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 |
|---|---|---|---|---|
| Cystoscopy and biopsy CPT 52007 | not published | not published | $158.39 – $865.41 | 8 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $228.66 – $481.91 | 7 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $167.96 – $1,433.34 | 8 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $194.49 – $1,497.59 | 8 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $234.94 – $494.80 | 7 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $275.54 – $579.51 | 7 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $374.27 – $786.25 | 7 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $201.45 – $424.30 | 7 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $155.21 – $717.64 | 8 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $252.39 – $532.07 | 7 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $308.80 – $649.33 | 7 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $192.32 – $681.66 | 8 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $186.88 – $636.67 | 8 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $232.94 – $490.73 | 7 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $267.89 – $562.58 | 7 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $276.99 – $582.91 | 7 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $266.32 – $558.52 | 7 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $144.73 – $615.48 | 8 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $262.64 – $904.59 | 8 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $235.17 – $496.16 | 7 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $251.57 – $1,159.01 | 8 |
| Cystoscopy (Bladder Scope) CPT 52000 | $1,861.35 | $1,861.35 | $77.18 – $461.94 | 8 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $162.07 – $746.55 | 8 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $157.84 – $697.75 | 8 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $321.32 – $677.81 | 7 |
| Cystoscopy inject material CPT 52327 | not published | not published | $248.23 – $519.88 | 7 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $3,618.49 – $22,070.14 | 2 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $274.30 – $844.84 | 8 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $173.31 – $808.22 | 8 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $237.05 – $1,036.94 | 8 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $305.95 – $642.54 | 7 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $126.47 – $584.65 | 8 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $6,064.65 | $6,064.65 | $280.28 – $5,076.11 | 8 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $453.01 – $964.51 | 7 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $750.85 – $1,589.45 | 7 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $288.89 – $609.35 | 7 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $352.13 – $742.18 | 7 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $397.99 – $838.45 | 7 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $445.98 – $939.43 | 7 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $396.75 – $835.05 | 7 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $374.27 – $786.25 | 7 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $425.87 – $895.38 | 7 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $338.27 – $712.36 | 7 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $376.31 – $791.68 | 7 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $254.74 – $532.07 | 7 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $5,549.90 | $5,549.90 | $145.25 – $628.98 | 8 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $134.75 – $726.63 | 8 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $48.56 – $1,647.29 | 8 |
| Cystourethro w/implant CPT 52441 | not published | not published | $200.45 – $2,423.38 | 8 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $328.73 – $692.04 | 7 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $294.99 – $621.55 | 7 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $271.49 – $570.71 | 7 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $113.31 | $113.31 | $0.76 – $106.51 | 8 |
| Cytarabine liposome inj HCPCS J9098 | not published | not published | $604.66 – $856.74 | 3 |
| Cytog alys chrml abnr lw-ps CPT 81349 | not published | not published | $510.52 – $2,509.89 | 6 |
| Cytogenetics 25-99 CPT 88274 | $310.00 | $310.00 | $42.38 – $291.40 | 8 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $40.70 – $85.28 | 6 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $658.00 – $2,430.60 | 6 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $672.59 – $1,885.64 | 6 |
| Cytog genom-wid alys hem mal CPT 81195 | not published | not published | $2,647.65 – $4,179.88 | 2 |
| Cytomegalovirus ag ia CPT 87332 | not published | not published | $11.98 – $25.08 | 6 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $157.70 | $157.70 | $14.39 – $148.24 | 8 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $157.70 | $157.70 | $16.85 – $148.24 | 8 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $13.42 – $27.79 | 6 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $1,700.94 – $3,586.17 | 7 |
| Cytomeg dna dir probe CPT 87495 | not published | not published | $30.03 – $62.93 | 6 |
| Cyto/molecular report CPT 88291 | $150.30 | $150.30 | $31.56 – $125.80 | 8 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $25.37 – $52.87 | 6 |
| Cytopath c/v automated CPT 88147 | not published | not published | $20.70 – $105.74 | 6 |
| Cytopath c/v auto redo CPT 88152 | not published | not published | $19.22 – $57.60 | 6 |
| Cytopath c/v auto rescreen CPT 88148 | not published | not published | $16.88 – $37.28 | 6 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $10.91 – $30.51 | 6 |
| Cytopath c/v manual CPT 88150 | not published | not published | $14.99 – $37.28 | 6 |
| Cytopath c/v redo CPT 88153 | not published | not published | $19.22 – $50.16 | 6 |
| Cytopath c/v thin layer redo CPT 88143 | not published | not published | $23.04 – $48.13 | 6 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $17.17 – $37.28 | 7 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $200.20 | $200.20 | $26.78 – $167.57 | 8 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $189.75 | $189.75 | $27.14 – $177.57 | 8 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $210.95 | $210.95 | $20.67 – $168.35 | 8 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | not published | not published | $21.69 – $44.07 | 7 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | not published | not published | $26.46 – $54.90 | 7 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | not published | not published | $14.44 – $40.47 | 7 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $168.55 | $168.55 | $34.39 – $141.08 | 8 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $273.70 | $273.70 | $50.98 – $229.09 | 8 |
| Cytopath smear other source CPT 88160 | $226.50 | $226.50 | $17.17 – $189.58 | 8 |
| Cytopath smear other source CPT 88162 | not published | not published | $38.07 – $77.28 | 7 |
| Cytopath smear oth prep screen & interp CPT 88161 | not published | not published | $24.70 – $50.16 | 7 |
| Cytopath tbs c/v auto redo CPT 88166 | not published | not published | $14.99 – $37.28 | 6 |
| Cytopath tbs c/v manual CPT 88164 | not published | not published | $14.99 – $37.28 | 6 |
| Cytopath tbs c/v redo CPT 88165 | not published | not published | $19.22 – $88.47 | 6 |
| Cytopath tbs c/v select CPT 88167 | not published | not published | $14.99 – $37.28 | 6 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $71.97 – $164.70 | 6 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $29.68 – $62.19 | 6 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $46.90 – $95.57 | 7 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | not published | not published | $3.60 – $8.26 | 7 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $397.51 – $983.51 | 7 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | not published | not published | $15.12 – $30.84 | 7 |
| Dalteparin sodium HCPCS J1645 | not published | not published | $14.25 – $27.41 | 7 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $329.49 | $329.49 | $0.02 – $309.72 | 8 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.08 – $1.00 | 2 |
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.