $337.00 | $1,164.38 | $337.67–$1,056.09 | 19% below | 71% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST | $713.00 | $2,460.63 | $650.00–$2,231.79 | 24% below | 71% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/CONTRAST | $917.00 | $3,165.31 | $650.00–$2,870.94 | 29% below | 71% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC MAMMOGRAPHY; BILATERAL | $218.00 | $753.44 | $101.51–$753.44 | — | 71% |
| Diagnostic mammogram, one breast one side CPT 77065 HC MAMMOGRAPHY; UNILATERAL | $145.00 | $501.88 | $79.18–$501.88 | 8% below | 71% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO HEART XTHORACIC,COMPLETE W DOPPLER | $918.00 | $3,168.75 | $918.94–$2,874.06 | 15% below | 71% |
| Elbow X-ray, 2 views CPT 73070 HC X-RAY ELBOW 2 VW | $114.00 | $393.44 | $74.35–$356.85 | 48% below | 71% |
| Elbow X-ray, complete, 3 or more views CPT 73080 HC X-RAY ELBOW 3+ VW | $154.00 | $533.44 | $100.12–$483.83 | 30% below | 71% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBIT/SELLA/POST FOSSA/EAR W/O CONTR | $623.00 | $2,150.63 | $623.68–$1,950.62 | 36% below | 71% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HC X-RAY FACIAL BONES 3+ VW | $165.00 | $570.31 | $115.82–$517.27 | 28% below | 71% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HC X-RAY FOREARM 2 VW | $127.00 | $439.38 | $74.35–$398.52 | 40% below | 71% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC NM HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDR | $473.00 | $1,631.25 | $473.06–$1,631.25 | 53% below | 71% |
| Hand X-ray, 2 views CPT 73120 HC X-RAY HAND 2 VW | $88.00 | $304.69 | $72.92–$276.35 | 58% below | 71% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC X-RAY HEEL | $134.00 | $465.00 | $71.49–$421.76 | 36% below | 71% |
| Knee X-ray, 3 views CPT 73562 HC X-RAY KNEE 3 VIEW | $163.00 | $564.38 | $95.80–$511.89 | 28% below | 71% |
| Knee X-ray, complete, 4 or more views CPT 73564 HC X-RAY KNEE 4+ VIEW | $182.00 | $630.94 | $110.11–$572.26 | 28% below | 71% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST | $628.00 | $2,168.75 | $628.94–$1,967.06 | 41% below | 71% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US, ABDOMEN LIMITED | $194.00 | $671.88 | $194.85–$609.40 | 20% below | 71% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US EXTREMITY NON VASCULAR REAL TIME LTD | $155.00 | $536.56 | $42.90–$486.66 | 7% below | 71% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C- | $139.00 | $481.25 | $139.56–$481.25 | 39% below | 71% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC X-RAY TIB + FIB, 2VW | $143.00 | $493.44 | $71.49–$447.55 | 33% below | 71% |
| MR angiography (MRA) of the head without contrast CPT 70544 HC MR ANGIO, HEAD | $697.00 | $2,406.88 | $698.00–$2,183.04 | 60% below | 71% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI BREAST WITHOUT&WITH CONTRAST W/CAD BILATERAL - 77049 - 61077049 | $340.00 | $1,173.75 | $340.39–$1,173.75 | — | 71% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREM JT, W/O CONTRAST | $835.00 | $2,882.50 | $835.93–$2,614.43 | 44% below | 71% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI JOINT OF LEG. COMBO | $1,087.00 | $3,750.94 | $900.00–$3,402.10 | 58% below | 71% |
| MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN WO CONTRAST | $561.00 | $1,936.56 | $561.60–$1,756.46 | 68% below | 71% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN WO/W CONTRAST | $1,046.00 | $3,609.06 | $900.00–$3,273.42 | 52% below | 71% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN | $631.00 | $2,178.75 | $631.84–$1,976.13 | 56% below | 71% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN COMBO | $911.00 | $3,143.44 | $900.00–$2,851.10 | 59% below | 71% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI, LUMBAR SPINE | $773.00 | $2,668.44 | $773.85–$2,420.28 | 46% below | 71% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI, LUMBAR SPINE COMBO | $944.00 | $3,257.50 | $900.00–$2,954.55 | 59% below | 71% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI, DORSAL