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 |
|---|---|---|---|---|
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $157.88 – $325.34 | 7 |
| Ghs chemo IV push, ea addtl CPT 96411 | $202.25 | $202.25 | $51.92 – $169.28 | 8 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | not published | not published | $35.09 – $73.19 | 6 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $936.90 | $936.90 | $96.68 – $302.92 | 8 |
| Ghs closed reduction ankle dislocation CPT 27840 | $1,132.30 | $1,132.30 | $81.69 – $255.96 | 8 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $2,911.75 | $2,911.75 | $417.01 – $948.28 | 8 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $1,119.75 | $1,119.75 | $205.86 – $645.03 | 8 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $4,931.10 | $4,931.10 | $477.18 – $1,063.28 | 8 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $5,311.20 | $5,311.20 | $764.47 – $4,445.47 | 8 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $308.70 | $308.70 | $92.61 – $290.18 | 8 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $4,709.60 | $4,709.60 | $426.26 – $974.62 | 8 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $4,931.10 | $4,931.10 | $478.84 – $1,080.63 | 8 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $1,241.65 | $1,241.65 | $152.87 – $478.98 | 8 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $769.70 | $769.70 | $98.27 – $307.90 | 8 |
| Ghs community re-entry 15 minutes CPT 97537 | $198.15 | $198.15 | $31.20 – $165.85 | 8 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $304.60 | $304.60 | $34.81 – $73.24 | 8 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $223.80 | $223.80 | $28.16 – $79.53 | 8 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $711.65 | $711.65 | $39.93 – $116.93 | 8 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $260.15 | $260.15 | $48.39 – $122.17 | 8 |
| Ghs cricothyroidotomy CPT 31605 | $4,575.75 | $4,575.75 | $206.14 – $668.99 | 8 |
| Ghs cutdown placement age 1 and over CPT 36425 | not published | not published | $38.22 – $79.31 | 7 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $45.49 – $94.90 | 7 |
| Ghs diphtheria toxoid ab igg CPT 86648 | not published | not published | $15.21 – $31.85 | 6 |
| Ghs dislocation elbow closed treatment CPT 24600 | $1,325.05 | $1,325.05 | $98.27 – $307.90 | 8 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | not published | not published | $102.18 – $218.26 | 7 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $884.30 | $884.30 | $31.65 – $125.29 | 8 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | not published | not published | $103.74 – $520.71 | 8 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | not published | not published | $252.31 – $679.24 | 5 |
| Ghs electrostagmgraphy CPT 92537 | not published | not published | $16.00 – $58.46 | 7 |
| Ghs elect torsion swing CPT 92546 | not published | not published | $14.63 – $29.82 | 7 |
| Ghs elect vertical elct CPT 92547 | not published | not published | $4.07 – $20.55 | 7 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | $68.56 – $292.96 | 8 |
| Ghs excision ingrown nail CPT 11765 | $395.00 | $395.00 | $60.68 – $176.32 | 8 |
| Ghs eye exam CPT 92002 | not published | not published | $44.94 – $163.19 | 8 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $956.90 | $956.90 | $112.82 – $501.66 | 8 |
| Ghs fat & muscle CPT 89160 | not published | not published | $4.85 – $10.16 | 6 |
| Ghs fb removal foot - deep - left CPT 28192 | $5,392.05 | $5,392.05 | $300.56 – $884.03 | 8 |
| Ghs fb removal from muscle - complicated CPT 20525 | not published | not published | $237.09 – $896.25 | 8 |
| Ghs fb removal - incisional CPT 10121 | $2,880.65 | $2,880.65 | $176.77 – $512.04 | 8 |
| Ghs fb removal - non-incisional CPT 20520 | not published | not published | $141.50 – $422.75 | 8 |
| Ghs febrile agglutinns(mayo) CPT 86000 | not published | not published | $6.98 – $14.63 | 6 |
| Ghs fish cytogen CPT 88271 | $305.80 | $305.80 | $21.85 – $287.45 | 8 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $394.80 | $394.80 | $51.19 – $371.11 | 8 |
| Ghs flow volume loop CPT 94375 | not published | not published | $14.07 – $28.48 | 7 |
| Ghs gastric intub aspiration lavage CPT 43753 | $222.45 | $222.45 | $20.80 – $186.19 | 8 |
| Ghs hcv amplificaiton CPT 87521 | not published | not published | $35.09 – $73.19 | 6 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $22.97 – $48.13 | 6 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | not published | not published | $15.49 – $32.46 | 6 |
| Ghs hgb stability-thal CPT 83068 | not published | not published | $9.47 – $19.66 | 6 |
| Ghs histoplasma antigen CPT 87385 | $276.60 | $276.60 | $13.25 – $260.00 | 8 |
