healthcosts.net

Franklin Memorial Hospital

111 Franklin Health Commons, Farmington, ME · MaineHealth · · NPI 1922791417

Source: hospital's published price file ↗ · Published Sep 9, 2025 · Ingested Aug 12, 2026

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
Epilepsy gen seq alys panel CPT 81419 not published not published $1,388.92 – $5,130.80 6
Ep induct arrhy by elect pacing CPT 93618 not published not published $206.07 – $402.83 7
Epiphysl arrst dstl rds&ulna CPT 25455 not published not published $705.05 – $1,522.33 7
Epiphysl arrst dstl rds/ulna CPT 25450 not published not published $597.20 – $1,292.57 7
Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 not published not published $1.33 – $3.21 7
Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 $6,556.80 $6,556.80 $139.55 – $447.16 8
Epoetin alfa, 100 units esrd HCPCS Q4081 not published not published $0.72 – $1.28 7
Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 $2,012.80 $2,012.80 $6.82 – $473.01 8
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 not published not published $7.23 – $12.78 7
Epoetin beta esrd use HCPCS J0887 not published not published $1.08 – $2.41 7
Epoetin beta non esrd HCPCS J0888 not published not published $1.08 – $2.39 7
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 not published not published $15.96 – $32.50 7
Epstein barr early antigen antibody CPT 86663 $143.40 $143.40 $13.12 – $134.80 8
Epstein barr nuclear antigen antibody CPT 86664 $156.35 $156.35 $15.29 – $146.97 8
Epstein barr viral capsid antigen antibody igm CPT 86665 $157.05 $157.05 $18.14 – $147.63 8
Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 not published not published $9.19 – $42.70 4
Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 $5,742.62 $5,742.62 $17.35 – $5,398.06 8
Ercp biliary & pancreas CPT 74330 not published not published $27.14 – $54.23 7
Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 not published not published $442.48 – $923.17 7
Ercp ea duct/ampulla dilate CPT 43277 not published not published $362.01 – $755.74 7
Ercp lesion ablate w/dilate 43278 CPT 43278 not published not published $413.72 – $864.20 7
Ercp lithotripsy calculi CPT 43265 not published not published $414.07 – $862.84 7
Ercp remove duct calculi 43264 CPT 43264 not published not published $348.16 – $727.95 7
Ercp remove forgn body duct 43275 CPT 43275 not published not published $359.68 – $751.67 7
Ercp sphincter pressure meas CPT 43263 not published not published $341.97 – $714.40 7
Ercp stent exchange w/dilate CPT 43276 not published not published $460.83 – $960.44 7
Ercp w/specimen collection CPT 43260 not published not published $308.31 – $644.60 7
Ergonovine 0.2 mg/ml inj HCPCS J1330 not published not published $4.87 – $4.87 2
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 not published not published $129.46 – $263.54 7
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 not published not published $10.74 – $21.77 7
ER Visit (level 1, minor) CPT 99281 $331.65 $331.65 $11.41 – $50.58 8
ER Visit (level 2) CPT 99282 $413.90 $413.90 $40.96 – $84.72 8
ER Visit (level 3) CPT 99283 $558.05 $558.05 $70.30 – $143.01 8
ER Visit (level 4) CPT 99284 $920.70 $920.70 $118.62 – $244.01 8
ER Visit (level 5, high severity) CPT 99285 $1,141.75 $1,141.75 $172.42 – $353.81 8
Erwinaze injection HCPCS J9019 not published not published $411.15 – $844.63 4
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 not published not published $69.79 – $122.83 7
Escharotomy ea addl incision CPT 16036 $863.10 $863.10 $78.85 – $722.41 8
Esd endoscopy or colonoscopy HCPCS C9779 not published not published $2,334.58 – $16,517.06 2
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 $590.80 $590.80 $0.40 – $555.35 8
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 $26.77 $26.77 $0.26 – $25.16 8
Esophageal dilat s&i CPT 74360 not published not published $26.13 – $54.23 7
Esophageal lengthening add on code 43338 CPT 43338 not published not published $107.94 – $228.42 7
Esophageal motility CPT 78258 not published not published $33.36 – $67.10 7
Esophageal recording CPT 93615 not published not published $23.62 – $67.45 7
Esophageal recording CPT 93616 not published not published $23.92 – $109.21 7
Esophag muc integ w/eso egd HCPCS C9777 not published not published $2,824.69 – $16,517.06 2
Esophagomyotomy abdominal 43330 CPT 43330 not published not published $1,272.49 – $2,733.56 7
Esophagomyotomy thoracic 43331 CPT 43331 not published not published $1,264.71 – $2,707.13 7
