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 |
|---|---|---|---|---|
| Brachytx isodose plan simple CPT 77316 | not published | not published | $72.57 – $150.47 | 7 |
| Brachytx, non-str, gold-198 HCPCS C1716 | not published | not published | $270.91 – $3,769.77 | 2 |
| Brachytx, non-str, ha, i-125 HCPCS C2634 | not published | not published | $150.81 – $706.96 | 2 |
| Brachytx, non-str, ha, p-103 HCPCS C2635 | not published | not published | $59.13 – $301.22 | 2 |
| Brachytx, ns, non-hdrir-192 HCPCS C1719 | not published | not published | $348.42 – $2,450.74 | 2 |
| Braf gene CPT 81210 | $942.95 | $942.95 | $175.40 – $886.37 | 8 |
| Brain aneurysm repr complx CPT 61697 | not published | not published | $3,956.59 – $8,687.36 | 7 |
| Brain aneurysm repr complx CPT 61698 | not published | not published | $4,327.42 – $9,518.35 | 7 |
| Brain aneurysm repr simple CPT 61700 | not published | not published | $3,182.05 – $7,030.81 | 7 |
| Brain biopsy w/ct/mr guide CPT 61751 | not published | not published | $1,308.97 – $2,890.82 | 7 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $1,149.66 – $2,534.30 | 7 |
| Brain flow imaging only CPT 78610 | not published | not published | $14.04 – $27.79 | 7 |
| Brain image < 4 views CPT 78600 | not published | not published | $20.35 – $41.34 | 7 |
| Brain image 4+ views CPT 78605 | not published | not published | $25.16 – $50.84 | 7 |
| Brain image w/flow < 4 views CPT 78601 | not published | not published | $23.40 – $47.44 | 7 |
| Brain image w/flow 4 + views CPT 78606 | $1,910.10 | $1,910.10 | $29.59 – $1,598.75 | 8 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $3,955.10 | $3,955.10 | $69.53 – $3,310.42 | 8 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $3,136.80 | $3,136.80 | $56.28 – $2,625.50 | 8 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $2,554.55 | $2,554.55 | $56.59 – $2,138.16 | 8 |
| Brain MRI (with and without contrast) CPT 70553 | $3,955.10 | $3,955.10 | $107.81 – $3,310.42 | 8 |
| Brain MRI (with contrast) CPT 70552 | $3,136.80 | $3,136.80 | $84.11 – $2,625.50 | 8 |
| Brain MRI (without contrast) CPT 70551 | $2,559.90 | $2,559.90 | $69.85 – $2,142.64 | 8 |
| Bra surgical elizabeth pink sm HCPCS L8000 | not published | not published | $35.25 – $93.52 | 3 |
| Brca1&2 gene full seq alys CPT 81163 | not published | not published | $468.00 – $980.66 | 6 |
| Brca1&2 gen ful dup/del alys CPT 81164 | not published | not published | $584.23 – $1,224.11 | 6 |
| Brca1 dna gene analy known fam var CPT 81215 | not published | not published | $236.82 – $786.25 | 6 |
| Brca1 gene full dup/del alys CPT 81166 | not published | not published | $301.35 – $631.46 | 6 |
| Brca1 gene full seq alys CPT 81165 | not published | not published | $282.88 – $592.76 | 6 |
| Brca2 dna gene analy full seq analy CPT 81216 | not published | not published | $185.12 – $387.70 | 6 |
| Brca2 dna gene analy known fam var CPT 81217 | not published | not published | $236.82 – $786.25 | 6 |
| Brca2 gene full dup/del alys CPT 81167 | not published | not published | $282.88 – $592.76 | 6 |
| Brcassure ashkenazi panel-sendout CPT 81212 | not published | not published | $286.46 – $921.80 | 6 |
| Brcassure comprehensive panel-sendout CPT 81162 | $3,475.40 | $3,475.40 | $1,042.62 – $3,266.88 | 8 |
| Breast augmentation 19325 CPT 19325 | not published | not published | $590.50 – $1,270.88 | 7 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $3,976.60 | $3,976.60 | $149.16 – $950.85 | 8 |
| Breastbone (Sternum) X-ray CPT 71120 | $273.70 | $273.70 | $9.32 – $229.09 | 8 |
| Breast prosthesis bra & form HCPCS L8001 | not published | not published | $116.76 – $309.73 | 3 |
| Breast prosthesis w adhesive HCPCS L8031 | not published | not published | $398.80 – $1,057.92 | 3 |
| Breast prosthes without adhesive HCPCS L8030 | not published | not published | $398.80 – $1,057.92 | 3 |
| Breast punct aspir cyst, bil CPT 19000 | $632.25 | $632.25 | $41.21 – $193.38 | 8 |
| Breast reconstruction CPT 19366 | not published | not published | $2,252.04 – $2,252.04 | 1 |
| Breast reconstruction 19357 CPT 19357 | not published | not published | $1,110.59 – $2,389.93 | 7 |
| Breast reconstruction tram flap 19367 CPT 19367 | not published | not published | $1,699.22 – $3,624.87 | 7 |
| Breast reconstr w/lat flap 19361 CPT 19361 | not published | not published | $1,495.23 – $3,193.11 | 7 |
| Breast reduction CPT 19318 | not published | not published | $1,049.72 – $2,246.91 | 7 |
| Breath hydrogen test 91065 CPT 91065 | not published | not published | $9.64 – $18.98 | 7 |
| Breathing response hypoxia CPT 94450 | not published | not published | $19.28 – $39.98 | 7 |
| Breath recording infant CPT 94772 | not published | not published | $242.86 – $2,303.56 | 3 |
| Breath test analysis c-14 CPT 78268 | not published | not published | $94.41 – $197.83 | 6 |