SPINE | $757.00 | $2,612.81 | $757.71–$2,369.82 | 47% below | 71% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI, CERV SPINE COMBO | $895.00 | $3,089.38 | $895.92–$2,802.07 | 56% below | 71% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI, CERV SPINE | $697.00 | $2,406.88 | $698.00–$2,183.04 | 51% below | 71% |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI, PELVIS, COMBO | $1,185.00 | $4,086.25 | $900.00–$3,706.23 | 49% below | 71% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI, PELVIS, W/O CONTRAST | $780.00 | $2,691.88 | $780.65–$2,441.54 | 50% below | 71% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI JOINT UPPER EXTREM WO CONTRAST | $773.00 | $2,668.44 | $773.85–$2,420.28 | 48% below | 71% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC RADEX SPINE CERVICAL 4 OR 5 VIEWS | $228.00 | $787.81 | $143.02–$714.54 | 23% below | 71% |
| Neck soft tissue CT scan with contrast CPT 70491 HC CT NECK TISSUE CONTRAST | $763.00 | $2,634.06 | $650.00–$2,389.09 | 40% below | 71% |
| Neck soft tissue CT scan without contrast CPT 70490 HC CT SCAN,SOFT TISSUE NECK,W/O CONTRAST | $472.00 | $1,630.94 | $472.97–$1,479.26 | 53% below | 71% |
| Neck soft tissue X-ray CPT 70360 HC X-RAY NECK SOFT TISSUE | $124.00 | $428.44 | $71.49–$388.60 | 41% below | 71% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC NM MYOCARDIAL SPECT MULTIPLE STUDIES | $1,444.00 | $4,980.31 | $1,191.23–$4,517.14 | 30% below | 71% |
| Pelvic CT scan without contrast CPT 72192 HC CT SCAN,PELVIS,W/O CONTRAST | $645.00 | $2,225.00 | $645.25–$2,018.08 | 32% below | 71% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIS NONOBST LIMITED/FU | $196.00 | $677.81 | $196.56–$614.77 | 12% above | 71% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC ULTRASOUND,PELVIC (NONOBSTETRIC) | $342.00 | $1,180.63 | $337.51–$1,070.83 | 13% below | 71% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US, OB >/= 14 WKS, SNGL FETUS | $325.00 | $1,121.88 | $325.35–$1,017.55 | 26% below | 71% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US, OB < 14 WKS, SINGLE FETUS | $280.00 | $967.50 | $280.58–$877.52 | 10% below | 71% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US,PREGNANT UTERUS,LIMITED, 1/> FETUSES | $196.00 | $677.81 | $196.56–$614.77 | 2% above | 71% |
| Rib X-ray, one side, 2 views one side CPT 71100 HC X-RAY RIBS 2 VW UNILAT | $154.00 | $533.44 | $84.38–$483.83 | 33% below | 71% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC X-RAY RIBS, CHEST 3+ VW | $224.00 | $773.75 | $101.55–$701.79 | 32% below | 71% |
| Screening mammogram, both breasts CPT 77067 HC MAMMOGRAM, SCREENING | $193.00 | $667.50 | $83.79–$667.50 | 14% above | 71% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC X-RAY SHOULDER 2+ VW | $155.00 | $537.50 | $80.10–$487.51 | 32% below | 71% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC X-RAY SINUSES 3+ VW | $207.00 | $714.06 | $104.40–$647.65 | 9% below | 71% |
| Skull X-ray, fewer than 4 views CPT 70250 HC X-RAY SKULL <4 VW | $142.00 | $490.63 | $94.37–$445.00 | 34% below | 71% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC SWALLOWING FCN,W/CINE &/OR VIDEO | $322.00 | $1,111.25 | $243.10–$1,007.90 | 27% below | 71% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC XRAY FEMUR =>2 VW | $125.00 | $431.25 | $125.06–$391.14 | 41% below | 71% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT SCAN,THORACIC SPINE,W/O CONTRAST | $594.00 | $2,050.00 | $594.50–$1,859.35 | 44% below | 71% |
| Toe X-ray, 2 or more views CPT 73660 HC X-RAY TOE(S) | $107.00 | $370.00 | $80.10–$335.59 | 41% below | 71% |
| Transvaginal pelvic ultrasound CPT 76830 HC ULTRASOUND,TRANSVAGINAL | $208.00 | $718.13 | $208.26–$718.13 | 45% below | 71% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC US,PREGNANT UTERUS,TRANSVAGINAL | $202.00 | $699.06 | $202.73–$634.05 | 35% below | 71% |
| Ultrasound of the abdomen, complete CPT 76700 HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE | $405.00 | $1,398.13 | $376.09–$1,268.10 | 14% below | 71% |