Esophagoplasty congenital CPT 43313 not published not published $2,755.35 – $5,926.00 7
Esophagosc dilate balloon 30 CPT 43214 not published not published $186.02 – $394.49 7
Esophagosc flex trnsn biopsy CPT 43198 not published not published $95.13 – $407.33 8
Esophagoscop mucosal resect CPT 43211 not published not published $225.02 – $470.38 7
Esophagoscop stent placement CPT 43212 not published not published $180.62 – $381.60 7
Esophagoscop ultrasound exam CPT 43231 not published not published $151.39 – $312.47 7
Esophagoscopy balloon <30mm CPT 43220 not published not published $112.74 – $1,675.18 8
Esophagoscopy control bleed CPT 43227 not published not published $157.73 – $1,139.73 8
Esophagoscopy flex biopsy CPT 43202 not published not published $98.41 – $684.87 8
Esophagoscopy/flex/diagnostic 43200 CPT 43200 not published not published $83.75 – $507.55 8
Esophagoscopy flex dx brush CPT 43197 not published not published $78.99 – $367.49 8
Esophagoscopy flex remove fb CPT 43215 not published not published $134.58 – $754.90 8
Esophagoscopy lesion ablate CPT 43229 not published not published $188.18 – $1,359.46 8
Esophagoscopy lesion removal CPT 43216 not published not published $127.49 – $785.09 8
Esophagoscopy retro balloon CPT 43213 not published not published $248.41 – $2,291.99 8
Esophagoscopy rigid balloon CPT 43195 not published not published $178.58 – $378.90 7
Esophagoscopy/rigid/diagnostic 43191 CPT 43191 not published not published $149.76 – $318.57 7
Esophagoscopy rigid trnso 43180 CPT 43180 not published not published $530.13 – $1,121.75 7
Esophagoscopy snare les remv CPT 43217 not published not published $152.87 – $808.86 8
Esophagoscopy w/us needle bx CPT 43232 not published not published $189.57 – $397.19 7
Esophagoscp guide wire dilat 43196 CPT 43196 not published not published $188.75 – $400.58 7
Esophagoscp rig trnso biopsy CPT 43193 not published not published $163.31 – $347.03 7
Esophagoscp rig trnso inject CPT 43192 not published not published $163.84 – $346.35 7
Esophagoscp rig trnso rem fb CPT 43194 not published not published $185.36 – $391.76 7
Esophagotomy thrc rmvl fb CPT 43045 not published not published $1,231.48 – $2,640.71 7
Esophagus endoscopy/ligation CPT 43205 not published not published $134.83 – $282.63 7
Esophagus motility study CPT 91010 not published not published $62.80 – $128.09 7
Esoph balloon distension tst CPT 91040 not published not published $47.93 – $97.61 7
Esoph egd dilation <30 mm CPT 43249 not published not published $146.86 – $2,007.57 8
Esoph endoscopy dilation CPT 43226 not published not published $124.40 – $742.05 8
Esoph fundoplasty lap 43327 CPT 43327 not published not published $781.43 – $1,709.41 7
Esoph fundoplasty thor 43328 CPT 43328 not published not published $1,059.05 – $2,259.11 7
Esophgl motil w/stim/perfus CPT 91013 not published not published $8.95 – $18.29 7
Esoph imped function test CPT 91037 not published not published $47.56 – $97.61 7
Esoph imped funct test > 1hr CPT 91038 not published not published $53.94 – $110.47 7
Esoph optical endomicroscopy CPT 43206 not published not published $127.23 – $584.01 8
Esoph scope w/sclerosis inj CPT 43204 not published not published $129.47 – $272.47 7
Esoph scope w/submucous inj CPT 43201 not published not published $98.86 – $500.48 8
Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 not published not published $3,344.51 – $7,136.55 7
Esphg thrsc moblj CPT 43288 not published not published $3,531.93 – $7,534.43 7
Esphg tot w/laps moblj CPT 43286 not published not published $3,005.75 – $6,422.82 7
Esphg tot w/thrcm CPT 43112 not published not published $3,270.75 – $6,856.62 7
Esrd home pt serv p mo 12-19 CPT 90965 not published not published $487.15 – $1,007.88 7
Esrd home pt serv p mo 20+ CPT 90966 not published not published $285.72 – $596.47 7
Esrd home pt serv p mo 2-11 CPT 90964 not published not published $508.43 – $1,046.52 7
Esrd home pt serv p mo <2yrs CPT 90963 not published not published $593.05 – $1,220.72 7
Esrd serv 1 visit p mo 20+ CPT 90962 not published not published $196.23 – $412.11 7
Esrd serv 1 visit p mo <2yrs CPT 90953 not published not published $825.53 – $1,138.70 3
Esrd serv 1 vst p mo 12-19 CPT 90959 not published not published $316.67 – $659.50 7
Esrd serv 2-3 vsts p mo <2yr CPT 90952 not published not published $1,238.30 – $1,708.05 3
Esrd serv 4 visits p mo <2yr CPT 90951 not published not published $1,147.46 – $2,345.19 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.