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 |
|---|---|---|---|---|
| Cellesta or duo per sq cm HCPCS Q4184 | not published | not published | $34.75 – $1,234.21 | 3 |
| Cell function assay w/stim CPT 86352 | $223.45 | $223.45 | $67.04 – $210.04 | 8 |
| Cell marker study CPT 88182 | $273.70 | $273.70 | $37.79 – $229.09 | 8 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | not published | not published | $27.46 – $55.76 | 7 |
| Centralization wrist on ulna CPT 25335 | not published | not published | $908.88 – $1,956.13 | 7 |
| Centruroides immune f(ab) HCPCS J0716 | not published | not published | $5,351.02 – $14,435.31 | 4 |
| Cephalin floculation test HCPCS P2028 | not published | not published | $4.95 – $10.16 | 6 |
| Cerclage cervix pregnancy abdominal 59325 CPT 59325 | not published | not published | $227.62 – $490.73 | 7 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | not published | not published | $345.18 – $727.28 | 7 |
| Cerebrospinal fld flw imag CPT 78645 | $1,910.10 | $1,910.10 | $25.79 – $1,598.75 | 8 |
| Cer post col occ/man sup adj HCPCS L0180 | not published | not published | $439.64 – $1,166.26 | 3 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | not published | not published | $4.46 – $7.71 | 7 |
| Cerv collar supp adj cerv ba HCPCS L0190 | not published | not published | $532.80 – $1,413.37 | 3 |
| Cervical collar molded to pt HCPCS L0170 | not published | not published | $731.84 – $1,941.40 | 3 |
| Cervical laminoplsty 2/> seg CPT 63050 | not published | not published | $1,403.99 – $3,068.41 | 7 |
| Cervical lymphadenectomy 38720 CPT 38720 | not published | not published | $1,293.79 – $2,749.84 | 7 |
| Cervical or vaginal cancer screening g0101 HCPCS G0101 | not published | not published | $26.51 – $75.81 | 7 |
| Cerv sr wire occ/man pre ots HCPCS L0160 | not published | not published | $185.84 – $492.97 | 3 |
| Cesarean section delivery only 59514 CPT 59514 | not published | not published | $860.62 – $1,844.30 | 7 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $2,470.08 | $2,470.08 | $71.54 – $2,321.88 | 8 |
| #cf-97variants CPT 81220 | $1,201.15 | $1,201.15 | $360.35 – $1,129.08 | 8 |
| Cftr gene dup/delet variants CPT 81222 | not published | not published | $75.00 – $911.64 | 6 |
| Cftr gene intron poly t CPT 81224 | not published | not published | $100.15 – $353.60 | 6 |
| Cftr gene known fam variants CPT 81221 | not published | not published | $97.22 – $203.72 | 6 |
| Change cystostomy tube; complex 51710 CPT 51710 | $1,915.35 | $1,915.35 | $76.67 – $262.77 | 8 |
| Change cystostomy tube simple CPT 51705 | $347.80 | $347.80 | $49.54 – $188.24 | 8 |
| Change gastric port open CPT 43888 | not published | not published | $444.64 – $962.48 | 7 |
| Change g-tube to g-j perc CPT 49446 | not published | not published | $141.21 – $1,483.52 | 8 |
| Change nephroureteral cath CPT 50387 | not published | not published | $80.18 – $1,044.00 | 8 |
| Change of ureter tube/stent CPT 50688 | not published | not published | $74.20 – $159.27 | 7 |
| Change of windpipe airway 31502 CPT 31502 | not published | not published | $33.79 – $69.82 | 7 |
| Change stent via transureth CPT 50385 | not published | not published | $207.64 – $1,869.93 | 8 |
| Change ureter stent percut CPT 50382 | not published | not published | $242.64 – $1,862.33 | 8 |
| Charger coch impl/aoi battry HCPCS L8625 | not published | not published | $175.77 – $466.28 | 3 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $60.35 – $282.11 | 8 |
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | $89.95 – $225.20 | 8 |
| Chemical peel face epiderm 15788 CPT 15788 | not published | not published | $176.45 – $715.19 | 8 |
| Chemical peel nonfacial 15793 CPT 15793 | not published | not published | $314.08 – $861.09 | 8 |
| Chemical peel nonfacial; epidermal CPT 15792 | not published | not published | $199.37 – $612.97 | 8 |
| Chemo adm cns w/lmbr punct CPT 96450 | not published | not published | $74.81 – $300.41 | 8 |
| Chemodener muscle larynx emg CPT 64617 | not published | not published | $104.91 – $295.04 | 8 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | not published | not published | $67.19 – $180.53 | 8 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | not published | not published | $77.59 – $233.21 | 8 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | not published | not published | $110.29 – $344.35 | 8 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | not published | not published | $100.93 – $296.82 | 8 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $241.16 – $609.06 | 8 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | $252.00 | $252.00 | $112.82 – $247.48 | 8 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | not published | not published | $205.14 – $442.60 | 8 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $49.48 – $201.73 | 8 |