| Ultrasound of the scrotum and testicles CPT 76870 HC ULTRASOUND,SCROTUM & CONTENTS | $301.00 | $1,040.00 | $301.60–$943.28 | 35% below | 71% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US, HEAD/NECK TISSUES,REAL TIME | $310.00 | $1,069.38 | $310.12–$969.93 | 23% below | 71% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC XRAY UPPER GI TRACT | $393.00 | $1,357.19 | $281.72–$1,230.97 | 10% below | 71% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HC X-RAY HUMERUS | $149.00 | $517.19 | $80.10–$469.09 | 28% below | 71% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC DUPLEX EXTREM VENOUS,UNI OR LTD | $468.00 | $1,617.19 | $468.99–$1,466.79 | 5% below | 71% |
| Wrist X-ray, 2 views CPT 73100 HC X-RAY WRIST 2 VW | $125.00 | $434.38 | $77.24–$393.98 | 45% below | 71% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC X-RAY WRIST 3+ VW | $141.00 | $487.81 | $97.22–$442.44 | 36% below | 71% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC XRAY HIP W PELVIS, UNILAT 2-3 VW | $125.00 | $431.25 | $125.06–$391.14 | 38% below | 71% |
| X-ray of the abdomen, 1 view CPT 74018 HC RADIOLOGIC EXAM ABDOMEN 1 VIEW | $116.00 | $402.19 | $72.80–$364.79 | 45% below | 71% |
| X-ray of the ankle, 2 views CPT 73600 HC X-RAY ANKLE 2 VW | $113.00 | $389.69 | $72.92–$353.45 | 45% below | 71% |
| X-ray of the finger(s), 2 or more views CPT 73140 HC X-RAY EXAM OF FINGER(S) | $114.00 | $393.44 | $84.38–$356.85 | 42% below | 71% |
| X-ray of the foot, 2 views CPT 73620 HC X-RAY FOOT 2 VW | $99.00 | $342.81 | $70.06–$310.93 | 51% below | 71% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC X-RAY FOOT 3+ VW | $142.00 | $490.63 | $84.38–$445.00 | 33% below | 71% |
| X-ray of the hand, 3 or more views CPT 73130 HC X-RAY HAND 3+ VW | $148.00 | $513.44 | $85.80–$465.69 | 33% below | 71% |
| X-ray of the knee, 1 or 2 views CPT 73560 HC X-RAY KNEE 1 OR 2 VIEW | $63.00 | $219.38 | $63.62–$219.38 | 71% below | 71% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC X-RAY LUMBAR SPINE 2/3 VW | $204.00 | $705.63 | $107.26–$640.01 | 17% below | 71% |
| X-ray of the lower back, 4 or more views CPT 72110 HC X-RAY LUMBAR SPINE 4 VW | $255.00 | $879.38 | $150.16–$797.60 | 21% below | 71% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC X-RAY THORACIC SPINE 2 VW | $176.00 | $608.44 | $88.66–$551.86 | 23% below | 71% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC X-RAY NASAL BONES | $141.00 | $487.81 | $90.09–$442.44 | 38% below | 71% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC RADEX SPINE CERVICAL 2 OR 3 VIEWS | $169.00 | $583.13 | $100.12–$528.90 | 20% below | 71% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC X-RAY PELVIS 1/2 VW | $210.00 | $724.69 | $67.21–$657.29 | 1% below | 71% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC X-RAY SACRUM/COCCYX 2+ VW | $187.00 | $646.88 | $81.52–$586.72 | 18% below | 71% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Maine | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 HC ASSAY OF ACTH | $166.00 | $574.38 | $38.62–$520.96 | 4% above | 71% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) | $26.00 | $90.00 | $5.30–$81.63 | 23% below | 71% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC TRANSFERASE ASPARTATE AMINO (AST) (SGOT) | $19.00 | $66.88 | $5.18–$60.66 | 38% below | 72% |
| Albumin blood test CPT 82040 HC ASSAY OF SERUM ALBUMIN | $13.00 | $45.31 | $4.95–$45.31 | 43% below | 71% |
| Aldosterone blood test CPT 82088 HC ASSAY OF ALDOSTERONE | $168.00 | $580.63 | $40.75–$526.63 | 8% above | 71% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC ASSAY ALKALINE PHOSPHATASE | $24.00 | $83.13 | $5.18–$75.40 | 13% below | 71% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE QUANT,EACH | $17.00 | $60.31 | $5.22–$54.70 | 26% below | 72% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA-FETOPROTEIN, SERUM | $79.00 | $275.31 | $16.77–$249.71 | 20% above | 71% |
| Ammonia blood test CPT 82140 HC ASSAY OF AMMONIA | $88.00 | $305.94 | $14.57–$277.49 | 3% below | 71% |
