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 |
|---|---|---|---|---|
| Biopsy of testis CPT 54500 | not published | not published | $71.62 – $151.84 | 7 |
| Biopsy of testis CPT 54505 | not published | not published | $202.06 – $429.73 | 7 |
| Biopsy of toe joint lining CPT 28054 | not published | not published | $226.76 – $706.07 | 8 |
| Biopsy of upper nose/throat CPT 42804 | not published | not published | $118.31 – $419.52 | 8 |
| Biopsy of urethra CPT 53200 | not published | not published | $135.97 – $307.10 | 8 |
| Biopsy of wrist joint CPT 25100 | not published | not published | $339.32 – $738.81 | 7 |
| Biopsy oocyte polar body CPT 89291 | not published | not published | $144.73 – $743.97 | 2 |
| Biopsy oocyte polar body <=5 CPT 89290 | not published | not published | $144.73 – $743.97 | 2 |
| Biopsy/removal lymph nodes CPT 38525 | not published | not published | $420.87 – $910.28 | 7 |
| Biopsy/removal lymph nodes 38520 CPT 38520 | not published | not published | $449.23 – $965.87 | 7 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $1,102.70 | $1,102.70 | $121.85 – $922.96 | 8 |
| Biopsy roof of mouth CPT 42100 | $4,773.50 | $4,773.50 | $106.11 – $283.33 | 8 |
| Biopsy skin incisional single lesion CPT 11106 | $1,782.75 | $1,782.75 | $54.50 – $300.02 | 8 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | not published | not published | $150.38 – $516.54 | 8 |
| Biopsy thigh soft tissues CPT 27324 | not published | not published | $394.83 – $858.77 | 7 |
| Biopsy tongue anterior two-thirds CPT 41100 | not published | not published | $103.72 – $363.00 | 8 |
| Biopsy vaginal mucosa xtnsv CPT 57105 | not published | not published | $141.29 – $345.01 | 8 |
| Biopsy vestibule of mouth 40808 CPT 40808 | not published | not published | $85.29 – $327.66 | 8 |
| Biopsy vrt bdy open lmbr/crv CPT 20251 | not published | not published | $401.20 – $890.62 | 7 |
| Biopsy vrt bdy open thoracic CPT 20250 | not published | not published | $370.02 – $809.97 | 7 |
| Biospy of bladder CPT 53899 | not published | not published | $1,055.87 – $1,055.87 | 1 |
| Biotinidase - quest CPT 82261 | not published | not published | $16.87 – $35.25 | 6 |
| Biovance 1 square cm HCPCS Q4154 | not published | not published | $136.26 – $285.38 | 7 |
| Biovance tri or 3l, sq cm HCPCS Q4283 | not published | not published | $1,059.21 – $1,530.00 | 3 |
| Bis xtracell fluid analysis CPT 93702 | not published | not published | $119.94 – $240.62 | 7 |
| Bivalirudin HCPCS J0583 | not published | not published | $0.19 – $0.31 | 7 |
| Bk/ak locking mechanism HCPCS L5671 | not published | not published | $471.59 – $1,251.02 | 3 |
| Bk back check HCPCS L5686 | not published | not published | $57.10 – $151.46 | 3 |
| Bk flex inner socket ext fra HCPCS L5645 | not published | not published | $842.50 – $2,234.93 | 3 |
| Bk fork strap HCPCS L5684 | not published | not published | $57.16 – $151.63 | 3 |
| Bk joint covers pair HCPCS L5678 | not published | not published | $37.64 – $99.87 | 3 |
| Bk knee joints polycentric p HCPCS L5677 | not published | not published | $623.28 – $1,653.38 | 3 |
| Bk knee joints single axis p HCPCS L5676 | not published | not published | $450.03 – $1,193.83 | 3 |
| Bk molded distal cushion HCPCS L5668 | not published | not published | $117.45 – $311.59 | 3 |
| Bk molded supracondylar susp HCPCS L5670 | not published | not published | $273.25 – $724.87 | 3 |
| Bk mold socket sach ft endo HCPCS L5301 | not published | not published | $2,325.68 – $6,169.46 | 3 |
| Bk removable medial brim sus HCPCS L5672 | not published | not published | $332.40 – $881.76 | 3 |
| Bk thigh lacer glut/ischia m HCPCS L5682 | not published | not published | $790.55 – $2,097.15 | 3 |
| Bk thigh lacer non-molded HCPCS L5680 | not published | not published | $327.60 – $869.02 | 3 |
| Bk waist belt padded and lin HCPCS L5690 | not published | not published | $123.70 – $328.15 | 3 |
| Bk waist belt webbing HCPCS L5688 | not published | not published | $67.33 – $178.59 | 3 |
| Bladder calculi irrig sol HCPCS Q2004 | not published | not published | $29.15 – $445.53 | 3 |
| Bladder Catheter Insertion (simple) CPT 51702 | $146.95 | $146.95 | $24.27 – $111.98 | 8 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $543.25 | $543.25 | $29.11 – $147.77 | 8 |
| Bladder irrigation tubing HCPCS A4355 | not published | not published | $8.43 – $22.19 | 3 |
| Bld exchange truj oth thn nb CPT 36455 | not published | not published | $118.32 – $251.47 | 7 |
| Bld prd mix CPT 86965 | not published | not published | $33.62 – $48.13 | 3 |
| Bld push tfuj 2 yr/< CPT 36440 | not published | not published | $49.06 – $98.97 | 7 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | not published | not published | $21.02 – $41.34 | 7 |
