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 |
|---|---|---|---|---|
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | not published | not published | $48.80 – $101.59 | 7 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $11,770.22 | $11,770.22 | $2.90 – $829.80 | 8 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $2.90 – $5.87 | 7 |
| Dark field exam spec collj CPT 87164 | not published | not published | $10.55 – $34.20 | 7 |
| Dark field exam without collj CPT 87166 | not published | not published | $10.55 – $23.68 | 6 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $223.52 – $491.07 | 7 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | not published | not published | $26.66 – $46.50 | 7 |
| Daunorubicin citrate inj HCPCS J9151 | not published | not published | $57.66 – $108.44 | 3 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $176.45 – $548.33 | 7 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $180.16 – $531.96 | 8 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $3,229.90 | $3,229.90 | $225.89 – $579.51 | 8 |
| Dch glucoscan CPT 82948 | $29.65 | $29.65 | $4.08 – $12.00 | 8 |
| Dch pulmonary stress test CPT 94621 | not published | not published | $66.21 – $135.55 | 7 |
| Dch validity tests CPT 81002 | $20.45 | $20.45 | $2.82 – $12.75 | 8 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $546.96 – $1,229.54 | 7 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $1,688.62 – $3,725.18 | 7 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $262.81 – $559.19 | 7 |
| D&c of cervical stump CPT 57558 | not published | not published | $124.64 – $308.38 | 8 |
| Deamidated gliadin antibody iga CPT 86258 | $82.25 | $82.25 | $6.54 – $77.32 | 8 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $666.79 – $1,416.60 | 7 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $1,773.00 | $1,773.00 | $26.64 – $114.36 | 8 |
| Debridement (>20 cm) charge pt CPT 97598 | $520.30 | $520.30 | $16.76 – $86.73 | 8 |
| Debridement bone <= 20 sq cm CPT 11044 | $4,417.65 | $4,417.65 | $216.40 – $600.70 | 8 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $1,231.50 | $1,231.50 | $52.39 – $140.71 | 8 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $2,308.80 | $2,308.80 | $92.62 – $232.57 | 8 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $562.10 | $562.10 | $57.63 – $250.56 | 8 |
| Debride nail1-5 11720 CPT 11720 | $138.85 | $138.85 | $14.15 – $59.45 | 8 |
| Debride nail6 or more 11721 CPT 11721 | $110.50 | $110.50 | $23.32 – $80.34 | 8 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $282.85 – $898.36 | 8 |
| Debride skin bone at fx site CPT 11012 | $1,164.70 | $1,164.70 | $349.41 – $974.85 | 8 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $543.08 – $1,146.16 | 7 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $733.73 – $1,560.30 | 7 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $971.15 | $971.15 | $24.40 – $77.10 | 8 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $49.53 – $151.62 | 8 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | not published | not published | $264.71 – $821.12 | 8 |
| Debr inf skin add-on 11001 CPT 11001 | not published | not published | $14.40 – $52.69 | 8 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $1,669.25 | $1,669.25 | $147.69 – $449.09 | 8 |
| Decalcification CPT 88311 | $92.40 | $92.40 | $11.96 – $77.34 | 8 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $1,824.84 | $1,824.84 | $1.17 – $1,715.35 | 8 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $545.90 | $545.90 | $30.79 – $456.92 | 8 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $454.92 – $971.30 | 7 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $714.74 – $1,506.07 | 7 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $1,177.52 – $2,530.91 | 7 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $543.28 – $1,175.31 | 7 |
| Decompress fingers/hand CPT 26035 | not published | not published | $828.97 – $1,791.43 | 7 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $1,255.46 – $2,677.32 | 7 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $746.48 – $1,613.84 | 7 |
| Decompression fasct forearm CPT 24495 | not published | not published | $889.28 – $1,877.51 | 7 |
| Decompression of leg CPT 27892 | not published | not published | $514.66 – $1,119.05 | 7 |
| Decompression of leg CPT 27893 | not published | not published | $592.25 – $1,282.41 | 7 |
