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 |
|---|---|---|---|---|
| Cltx palatal/max fx wire fix CPT 21421 | not published | not published | $525.04 – $1,243.81 | 8 |
| Cltx post ankle fx CPT 27767 | not published | not published | $225.09 – $626.28 | 8 |
| Cltx post ankle fx w/mnpj CPT 27768 | $4,709.60 | $4,709.60 | $435.14 – $949.59 | 8 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | not published | not published | $370.00 – $822.99 | 8 |
| Cltx strnclav dislc w/mnpj CPT 23525 | not published | not published | $225.09 – $778.12 | 8 |
| Cltx thigh fx CPT 27267 | not published | not published | $427.30 – $922.49 | 7 |
| Cltx thigh fx w/mnpj CPT 27268 | not published | not published | $526.56 – $1,140.06 | 7 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $757.91 – $1,790.23 | 8 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $755.89 – $1,588.76 | 7 |
| C motor evoked lwr limbs CPT 95929 | not published | not published | $76.35 – $155.21 | 7 |
| C motor evoked uppr limbs CPT 95928 | not published | not published | $76.57 – $156.57 | 7 |
| C motor evoked upr&lwr limbs CPT 95939 | not published | not published | $114.43 – $235.88 | 7 |
| Cmp rpr tof wo plm atrs ptch CPT 33694 | not published | not published | $1,830.31 – $3,900.07 | 7 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $15.91 – $30.84 | 7 |
| Cmptr ophth img optic nerve CPT 92133 | not published | not published | $20.93 – $40.47 | 7 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $10.91 – $29.15 | 6 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $8.80 – $18.29 | 6 |
| #cmvcul-virus inoculation shell CPT 87254 | $175.75 | $175.75 | $19.56 – $165.21 | 8 |
| Cmv ig IV CPT 90291 | not published | not published | $1,791.99 – $3,681.37 | 3 |
| Cmv pcr-sendout CPT 87496 | $233.85 | $233.85 | $35.09 – $219.82 | 8 |
| Cnbp gene detc abnor allele CPT 81187 | not published | not published | $137.00 – $287.07 | 6 |
| Cntct lens hydrophil photoch HCPCS V2524 | not published | not published | $152.29 – $349.98 | 2 |
| Co2 monitor per day CPT 94681 | not published | not published | $9.32 – $18.98 | 7 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | not published | not published | $2.03 – $5.03 | 7 |
| Coagulation time activated teg CPT 85347 | not published | not published | $4.28 – $8.82 | 6 |
| Coagulation time lee & white CPT 85345 | not published | not published | $4.69 – $9.49 | 6 |
| Coagulation time otr method CPT 85348 | not published | not published | $4.49 – $9.41 | 6 |
| Cocaine 4 % nasal solution HCPCS C9046 | not published | not published | $1.56 – $3.21 | 3 |
| Cocaine hcl nasal (numbrino) HCPCS C9143 | not published | not published | $1.84 – $4.69 | 2 |
| Coccidioidomycosis skin test CPT 86490 | not published | not published | $8.59 – $159.74 | 7 |
| Coch imp ext proc/contr rplc HCPCS L8619 | not published | not published | $7,792.57 – $20,671.81 | 3 |
| Coch implant headset replace HCPCS L8615 | not published | not published | $419.78 – $1,113.56 | 3 |
| Coch implant microphone repl HCPCS L8616 | not published | not published | $97.77 – $259.37 | 3 |
| Coch implant tran cable repl HCPCS L8618 | not published | not published | $24.41 – $64.71 | 3 |
| Coch implant trans coil repl HCPCS L8617 | not published | not published | $85.40 – $226.54 | 3 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $120.57 – $293.89 | 8 |
| Cochlear implt f/up exam 7/> CPT 92603 | not published | not published | $117.28 – $275.41 | 8 |
| Cocm by rhc/fqhc 60 min mo HCPCS G0512 | not published | not published | $67.98 – $282.69 | 6 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | not published | not published | $1.34 – $2.03 | 2 |
| Cogenex amnio memb per sq cm HCPCS Q4229 | not published | not published | $106.02 – $1,029.97 | 7 |
| Cold agglutinin screen (arc) CPT 86156 | not published | not published | $8.07 – $16.91 | 6 |
| Cold agglutinin titer CPT 86157 | not published | not published | $8.06 – $16.89 | 6 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | not published | not published | $1,574.42 – $3,355.11 | 7 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | not published | not published | $1,765.24 – $3,763.82 | 7 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | not published | not published | $1,969.85 – $4,187.46 | 7 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | not published | not published | $1,278.35 – $2,736.95 | 7 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | not published | not published | $1,838.09 – $3,931.92 | 7 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | not published | not published | $1,573.95 – $3,348.34 | 7 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | not published | not published | $1,998.88 – $4,255.91 | 7 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | not published | not published | $1,183.85 – $2,532.94 | 7 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | not published | not published | $1,725.35 – $3,678.41 | 7 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | not published | not published | $1,680.52 – $3,583.53 | 7 |