| Amylase blood test CPT 82150 HC ASSAY OF AMYLASE | $44.00 | $154.69 | $6.48–$140.30 | 6% above | 72% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CIRULLINATED PEPTIDE ANTIBODY | $65.00 | $225.00 | $12.95–$204.08 | 9% below | 71% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES | $55.00 | $190.94 | $12.09–$173.18 | at median | 71% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE | $193.00 | $668.13 | $39.26–$605.99 | 23% above | 71% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE SPEC, BACTERIA, NOT URINE,STOOL,BLOOD | $69.00 | $238.13 | $8.62–$215.98 | 28% above | 71% |
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL | $65.00 | $226.56 | $8.46–$205.49 | 17% below | 71% |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL | $48.00 | $166.88 | $5.02–$151.36 | 55% above | 71% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURG PATH,LEVEL IV | $134.00 | $462.19 | $134.04–$419.21 | 3% below | 71% |
| Blood culture for bacteria CPT 87040 HC BLOOD CULTURE FOR BACTERIA | $72.00 | $250.31 | $10.32–$227.03 | 15% below | 71% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC COLLECTION VENOUS BLOOD,VENIPUNCTURE | $11.00 | $40.00 | $9.34–$36.28 | 22% below | 73% |
| Blood glucose (sugar) test CPT 82947 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE | $24.00 | $83.13 | $3.93–$75.40 | 4% above | 71% |
| Blood lead test CPT 83655 HC ASSAY OF LEAD | $43.00 | $150.94 | $12.11–$136.90 | 4% below | 72% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC CHORIONIC GONADOTROPIN, QUAL | $34.00 | $118.13 | $7.52–$107.14 | 21% below | 71% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC ARC BLOOD TYPING, ABO | $17.00 | $61.56 | $17.85–$55.83 | 66% below | 72% |
| Blood urea nitrogen (BUN) test CPT 84520 HC ASSAY UREA NITROGEN, QUAN | $21.00 | $72.81 | $3.95–$66.04 | 17% below | 71% |
| C-peptide blood test CPT 84681 HC ASSAY OF C-PEPTIDE | $119.00 | $411.88 | $20.81–$373.58 | 69% above | 71% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN | $42.00 | $147.81 | $5.18–$134.06 | 13% above | 72% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC CYTOMED, DNA, AMP PROBE | $70.00 | $244.69 | $37.27–$244.69 | 32% below | 71% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC IMMUNOASSAY, TUMOR ANTIGEN, CA 19-9 | $40.00 | $138.75 | $20.81–$138.75 | 38% below | 71% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC IMMUNOASSAY, TUMOR ANTIGEN, CA 125 | $85.00 | $293.13 | $20.81–$265.87 | 1% below | 71% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-COV-2 COVID-19 AMP PRB | $52.00 | $182.50 | $51.31–$182.50 | 41% below | 72% |
| Calcium blood test, total CPT 82310 HC ASSAY OF CALCIUM, TOTAL | $10.00 | $36.25 | $5.16–$36.25 | 65% below | 72% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN | $85.00 | $296.25 | $18.96–$268.70 | 3% below | 71% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA-ZOSTER | $55.00 | $190.94 | $12.88–$173.18 | 13% above | 71% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHYLMD TRACH, DNA, AMP PROBE | $32.00 | $111.56 | $32.35–$111.56 | 56% below | 71% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $71.00 | $247.50 | $13.39–$224.48 | 4% below | 71% |
| Complete blood count (CBC) with differential CPT 85025 HC COMPLETE CBC & AUTO DIFF WBC | $34.00 | $117.81 | $7.77–$106.85 | 28% below | 71% |
| Complete blood count (CBC), no differential CPT 85027 HC COMPLETE CBC | $29.00 | $103.13 | $6.47–$93.54 | 6% below | 72% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC METABOLIC PANEL,COMPREHENSIVE | $97.00 | $336.88 | $10.56–$305.55 | 8% below | 71% |
| Cortisol blood test, total CPT 82533 HC TOTAL CORTISOL | $64.00 | $223.44 | $16.30–$202.66 | 9% below | 71% |
| Creatine kinase (CK) blood test, total CPT 82550 HC ASSAY OF CK (CPK) | $48.00 | $168.13 | $6.51–$152.49 | 6% above | 71% |