| Decompression of leg CPT 27894 | not published | not published | $780.51 – $1,687.04 | 7 |
| Decompression of lower leg CPT 27600 | not published | not published | $385.80 – $826.23 | 7 |
| Decompression of lower leg CPT 27601 | not published | not published | $424.70 – $906.90 | 7 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $529.77 – $1,151.59 | 7 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $560.56 – $1,211.92 | 7 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $634.09 – $1,373.22 | 7 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $677.36 – $1,462.01 | 7 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $347.12 – $1,019.59 | 8 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $351.15 – $772.69 | 7 |
| Decompressive craniotomy CPT 61322 | not published | not published | $2,238.28 – $4,930.31 | 7 |
| Decompress optic nerve CPT 67570 | not published | not published | $1,222.79 – $2,539.04 | 7 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $1,535.75 – $3,361.20 | 7 |
| Decompress small bowel CPT 44021 | not published | not published | $927.68 – $1,993.41 | 7 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $1,413.98 – $3,072.47 | 7 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $1,683.58 – $3,642.50 | 7 |
| Decompress spine cord add-on CPT 63066 | not published | not published | $191.49 – $420.24 | 7 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $301.63 – $656.79 | 7 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $146.22 – $587.85 | 8 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $82.31 | $82.31 | $6.90 – $77.37 | 8 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | not published | not published | $4.14 – $8.47 | 7 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $731.17 – $1,569.10 | 7 |
| Delay flap arms/legs CPT 15610 | not published | not published | $233.48 – $714.41 | 8 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $329.51 – $897.52 | 8 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $312.84 – $867.97 | 8 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $201.77 – $656.59 | 8 |
| Delivery of placenta 59414 CPT 59414 | not published | not published | $85.94 – $185.05 | 7 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $889.13 – $1,908.00 | 7 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | not published | not published | $1,283.97 – $2,826.43 | 7 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | not published | not published | $614.48 – $1,303.40 | 7 |
| Demonstrate use home inr mon HCPCS G0248 | not published | not published | $80.55 – $202.67 | 7 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $401.70 | $401.70 | $15.86 – $336.22 | 8 |
| Denervation of hip joint CPT 27035 | not published | not published | $1,097.29 – $2,312.65 | 7 |
| Dengue vacc quad 3 dose subq CPT 90587 | not published | not published | $73.92 – $138.30 | 3 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $10,492.05 | $10,492.05 | $23.48 – $5,361.70 | 8 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $629.55 | $629.55 | $87.36 – $272.42 | 8 |
| Deodorant ostmy adapt lube 8ml HCPCS A4394 | not published | not published | $2.88 – $7.59 | 3 |
| Depo-estradiol cypionate inj HCPCS J1000 | not published | not published | $29.84 – $76.42 | 7 |
| Dermabrasion other than face CPT 15782 | not published | not published | $354.18 – $940.58 | 8 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $410.57 – $979.44 | 8 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $314.08 – $818.27 | 8 |
| Dermabrasion total face CPT 15780 | not published | not published | $637.32 – $1,638.29 | 8 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $646.23 – $1,386.78 | 7 |
| Derma-gide, 1 sq cm HCPCS Q4203 | not published | not published | $206.74 – $593.41 | 7 |
| Dermagraft HCPCS Q4106 | not published | not published | $16.58 – $58.30 | 7 |
| Dermal filler injection(s) HCPCS G0429 | not published | not published | $65.73 – $192.10 | 7 |
| Dermapure 1 square cm HCPCS Q4152 | not published | not published | $43.45 – $102.89 | 7 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $730.48 – $1,684.54 | 8 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $571.02 – $1,391.58 | 8 |
| Dermavest, plurivest sq cm HCPCS Q4153 | not published | not published | $44.23 – $460.03 | 7 |
| Derm-maxx, per sq cm HCPCS Q4238 | not published | not published | $883.62 – $3,079.87 | 3 |
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.