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 |
|---|---|---|---|---|
| Hemoglobin thermolabile CPT 83065 | not published | not published | $9.00 – $18.86 | 6 |
| Hemoglobin urine CPT 83069 | not published | not published | $3.95 – $8.13 | 6 |
| Hemolysin acid CPT 85475 | not published | not published | $8.87 – $18.29 | 6 |
| Hemolysins/agglutinins auto CPT 86940 | not published | not published | $8.77 – $18.29 | 6 |
| Hemolysins and agglutinins incubated CPT 86941 | not published | not published | $12.11 – $25.08 | 6 |
| Hemoperfusion CPT 90997 | not published | not published | $86.10 – $177.59 | 7 |
| Hemophilus influenza antibdy CPT 86684 | not published | not published | $15.84 – $33.19 | 6 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | not published | not published | $426.73 – $912.31 | 7 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $2,647.15 | $2,647.15 | $185.17 – $548.02 | 8 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | not published | not published | $372.89 – $801.17 | 7 |
| Hepagam b im injection HCPCS J1571 | not published | not published | $59.62 – $130.34 | 7 |
| Hepagam b intravenous, inj HCPCS J1573 | not published | not published | $90.77 – $190.38 | 4 |
| Heparin assay CPT 85520 | $140.90 | $140.90 | $13.09 – $132.45 | 8 |
| Heparin bolus from bag HCPCS J1644 | $176.40 | $176.40 | $0.23 – $22.14 | 8 |
| Heparin neutralization CPT 85525 | not published | not published | $11.84 – $24.81 | 6 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | not published | not published | $0.02 – $0.04 | 7 |
| Heparin-protamine tolerance CPT 85530 | not published | not published | $13.09 – $27.11 | 6 |
| Hepatectomy removal of liver 47120 CPT 47120 | not published | not published | $2,223.02 – $4,758.15 | 7 |
| Hepatitis a antibody igm CPT 86709 | $126.70 | $126.70 | $11.26 – $119.10 | 8 |
| Hepatitis b core antibody igm CPT 86705 | $130.75 | $130.75 | $11.77 – $122.91 | 8 |
| Hepatitis b core antibody total CPT 86704 | $133.40 | $133.40 | $12.05 – $125.40 | 8 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | not published | not published | $134.40 – $289.23 | 7 |
| Hepatitis b surface ag quan CPT 87467 | not published | not published | $8.54 – $53.06 | 6 |
| Hepatitis b surface antibody CPT 86706 | $115.95 | $115.95 | $10.74 – $108.99 | 8 |
| Hepatitis b vaccine 40 mcg/ml inj-adult CPT 90747 | not published | not published | $143.56 – $278.23 | 7 |
| Hepatitis c antibody CPT 86803 | $374.85 | $374.85 | $14.27 – $121.78 | 8 |
| Hepatitis c rna dir probe CPT 87520 | not published | not published | $31.22 – $65.42 | 6 |
| Hepatitis d quantification CPT 87523 | not published | not published | $42.84 – $141.72 | 3 |
| Hepatitis g dna amp probe CPT 87526 | not published | not published | $39.26 – $82.02 | 6 |
| Hepatitis g dna dir probe CPT 87525 | not published | not published | $29.80 – $62.36 | 6 |
| Hepatitis g dna quant CPT 87527 | not published | not published | $41.76 – $87.44 | 6 |
| Hep b vac 3ag 10mcg 3 dos im CPT 90759 | not published | not published | $72.52 – $145.93 | 7 |
| Hepb vacc 3 dose immunsup im CPT 90740 | not published | not published | $155.16 – $312.64 | 7 |