| Colectomy w/ileoanal anast CPT 44157 | not published | not published | $2,075.37 – $4,445.70 | 7 |
| Colectomy w/neo-rectum pouch CPT 44158 | not published | not published | $2,127.36 – $4,555.50 | 7 |
| Colistimethate sodium inj HCPCS J0770 | not published | not published | $10.90 – $24.03 | 7 |
| Collagenase, clost hist inj HCPCS J0775 | not published | not published | $66.27 – $140.12 | 7 |
| Collagen based wound filler HCPCS A6010 | not published | not published | $34.42 – $90.67 | 3 |
| Collagen dressing <=16 sq in HCPCS A6021 | not published | not published | $23.37 – $61.56 | 3 |
| Collagen drsg>16<=48 sq in HCPCS A6022 | not published | not published | $23.37 – $61.56 | 3 |
| Collagen dsg wound filler HCPCS A6024 | not published | not published | $6.87 – $18.10 | 3 |
| Collagen gel/paste wound fil HCPCS A6011 | not published | not published | $2.54 – $6.68 | 3 |
| Collagen imp urinary 2.5 ml HCPCS L8603 | not published | not published | $415.16 – $1,101.32 | 3 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $229.15 | $229.15 | $7.95 – $16.26 | 8 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | not published | not published | $23.62 – $62.65 | 3 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | not published | not published | $73.64 – $195.38 | 3 |
| Collar cerv ascend 172 reg HCPCS L0172 | not published | not published | $112.98 – $299.71 | 3 |
| Collar cerv patriot adlt HCPCS L0150 | not published | not published | $109.71 – $291.04 | 3 |
| Collar extrication adult univ HCPCS L0200 | not published | not published | $499.65 – $1,325.47 | 3 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $515.00 | $515.00 | $24.94 – $141.00 | 8 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $176.65 | $176.65 | $27.13 – $147.86 | 8 |
| Coll-e-derm 1 sq cm HCPCS Q4193 | not published | not published | $1,989.00 – $4,331.14 | 3 |
| Collj & interpj data ea 30 d CPT 99091 | not published | not published | $52.96 – $108.44 | 7 |
| Colon motility 6 hr study CPT 91117 | not published | not published | $131.59 – $273.16 | 7 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $88.28 – $654.68 | 8 |
| Colonoscopy flex with decompression 45393 CPT 45393 | not published | not published | $241.05 – $502.93 | 7 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | not published | not published | $217.45 – $939.28 | 8 |
| Colonoscopy for bleeding 44391 CPT 44391 | not published | not published | $220.83 – $1,175.61 | 8 |
| Colonoscopy for foreign body CPT 44390 | not published | not published | $201.42 – $778.66 | 8 |
| Colonoscopy & polypectomy 44392 CPT 44392 | not published | not published | $190.29 – $750.40 | 8 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | not published | not published | $291.38 – $607.30 | 7 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | not published | not published | $215.58 – $843.56 | 8 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $191.85 – $851.92 | 8 |
| Colonoscopy thru stoma spx CPT 44388 | not published | not published | $74.88 – $609.06 | 8 |
| Colonoscopy w/ablation CPT 45388 | not published | not published | $259.09 – $4,561.06 | 8 |
| Colonoscopy w/balloon dilat CPT 45386 | not published | not published | $202.51 – $1,122.33 | 8 |
| Colonoscopy w/band ligation CPT 45398 | not published | not published | $224.95 – $1,522.91 | 8 |
| Colonoscopy w/control bleed CPT 45382 | not published | not published | $247.90 – $1,222.05 | 8 |
| Colonoscopy w/decompression CPT 44408 | not published | not published | $221.55 – $464.29 | 7 |
| Colonoscopy w/dilation CPT 44405 | not published | not published | $175.34 – $1,022.32 | 8 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | not published | not published | $246.98 – $515.81 | 7 |
| Colonoscopy w/endoscopic fnb CPT 45392 | not published | not published | $291.38 – $607.99 | 7 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | not published | not published | $277.71 – $578.84 | 7 |
| Colonoscopy w/fb removal CPT 45379 | not published | not published | $228.37 – $835.84 | 8 |
| Colonoscopy w/injection CPT 44404 | not published | not published | $164.60 – $809.50 | 8 |
| Colonoscopy with ablation CPT 44401 | not published | not published | $232.18 – $4,415.47 | 8 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $192.08 – $834.57 | 8 |
| Colonoscopy with biopsy CPT 44389 | not published | not published | $164.29 – $792.17 | 8 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | $243.22 – $873.75 | 8 |
| Colonoscopy w/ndl aspir/bx CPT 44407 | not published | not published | $263.64 – $551.06 | 7 |
| Colonoscopy w/resection CPT 45390 | not published | not published | $318.28 – $664.25 | 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.