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 |
|---|---|---|---|---|
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $25,329.42 – $25,329.42 | 1 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | $25,329.42 – $25,329.42 | 1 |
| Unlisted laps px renal CPT 50549 | not published | not published | $25,329.42 – $25,329.42 | 1 |
| Unlisted laps px spleen CPT 38129 | not published | not published | $25,329.42 – $25,329.42 | 1 |
| Unlisted laps px testis CPT 54699 | not published | not published | $25,329.42 – $25,329.42 | 1 |
| Unlisted laps px ureter CPT 50949 | not published | not published | $25,329.42 – $25,329.42 | 1 |
| Unlisted laps px uterus CPT 58578 | not published | not published | $25,329.42 – $25,329.42 | 1 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $1,008.18 – $1,008.18 | 1 |
| Unlisted misc path test CPT 89240 | not published | not published | $231.96 – $231.96 | 1 |
| Unlisted mr procedure CPT 76498 | $3,839.85 | $3,839.85 | $38.64 – $3,609.46 | 8 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $1,744.52 – $1,744.52 | 1 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $1,008.18 – $1,008.18 | 1 |
| Unlisted neurological dx px CPT 95999 | not published | not published | $679.24 – $679.24 | 1 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $1,744.52 – $1,744.52 | 1 |
| Unlisted oph svc/procedure CPT 92499 | not published | not published | $106.34 – $106.34 | 1 |
| Unlisted orl service/px CPT 92700 | not published | not published | $106.34 – $106.34 | 1 |
| Unlisted procedure colon CPT 45399 | not published | not published | $3,958.11 – $3,958.11 | 1 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $4,070.33 – $4,070.33 | 1 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $1,297.78 – $1,297.78 | 1 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $1,008.18 – $1,008.18 | 1 |
| Unlisted procedure liver CPT 47399 | not published | not published | $3,054.57 – $3,054.57 | 1 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $1,297.78 – $1,297.78 | 1 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $3,054.57 – $3,054.57 | 1 |
| Unlisted procedure rectum CPT 45999 | not published | not published | $3,958.11 – $3,958.11 | 1 |
| Unlisted procedure spine CPT 22899 | not published | not published | $1,041.43 – $1,041.43 | 1 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $882.86 – $1,855.13 | 7 |
| Unlisted psychiatric service/proc 90899 CPT 90899 | not published | not published | $129.34 – $129.34 | 1 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $1,041.43 – $1,041.43 | 1 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $1,008.18 – $1,008.18 | 1 |
| Unlisted px ant segment eye CPT 66999 | not published | not published | $9,901.60 – $9,901.60 | 1 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $1,041.43 – $1,041.43 | 1 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $4,070.33 – $4,070.33 | 1 |
| Unlisted px casting/strpg CPT 29799 | not published | not published | $685.05 – $685.05 | 1 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $1,297.78 – $1,297.78 | 1 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $3,054.57 – $3,054.57 | 1 |
| Unlisted px external ear CPT 69399 | not published | not published | $1,008.18 – $1,008.18 | 1 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $1,297.78 – $1,297.78 | 1 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $1,041.43 – $1,041.43 | 1 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $1,041.43 – $1,041.43 | 1 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | $1,041.43 – $1,041.43 | 1 |
| Unlisted px inner ear CPT 69949 | not published | not published | $1,008.18 – $1,008.18 | 1 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $581.61 – $1,297.78 | 2 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $1,041.43 – $1,041.43 | 1 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $1,055.87 – $1,055.87 | 1 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $576.42 – $576.42 | 1 |
| Unlisted px middle ear CPT 69799 | not published | not published | $1,008.18 – $1,008.18 | 1 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $1,008.18 – $1,008.18 | 1 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $1,008.18 – $1,008.18 | 1 |
| Unlisted px pelvis/hip joint CPT 27299 | $353.00 | $353.00 | $176.50 – $1,041.43 | 4 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $9,901.60 – $9,901.60 | 1 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $1,008.18 – $1,008.18 | 1 |
| Unlisted px small intestine CPT 44799 | $2,738.40 | $2,738.40 | $110.65 – $2,075.43 | 8 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $1,008.18 – $1,008.18 | 1 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $576.42 – $576.42 | 1 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $1,008.18 – $1,008.18 | 1 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $1,008.18 – $1,008.18 | 1 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $231.96 – $231.96 | 1 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $1,744.52 – $1,744.52 | 1 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $399.70 – $862.66 | 2 |
| Unlisted surgical path px CPT 88399 | not published | not published | $231.96 – $231.96 | 1 |
| Unlisted transfusion med px CPT 86999 | not published | not published | $17.17 – $106.34 | 2 |
| Unlisted ultrasound procedure CPT 76999 | not published | not published | $382.24 – $382.24 | 1 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $2,684.14 – $2,684.14 | 1 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $1,744.52 – $1,744.52 | 1 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $25,329.42 – $25,329.42 | 1 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $25,329.42 – $25,329.42 | 1 |
| Unsched dialysis esrd pt hos HCPCS G0257 | not published | not published | $611.73 – $3,037.77 | 2 |
| Upgrade pm system CPT 33214 | not published | not published | $454.23 – $961.80 | 7 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $248.05 | $248.05 | $7.95 – $15.59 | 8 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $2,050.30 | $2,050.30 | $57.51 – $1,716.10 | 8 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $1,430.20 | $1,430.20 | $46.73 – $1,197.08 | 8 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $3,956.45 | $3,956.45 | $107.81 – $3,311.55 | 8 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $3,136.80 | $3,136.80 | $84.11 – $2,625.50 | 8 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,554.55 | $2,554.55 | $69.85 – $2,138.16 | 8 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $273.70 | $273.70 | $9.64 – $229.09 | 8 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $330.25 | $330.25 | $10.68 – $21.69 | 8 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $117.19 – $554.44 | 8 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $132.30 – $724.70 | 8 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | not published | not published | $378.32 – $1,003.61 | 3 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $174.04 – $369.40 | 7 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $1,064.90 | $1,064.90 | $42.01 – $891.32 | 8 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $644.60 | $644.60 | $37.93 – $539.53 | 8 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $131.86 – $761.55 | 8 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $614.12 – $1,304.09 | 7 |
| Urea nitrogen CPT 84520 | $47.30 | $47.30 | $3.95 – $44.46 | 8 |
| Urea nitrogen 24 hour urine CPT 84540 | $50.00 | $50.00 | $5.56 – $47.00 | 8 |
| Urea nitrogen clearance CPT 84545 | $55.55 | $55.55 | $7.20 – $52.22 | 8 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $5.13 – $10.75 | 6 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $171.28 – $3,450.69 | 8 |
| Ureteral reflux study CPT 78740 | $1,257.80 | $1,257.80 | $25.79 – $1,052.78 | 8 |
| Ureter endoscopy CPT 50970 | not published | not published | $353.88 – $744.21 | 7 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $336.46 – $821.08 | 8 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $451.47 – $948.92 | 7 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $342.28 – $719.15 | 7 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $338.37 – $828.78 | 8 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $302.87 – $748.47 | 8 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $444.83 – $936.05 | 7 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $340.27 – $714.40 | 7 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $1,065.12 – $2,263.17 | 7 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $1,085.78 – $2,293.68 | 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.