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 |
|---|---|---|---|---|
| Interferon alfacon-1 inj HCPCS J9212 | not published | not published | $6.55 – $12.89 | 3 |
| Interferon alfa-n3 inj HCPCS J9215 | not published | not published | $30.72 – $34.57 | 3 |
| Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 | not published | not published | $53.69 – $109.95 | 7 |
| Interferon beta-1a inj HCPCS J1826 | not published | not published | $1,180.04 – $5,794.17 | 4 |
| Interferon beta-1b / .25 mg HCPCS J1830 | not published | not published | $524.36 – $1,109.57 | 3 |
| Interferon gamma 1-b inj HCPCS J9216 | not published | not published | $606.63 – $8,304.94 | 3 |
| Interfyl, 1 mg HCPCS Q4171 | not published | not published | $10.90 – $23.55 | 7 |
| Intermediate visual field xm CPT 92082 | not published | not published | $20.31 – $41.34 | 7 |
| Internal nerve revision 64727 CPT 64727 | not published | not published | $172.91 – $361.27 | 7 |
| Interphalangeal joint spacer HCPCS L8658 | not published | not published | $385.81 – $1,023.45 | 3 |
| Interrogate subq defib CPT 93261 | not published | not published | $35.41 – $69.82 | 7 |
| Interrogation vad in person CPT 93750 | not published | not published | $38.32 – $97.65 | 8 |
| Interrog dev eval icpms ip CPT 93290 | not published | not published | $20.63 – $41.34 | 7 |
| Interrog dev eval scrms ip CPT 93291 | not published | not published | $17.17 – $35.25 | 7 |
| Interrog device eval heart CPT 93289 | not published | not published | $35.89 – $71.85 | 7 |
| Interrog evl pm/ldls pm ip CPT 93288 | $107.45 | $107.45 | $20.09 – $89.94 | 8 |
| Interrog&prgrmg ipnss CPT 93151 | not published | not published | $72.12 – $398.50 | 6 |
| Interrog&prgrmg ipnss polysm CPT 93152 | not published | not published | $168.38 – $1,302.04 | 6 |
| Interrog without prgrmg ipnss CPT 93153 | not published | not published | $38.67 – $398.50 | 6 |
| Interscap-thor myoelectronic HCPCS L6975 | not published | not published | $17,872.55 – $47,411.57 | 3 |
| Interscapular-thor switch CT HCPCS L6970 | not published | not published | $15,856.86 – $42,064.44 | 3 |
| Interstitial brachy inter CPT 77799 | not published | not published | $475.38 – $475.38 | 1 |
| Interthoracoscplr amputation CPT 23900 | not published | not published | $1,327.33 – $2,848.12 | 7 |
| Intestinal stricturoplasty CPT 44615 | not published | not published | $1,018.56 – $2,185.22 | 7 |
| Int hrhc lig 1 hroid without img CPT 46945 | not published | not published | $325.70 – $704.90 | 7 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $361.63 – $784.22 | 7 |
| Intl custm cong/latyp insert HCPCS L5681 | not published | not published | $1,224.27 – $3,247.72 | 3 |
| Intra-atrial pacing CPT 93610 | not published | not published | $100.36 – $301.32 | 7 |
| Intra-atrial recording CPT 93602 | not published | not published | $81.87 – $213.29 | 7 |
| Intracard echo interv w/s&i CPT 93662 | not published | not published | $46.77 – $131.70 | 7 |
| Intracran angioplsty w/stent CPT 61635 | not published | not published | $1,398.56 – $3,050.79 | 7 |
| Intracranial angioplasty CPT 61630 | not published | not published | $1,292.84 – $2,787.79 | 7 |
| Intracranial complete study CPT 93886 | not published | not published | $44.55 – $90.82 | 7 |
| Intracranial limited study CPT 93888 | not published | not published | $24.44 – $71.85 | 7 |
| Intracranial vessel surgery CPT 61680 | not published | not published | $2,104.22 – $4,672.07 | 7 |
| Intracranial vessel surgery CPT 61682 | not published | not published | $3,889.60 – $8,521.30 | 7 |
| Intracranial vessel surgery CPT 61684 | not published | not published | $2,667.32 – $5,874.49 | 7 |
| Intracranial vessel surgery CPT 61686 | not published | not published | $4,202.08 – $9,245.19 | 7 |
| Intracranial vessel surgery CPT 61690 | not published | not published | $2,049.67 – $4,523.65 | 7 |
| Intracranial vessel surgery CPT 61692 | not published | not published | $3,416.69 – $7,518.84 | 7 |
| Intranasal biopsy 30100 CPT 30100 | $4,155.40 | $4,155.40 | $65.22 – $272.41 | 8 |
| Intranasal reconstruction CPT 30620 | not published | not published | $655.02 – $1,361.70 | 7 |
| Intraop colon lavage add-on CPT 44701 | not published | not published | $160.36 – $343.65 | 7 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | not published | $373.54 – $738.19 | 7 |
| Intraop hipec px 1st 60 min CPT 96547 | not published | not published | $735.41 – $735.41 | 1 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | $227.50 | $227.50 | $101.70 – $280.76 | 8 |
| Intrapul surf admin endo tube CPT 94610 | not published | not published | $55.03 – $111.83 | 7 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $331.96 – $693.38 | 7 |
