healthcosts.net

Franklin Memorial Hospital

111 Franklin Health Commons, Farmington, ME · MaineHealth · · NPI 1922791417

Source: hospital's published price file ↗ · Published Sep 9, 2025 · Ingested Aug 12, 2026

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
Non-sterile gauze<=16 sq in HCPCS A6216 not published not published $0.05 – $0.10 3
Noonan spectrum disorders CPT 81442 not published not published $1,134.48 – $4,491.78 6
No pt prsnt train add 15 HCPCS G0542 not published not published $50.16 – $50.16 1
No pt prsnt train initial 30 HCPCS G0541 not published not published $93.54 – $93.54 1
Nose (Nasal Bone) X-ray (complete) CPT 70160 $277.70 $277.70 $8.29 – $232.43 8
Novachor 1 sq cm HCPCS Q4194 not published not published $850.00 – $1,697.93 3
Npm1 gene CPT 81310 not published not published $246.52 – $516.48 6
Nps surg dilat eust tube bi CPT 69706 not published not published $234.92 – $5,284.56 8
Nps surg dilat eust tube uni CPT 69705 not published not published $168.42 – $5,116.01 8
Npsy fam hlth interv ea addl 15 min CPT 96168 not published not published $21.43 – $48.83 8
Npsy grp hlth intrv ea addl 15 min CPT 96165 not published not published $4.08 – $8.99 8
Npsy indiv hlth intrv ea addl 15 min CPT 96159 not published not published $19.70 – $43.69 8
Npsy tst eval phsy/qhp 1st hr CPT 96132 not published not published $105.44 – $233.77 8
Npsy tst eval phsy/qhp ea l hr CPT 96133 not published not published $76.78 – $187.60 8
Nqhp ol dig assmt&mgmt 11-20 CPT 98971 not published not published $19.81 – $44.74 8
Nqhp ol dig assmt&mgmt 21+ CPT 98972 not published not published $30.56 – $67.10 8
Nqhp ol dig assmt&mgmt 5-10 CPT 98970 not published not published $11.37 – $23.72 7
Nras gene variants exon 2&3 CPT 81311 $1,765.85 $1,765.85 $295.79 – $1,659.90 8
Nr lnr acclrtr tx max 5 sessions CPT 77373 not published not published $938.60 – $1,989.34 7
Nrv grf 1strnd arm/leg >4 cm CPT 64893 not published not published $1,072.85 – $2,300.45 7
Nrv grf 1strnd arm/leg <4cm CPT 64892 not published not published $1,006.63 – $2,157.44 7
Nrv grf 1strnd hnd/foot <4cm CPT 64890 not published not published $1,034.07 – $2,217.08 7
Nrv grf 1strnd hnd/foot >4cm CPT 64891 not published not published $1,099.27 – $2,356.72 7
Nrv grf mltst arm/leg <4 cm CPT 64897 not published not published $1,211.52 – $2,596.64 7
Nrv grf mltst arm/leg >4 cm CPT 64898 not published not published $1,311.53 – $2,812.20 7
Nrv grf mltst hnd/foot <4 cm CPT 64895 not published not published $1,267.96 – $2,714.59 7
Nrv grf mltst hnd/foot >4 cm CPT 64896 not published not published $1,365.97 – $2,928.10 7
Nrv rpr w/nrv algrft 1st CPT 64912 not published not published $857.50 – $1,835.48 7
Nrv rpr w/nrv algrft ea addl CPT 64913 not published not published $165.67 – $346.35 7
Nsl/sins ndsc med&inf dcmprn CPT 31293 not published not published $1,043.16 – $2,180.49 7
Nsl/sins ndsc med/inf dcmprn CPT 31292 not published not published $963.40 – $2,015.10 7
Nsl/sins ndsc sphn tiss rmvl CPT 31259 not published not published $455.87 – $955.02 7
Nsl/sins ndsc surg frnt sins CPT 31296 not published not published $173.36 – $3,215.53 8
Nsl/sins ndsc surg frnt&sphn CPT 31298 not published not published $247.43 – $5,878.88 8
Nsl/sins ndsc surg max sins CPT 31295 not published not published $152.33 – $3,166.71 8
Nsl/sins ndsc surg on dcmprn CPT 31294 not published not published $1,191.93 – $2,492.27 7
Nsl/sins ndsc surg sphn sins CPT 31297 not published not published $138.82 – $3,139.09 8
Nsl/sins ndsc total CPT 31253 not published not published $483.47 – $1,011.28 7
