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 |
|---|---|---|---|---|
| Cast sup lng arm splint fbrg HCPCS Q4018 | not published | not published | $14.41 – $37.97 | 3 |
| Cast sup lng arm splint plst HCPCS Q4017 | not published | not published | $9.04 – $23.83 | 3 |
| Cast sup lng arm splnt ped f HCPCS Q4020 | not published | not published | $7.24 – $19.07 | 3 |
| Cast sup lng arm splnt ped p HCPCS Q4019 | not published | not published | $4.53 – $11.92 | 3 |
| Cast sup lng leg ped fbrgls HCPCS Q4032 | not published | not published | $37.79 – $99.55 | 3 |
| Cast sup lng leg ped plaster HCPCS Q4031 | not published | not published | $14.34 – $37.78 | 3 |
| Cast sup lng leg splnt fbrgl HCPCS Q4042 | not published | not published | $33.91 – $89.35 | 3 |
| Cast sup lng leg splnt ped f HCPCS Q4044 | not published | not published | $16.97 – $44.74 | 3 |
| Cast sup lng leg splnt ped p HCPCS Q4043 | not published | not published | $9.94 – $26.17 | 3 |
| Cast sup long arm adult fbrg HCPCS Q4006 | not published | not published | $29.02 – $76.42 | 3 |
| Cast sup long arm adult plst HCPCS Q4005 | not published | not published | $12.88 – $33.93 | 3 |
| Cast sup long arm ped fbrgls HCPCS Q4008 | not published | not published | $14.51 – $38.20 | 3 |
| Cast sup long arm ped plster HCPCS Q4007 | not published | not published | $6.44 – $16.95 | 3 |
| Cast sup long leg fiberglass HCPCS Q4030 | not published | not published | $75.59 – $199.11 | 3 |
| Cast sup shrt leg ped fbrgls HCPCS Q4040 | not published | not published | $20.47 – $53.89 | 3 |
| Cast sup shrt leg ped plster HCPCS Q4039 | not published | not published | $8.20 – $21.56 | 3 |
| Cast sup shrt leg plaster HCPCS Q4037 | not published | not published | $16.33 – $42.98 | 3 |
| Cast sup sht arm adult fbrgl HCPCS Q4010 | not published | not published | $19.34 – $50.94 | 3 |
| Cast sup sht arm adult plstr HCPCS Q4009 | not published | not published | $8.60 – $22.65 | 3 |
| Cast sup sht arm ped fbrglas HCPCS Q4012 | not published | not published | $9.69 – $25.54 | 3 |
| Cast sup sht arm ped plaster HCPCS Q4011 | not published | not published | $4.28 – $11.29 | 3 |
| Cast sup sht arm splint fbrg HCPCS Q4022 | not published | not published | $12.07 – $31.85 | 3 |
| Cast sup sht arm splint plst HCPCS Q4021 | not published | not published | $6.70 – $17.64 | 3 |
| Cast sup sht arm splnt ped f HCPCS Q4024 | not published | not published | $6.05 – $15.95 | 3 |
| Cast sup sht arm splnt ped p HCPCS Q4023 | not published | not published | $3.37 – $8.86 | 3 |
| Cast sup sht leg splnt fbrgl HCPCS Q4046 | not published | not published | $18.54 – $48.87 | 3 |
| Cast sup sht leg splnt ped f HCPCS Q4048 | not published | not published | $9.28 – $24.45 | 3 |
| Cast sup sht leg splnt ped p HCPCS Q4047 | not published | not published | $5.74 – $15.13 | 3 |
| Cast sup sht leg splnt plstr HCPCS Q4045 | not published | not published | $11.54 – $30.38 | 3 |
| Cataract Surgery CPT 66984 | not published | not published | $519.50 – $1,093.29 | 7 |
| Cataract surg w/iol 1 stage CPT 66983 | not published | not published | $1,114.16 – $1,557.58 | 3 |
| Catecholamines,fractionated, urine CPT 82382 | not published | not published | $27.30 – $56.93 | 6 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $278.00 | $278.00 | $83.40 – $261.32 | 8 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | not published | not published | $297.09 – $624.25 | 7 |
| Cath council tip 16fr 5cc HCPCS A4344 | not published | not published | $16.89 – $46.85 | 3 |
| Cath entrl fd nutri 5fr 40cm HCPCS B4082 | not published | not published | $28.64 – $28.64 | 1 |
| Catheter declot mechanical CPT 36596 | not published | not published | $42.25 – $221.01 | 8 |
| Catheter insert artery CPT 36625 | not published | not published | $101.14 – $210.11 | 7 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $25.00 | $25.00 | $2.43 – $18.75 | 8 |
| Catheter stripping venous CPT 36595 | not published | not published | $173.58 – $1,123.03 | 8 |
| Catheter w/bag 3-way HCPCS A4313 | not published | not published | $17.50 – $46.10 | 3 |
| Catheter without bag 2-way latex HCPCS A4311 | not published | not published | $15.53 – $40.90 | 3 |
| Cath ext adhere actv m 28mm HCPCS A4349 | not published | not published | $2.24 – $5.89 | 3 |
| Cath follower heyman 20f HCPCS A4352 | not published | not published | $7.14 – $18.80 | 3 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $290.00 | $290.00 | $87.00 – $272.60 | 8 |
| Cath indw foley 3 way HCPCS A4346 | not published | not published | $21.77 – $48.74 | 3 |
| Cath infuse micro 150cm rapidtransit HCPCS A4351 | not published | not published | $2.02 – $5.30 | 3 |
| Cath insertion tray w/bag HCPCS A4354 | not published | not published | $13.11 – $34.57 | 3 |
| Cathj rmvl dev ischmc rmdlg CPT 53866 | not published | not published | $166.73 – $1,055.87 | 2 |
