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Home > Providers > Cost of Services > Cost of Services Page - Maine
Maine Medical Cost Data

Harvard Pilgrim Health Care of New England is helping members gain a better understanding of typical costs for certain outpatient services provided in Maine. As employers search for ways to moderate their health insurance costs, some are choosing plans that give their employees more financial responsibility for certain types of care. This naturally raises the question: "How much will my medical tests and treatments cost?"

Using HPHConnect, members can now view a range of typical medical costs for the procedures and services displayed below. Please note that the actual cost of care may be above or below the range listed. For details on what is included for each procedure, view the "Description" links. Providers with questions or comments about this information can contact us.

Facts about Typical Medical Costs - Important things you should know before you use the cost information in the chart below.

Allergy Shots-Professional Services only Cost Range
Allergy (Immunotherapy) Shots - Professional Services only Description  $17 - 20
Allergy - Preparation of Allergy Extract Description $12 - $15

Complex Services (Average Episodes) Cost Range
Arthroscopy Knee Description $1,989 - $7,754
Colonoscopy Diagnostic, without polyp removal Description $477 - $1,982
Colonoscopy with removal of polyps Description $737- $2,699
Emergency Room Typical visit, not including hospitalization Description $268 - $1,174
Endoscopy Upper gastrointestinal tract Description $572- $2,618

CT Scan (Computed Tomography) Cost Range
Abdomen, with contrast Description $630 - $1,262
Head or Brain, without contrast Description $811 - $984
Pelvis, with contrast Description $398 - $1,068
Thorax (Chest), with contrast Description $919 - $1,359

Early Intervention Program Cost Range
Home visit (per 15 minutes) Description $20 - $25

Echocardiogram Cost Range
Echocardiogram with Interpretation Description $277 - $534

Electrocardiogram (ECG) Cost Range
Routine with Interpretation Description $28 - $50

Exercise Stress Test Cost Range
Interpretation and report (in addition to below) Description $23 - $25
Tracing Only, without Interpret/Report Description $336 - $590

Lab Tests Cost Range
Blood Typing Description $16 - $37
Complete Blood Count - Red cells, White cells, Platelets Description $19 - $51
Creatinine - Kidney blood test Description $11 - $22
Liver Function Panel - blood tests Description $27 - $76
Metabolic Panel - Electrolytes, kidney, liver blood tests Description $28 - $112
Pap smear Description $174 - $229
Pregnancy Blood Test - (hCG) Description $38 - $105
Prenatal Blood Test (Alpha-Fetoprotein) Description $25 - $51
Prothrombin Time - Warfarin (Coumadin) blood test Description $12 - $39
Strep A Test: Rapid screening with throat swab Description $17 - $19
Thyroid Test (TSH) - blood test (checks for low thyroid) Description $40 - $95
Urinalysis - Strips without microscopy Description $4 - $19

MRI (Magnetic Resonance Imaging) Cost Range
Any leg joint, without contrast Description $1,009 - $1,544
Brain, with contrast Description $1,761 - $2,375
Lower Back, without contrast Description $1,097 - $1,746
Neck, without contrast Description $915 - $1,633

Myocardial Perfusion Scan Cost Range
Ejection Fraction (in addition to below) Description $72 - $340
Myocardial Perfusion Scan Description $703 - $1,602
Wall Motion Study (in addition to above) Description $86 - $1,180

Office Visits Cost Range
Behavioral Health, Initial Office Visit Description $80 - $120
Cardiologist, Office Visit Description $229 - $323
Gastroenterologist, Office Visit Description $196 - $288
Office Visit $62 - $187

PET Scan (Positron Emission Tomography) Cost Range
PET Scan - Positron Emission Tomography Description $3,247 - $4,404

Physical Therapy (PT) Cost Range
Physical Therapy Initial Evaluation Visit Description $99 - $101
Physical Therapy Treatment Visit Description $36 - $140

Rehabilitation Cost Range
Cardiac Rehabilitation Program Description $81 - $124

Ultrasound (US) Cost Range
Pelvic (Non-Obstetric) Description $257 - $485
Transvaginal Description $140 - $275

X-Ray Cost Range
Single Body Part (such as arm, knee, ankle) $54 - $250
Mammography: 2 view film study bilateral Description $224 - $274
Mammography: Producing direct digital image, bilateral Description $203 - $252