| Creatinine blood test CPT 82565 HC ASSAY OF CREATININE | $18.00 | $62.50 | $5.12–$56.69 | 37% below | 71% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV ANTIBODY | $65.00 | $226.25 | $14.39–$205.21 | 3% above | 71% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC DEHYDROEPIANDROSTERONE-SULFATE | $109.00 | $375.94 | $22.23–$340.98 | 20% above | 71% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN MULTIP CLASS | $93.00 | $323.13 | $62.14–$323.13 | 4% below | 71% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL | $34.00 | $118.13 | $7.01–$107.14 | 32% below | 71% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN-BARR ANTIBODY,V CAPSID | $65.00 | $225.63 | $18.14–$204.65 | 7% above | 71% |
| Estradiol blood test CPT 82670 HC ASSAY OF TOTAL ESTRADIOL | $101.00 | $350.63 | $27.94–$318.02 | 1% below | 71% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC GONADOTROPIN (FSH) | $77.00 | $267.19 | $18.58–$242.34 | 3% below | 71% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC ASSAY FOR CALPROTECTIN FECAL | $134.00 | $462.50 | $19.63–$419.49 | 13% below | 71% |
| Ferritin blood test (iron stores) CPT 82728 HC ASSAY OF FERRITIN | $61.00 | $210.63 | $13.63–$191.04 | 18% below | 71% |
| Fibrinogen blood test CPT 85384 HC FIBRINOGEN, ACTIVITY | $47.00 | $164.69 | $9.72–$149.37 | 22% below | 71% |
| Folate (folic acid) blood test CPT 82746 HC BLOOD FOLIC ACID SERUM | $53.00 | $183.13 | $14.70–$166.10 | 29% below | 71% |
| Free T3 thyroid hormone test CPT 84481 HC TRIIODOTHYRONINE FREE ASSAY (FT-3) | $63.00 | $220.63 | $16.94–$200.11 | 27% below | 71% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC ASSAY OF FREE THYROXINE | $73.00 | $252.50 | $9.02–$229.02 | 22% above | 71% |
| Free testosterone test CPT 84402 HC ASSAY OF TESTOSTERONE | $129.00 | $447.19 | $25.47–$405.60 | 26% above | 71% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC ASSAY OF GGT | $43.00 | $150.94 | $7.20–$136.90 | 3% below | 72% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC GENERAL HEALTH PANEL | $208.00 | $720.63 | $208.98–$653.61 | 51% below | 71% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE TEST | $24.00 | $85.31 | $4.75–$77.38 | 35% below | 72% |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE TEST (GTT) | $60.00 | $208.44 | $12.87–$189.06 | 6% below | 71% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.GONORRHOEAE, DNA, AMP PROB | $42.00 | $147.81 | $35.09–$147.81 | 36% below | 72% |
| H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI | $33.00 | $114.69 | $16.85–$114.69 | 57% below | 71% |
| H. pylori stool antigen test CPT 87338 HC HPYLORI STOOL EIA | $146.00 | $506.25 | $14.38–$459.17 | 27% above | 71% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC IADNA HIV-1 QUANT & REVERSE TRANSCRIPTION | $229.00 | $790.00 | $85.10–$788.92 | at median | 71% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC HIV-1/HIV-2, SINGLE ASSAY | $33.00 | $114.06 | $13.71–$114.06 | 27% below | 71% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV HIGH-RISK TYPES | $63.00 | $220.31 | $35.09–$220.31 | 12% below | 71% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HEMOGLOBIN TEST | $51.00 | $176.88 | $9.71–$160.43 | 3% below | 71% |
| Hemoglobin blood test CPT 85018 HC HEMOGLOBIN | $13.00 | $45.94 | $2.37–$41.67 | 14% below | 72% |
| Hepatitis B core antibody test (total) CPT 86704 HC HEP B CORE AB TEST, TOTAL | $41.00 | $144.06 | $12.05–$130.66 | 33% below | 72% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE AB TEST | $39.00 | $136.56 | $10.74–$123.86 | 23% below | 71% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE AG, EIA | $39.00 | $136.56 | $10.33–$123.86 | 20% below | 71% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEP C ANTIBODY, HIGH RISK - 86803 - 30200256 | $76.00 | $264.06 | $14.27–$239.50 | 3% above | 71% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION | $172.00 | $593.13 | $42.84–$537.97 | at median | 71% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TEST, TYPE 1 | $73.00 | $254.06 | $13.19–$230.43 | 38% above | 71% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TEST, TYPE 2 | $91.00 | $314.06 | $19.35–$284.85 | 28% above | 71% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PROTEIN,HIGH SENSITIVITY | $50.00 | $174.38 | $12.95–$158.16 | 3% below | 71% |
