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 |
|---|---|---|---|---|
| Muscle-skin graft trunk CPT 15734 | not published | not published | $1,433.72 – $3,072.47 | 7 |
| Muscle test cran nerv unilat CPT 95867 | not published | not published | $40.40 – $83.38 | 7 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $62.25 – $130.82 | 7 |
| Muscle test larynx CPT 95865 | not published | not published | $79.70 – $132.18 | 7 |
| Muscle test one fiber CPT 95872 | not published | not published | $73.17 – $167.08 | 7 |
| Muscle transfers CPT 23397 | not published | not published | $1,093.75 – $2,344.52 | 7 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $1,230.03 – $2,648.84 | 7 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $991.30 – $2,103.21 | 7 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $726.00 – $1,559.61 | 7 |
| Mycobacteria dna amp probe CPT 87551 | not published | not published | $47.38 – $101.00 | 6 |
| Mycobacteria dna dir probe CPT 87550 | not published | not published | $20.05 – $42.01 | 6 |
| Mycobacteria dna quant CPT 87552 | not published | not published | $42.84 – $89.48 | 6 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | not published | not published | $0.16 – $0.29 | 7 |
| Mycophenolic acid HCPCS J7518 | not published | not published | $0.37 – $1.02 | 7 |
| Mycoplasma antibody igm CPT 86738 | $76.00 | $76.00 | $13.24 – $71.44 | 8 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $1,052.40 | $1,052.40 | $175.40 – $989.26 | 8 |
| Myelogphy 2/> spine regions CPT 72270 | not published | not published | $65.07 – $132.85 | 7 |
| Myelography l-s spine CPT 72265 | $1,272.50 | $1,272.50 | $39.29 – $1,065.08 | 8 |
| Myelography neck spine CPT 72240 | $1,357.40 | $1,357.40 | $43.67 – $1,136.14 | 8 |
| Myelography thoracic spine CPT 72255 | $1,206.50 | $1,206.50 | $45.59 – $1,009.84 | 8 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | not published | not published | $118.71 – $528.10 | 8 |
| Myelography via inj w/s&i cervical CPT 62302 | $1,636.50 | $1,636.50 | $115.70 – $487.63 | 8 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $1,636.50 | $1,636.50 | $114.01 – $485.06 | 8 |
| Myelography via inj w/s&i thoracic CPT 62303 | $1,636.50 | $1,636.50 | $115.70 – $495.99 | 8 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $145.35 | $145.35 | $11.53 – $136.63 | 8 |
| Myocardial resection 33542 CPT 33542 | not published | not published | $2,462.96 – $5,257.01 | 7 |
| Myocrd img pet 1std rst/strs CPT 78491 | not published | not published | $69.84 – $144.38 | 7 |
| Myocrd img pet 1 std w/ct CPT 78429 | not published | not published | $78.45 – $158.60 | 7 |
| Myocrd img pet 2rtracer CPT 78432 | not published | not published | $92.51 – $193.18 | 7 |
| Myocrd img pet 2rtracer CT CPT 78433 | not published | not published | $100.96 – $206.04 | 7 |
| Myocrd img pet mlt rst&strs CPT 78492 | not published | not published | $82.96 – $167.43 | 7 |
| Myocrd img pet rst&strs CT CPT 78431 | not published | not published | $86.73 – $175.56 | 7 |
| Myocrd img pet rst/strs w/ct CPT 78430 | not published | not published | $74.27 – $149.80 | 7 |
| Myomectomy abdom complex CPT 58146 | not published | not published | $1,120.88 – $2,351.29 | 7 |
| Myomectomy abdom method CPT 58140 | not published | not published | $905.01 – $1,878.18 | 7 |
| Myomectomy vag method CPT 58145 | not published | not published | $550.54 – $1,148.86 | 7 |
| Myown harv prep proc sq cm HCPCS Q4226 | not published | not published | $251.91 – $1,224.00 | 7 |
| Myringoplasty CPT 69620 | not published | not published | $478.97 – $1,438.48 | 8 |
| Nabilone oral HCPCS J8650 | not published | not published | $31.85 – $39.98 | 3 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $69.70 | $69.70 | $0.48 – $57.66 | 8 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $26.88 | $26.88 | $2.81 – $25.27 | 8 |
| Naltrexone, depot form HCPCS J2315 | $5,141.01 | $5,141.01 | $3.80 – $4,832.55 | 8 |
| Nandrolone decanoate 50 mg HCPCS J2320 | not published | not published | $3.75 – $8.13 | 3 |
| Narcosynthesis CPT 90865 | not published | not published | $121.82 – $311.60 | 8 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $140.50 | $140.50 | $62.50 – $347.37 | 8 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | $548.10 | $548.10 | $164.43 – $515.21 | 8 |
| Nasal function studies CPT 92512 | not published | not published | $26.80 – $124.00 | 8 |
| Nasal septal prosthesis HCPCS L8047 | not published | not published | $1,383.19 – $2,180.60 | 3 |
| Nasal/sinus endoscopy surg CPT 31287 | not published | not published | $194.79 – $408.71 | 7 |
| Nasal/sinus endoscopy surg CPT 31290 | not published | not published | $1,108.48 – $2,335.03 | 7 |