| Cathj umbilical vein dx/ther nb CPT 36510 | not published | not published | $51.99 – $165.76 | 8 |
| Cath left heart/lv gram CPT 93452 | not published | not published | $222.34 – $467.01 | 7 |
| Cath left heart transseptal punc CPT 93462 | not published | not published | $196.18 – $410.75 | 7 |
| Cath lt/rt pulm art CPT 36014 | not published | not published | $144.05 – $1,484.10 | 8 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $751.77 | $751.77 | $225.53 – $706.66 | 8 |
| Cath pezzer 34fr drain bardex propor head mushrm ltx HCPCS A4340 | not published | not published | $35.30 – $92.95 | 3 |
| Cath place 1st order venous 36011 CPT 36011 | not published | not published | $148.47 – $1,511.08 | 8 |
| Cath place cardio brachytx CPT 92974 | not published | not published | $150.77 – $319.24 | 7 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | not published | not published | $388.43 – $816.76 | 7 |
| Cath plc art/angio/rt hrt cath CPT 93456 | not published | not published | $292.36 – $615.45 | 7 |
| Cath plc art/grft/angio right hrt CPT 93457 | not published | not published | $328.37 – $692.04 | 7 |
| Cath right heart w/o2 sat & card CPT 93451 | not published | not published | $123.52 – $259.60 | 7 |
| Cath right hrt mnpul art CPT 36013 | not published | not published | $119.46 – $1,477.03 | 8 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $392.25 | $392.25 | $55.15 – $328.31 | 8 |
| Cath segmntl pulm art CPT 36015 | not published | not published | $163.53 – $1,593.95 | 8 |
| Cath soaker 5in 400mlx4ml/hr on-q silvr dual 2ml site HCPCS A4306 | not published | not published | $24.39 – $24.39 | 1 |
| Cath stripping venous s&i CPT 75901 | not published | not published | $22.22 – $44.74 | 7 |
| Cath suction replogle 8fr neonatal esophageal HCPCS A4624 | not published | not published | $0.67 – $2.49 | 2 |
| Cath w/drainage 2-way latex HCPCS A4314 | not published | not published | $23.88 – $62.90 | 3 |
| Cath w/drainage 2-way silcne HCPCS A4315 | not published | not published | $24.92 – $65.63 | 3 |
| Cath without bag 2-way silicone HCPCS A4312 | not published | not published | $17.05 – $44.88 | 3 |
| Cauterization chemical granulation tissue CPT 17250 | not published | not published | $35.66 – $168.33 | 8 |
| Cauterization of cervix 57510 CPT 57510 | not published | not published | $108.71 – $325.09 | 8 |
| Cbc/diffwbc without platelet HCPCS G0306 | not published | not published | $7.93 – $16.26 | 6 |
| CBC without platelet HCPCS G0307 | not published | not published | $6.60 – $13.56 | 6 |
| #cbg+cort-cbg CPT 84449 | not published | not published | $18.00 – $37.72 | 6 |
| Cciiv4 vacc abx free im CPT 90756 | not published | not published | $31.19 – $59.76 | 7 |
| Cciiv4 vac no prsv 0.5 ml im CPT 90674 | not published | not published | $32.93 – $63.07 | 7 |
| Ccnd1/igh translocation alys CPT 81168 | not published | not published | $117.59 – $434.40 | 6 |
| Cdna analysis for variants CPT 81403 | $1,319.75 | $1,319.75 | $185.20 – $1,240.57 | 8 |
| Cdp-sot 6 cond w/i&r CPT 92548 | not published | not published | $24.09 – $63.61 | 7 |
| Cdp-sot 6 cond w/i&r mct&adt CPT 92549 | not published | not published | $35.06 – $84.80 | 7 |
| Cebpa gene full sequence CPT 81218 | not published | not published | $241.90 – $506.89 | 6 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $82.31 | $82.31 | $0.74 – $6.02 | 8 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $31.98 | $31.98 | $1.26 – $16.02 | 8 |
| Cefotaxime sodium injection HCPCS J0698 | not published | not published | $2.78 – $14.92 | 3 |
| Cefotetan 1 gm vial HCPCS S0074 | not published | not published | $12.35 – $25.10 | 2 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | not published | not published | $4.48 – $8.80 | 7 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | not published | not published | $3.84 – $7.80 | 7 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $116.21 | $116.21 | $1.62 – $24.36 | 8 |
| Ceftazidime and avibactam HCPCS J0714 | not published | not published | $92.66 – $199.13 | 7 |
| Ceftizoxime sodium / 500 mg HCPCS J0715 | not published | not published | $5.24 – $5.25 | 2 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $146.32 | $146.32 | $0.46 – $4.36 | 8 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $35.57 | $35.57 | $1.87 – $16.72 | 8 |
| #celiac hla-dq2 CPT 81377 | not published | not published | $94.74 – $198.52 | 6 |
| #celiac hla-dq8 CPT 81383 | not published | not published | $109.13 – $228.42 | 6 |
| Cell count body fluid CPT 89050 | $36.40 | $36.40 | $4.72 – $34.22 | 8 |
| Cell count w differential body fluid CPT 89051 | $63.40 | $63.40 | $5.60 – $59.60 | 8 |
| Cell cryopreserve/storage CPT 88240 | not published | not published | $13.07 – $27.11 | 6 |
| Cell enumeration & id CPT 86152 | $60.00 | $60.00 | $30.00 – $525.30 | 8 |
| Cell enumeration phys interp CPT 86153 | $60.00 | $60.00 | $30.00 – $66.43 | 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.