healthcosts.net

Franklin Memorial Hospital

111 Franklin Health Commons, Farmington, ME · MaineHealth · · NPI 1922791417

Source: hospital's published price file ↗ · Published Sep 9, 2025 · Ingested Aug 12, 2026

Published prices by procedure

Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.

Procedure Cash price Gross charge Negotiated range Payers
Rpr ing hernia baby reduc CPT 49495 not published not published $391.42 – $845.89 7
Rpr ing hernia init blocked CPT 49501 not published not published $580.36 – $1,253.26 7
Rpr ing hernia init reduce CPT 49500 not published not published $398.14 – $862.17 7
Rpr ing hern premie blocked CPT 49492 not published not published $916.03 – $1,971.72 7
Rpr intst excl anrect fist HCPCS C9796 not published not published $11,905.88 – $11,905.88 1
Rpr nsl vlv collapse w/implt CPT 30468 not published not published $163.65 – $4,769.67 8
Rpr nsl vlv collapse w/rmdlg CPT 30469 not published not published $145.07 – $4,648.19 8
Rpr parastomal hernia rdc 49621 CPT 49621 not published not published $710.89 – $1,534.53 7
Rpr parastomal hrna ncr/strn 49622 CPT 49622 not published not published $877.68 – $1,908.69 7
Rpr pul art unifocal without cpb CPT 33925 not published not published $1,611.28 – $3,433.06 7
Rpr&refitg spect xcp aphakia CPT 92370 not published not published $15.27 – $55.90 7
Rpr&refit spct prsth aphakia CPT 92371 not published not published $10.86 – $24.39 6
Rpr rem hernia init reduce CPT 49550 not published not published $552.98 – $1,194.29 7
Rpr tga aortic pulm art rcns CPT 33778 not published not published $2,206.66 – $4,702.58 7
Rpr tga atr bfl clsr vsd CPT 33776 not published not published $1,842.51 – $3,937.34 7
Rpr tga atr bfl rmvl plm bnd CPT 33775 not published not published $1,743.36 – $3,722.48 7
Rpr tga atrial baffle px CPT 33774 not published not published $1,693.15 – $3,618.77 7
Rpr tga bfl rpr sbpulm obstr CPT 33777 not published not published $1,776.86 – $3,787.54 7
Rpr tga rcnstj clsr vsd CPT 33780 not published not published $2,220.17 – $4,724.26 7
Rpr tga rcnstj rmvl plm bnd CPT 33779 not published not published $2,179.03 – $4,633.45 7
Rpr tga rcnstj rpr sbpl obst CPT 33781 not published not published $2,167.07 – $4,604.97 7
Rpr tga without surg enlgmnt vsd CPT 33770 not published not published $1,984.89 – $4,224.04 7
Rpr tga w/surg enlgmnt vsd CPT 33771 not published not published $2,041.34 – $4,339.27 7
Rpr umbil hern block < 5 yr CPT 49582 not published not published $834.59 – $834.59 1
Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 $21,190.80 $21,190.80 $351.48 – $742.87 8
Rp therapy unlisted px CPT 79999 not published not published $496.70 – $973.03 2
Rrp hypspad comp moblj&urtp CPT 54344 not published not published $908.22 – $1,920.89 7
Rsect hip tum incl femur CPT 27078 not published not published $1,962.44 – $4,201.68 7
Rsv assay w/optic CPT 87807 $64.00 $64.00 $10.61 – $48.00 8
Rsv vacc mrna lipid nano im CPT 90683 not published not published $607.68 – $607.68 1
Rtm 1st set-up&pt educaj eqp CPT 98975 not published not published $17.66 – $41.34 7
Rtm dev sply cbt 16-30 d CPT 98978 not published not published $37.16 – $161.89 3
Rtm dev sply mscskl 16-30 d CPT 98977 not published not published $37.16 – $90.15 7
Rtm dev sply resp sys 16-30d CPT 98976 not published not published $37.16 – $90.15 7
Rtm tx mgmt 1st 20 min CPT 98980 not published not published $30.15 – $97.65 8
Rtm tx mgmt ea addl 20 min CPT 98981 not published not published $29.49 – $77.10 8
Rubella antibody igg CPT 86762 $157.65 $157.65 $14.39 – $148.19 8
Rubeola ag if CPT 87283 not published not published $20.82 – $127.40 6
Rubeola antibody igg CPT 86765 $141.55 $141.55 $12.88 – $133.06 8
Runx1 gene targeted seq alys CPT 81334 not published not published $329.51 – $690.47 6
Russell viper venom diluted CPT 85613 $67.35 $67.35 $9.58 – $63.31 8
Rx metab gen seq alys pnl 6 CPT 81418 not published not published $917.08 – $1,921.56 3
Sach foot, replacement HCPCS L5971 not published not published $256.73 – $681.04 3
Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 $7,643.77 $7,643.77 $33.20 – $7,185.14 8
Sacroiliac Joint X-ray (3 or more views) CPT 72202 $303.25 $303.25 $10.68 – $21.69 8
Safety plan interven HCPCS G0560 not published not published $86.08 – $86.08 1
Salivary gland function exam CPT 78232 not published not published $18.97 – $37.95 7
Salivary gland imaging CPT 78230 not published not published $21.01 – $42.70 7
Salivary glnd img serial img CPT 78231 not published not published $21.01 – $42.01 7