| Chemodenerv eccrine glands 64650 CPT 64650 | not published | not published | $39.10 – $171.53 | 8 |
| Chemodenerv musc migraine 64615 CPT 64615 | $834.35 | $834.35 | $115.48 – $270.84 | 8 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | $834.35 | $834.35 | $102.21 – $247.48 | 8 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | not published | not published | $104.21 – $247.48 | 8 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | not published | not published | $109.53 – $312.88 | 8 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | not published | not published | $126.25 – $356.57 | 8 |
| Chemo extend IV infus w/pump HCPCS G0498 | $1,032.25 | $1,032.25 | $259.18 – $863.99 | 8 |
| Chemo ia infuse each addl hr CPT 96423 | not published | not published | $37.88 – $140.31 | 7 |
| Chemo ia infusion up to 1 hr CPT 96422 | not published | not published | $147.33 – $302.31 | 7 |
| Chemo ia push tecnique CPT 96420 | not published | not published | $96.06 – $197.91 | 7 |
| Chemo intralesional over 7 CPT 96406 | not published | not published | $43.39 – $240.10 | 8 |
| Chemo intralesional up to 7 96405 CPT 96405 | not published | not published | $28.25 – $153.70 | 8 |
| Chemotaxis assay CPT 86155 | not published | not published | $15.99 – $33.21 | 6 |
| Chemotherapy injection 96542 CPT 96542 | not published | not published | $40.73 – $237.03 | 8 |
| Chemotx admn pertl cav impl CPT 96446 | not published | not published | $23.18 – $346.97 | 8 |
| Chest 2 vws w oblique CPT 71048 | $374.70 | $374.70 | $14.70 – $313.62 | 8 |
| Chest apical lordotic proj CPT 71047 | $337.05 | $337.05 | $12.99 – $282.11 | 8 |
| Chest CT scan (with and without contrast) CPT 71270 | $2,504.65 | $2,504.65 | $58.63 – $2,096.39 | 8 |
| Chest CT scan (with contrast) CPT 71260 | $2,049.00 | $2,049.00 | $54.90 – $1,715.01 | 8 |
| Chest CT scan (without contrast) CPT 71250 | $1,430.20 | $1,430.20 | $50.88 – $1,197.08 | 8 |
| Chest Physiotherapy (first session) CPT 94667 | $179.35 | $179.35 | $21.73 – $150.12 | 8 |
| Chest Physiotherapy (follow-up session) CPT 94668 | $171.25 | $171.25 | $33.93 – $143.34 | 8 |
| Chest Ultrasound CPT 76604 | $430.10 | $430.10 | $27.23 – $359.99 | 8 |
| Chest X-ray CPT 71046 | $253.35 | $253.35 | $10.33 – $212.05 | 8 |
| Chest X-ray (single view) CPT 71045 | $183.25 | $183.25 | $8.64 – $153.38 | 8 |
| Chg pr pul rehab for copd patients CPT 94626 | $181.95 | $181.95 | $26.51 – $140.74 | 8 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $756.20 | $756.20 | $32.92 – $632.94 | 8 |
| Chikungunya vaccine live im CPT 90589 | not published | not published | $280.50 – $288.12 | 2 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $207.46 – $434.47 | 6 |
| Chimerism anal w/cell select CPT 81268 | not published | not published | $260.79 – $546.30 | 6 |
| Chiropractic manj 5 regions CPT 98942 | not published | not published | $24.78 – $93.80 | 8 |
| Chiropract manj 1-2 regions CPT 98940 | not published | not published | $21.76 – $50.19 | 8 |
| Chiropract manj 3-4 regions CPT 98941 | not published | not published | $24.78 – $72.31 | 8 |
| Chiropract manj xtrspinl 1/> CPT 98943 | not published | not published | $22.43 – $47.08 | 7 |
| Chlamydia culture CPT 87110 | $188.95 | $188.95 | $19.60 – $177.61 | 8 |
| Chlamydia trachomatis ag if CPT 87270 | not published | not published | $11.98 – $25.08 | 6 |
| Chlamydia type CPT 87140 | $34.75 | $34.75 | $5.57 – $32.67 | 8 |
| Chlmyd pneum dna dir probe CPT 87485 | not published | not published | $20.05 – $42.01 | 6 |
| Chlmyd pneum dna quant CPT 87487 | not published | not published | $42.84 – $89.48 | 6 |
| Chlnggrphy intraop addl s&i CPT 74301 | $248.05 | $248.05 | $9.99 – $207.62 | 8 |
| Chloramphenicol sodium injec HCPCS J0720 | not published | not published | $41.08 – $50.26 | 4 |
| Chlordiazepoxide injection HCPCS J1990 | not published | not published | $21.05 – $42.01 | 3 |
| Chloride CPT 82435 | $52.55 | $52.55 | $4.60 – $49.40 | 8 |
| Chloride 24 hour urine CPT 82436 | $52.45 | $52.45 | $5.75 – $49.30 | 8 |
| Chloroprocaine (clorotekal) HCPCS J2402 | not published | not published | $0.31 – $0.65 | 3 |
| Chloroprocaine hcl injection HCPCS J2401 | $135.50 | $135.50 | $0.03 – $127.37 | 8 |
| Chloroprocaine opht gel, 1mg HCPCS J2403 | not published | not published | $0.63 – $1.91 | 4 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | not published | not published | $63.79 – $121.35 | 7 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $161.09 | $161.09 | $29.79 – $151.42 | 8 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | not published | not published | $0.36 – $0.73 | 3 |
| Chmotx admn plrl cav thrcnts CPT 96440 | not published | not published | $128.98 – $1,385.76 | 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.