| Homocysteine blood test CPT 83090 HC ASSAY OF HOMOCYSTINE | $94.00 | $326.25 | $17.92–$295.91 | 29% above | 71% |
| Insulin blood test CPT 83525 HC ASSAY OF INSULIN,TOTAL | $66.00 | $228.44 | $11.43–$207.20 | 2% above | 71% |
| Iron blood test (serum iron) CPT 83540 HC ASSAY OF IRON | $28.00 | $96.88 | $6.47–$87.87 | 25% below | 71% |
| Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING TEST | $38.00 | $134.06 | $8.74–$121.59 | 6% below | 72% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $62.00 | $217.19 | $8.68–$196.99 | 7% below | 71% |
| LH (luteinizing hormone) test CPT 83002 HC GONADOTROPIN (LH) | $83.00 | $288.75 | $18.52–$261.90 | 2% below | 71% |
| Lactate (lactic acid) blood test CPT 83605 HC ASSAY OF LACTIC ACID | $50.00 | $173.75 | $11.57–$157.59 | 14% below | 71% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE (LD) (LDH) ENZYME | $36.00 | $127.50 | $6.04–$115.64 | at median | 72% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC ASSAY OF LIPASE | $34.00 | $118.13 | $6.89–$107.14 | 26% below | 71% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL | $83.00 | $286.56 | $8.17–$259.91 | at median | 71% |
| Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODY | $87.00 | $303.13 | $17.03–$274.94 | 12% above | 71% |
| Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM | $31.00 | $107.50 | $6.70–$97.50 | 23% below | 71% |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA | $16.00 | $56.25 | $12.88–$56.25 | 55% below | 72% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANTIBODIES,SCREEN | $34.00 | $118.44 | $5.18–$107.43 | 6% below | 71% |
| Mumps immunity blood test CPT 86735 HC MUMPS | $29.00 | $100.94 | $13.05–$100.94 | 22% below | 71% |
| Obstetric blood test panel CPT 80055 HC OBSTETRIC PANEL | $95.00 | $329.38 | $47.81–$329.38 | 33% below | 71% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PROSTATE SPECIFIC ANTIGEN,FREE | $116.00 | $402.50 | $18.39–$365.07 | 25% above | 71% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL - 84153 - 30100312 | $67.00 | $231.25 | $18.39–$209.74 | 7% below | 71% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC CYTOPATH CERV/VAG THIN LAYER | $52.00 | $182.19 | $20.26–$182.19 | 26% below | 71% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC ASSAY OF PARATHORMONE | $98.00 | $338.13 | $41.28–$338.13 | at median | 71% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLAS TIME PARTIAL | $42.00 | $145.94 | $6.01–$132.37 | 3% below | 71% |
| Phosphorus (phosphate) blood test CPT 84100 HC ASSAY OF INORGANIC PHOSPHORUS | $17.00 | $60.00 | $4.74–$54.42 | 39% below | 72% |
| Potassium blood test CPT 84132 HC ASSAY OF SERUM POTASSIUM | $10.00 | $37.19 | $4.76–$37.19 | 59% below | 73% |
| Progesterone blood test CPT 84144 HC ASSAY OF PROGESTERONE | $79.00 | $275.31 | $20.86–$249.71 | 11% below | 71% |
| Prolactin blood test CPT 84146 HC ASSAY OF PROLACTIN | $70.00 | $242.81 | $19.38–$220.23 | 7% below | 71% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $28.00 | $99.69 | $4.29–$90.42 | 5% below | 72% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC DRUG SCREEN PRSMV QUAL DIR OPTICAL OBS PER DAY | $50.00 | $174.38 | $12.60–$158.16 | 94% above | 71% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP A ASSAY W/OPTIC | $36.00 | $127.50 | $16.53–$127.50 | 8% below | 72% |
| Renin blood test CPT 84244 HC ASSAY OF RENIN | $93.00 | $322.81 | $21.99–$292.79 | 26% above | 71% |
| Rh blood typing CPT 86901 HC ARC BLOOD TYPING, RH (D) | $16.00 | $57.81 | $16.76–$52.43 | 56% below | 72% |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR, QUANT | $48.00 | $165.94 | $5.67–$150.51 | 43% above | 71% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA | $33.00 | $114.06 | $14.39–$114.06 | 34% below | 71% |
| Sodium blood test CPT 84295 HC ASSAY OF SERUM SODIUM | $13.00 | $47.19 | $4.81–$47.19 | 45% below | 72% |