Salmonella antibody CPT 86768 not published not published $13.19 – $27.64 6
Salpingostomy 58770 CPT 58770 not published not published $837.57 – $1,756.18 7
Same day nb discharge 99463 CPT 99463 not published not published $106.22 – $217.57 7
Saquinavir, 200 mg HCPCS S0140 not published not published $1.24 – $2.70 2
Sargramostim injection HCPCS J2820 not published not published $58.22 – $118.64 7
Sars-cov-2 antb quantitative CPT 86413 not published not published $8.51 – $107.77 4
Sarscov2 vac 5mcg/0.5ml im CPT 91304 not published not published $145.60 – $319.32 7
Sarscov coronavirus ag ia CPT 87426 $40.00 $40.00 $20.00 – $73.89 8
Sarscov & inf vir a&b ag ia CPT 87428 $50.00 $50.00 $25.00 – $147.08 8
S bowel endoscope w/stent CPT 44379 not published not published $391.14 – $817.43 7
Sbrt management CPT 77435 not published not published $628.15 – $1,318.99 7
Sbsq ic vlbw inf<1,500 gm CPT 99478 not published not published $130.61 – $265.70 7
Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 $333.40 $333.40 $149.23 – $311.11 8
Sbsq nursing facil care/day minor complj 15 min CPT 99308 $161.60 $161.60 $72.21 – $150.47 8
Sbsq nursing facil care/day new problem 25 min CPT 99309 $233.70 $233.70 $103.78 – $218.26 8
Sbsq nursing facility care/day e/m stable 10 min CPT 99307 $87.35 $87.35 $38.55 – $80.65 8
Sbsq psyc collab care mgmt CPT 99493 not published not published $89.71 – $269.84 8
Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 not published not published $36.78 – $77.28 7
Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 not published not published $22.56 – $46.77 7
Scan duplex extracranial arteries unilateral/limited study CPT 93882 $509.55 $509.55 $23.24 – $426.49 8
Scan duplex extremity veins unilateral/limited study CPT 93971 $795.40 $795.40 $20.84 – $665.75 8
Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 $707.70 $707.70 $22.25 – $353.47 8
Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 $490.70 $490.70 $22.56 – $410.72 8
Scan proc cranial extra CPT 61782 not published not published $167.19 – $350.42 7
Scan proc cranial intra 61781 CPT 61781 not published not published $219.90 – $481.91 7
Scan proc spinal CPT 61783 not published not published $216.88 – $472.44 7
Scap thorac prosth tiss shap HCPCS L6570 not published not published $5,270.32 – $13,980.93 3
Sclerotherapy fluid collection pq w/img CPT 49185 not published not published $114.38 – $2,359.74 8
Scope plantar fasciotomy CPT 29893 not published not published $422.44 – $1,286.22 8
Scr c/v cyto, automated sys HCPCS G0147 not published not published $14.99 – $37.28 6
Scr c/v cyto,autosys and md HCPCS G0141 not published not published $22.04 – $50.84 7
Scr c/v cyto, autosys, rescr HCPCS G0148 not published not published $27.64 – $66.93 6
Scr c/v cyto,thinlayer,rescr HCPCS G0144 not published not published $38.86 – $92.14 6
Scr c/v cyto,thinlayer,rescr HCPCS G0145 not published not published $27.02 – $55.51 6
Scr c/v cyto,thinlayer,rescr HCPCS G0143 not published not published $27.05 – $56.68 6
Screen cerv/vag thin layer HCPCS G0123 not published not published $20.67 – $42.45 6
Screen c/v thin layer by md HCPCS G0124 not published not published $22.04 – $50.84 7
Screening Colonoscopy (average risk) HCPCS G0121 not published not published $88.51 – $655.32 7
Screening Colonoscopy (high risk) HCPCS G0105 not published not published $88.28 – $654.68 7
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 $53.00 $53.00 $14.62 – $39.75 8
Screening hepatitis b non-obstetric high risk HCPCS G0499 $254.05 $254.05 $28.84 – $238.81 8
Screening hepatitis c antibody high risk HCPCS G0472 not published not published $21.12 – $96.93 6
Screening HIV antigen/antibody combination assay HCPCS G0475 not published not published $24.56 – $50.16 6
Screening Mammogram CPT 77067 $399.00 $399.00 $35.92 – $333.96 8
Screening pap smear by phys HCPCS P3001 not published not published $22.04 – $50.84 7
Screening prostate cancer PSA HCPCS G0103 not published not published $19.70 – $40.46 6
Screen pap by tech w md supv HCPCS P3000 not published not published $14.99 – $37.28 6
Screen/visual acuity/bilat/quant 99173 CPT 99173 not published not published $2.72 – $6.77 6
Screw cortex 2.0 x 10mm HCPCS C1713 $4,089.00 $4,089.00 $1.78 – $5.56 8
Scrotal (Testicle) Ultrasound CPT 76870 $634.90 $634.90 $30.21 – $531.41 8
Sc ther infusion reset pump CPT 96371 not published not published $52.55 – $116.59 7

A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.