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 |
|---|---|---|---|---|
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $976.90 | $976.90 | $137.00 – $918.29 | 8 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $7,730.65 | $7,730.65 | $22.79 – $7,266.81 | 8 |
| Mayo androstenedione CPT 82157 | $274.60 | $274.60 | $29.28 – $258.12 | 8 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $150.00 | $150.00 | $14.60 – $141.00 | 8 |
| Mayo antithrombin iii antigen CPT 85301 | not published | not published | $10.81 – $22.36 | 6 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $141.45 | $141.45 | $15.05 – $132.96 | 8 |
| Mayo avwpr vw factor activity CPT 85397 | $192.55 | $192.55 | $30.86 – $181.00 | 8 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $285.80 | $285.80 | $19.91 – $268.65 | 8 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $128.35 | $128.35 | $10.90 – $120.65 | 8 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $96.25 | $96.25 | $10.18 – $90.48 | 8 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $364.90 | $364.90 | $109.47 – $343.01 | 8 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $388.20 | $388.20 | $116.46 – $364.91 | 8 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | not published | not published | $12.90 – $27.03 | 6 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $453.20 | $453.20 | $10.50 – $426.01 | 8 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $75.00 | $75.00 | $10.68 – $56.25 | 8 |
| Mayo brcmg brucella antibody igm CPT 86622 | not published | not published | $8.93 – $18.71 | 6 |
| Mayo c1 esterase inhibitor CPT 83883 | $96.05 | $96.05 | $13.60 – $90.29 | 8 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $190.00 | $190.00 | $12.80 – $178.60 | 8 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $104.55 | $104.55 | $16.87 – $98.28 | 8 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $191.00 | $191.00 | $20.00 – $179.54 | 8 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $283.75 | $283.75 | $85.13 – $266.73 | 8 |
| Mayo ceruloplasmin CPT 82390 | $106.95 | $106.95 | $10.74 – $100.53 | 8 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $141.45 | $141.45 | $14.12 – $132.96 | 8 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $542.85 | $542.85 | $12.88 – $510.28 | 8 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $115.30 | $115.30 | $11.82 – $108.38 | 8 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $123.60 | $123.60 | $12.68 – $116.18 | 8 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $635.35 | $635.35 | $62.98 – $597.23 | 8 |
| Mayo chromium CPT 82495 | $194.95 | $194.95 | $20.28 – $183.25 | 8 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $147.65 | $147.65 | $12.20 – $138.79 | 8 |
| Mayo coccidioides antibody CPT 86635 | $71.85 | $71.85 | $11.47 – $67.54 | 8 |
| Mayo cocou cortisone urine CPT 82542 | $128.35 | $128.35 | $17.47 – $120.65 | 8 |
| Mayo cortisol free CPT 82530 | $161.60 | $161.60 | $16.71 – $151.90 | 8 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $83.30 | $83.30 | $23.89 – $72.62 | 8 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $62.20 | $62.20 | $12.12 – $58.47 | 8 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $853.00 | $853.00 | $16.36 – $801.82 | 8 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $187.75 | $187.75 | $14.18 – $176.49 | 8 |
| Mayo cyanide CPT 82600 | not published | not published | $19.40 – $40.65 | 6 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | not published | not published | $56.63 – $114.56 | 7 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $505.40 | $505.40 | $13.25 – $475.08 | 8 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $241.25 | $241.25 | $25.27 – $226.78 | 8 |
| Mayo dihydrotestosterone CPT 82642 | $246.00 | $246.00 | $29.28 – $231.24 | 8 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $9.64 – $20.20 | 6 |
| Mayo efpo chloride stool CPT 82438 | not published | not published | $5.00 – $10.16 | 6 |
| Mayo estriol CPT 82677 | $169.95 | $169.95 | $24.18 – $159.75 | 8 |
| Mayo estrone CPT 82679 | $147.75 | $147.75 | $24.95 – $138.89 | 8 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $158.10 | $158.10 | $16.34 – $148.61 | 8 |
| Mayo everolimus therapeutic drug level CPT 80169 | $82.40 | $82.40 | $13.26 – $77.46 | 8 |
| Mayo factor ii CPT 85210 | $144.25 | $144.25 | $12.98 – $135.60 | 8 |
| Mayo factor v CPT 85220 | $192.75 | $192.75 | $17.65 – $181.19 | 8 |
| Mayo factor vii CPT 85230 | $195.40 | $195.40 | $17.90 – $183.68 | 8 |