| Intraventricular pacing CPT 93612 | not published | not published | $119.21 – $296.82 | 7 |
| Intrinsic factor antibody CPT 86340 | $146.15 | $146.15 | $15.08 – $137.38 | 8 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $49.28 – $171.53 | 8 |
| Intro cath dialysis circuit CPT 36901 | not published | not published | $160.15 – $1,296.04 | 8 |
| Intro cath dialysis circuit w/pta CPT 36902 | not published | not published | $228.14 – $2,282.67 | 8 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | not published | not published | $299.23 – $7,999.34 | 8 |
| Intro catheter aorta CPT 36200 | not published | not published | $130.60 – $1,122.39 | 8 |
| Intro cath svc/ivc CPT 36010 | not published | not published | $102.67 – $1,021.52 | 8 |
| Intro long gi tube CPT 44500 | not published | not published | $18.76 – $38.64 | 7 |
| Intro long gi tube w/mult fluo CPT 74340 | $873.65 | $873.65 | $25.51 – $731.25 | 8 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $141.82 – $1,972.55 | 8 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | not published | not published | $84.17 – $1,789.27 | 8 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | not published | not published | $66.88 – $328.93 | 8 |
| Intubation endotracheal emergency procedure CPT 31500 | $466.40 | $466.40 | $136.52 – $286.72 | 8 |
| Io anal gast n-stim init CPT 95980 | not published | not published | $43.19 – $90.82 | 7 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $17.03 – $75.17 | 8 |
| Iodine i-123 sod iodide mil HCPCS A9509 | not published | not published | $154.19 – $141,809.99 | 6 |
| Iodine i-125 sodium iodide HCPCS A9527 | not published | not published | $43.13 – $905.51 | 6 |
| Iodine i-131 iobenguane 1mci HCPCS A9590 | not published | not published | $326.80 – $1,029.87 | 4 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $34.86 – $105.09 | 8 |
| Ionm in operatng room 15 min CPT 95940 | not published | not published | $31.33 – $65.06 | 7 |
| Ionm remote/>1 pt or per hr CPT 95941 | not published | not published | $244.13 – $244.13 | 1 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $1,893.99 | $1,893.99 | $0.35 – $1,780.35 | 8 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $921.33 | $921.33 | $0.12 – $191.78 | 8 |
| Io radiation tx management CPT 77469 | not published | not published | $311.88 – $659.50 | 7 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $6,879.82 – $33,187.95 | 2 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $6,879.82 – $33,187.95 | 2 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | not published | not published | $0.29 – $141,809.99 | 3 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $26,999.12 | $26,999.12 | $168.76 – $25,379.17 | 8 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | $231.85 | $231.85 | $98.10 – $201.31 | 8 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | $284.45 | $284.45 | $136.32 – $278.57 | 8 |
| Ip/obs consltj new/est hi 80 CPT 99255 | $922.05 | $922.05 | $183.42 – $691.54 | 8 |
| Ip/obs consltj new/est sf 35 CPT 99252 | $181.95 | $181.95 | $70.36 – $142.34 | 8 |
| Ipratropium bromide comp HCPCS J7645 | not published | not published | $0.05 – $0.05 | 2 |
| Ipratropium bromide non-comp HCPCS J7644 | not published | not published | $0.24 – $0.73 | 7 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $84.59 | $84.59 | $1.95 – $79.51 | 8 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $61.15 – $126.94 | 7 |
| Iron CPT 83540 | $71.50 | $71.50 | $6.47 – $67.21 | 8 |
| Iron binding capacity CPT 83550 | $97.05 | $97.05 | $8.74 – $91.23 | 8 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | not published | not published | $16.90 – $34.41 | 7 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $6.88 – $14.23 | 6 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $575.61 | $575.61 | $0.21 – $300.48 | 8 |
| Irradiation of blood product each unit reference CPT 86945 | not published | not published | $29.94 – $42.70 | 3 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $226.50 | $226.50 | $23.82 – $189.58 | 8 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $185.31 – $380.24 | 7 |
| Irrigation syringe HCPCS A4322 | not published | not published | $3.39 – $8.93 | 3 |
| Irrigation tray HCPCS A4320 | not published | not published | $5.94 – $15.63 | 3 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $25.03 – $106.48 | 8 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $73.13 – $156.86 | 7 |
| Island pedicle flap graft CPT 15740 | not published | not published | $807.61 – $1,824.01 | 8 |
| IV cipaglucosidase alfa-atga HCPCS G0138 | not published | not published | $360.58 – $360.58 | 1 |
| Ivc venogram s&i CPT 75825 | not published | not published | $51.62 – $107.77 | 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.