| Hereditary colon ca dsordrs CPT 81435 | not published | not published | $584.90 – $1,225.45 | 6 |
| Hereditary colon ca dsordrs CPT 81436 | not published | not published | $584.90 – $1,225.54 | 6 |
| Hered neuroend tum-rlt do 5+ CPT 81437 | not published | not published | $438.93 – $919.77 | 6 |
| Hered rta do gen seq 15 CPT 81434 | not published | not published | $597.91 – $1,252.57 | 6 |
| Heredtry nurondcrn tum dsrdr CPT 81438 | not published | not published | $438.93 – $919.75 | 6 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $500.27 – $1,080.41 | 7 |
| Herpes simplex 1 ag if CPT 87274 | not published | not published | $11.98 – $25.08 | 6 |
| Herpes simplex 2 ag if CPT 87273 | not published | not published | $11.98 – $25.08 | 6 |
| Herpes simplex type 1 antibody igg CPT 86695 | $128.35 | $128.35 | $13.19 – $120.65 | 8 |
| Herpes simplex type 2 antibody igg CPT 86696 | $185.40 | $185.40 | $19.35 – $174.28 | 8 |
| Herpes simplex virus isolation CPT 87255 | not published | not published | $33.86 – $70.95 | 6 |
| Heterophile antibodies screening CPT 86308 | $59.40 | $59.40 | $5.18 – $55.84 | 8 |
| Heterophile antibodies titer CPT 86309 | not published | not published | $6.47 – $13.56 | 6 |
| Heterophile antibody absrbj CPT 86310 | not published | not published | $7.37 – $15.44 | 6 |
| Hexa gene CPT 81255 | $366.85 | $366.85 | $51.45 – $344.84 | 8 |
| Hfo nontorsion jnts pre cst HCPCS L3929 | $353.65 | $353.65 | $68.08 – $332.43 | 8 |
| Hfo nontorsion jnts pre ots HCPCS L3930 | not published | not published | $68.08 – $180.58 | 3 |
| Hgb methemoglobin qual CPT 83045 | not published | not published | $6.49 – $13.56 | 6 |
| Hhv-6 dna dir probe CPT 87531 | not published | not published | $36.47 – $121.33 | 6 |
| Hhv-6 dna quant CPT 87533 | not published | not published | $41.76 – $87.44 | 6 |
| Hib-hepb vaccine im CPT 90748 | not published | not published | $47.11 – $96.93 | 3 |
| Hib-mency vacc 6wk-18m0 im CPT 90644 | not published | not published | $24.95 – $46.10 | 3 |
| Hi enrgy eswt plantar fascia CPT 28890 | not published | not published | $213.85 – $604.56 | 8 |
| High activity knee frame HCPCS L5930 | not published | not published | $3,290.85 – $8,729.84 | 3 |
| High compres band w>=3"<5"yd HCPCS A6452 | not published | not published | $6.56 – $17.27 | 3 |
| High inten beh couns std 30m HCPCS G0445 | not published | not published | $22.08 – $60.33 | 7 |
| Hinge extension/flex wrist/f HCPCS L3900 | not published | not published | $1,132.92 – $3,005.38 | 3 |
| Hinge ext/flex wrist finger HCPCS L3901 | not published | not published | $1,399.42 – $3,712.32 | 3 |
| Hip adj flex ext abduct cont HCPCS L2624 | not published | not published | $294.68 – $781.72 | 3 |
| Hip and Pelvis X-ray (2 views, both hips) CPT 73521 | $504.15 | $504.15 | $10.65 – $21.69 | 8 |
| Hip and Pelvis X-ray (3 to 4 views, both hips) CPT 73522 | $504.15 | $504.15 | $14.00 – $28.48 | 8 |
| Hip and Pelvis X-ray (single view, left side) CPT 73501 | $304.60 | $304.60 | $8.95 – $18.29 | 8 |
| Hip arthr0 w/debridement CPT 29862 | not published | not published | $781.78 – $1,680.94 | 7 |
| Hip arthr0 w/synovectomy CPT 29863 | not published | not published | $780.44 – $1,689.76 | 7 |
