Franklin Memorial Hospital
111 Franklin Health Commons, Farmington, ME · MaineHealth · · NPI 1922791417
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 |
|---|---|---|---|---|
| Term device, multi art digit HCPCS L6715 | not published | not published | $2,938.43 – $7,794.96 | 3 |
| Term dev mech hand vol close HCPCS L6709 | not published | not published | $1,148.64 – $3,047.06 | 3 |
| Term dev mech hand vol open HCPCS L6708 | not published | not published | $821.55 – $2,179.38 | 3 |
| Term dev mech hook vol close HCPCS L6707 | not published | not published | $1,365.75 – $3,623.03 | 3 |
| Term dev mech hook vol open HCPCS L6706 | not published | not published | $379.18 – $1,005.89 | 3 |
| Term dev modifier wrist unit HCPCS L6805 | not published | not published | $342.84 – $909.44 | 3 |
| Term dev, passive hand mitt HCPCS L6703 | not published | not published | $366.84 – $973.12 | 3 |
| Term dev precision pinch dev HCPCS L6810 | not published | not published | $177.03 – $469.61 | 3 |
| Term dev, sport/rec/work att HCPCS L6704 | not published | not published | $555.23 – $1,472.88 | 3 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $185.20 – $388.07 | 6 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $6.01 – $12.59 | 6 |
| Test for porphobilinogen CPT 84106 | not published | not published | $5.82 – $12.20 | 6 |
| Test for urine cystines CPT 82615 | not published | not published | $9.55 – $20.01 | 6 |
| Testicular imaging w/vasc flow CPT 78761 | $1,215.90 | $1,215.90 | $33.58 – $1,017.71 | 8 |
| Testosterone pellet 75 mg HCPCS S0189 | not published | not published | $107.24 – $226.68 | 2 |
| Testosterone response panel CPT 80414 | not published | not published | $51.64 – $108.21 | 6 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $1.77 – $3.79 | 7 |
| Test pathogen(s) for platelets reference HCPCS P9100 | not published | not published | $25.50 – $257.86 | 2 |
| Test sock elbw disart/above HCPCS L6682 | not published | not published | $272.37 – $722.51 | 3 |
| Test socket above knee HCPCS L5624 | not published | not published | $459.57 – $1,219.15 | 3 |
| Test socket below knee HCPCS L5620 | not published | not published | $351.44 – $932.28 | 3 |
| Test socket hemipelvectomy HCPCS L5628 | not published | not published | $518.56 – $1,375.61 | 3 |
| Test socket hip disarticulat HCPCS L5626 | not published | not published | $547.30 – $1,451.86 | 3 |
| Test socket knee disarticula HCPCS L5622 | not published | not published | $428.42 – $1,136.50 | 3 |
| Test socket shldr disart/tho HCPCS L6684 | not published | not published | $407.33 – $1,080.55 | 3 |
| Test socket symes HCPCS L5618 | not published | not published | $355.52 – $943.09 | 3 |
| Test sock wrist disart/bel e HCPCS L6680 | not published | not published | $223.83 – $593.76 | 3 |
| Test stress cardiovascular tracing only CPT 93017 | $1,605.50 | $1,605.50 | $33.29 – $1,343.80 | 8 |
| Test urine for lactose CPT 83633 | not published | not published | $10.00 – $23.57 | 6 |
| Test urine for porphyrins CPT 84119 | not published | not published | $13.36 – $27.79 | 6 |
| Test urine urobilinogen CPT 84578 | not published | not published | $4.47 – $9.37 | 6 |
| Tetanus ig im CPT 90389 | not published | not published | $188.42 – $727.07 | 3 |
| Tetanus immune globulin inj HCPCS J1670 | $1,974.39 | $1,974.39 | $556.53 – $1,855.93 | 8 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $17.80 – $35.89 | 7 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $137.00 – $287.07 | 6 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $430.83 – $1,591.48 | 6 |
| Tgsap so/hl 51/< rna alys CPT 81456 | not published | not published | $597.91 – $6,117.83 | 6 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $339.15 – $1,252.57 | 6 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $144.73 – $743.97 | 2 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $144.73 – $743.97 | 2 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $144.73 – $743.97 | 2 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $50.98 – $231.96 | 2 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $27.59 – $56.26 | 6 |
| Theophylline therapeutic drug level CPT 80198 | $155.05 | $155.05 | $14.14 – $145.75 | 8 |
| Therapeutic procd strg endur HCPCS G0237 | $98.40 | $98.40 | $9.92 – $82.36 | 8 |
| Therapy activation ipnss CPT 93150 | not published | not published | $76.44 – $398.50 | 6 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $198.15 | $198.15 | $36.08 – $165.85 | 8 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $199.50 | $199.50 | $28.92 – $166.98 | 8 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $58.00 | $58.00 | $17.40 – $54.52 | 8 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $49.85 | $49.85 | $14.96 – $46.86 | 8 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | not published | not published | $131.61 – $267.73 | 7 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $113.68 – $243.32 | 7 |