| Stool ova and parasites exam CPT 87177 HC OVA AND PARASITES SMEARS | $51.00 | $177.81 | $8.90–$161.27 | 39% above | 71% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD STOOL | $21.00 | $75.63 | $4.38–$68.60 | 1% above | 72% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC ASSAY TEST FOR BLOOD FECAL | $33.00 | $116.25 | $15.92–$116.25 | 19% below | 72% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM | $78.00 | $272.19 | $13.24–$246.88 | 46% above | 71% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL | $32.00 | $111.56 | $4.27–$101.18 | 2% above | 71% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB TEST, CELL MDIATD ANTGEN RESPS GAMMA INTFRON | $115.00 | $399.06 | $61.98–$399.06 | 2% below | 71% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE | $100.00 | $347.19 | $25.81–$314.90 | 10% above | 71% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY | $94.00 | $327.19 | $14.55–$296.76 | 10% above | 71% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY THYROID STIM HORMONE | $76.00 | $264.38 | $16.80–$239.79 | 3% below | 71% |
| Total cholesterol blood test CPT 82465 HC ASSAY, BLD/SERUM CHOLESTEROL | $17.00 | $60.00 | $4.35–$54.42 | 30% below | 72% |
| Total thyroxine (T4) blood test CPT 84436 HC ASSAY OF TOTAL THYROXINE | $38.00 | $134.06 | $6.87–$121.59 | 22% below | 72% |
| Total triiodothyronine (T3) blood test CPT 84480 HC TRIIODOTHYRONINE TOTAL ASSAY, TT-3 | $56.00 | $194.38 | $14.18–$176.30 | 34% below | 71% |
| Transferrin blood test CPT 84466 HC ASSAY OF TRANSFERRIN | $64.00 | $221.88 | $12.76–$201.25 | 10% above | 71% |
| Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS AMPLIF | $106.00 | $368.13 | $35.09–$333.89 | 18% above | 71% |
| Triglycerides blood test CPT 84478 HC ASSAY OF TRIGLYCERIDES | $44.00 | $154.69 | $5.74–$140.30 | 1% below | 72% |
| Troponin test, quantitative CPT 84484 HC ASSAY OF TROPONIN, QUANT | $71.00 | $248.13 | $12.47–$225.05 | 11% below | 71% |
| Uric acid blood test CPT 84550 HC ASSAY OF URIC ACID, BLOOD | $23.00 | $80.63 | $4.52–$73.13 | 26% below | 71% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS, AUTO, W/SCOPE | $21.00 | $72.81 | $3.17–$66.04 | 39% below | 71% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS, AUTO, W/O SCOPE | $18.00 | $63.13 | $2.25–$57.26 | 17% below | 71% |
| Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE | $19.00 | $68.75 | $3.48–$62.36 | 20% above | 72% |
| Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN, QUANTITATIVE | $46.00 | $158.75 | $5.78–$143.99 | 10% below | 71% |
| Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST | $27.00 | $95.94 | $8.61–$87.02 | 4% below | 72% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B-12 | $78.00 | $271.88 | $15.08–$246.60 | 9% below | 71% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC ASSAY VIT D, 25-HYDROXY W FRACTIONS | $40.00 | $140.31 | $29.60–$140.31 | 65% below | 71% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC ASSAY VIT D, 1,25-DIHYDROXY W FRACTIONS | $130.00 | $448.44 | $38.50–$406.74 | 1% below | 71% |
| Zinc blood test CPT 84630 HC ASSAY OF ZINC | $32.00 | $113.75 | $11.39–$113.75 | 24% below | 72% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC CHORIONIC GONADOTROPIN, QUANT | $60.00 | $208.44 | $15.05–$189.06 | 26% below | 71% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Maine | Off list |
|---|---|---|---|---|---|
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC REPR WND SMP BODY/SCALP/EXTR <2.5 CM | $125.00 | $431.56 | $125.15–$391.42 | 16% below | 71% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC REPR WND SMP BODY/SCALP/EXTR 2.6-7.5 CM | $144.00 | $497.50 | $144.28–$451.23 | 23% below | 71% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Maine | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION SERVICE | $465.00 | $1,605.63 | $465.63–$1,456.31 | 5% below | 71% |
| Chemotherapy IV infusion, first hour CPT 96413 HC CHEMOTHER, IV INFUSION, 1 HR | $420.00 | $1,449.06 | $420.23–$1,314.30 | 7% above | 71% |
| Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE, E/M 30-74 MINUTES | $1,519.00 | $5,241.25 | $1,519.96–$4,753.81 | 48% above | 71% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED LEVEL 1 | $91.00 | $314.69 | $91.26–$314.69 | 12% below | 71% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED LEVEL 2 | $151.00 | $523.13 | $151.71–$523.13 | 28% below | 71% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED LEVEL 3 | $311.00 | $1,074.06 | $311.48–$1,074.06 | 7% below | 71% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED LEVEL 4 | $568.00 | $1,961.88 | $568.95–$1,961.88 | 7% below | 71% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED LEVEL 5 | $922.00 | $3,182.19 | $922.84–$3,182.19 | 6% below | 71% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INFU, HYDRATION, 31-60 MIN | $71.00 | $247.50 | $71.78–$224.48 | 66% below | 71% |
| IV infusion of a medicine, first hour CPT 96365 HC IV INFU, THERAP/PROPH/DIAGN, INIT, 1ST HR | $295.00 | $1,019.06 | $295.53–$924.29 | 9% below | 71% |
| IV push of a medicine, first drug CPT 96374 HC INJ, THERAP/PROPH/DIAGN, IV PUSH INIT DX | $183.00 | $633.13 | $183.61–$574.25 | 7% below | 71% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJ, THERAP/PROPH/DIAGN, IM OR SUBCUT | $49.00 | $169.06 | $49.03–$153.34 | 29% below | 71% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PSYCH DIAGNOSTIC EVALUATION | $159.00 | $548.75 | $159.14–$497.72 | 26% below | 71% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSC REEDUCAT,1+ AREAS COMPLEX, EA 15 MIN | $42.00 | $147.50 | $31.35–$133.78 | 58% below | 72% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OFFICE/OUTPATIENT NEW SF MDM 15-29 MINUTES - 99202 - 76100002 | $50.00 | $175.63 | $50.93–$159.30 | 43% below | 72% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MED NUTR THER, 1ST, INDIV, EA 15 MIN | $43.00 | $151.56 | $25.59–$137.46 | 6% below | 72% |
| Occupational therapy evaluation, low complexity CPT 97165 HC OCCUP THRP EVAL, LOW COMPLEXITY, 30 MIN | $181.00 | $626.88 | $95.00–$568.58 | 19% below | 71% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PHYS THRP EVAL, HIGH COMPLEXITY, 45 MIN | $152.00 | $525.94 | $94.07–$477.03 | 45% below | 71% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PHYS THRP EVAL, LOW COMPLEXITY, 20 MIN | $152.00 | $525.94 | $94.05–$477.03 | 32% below | 71% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PHYS THRP EVAL, MODERATE COMPLEXITY, 30 MIN | $152.00 | $525.94 | $94.06–$477.03 | 44% below | 71% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THERAPY 1/> REGIONS EA 15 MIN | $76.00 | $262.81 | $26.55–$238.37 | 23% below | 71% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT EXERCISE OTA COMPLEX EA 15 | $42.00 | $147.50 | $27.84–$133.78 | 38% below | 72% |
| Speech and language evaluation CPT 92523 HC ST EVAL SPEECH SOUND PROD LANGUAG COMPRHNS, 15 MIN | $261.00 | $903.44 | $95.00–$819.42 | 19% below | 71% |
| Speech therapy session, individual CPT 92507 HC SPEECH/HEARING THERAPY INDIVIDUAL, 15 MIN | $132.00 | $455.31 | $73.44–$412.97 | 19% below | 71% |
| Spirometry (breathing test) CPT 94010 HC BREATHING CAPACITY TEST | $122.00 | $424.06 | $122.98–$384.62 | 13% below | 71% |
| Spirometry before and after a bronchodilator CPT 94060 HC EVAL OF BRONCHOSPASM | $167.00 | $576.88 | $167.30–$523.23 | 48% below | 71% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT THR ACTIVITY OTA COMPLEX EA 1 | $60.00 | $209.38 | $33.34–$189.91 | 48% below | 71% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY THERAPUTIC | $146.00 | $504.38 | $146.27–$457.47 | 6% below | 71% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Maine | Off list |
|---|---|---|---|---|---|
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZ ADMIN, INJ, INIT VAC | $7.00 | $26.88 | $7.80–$24.38 | 60% below | 74% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
Source file: https://www.cmhc.org/wp-content/uploads/2026/04/40084_RumfordHospital_StandardCharges.json