| Blepharoplasty lower 15820 CPT 15820 | not published | not published | $494.75 – $1,120.46 | 8 |
| Blepharoplasty upper 15822 CPT 15822 | not published | not published | $382.62 – $893.66 | 8 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | not published | not published | $529.03 – $1,201.41 | 8 |
| Blepharp lwr eyelid fat pad CPT 15821 | not published | not published | $527.80 – $1,199.48 | 8 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | not published | not published | $138.79 – $301.47 | 7 |
| Blind cor sinus reducer impl HCPCS C9783 | not published | not published | $8,702.14 – $49,234.15 | 2 |
| Blinded conv. tx mdd clin tr HCPCS G2000 | not published | not published | $190.21 – $190.21 | 1 |
| Blind interatrial shunt ide HCPCS C9758 | not published | not published | $12,500.50 – $12,500.50 | 1 |
| Blind myocar trpl bon marrow HCPCS C9782 | not published | not published | $17,500.50 – $17,500.50 | 1 |
| Blind/nonblind trans atrial HCPCS C9792 | not published | not published | $9,750.50 – $9,750.50 | 1 |
| Blink reflex test CPT 95933 | not published | not published | $30.37 – $62.36 | 7 |
| Blm gene CPT 81209 | $280.30 | $280.30 | $39.31 – $263.48 | 8 |
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | not published | not published | $13.63 – $35.92 | 3 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | not published | not published | $76.67 – $155.90 | 7 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | not published | not published | $70.92 – $145.72 | 7 |
| Block paracervical nrv CPT 64435 | not published | not published | $41.76 – $155.47 | 8 |
| Block plantar digital nerve CPT 64455 | $869.85 | $869.85 | $32.91 – $96.38 | 8 |
| Block tap inj(s) w/wo img bi CPT 64488 | $5,400.00 | $5,400.00 | $67.39 – $264.69 | 8 |
| Block tap inj(s) w/wo img uni CPT 64486 | $3,675.50 | $3,675.50 | $54.19 – $214.59 | 8 |
| Blood clot lysis time CPT 85175 | not published | not published | $7.03 – $42.68 | 6 |
| Blood clot retraction CPT 85170 | not published | not published | $6.58 – $33.88 | 6 |
| Blood Clotting (PT/INR) Test CPT 85610 | $46.50 | $46.50 | $3.47 – $20.25 | 8 |
| Blood Clotting (PTT) Test CPT 85730 | $67.35 | $67.35 | $6.01 – $63.31 | 8 |
| Blood component/product noc HCPCS P9099 | not published | not published | $212.41 – $212.41 | 1 |
| Blood Count (CBC) Test CPT 85025 | $87.55 | $87.55 | $7.77 – $82.30 | 8 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $71.50 | $71.50 | $6.47 – $67.21 | 8 |
| Blood count spun microhematocrit CPT 85013 | $15.00 | $15.00 | $4.31 – $14.67 | 8 |
| Blood Culture Test CPT 87040 | $92.75 | $92.75 | $10.32 – $87.19 | 8 |
| Blood draw capillary 36416 CPT 36416 | $29.65 | $29.65 | $2.34 – $18.29 | 8 |
| Blood Draw (Venipuncture) CPT 36415 | $25.65 | $25.65 | $2.43 – $19.05 | 8 |
| Blood gases o2 saturation direct measurement CPT 82805 | $210.35 | $210.35 | $51.60 – $197.73 | 8 |
| Blood gases ph venous CPT 82800 | $95.70 | $95.70 | $11.00 – $89.96 | 8 |
| Blood, l/r, irradiated HCPCS P9056 | not published | not published | $225.47 – $365.40 | 2 |
| Blood mucoprotein HCPCS P2038 | not published | not published | $4.95 – $10.16 | 6 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $57.00 | $57.00 | $10.44 – $32.71 | 8 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $36.30 | $36.30 | $3.43 – $15.00 | 8 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $17.00 | $17.00 | $3.55 – $12.75 | 8 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $36.40 | $36.40 | $5.32 – $34.22 | 8 |
| Blood smear interpretation CPT 85060 | not published | not published | $23.34 – $47.44 | 7 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | not published | not published | $3.80 – $7.96 | 6 |
| Blood split unit HCPCS P9011 | not published | not published | $75.56 – $124.03 | 3 |
| Blood thymol turbidity HCPCS P2033 | not published | not published | $4.95 – $10.16 | 6 |
| Blood Transfusion CPT 36430 | $1,550.15 | $1,550.15 | $36.42 – $87.44 | 8 |
| Blood typing abo CPT 86900 | $33.70 | $33.70 | $2.99 – $31.68 | 8 |
| Blood typing ag donor ea ag CPT 86902 | $44.40 | $44.40 | $6.35 – $41.74 | 8 |
| Blood typing antigen system CPT 86911 | not published | not published | $23.12 – $32.54 | 3 |
| Blood typing paternity test CPT 86910 | not published | not published | $26.26 – $37.95 | 3 |
| Blood typing patient serum CPT 86904 | not published | not published | $16.34 – $34.24 | 6 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $29.70 | $29.70 | $3.83 – $27.92 | 8 |
| Blood typing rh (d) CPT 86901 | $33.70 | $33.70 | $2.99 – $31.68 | 8 |
| Blood typing rh phenotype complete reference CPT 86906 | $77.25 | $77.25 | $7.75 – $72.62 | 8 |
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.