| Breath tst attain/anal c-14 CPT 78267 | $208.95 | $208.95 | $11.06 – $196.41 | 8 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | not published | not published | $218.08 – $492.09 | 7 |
| Brexucabtagene car pos t HCPCS Q2053 | not published | not published | $449,440.00 – $964,792.82 | 6 |
| Brief alcohol misuse counsel HCPCS G0443 | not published | not published | $22.40 – $61.00 | 7 |
| Brief chkin, 5-10, non-e/m HCPCS G2251 | not published | not published | $12.22 – $26.98 | 7 |
| Brief chkin by md/qhp, 11-20 HCPCS G2252 | not published | not published | $24.76 – $50.84 | 7 |
| Brompheniramine maleate inj HCPCS J0945 | not published | not published | $0.67 – $0.80 | 3 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | not published | not published | $136.04 – $284.69 | 7 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | not published | not published | $64.23 – $231.28 | 8 |
| Bronch ebus samplng 1/2 node CPT 31652 | not published | not published | $212.10 – $2,383.55 | 8 |
| Bronch ebus samplng 3/> node CPT 31653 | not published | not published | $235.19 – $2,466.59 | 8 |
| Bronchial allergy tests CPT 95070 | $706.35 | $706.35 | $32.05 – $591.21 | 8 |
| Bronchial brush biopsy CPT 31717 | not published | not published | $102.66 – $525.60 | 8 |
| Bronchial challenge CPT 94070 | $706.35 | $706.35 | $27.13 – $54.90 | 8 |
| Bronchial valve addl insert CPT 31651 | not published | not published | $73.77 – $150.47 | 7 |
| Bronchial valve init insert CPT 31647 | not published | not published | $197.44 – $408.71 | 7 |
| Bronchial valve remov addl CPT 31649 | not published | not published | $64.76 – $137.59 | 7 |
| Bronchial valve remov init CPT 31648 | not published | not published | $188.97 – $391.76 | 7 |
| Bronchoscopy bronch stents CPT 31636 | not published | not published | $207.64 – $433.80 | 7 |
| Bronchoscopy clear airways 31645 CPT 31645 | not published | not published | $140.97 – $527.46 | 8 |
| Bronchoscopy dilate/fx repr CPT 31630 | not published | not published | $189.90 – $396.52 | 7 |
| Bronchoscopy dilate w/stent CPT 31631 | not published | not published | $216.66 – $452.09 | 7 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | not published | not published | $47.55 – $124.00 | 8 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | not published | not published | $169.19 – $713.78 | 8 |
| Bronchoscopy/needle bx addl 31633 CPT 31633 | not published | not published | $60.53 – $154.20 | 8 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | not published | not published | $179.10 – $868.61 | 8 |
| Bronchoscopy revise stent CPT 31638 | not published | not published | $237.09 – $490.73 | 7 |
| Bronchoscopy stent add-on CPT 31637 | not published | not published | $74.08 – $151.14 | 7 |
| Bronchoscopy treat blockage CPT 31641 | not published | not published | $244.25 – $502.93 | 7 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | not published | not published | $149.68 – $670.08 | 8 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | $4,981.20 | $4,981.20 | $167.61 – $563.44 | 8 |
| Bronchoscopy w/markers CPT 31626 | not published | not published | $188.22 – $1,505.94 | 8 |
| Bronchoscopy w/tumor excise CPT 31640 | not published | not published | $238.50 – $490.73 | 7 |
| Bronch thermoplsty 1 lobe CPT 31660 | not published | not published | $190.46 – $374.83 | 7 |
| Bronch thermoplsty 2/> lobes CPT 31661 | not published | not published | $193.66 – $397.19 | 7 |
| Bronch w/balloon occlusion CPT 31634 | not published | not published | $181.43 – $2,815.29 | 8 |
| Bronch w/debrdmt subgltc & uppr trach CPT 31899 | not published | not published | $842.84 – $842.84 | 1 |
| Br punct aspir ea add, l CPT 19001 | $632.25 | $632.25 | $20.11 – $50.76 | 8 |
| Brst prsth bra & bilat form HCPCS L8002 | not published | not published | $153.54 – $407.31 | 3 |
| Brst rcnstj 1pdcl tram anast CPT 19368 | not published | not published | $2,082.91 – $4,428.74 | 7 |
| Brst rcnstj 2 pdcl tram flap CPT 19369 | not published | not published | $1,935.17 – $4,115.60 | 7 |
| Brst rcnstj free flap CPT 19364 | not published | not published | $2,609.99 – $5,549.15 | 7 |
| Brush provox 4-10mm HCPCS L8513 | not published | not published | $4.84 – $12.82 | 3 |
| Bso omentectomy w/tah 58956 CPT 58956 | not published | not published | $1,313.26 – $2,783.05 | 7 |
| Btk gene common variants CPT 81233 | not published | not published | $175.40 – $367.37 | 6 |
| Budesonide comp unit HCPCS J7627 | not published | not published | $0.31 – $9.49 | 2 |
| Budesonide non-comp con HCPCS J7633 | not published | not published | $0.01 – $4.82 | 2 |
| Budesonide non-comp unit HCPCS J7626 | not published | not published | $0.92 – $2.79 | 7 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $208.85 | $208.85 | $0.67 – $17.28 | 8 |
| Bundled special stain group 1 microorganisms CPT 88312 | $168.55 | $168.55 | $25.78 – $141.08 | 8 |
| Bundled special stain group 2 CPT 88313 | $168.55 | $168.55 | $11.65 – $141.08 | 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.