| Mayo factor viii vw factor antigen CPT 85246 | $249.40 | $249.40 | $22.94 – $234.44 | 8 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $249.40 | $249.40 | $22.94 – $234.44 | 8 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $249.40 | $249.40 | $22.94 – $234.44 | 8 |
| Mayo factor x CPT 85260 | $195.40 | $195.40 | $17.90 – $183.68 | 8 |
| Mayo factor xi CPT 85270 | $195.40 | $195.40 | $17.90 – $183.68 | 8 |
| Mayo fat/lipids feces quantitative CPT 82710 | not published | not published | $16.80 – $35.20 | 6 |
| Mayo fbl culture fungi blood CPT 87103 | $99.80 | $99.80 | $16.39 – $93.81 | 8 |
| Mayo fdp/fsp paracoagulation CPT 85366 | not published | not published | $13.70 – $168.60 | 6 |
| Mayo ffspg allergen clam igg CPT 86001 | $48.80 | $48.80 | $7.82 – $45.87 | 8 |
| Mayo fibrinogen antigen CPT 85385 | not published | not published | $14.46 – $30.30 | 6 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $131.90 | $131.90 | $21.67 – $123.99 | 8 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $648.25 | $648.25 | $194.48 – $609.36 | 8 |
| Mayo hemosiderin qualitative urine CPT 83070 | $54.00 | $54.00 | $4.75 – $50.76 | 8 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $252.00 | $252.00 | $35.09 – $236.88 | 8 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | not published | not published | $35.09 – $73.19 | 6 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $86.05 | $86.05 | $13.79 – $80.89 | 8 |
| Mayo hla typing a/b/c single antigen CPT 86812 | not published | not published | $25.81 – $54.08 | 6 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $230.85 | $230.85 | $8.89 – $217.00 | 8 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $230.85 | $230.85 | $13.52 – $217.00 | 8 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $226.70 | $226.70 | $27.17 – $213.10 | 8 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $136.45 | $136.45 | $17.27 – $128.26 | 8 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $82.00 | $82.00 | $14.99 – $77.08 | 8 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $199.65 | $199.65 | $20.81 – $187.67 | 8 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $199.65 | $199.65 | $20.81 – $187.67 | 8 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | not published | not published | $73.53 – $116.08 | 2 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $129.95 | $129.95 | $16.07 – $122.15 | 8 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $106.95 | $106.95 | $11.98 – $100.53 | 8 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $315.35 | $315.35 | $35.09 – $296.43 | 8 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $210.55 | $210.55 | $19.91 – $197.92 | 8 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | not published | not published | $35.09 – $73.19 | 6 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | not published | not published | $73.53 – $116.08 | 2 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $436.85 | $436.85 | $42.84 – $410.64 | 8 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $325.40 | $325.40 | $72.19 – $305.88 | 8 |
| Mayo infliximab therapeutic drug level CPT 80230 | $545.05 | $545.05 | $21.88 – $512.35 | 8 |
| Mayo inhab inhibin a CPT 86336 | $117.70 | $117.70 | $15.59 – $110.64 | 8 |
| Mayo insft insulin free CPT 83527 | not published | not published | $12.95 – $27.11 | 6 |
| Mayo insulin antibodies CPT 86337 | $169.70 | $169.70 | $21.41 – $159.52 | 8 |
| Mayo iodine CPT 83789 | $145.35 | $145.35 | $24.11 – $136.63 | 8 |
| Mayo itraconazole therapeutic drug level CPT 80189 | not published | not published | $15.37 – $56.81 | 6 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $221.05 | $221.05 | $15.37 – $207.79 | 8 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $131.90 | $131.90 | $13.25 – $123.99 | 8 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $123.60 | $123.60 | $12.79 – $116.18 | 8 |
| Mayo legionella antibody CPT 86713 | $70.00 | $70.00 | $15.30 – $65.80 | 8 |
| Mayo leptospira antibody igm CPT 86720 | not published | not published | $15.81 – $33.88 | 6 |
| Mayo lipoprotein electrophoresis CPT 83700 | $90.20 | $90.20 | $11.26 – $84.79 | 8 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $171.25 | $171.25 | $15.49 – $160.98 | 8 |
| Mayo manganese CPT 83785 | $105.00 | $105.00 | $26.65 – $98.70 | 8 |
| Mayo metanephrines plasma CPT 83835 | $164.00 | $164.00 | $16.94 – $154.16 | 8 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $158.10 | $158.10 | $10.12 – $148.61 | 8 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $349.45 | $349.45 | $10.44 – $328.48 | 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.