| Ther nma rdctj intus/obstrcj CPT 74283 | not published | not published | $98.26 – $203.34 | 7 |
| Ther/proph/diag inj ia CPT 96373 | not published | not published | $17.36 – $38.64 | 7 |
| Ther radiology tx plng cplx CPT 77263 | not published | not published | $165.15 – $345.68 | 7 |
| Ther radiology tx plng intrm CPT 77262 | not published | not published | $105.75 – $222.33 | 7 |
| Ther radiology tx plng smpl CPT 77261 | not published | not published | $69.26 – $143.68 | 7 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $15.14 | $15.14 | $1.94 – $14.23 | 8 |
| Thiethylperazine maleate inj HCPCS J3280 | not published | not published | $4.76 – $9.49 | 3 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $304.60 | $304.60 | $8.64 – $17.62 | 8 |
| Thigh/wght bear high roll cu HCPCS L2550 | not published | not published | $255.59 – $678.02 | 3 |
| Thigh/wght bear lacer molded HCPCS L2540 | not published | not published | $501.65 – $1,330.75 | 3 |
| Thigh/wght bear lacer non-mo HCPCS L2530 | not published | not published | $237.14 – $629.09 | 3 |
| Thi/glut/ischia wgt bearing HCPCS L2500 | not published | not published | $374.33 – $993.01 | 3 |
| Thiotepa injection HCPCS J9340 | not published | not published | $227.26 – $438.37 | 7 |
| Thorabd diaphr hern repair CPT 43336 | not published | not published | $1,365.09 – $2,911.15 | 7 |
| Thorabd diaphr hern repair CPT 43337 | not published | not published | $1,454.86 – $3,101.62 | 7 |
| Thorac cont lat support upri HCPCS L2680 | not published | not published | $139.26 – $369.40 | 3 |
| Thorac cont paraspinal uprig HCPCS L2670 | not published | not published | $151.80 – $402.68 | 3 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,733.65 | $1,733.65 | $106.11 – $600.70 | 8 |
| Thoracic aortic graft 33875 CPT 33875 | not published | not published | $2,571.66 – $5,465.78 | 7 |
| Thoracic control thoracic ba HCPCS L2660 | not published | not published | $220.87 – $585.88 | 3 |
| Thoracic duct procedure CPT 38380 | not published | not published | $551.30 – $1,192.93 | 7 |
| Thoracic duct procedure CPT 38381 | not published | not published | $760.60 – $1,643.66 | 7 |
| Thoracic duct procedure CPT 38382 | not published | not published | $647.60 – $1,390.85 | 7 |
| Thoracic intern lock elbow HCPCS L6350 | not published | not published | $3,713.56 – $9,851.19 | 3 |
| Thoracic lymphadenect/thoracotomy 38746 CPT 38746 | not published | not published | $200.84 – $427.01 | 7 |
| Thoracic pad HCPCS L1060 | not published | not published | $88.49 – $234.75 | 3 |
| Thoracoabdominal graft 33877 CPT 33877 | not published | not published | $3,376.91 – $7,175.86 | 7 |
| Thoracoscop w/esoph musc exc CPT 32665 | not published | not published | $1,158.76 – $2,477.35 | 7 |
| Thoracoscopy bilobectomy 32670 CPT 32670 | not published | not published | $1,509.26 – $3,211.42 | 7 |
| Thoracoscopy diagnostic 32601 CPT 32601 | not published | not published | $289.52 – $618.82 | 7 |
| Thoracoscopy for lvrs CPT 32672 | not published | not published | $1,423.56 – $3,045.36 | 7 |
| Thoracoscopy lymph node exc CPT 32674 | not published | not published | $201.06 – $427.70 | 7 |
| Thoracoscopy pneumonectomy CPT 32671 | not published | not published | $1,666.03 – $3,552.35 | 7 |
| Thoracoscopy remove cortex CPT 32651 | not published | not published | $1,031.24 – $2,208.27 | 7 |
| Thoracoscopy remove segment CPT 32669 | not published | not published | $1,262.42 – $2,697.64 | 7 |
| Thoracoscopy remov fb/fibrin 32653 CPT 32653 | not published | not published | $998.37 – $2,138.45 | 7 |
| Thoracoscopy resect bullae 32655 CPT 32655 | not published | not published | $902.19 – $1,931.05 | 7 |
| Thoracoscopy surgical 32650 CPT 32650 | not published | not published | $630.48 – $1,354.24 | 7 |
| Thoracoscopy surgical with control of traumatic hemorrhage CPT 32654 | not published | not published | $1,111.74 – $2,415.01 | 7 |
| Thoracoscopy/thoracic sympathectomy32664 CPT 32664 | not published | not published | $799.04 – $1,712.81 | 7 |
| Thoracoscopy/tot pulm decortication32652 CPT 32652 | not published | not published | $1,564.69 – $3,341.55 | 7 |
| Thoracoscopy w/bx med space CPT 32606 | not published | not published | $433.22 – $926.56 | 7 |
| Thoracoscopy wbx sac CPT 32604 | not published | not published | $449.55 – $959.08 | 7 |
| Thoracoscopy w/lobectomy CPT 32663 | not published | not published | $1,315.39 – $2,808.81 | 7 |
| Thoracoscopy w/mediast exc CPT 32662 | not published | not published | $842.37 – $1,806.33 | 7 |
| Thoracoscopy w/pericard exc CPT 32661 | not published | not published | $752.80 – $1,613.84 | 7 |
| Thoracoscopy w/pleurectomy 32656 CPT 32656 | not published | not published | $758.01 – $1,627.40 | 7 |
| Thoracoscopy w/sac drng 32659 CPT 32659 | not published | not published | $692.14 – $1,487.09 | 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.