| Nasal/sinus endoscopy surg CPT 31291 | not published | not published | $1,175.37 – $2,499.73 | 7 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | not published | not published | $154.18 – $497.26 | 8 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | not published | not published | $226.32 – $475.14 | 7 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | not published | not published | $153.29 – $324.67 | 7 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | not published | not published | $235.01 – $843.56 | 8 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | not published | not published | $312.61 – $654.76 | 7 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | not published | not published | $365.03 – $765.92 | 7 |
| Nasal/sinus maxillary endoscopy dx 31233 CPT 31233 | not published | not published | $130.27 – $503.27 | 8 |
| Nasal/sinus sphenoid endoscopy dx 31235 CPT 31235 | not published | not published | $153.64 – $602.63 | 8 |
| Nasal sinus therapy CPT 30210 | not published | not published | $99.20 – $293.61 | 8 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $203.60 | $203.60 | $36.69 – $170.41 | 8 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $25,966.61 | $25,966.61 | $24.07 – $24,408.61 | 8 |
| Natriuretic peptide CPT 83880 | $367.90 | $367.90 | $39.26 – $345.83 | 8 |
| Natural killer cells total count CPT 86357 | $237.70 | $237.70 | $20.82 – $223.44 | 8 |
| Navigational bronchoscopy 31627 CPT 31627 | not published | not published | $92.40 – $2,043.67 | 8 |
| Nav srv peer sup 60 min pr m HCPCS G0140 | not published | not published | $90.38 – $401.60 | 5 |
| N block inj common digit CPT 64632 | not published | not published | $65.10 – $175.39 | 8 |
| N block inj hypogas plxs CPT 64517 | $2,615.05 | $2,615.05 | $122.24 – $375.19 | 8 |
| Nctrnl pen tmscn&/rgdity tst CPT 54250 | not published | not published | $25.23 – $204.95 | 7 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | not published | not published | $18.87 – $39.31 | 7 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $191.35 | $191.35 | $14.73 – $49.46 | 8 |
| Ndl insj without njx 3+ musc CPT 20561 | $191.35 | $191.35 | $22.04 – $71.31 | 8 |
| Ndl oculoelectromyography 1+ CPT 92265 | not published | not published | $44.49 – $85.41 | 7 |
| Ndsc dcmprn 1 ntrspc lumbar CPT 62380 | not published | not published | $1,690.39 – $3,124.82 | 5 |
| Ndsc hrv uxtr art 1 sgm cab CPT 33509 | not published | not published | $162.40 – $344.99 | 7 |
| Nebulizer Breathing Treatment CPT 94640 | $366.70 | $366.70 | $8.35 – $16.26 | 8 |
| Neck Airway (Soft Tissue) X-ray CPT 70360 | $221.10 | $221.10 | $8.64 – $185.06 | 8 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $2,504.65 | $2,504.65 | $59.55 – $2,096.39 | 8 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $2,050.30 | $2,050.30 | $57.28 – $1,716.10 | 8 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,430.20 | $1,430.20 | $46.73 – $1,197.08 | 8 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $3,956.45 | $3,956.45 | $107.81 – $3,311.55 | 8 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $3,136.80 | $3,136.80 | $84.43 – $2,625.50 | 8 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $2,554.55 | $2,554.55 | $69.85 – $2,138.16 | 8 |
| Neck (Cervical Spine) X-ray (2 to 3 views) CPT 72040 | $307.30 | $307.30 | $10.65 – $21.69 | 8 |
| Neck (Cervical Spine) X-ray (4 to 5 views) CPT 72050 | $438.10 | $438.10 | $12.99 – $26.44 | 8 |
| Neck (Cervical Spine) X-ray (6 or more views) CPT 72052 | $563.50 | $563.50 | $14.26 – $29.15 | 8 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $3,955.10 | $3,955.10 | $84.80 – $3,310.42 | 8 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $3,136.80 | $3,136.80 | $70.54 – $2,625.50 | 8 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $2,554.55 | $2,554.55 | $56.59 – $2,138.16 | 8 |
| Neck Soft Tissue CT Scan (with and without contrast) CPT 70492 | $2,434.55 | $2,434.55 | $75.94 – $2,037.72 | 8 |
| Neck Soft Tissue CT Scan (with contrast) CPT 70491 | $1,934.45 | $1,934.45 | $65.23 – $1,619.13 | 8 |
| Neck Soft Tissue CT Scan (without contrast) CPT 70490 | $1,430.20 | $1,430.20 | $60.52 – $1,197.08 | 8 |
| Neck spine disk surgery CPT 63020 | not published | not published | $1,041.20 – $2,286.90 | 7 |
| Neck spine disk surgery 63075 CPT 63075 | not published | not published | $1,287.11 – $2,799.98 | 7 |
| Neck spine disk surgery 63076 CPT 63076 | not published | not published | $229.15 – $496.83 | 7 |
| Needle emg guid w/chemodenervation add-on CPT 95874 | not published | not published | $18.96 – $38.64 | 7 |
| Neg press ventilation cnp CPT 94662 | not published | not published | $34.19 – $69.13 | 7 |
| Neg pres wound ther drsg set HCPCS A6550 | not published | not published | $24.04 – $64.62 | 3 |
| Neisseria meningitidis CPT 86741 | not published | not published | $13.19 – $27.64 | 6 |
| Nelarabine injection HCPCS J9261 | not published | not published | $73.32 – $147.77 | 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.