| Ghs HIV antibody CPT 86703 | $115.95 | $115.95 | $13.71 – $108.99 | 8 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $106.14 – $222.33 | 6 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $6,064.65 | $6,064.65 | $204.60 – $439.22 | 8 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $3,343.10 | $3,343.10 | $407.49 – $1,004.07 | 8 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $2,174.80 | $2,174.80 | $163.88 – $627.76 | 8 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $1,236.05 | $1,236.05 | $99.94 – $484.42 | 8 |
| Ghs immun0electrophoresis CPT 86320 | not published | not published | $17.39 – $35.92 | 7 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $571.55 | $571.55 | $105.30 – $326.10 | 8 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | not published | not published | $129.27 – $383.69 | 8 |
| Ghs inf midline insertion CPT 36140 | not published | not published | $84.04 – $969.49 | 8 |
| Ghs inhibitor screen CPT 85335 | $80.30 | $80.30 | $12.87 – $75.48 | 8 |
| Ghs init tx 1st degree burn CPT 16000 | $662.40 | $662.40 | $44.24 – $154.20 | 8 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $2,615.05 | $2,615.05 | $171.04 – $406.03 | 8 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $2,615.25 | $2,615.25 | $114.32 – $479.27 | 8 |
| Ghs inj tendon origin/insertion CPT 20551 | $208.95 | $208.95 | $37.87 – $111.14 | 8 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $871.55 | $871.55 | $59.51 – $259.55 | 8 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $2,615.05 | $2,615.05 | $126.02 – $512.68 | 8 |
| Ghs insertion of needle - bone CPT 36680 | $601.15 | $601.15 | $57.07 – $120.66 | 8 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $1,273.90 | $1,273.90 | $131.06 – $410.64 | 8 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $982.70 | $982.70 | $268.65 – $781.35 | 8 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $982.70 | $982.70 | $294.81 – $822.52 | 8 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | not published | not published | $8.86 – $59.75 | 7 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $868.70 | $868.70 | $127.95 – $396.90 | 8 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $156.30 | $156.30 | $17.68 – $130.82 | 8 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | not published | not published | $432.38 – $942.95 | 6 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | not published | not published | $432.38 – $942.95 | 6 |
| Ghs IV infusion sotrovimab HCPCS M0247 | not published | not published | $432.38 – $942.95 | 6 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $737.40 | $737.40 | $221.22 – $642.87 | 8 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $655.15 | $655.15 | $106.48 – $343.00 | 8 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $581.00 | $581.00 | $72.80 – $228.09 | 8 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $768.35 | $768.35 | $124.97 – $348.65 | 8 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $713.10 | $713.10 | $129.03 – $359.99 | 8 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $764.30 | $764.30 | $66.74 – $209.10 | 8 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $916.65 | $916.65 | $124.97 – $363.15 | 8 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $1,007.00 | $1,007.00 | $82.91 – $259.77 | 8 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $862.70 | $862.70 | $74.42 – $233.17 | 8 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $919.35 | $919.35 | $74.42 – $233.17 | 8 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $866.75 | $866.75 | $124.97 – $391.13 | 8 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $459.75 | $459.75 | $76.43 – $239.47 | 8 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $779.20 | $779.20 | $76.43 – $239.47 | 8 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $459.75 | $459.75 | $76.43 – $239.47 | 8 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $254.75 | $254.75 | $76.43 – $239.47 | 8 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $254.75 | $254.75 | $76.43 – $239.47 | 8 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $254.75 | $254.75 | $76.43 – $239.47 | 8 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | not published | not published | $8.60 – $18.02 | 6 |
| Ghs low level laser therapy CPT 97039 | $191.35 | $191.35 | $28.48 – $179.87 | 8 |
| Ghs mbp CPT 83873 | $166.40 | $166.40 | $17.20 – $156.42 | 8 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $103.80 | $103.80 | $23.82 – $86.88 | 8 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $103.80 | $103.80 | $31.14 – $97.57 | 8 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $199.80 | $199.80 | $31.14 – $97.57 | 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.