| Hip arthro acetabuloplasty CPT 29915 | not published | not published | $977.82 – $2,092.38 | 7 |
| Hip arthroscopy dx CPT 29860 | not published | not published | $621.97 – $1,369.16 | 7 |
| Hip arthro w/fb removal CPT 29861 | not published | not published | $685.42 – $1,440.32 | 7 |
| Hip arthro w/femoroplasty CPT 29914 | not published | not published | $956.12 – $2,053.07 | 7 |
| Hip arthro w/labral repair CPT 29916 | not published | not published | $978.76 – $2,095.08 | 7 |
| Hip canad sing axi cons fric HCPCS L5250 | not published | not published | $5,282.32 – $14,012.72 | 3 |
| Hip clevis/thrust bearing fr HCPCS L2600 | not published | not published | $182.77 – $484.84 | 3 |
| Hip clevis/thrust bearing lo HCPCS L2610 | not published | not published | $216.12 – $573.31 | 3 |
| Hip clevis type 2 posit jnt HCPCS L2570 | not published | not published | $423.87 – $1,124.41 | 3 |
| Hip disart canadian sach ft HCPCS L5331 | not published | not published | $4,888.96 – $12,969.22 | 3 |
| Hip disartic sach thermopls HCPCS L5595 | not published | not published | $4,688.62 – $12,437.79 | 3 |
| Hip disart sach laminat mold HCPCS L5600 | not published | not published | $5,544.12 – $14,707.23 | 3 |
| Hip flexible cover system HCPCS L5966 | not published | not published | $1,300.56 – $3,450.09 | 3 |
| Hip flex inner socket ext fr HCPCS L5643 | not published | not published | $1,967.51 – $5,219.31 | 3 |
| Hip joint adjustable flexion HCPCS L2622 | not published | not published | $363.69 – $964.76 | 3 |
| Hip X-ray CPT 73502 | $304.60 | $304.60 | $10.00 – $21.69 | 8 |
| Histamine CPT 83088 | $302.10 | $302.10 | $29.53 – $283.97 | 8 |
| Histochemical stains add-on CPT 88314 | not published | not published | $20.16 – $39.31 | 7 |
| Histoplasmosis skin test CPT 86510 | not published | not published | $6.79 – $15.59 | 7 |
| Hiv-1 ag ia CPT 87390 | not published | not published | $24.06 – $50.16 | 6 |
| Hiv-1 dna dir probe CPT 87534 | not published | not published | $21.92 – $45.93 | 6 |
| Hiv-2 ag ia CPT 87391 | not published | not published | $21.90 – $45.89 | 6 |
| HIV 2 pcr qual - sendout CPT 87537 | not published | not published | $21.92 – $45.93 | 6 |
| Hiv-2 quant&revrse trnscripj CPT 87539 | not published | not published | $58.62 – $122.69 | 6 |
| HIV prep counsel, clin staff HCPCS G0013 | not published | not published | $15.85 – $129.34 | 5 |
| HIV prep, ftc/taf 200/25mg HCPCS J0751 | not published | not published | $73.41 – $140.92 | 2 |
| HIV prep, ftc/tdf 200/300mg HCPCS J0750 | $118.29 | $118.29 | $1.22 – $111.19 | 8 |
| HIV prep, inj, cabotegravir HCPCS J0739 | not published | not published | $6.48 – $13.62 | 3 |
| Hizentra injection HCPCS J1559 | not published | not published | $12.87 – $26.97 | 7 |
| Hkafo torsion ball bearing j HCPCS L2060 | not published | not published | $575.36 – $1,526.29 | 3 |
| Hkafo torsion bil rot straps HCPCS L2040 | not published | not published | $202.01 – $535.89 | 3 |
| Hkafo torsion cable hip pelv HCPCS L2050 | not published | not published | $565.22 – $1,499.39 | 3 |
| Hkafo torsion unilat rot str HCPCS L2070 | not published | not published | $138.89 – $368.42 | 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.