Nsl/sins ndsc tot w/sphendt CPT 31257 not published not published $430.83 – $902.15 7
Nsl/sinus endoscopy surg dcr CPT 31239 not published not published $586.83 – $1,239.01 7
Nsl/sinus ndsc cryoabltj pnn CPT 31243 not published not published $280.76 – $25,682.35 6
Nsl/sinus ndsc rf abltj pnn CPT 31242 not published not published $280.76 – $25,682.35 6
Nsl/sns ndsc lig sphnptn art CPT 31241 not published not published $429.57 – $898.75 7
Ntraop hipec px ea add 30min CPT 96548 not published not published $336.86 – $336.86 1
Ntrk1 translocation analysis CPT 81191 not published not published $117.59 – $434.40 6
Ntrk2 translocation analysis CPT 81192 not published not published $117.59 – $434.40 6
Ntrk3 translocation analysis CPT 81193 not published not published $117.59 – $434.40 6
Ntrk translocation analysis CPT 81194 not published not published $293.99 – $1,085.83 6
Ntrprof ph1/ntrnet/ehr 11-20 CPT 99447 not published not published $34.62 – $72.52 7
Ntrprof ph1/ntrnet/ehr 21-30 CPT 99448 not published not published $52.62 – $107.77 7
Ntrprof ph1/ntrnet/ehr 31/> CPT 99449 not published not published $69.95 – $145.72 7
Ntrprof ph1/ntrnet/ehr 5/> CPT 99451 not published not published $34.79 – $69.13 7
Ntrprof ph1/ntrnet/ehr 5-10 CPT 99446 not published not published $17.38 – $35.92 7
Ntrprof ph1/ntrnet/ehr rfrl CPT 99452 not published not published $32.60 – $70.49 7
Ntsty modul rad tx dlvr cplx CPT 77386 not published not published $519.85 – $706.94 3
Ntsty modul rad tx dlvr smpl CPT 77385 not published not published $519.85 – $704.23 3
Nuclear exam of tear flow CPT 78660 not published not published $21.36 – $42.70 7
Nuclear matrix protein 22 CPT 86386 not published not published $21.78 – $45.41 6
Nuclear rx intra-arterial CPT 79445 not published not published $108.01 – $215.66 7
Nuclear rx intra-articular CPT 79440 not published not published $68.38 – $149.05 7
Nuclear rx intracav admin CPT 79200 not published not published $79.56 – $149.05 7
Nuclear rx IV admin CPT 79101 not published not published $92.64 – $176.68 7
Nuclear Stress Test (Heart) CPT 78452 $2,206.65 $2,206.65 $74.86 – $151.14 8
Nuclr rx interstit colloid CPT 79300 not published not published $63.88 – $120.14 7
Nudge control elbow lock HCPCS L6637 not published not published $464.17 – $1,231.34 3
Nudt15 gene common variants CPT 81306 not published not published $291.36 – $610.53 6
Nursing fac care supervision CPT 99379 not published not published $53.05 – $131.06 7
Nursing fac care supervision CPT 99380 not published not published $83.01 – $194.67 7
Nursing facility discharge management > 30 min 99316 CPT 99316 $273.00 $273.00 $128.00 – $263.67 8
Nursing facility discharge management 30 min/less than 99315 CPT 99315 not published not published $79.44 – $164.70 7
Nushield 1 square cm HCPCS Q4160 not published not published $97.64 – $185.68 7
Nusinersen (pf) 12 mg/5 ml intrathecal solution HCPCS J2326 not published not published $1,172.16 – $3,673.15 4
Obecbtge autol up to 400 mil HCPCS Q2058 not published not published $298,142.51 – $298,142.51 1
Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 $26,194.73 $26,194.73 $68.25 – $24,623.05 8
Obltrj a-pulm sep def w/byp CPT 33814 not published not published $1,434.65 – $3,069.75 7
Observation care discharge CPT 99217 not published not published $117.89 – $117.89 1
Observation direct referral from physician office for admission HCPCS G0379 $1,971.40 $1,971.40 $591.42 – $1,853.12 8
Observation/inpatient hospital care hi severity 99236 CPT 99236 $449.20 $449.20 $204.49 – $418.21 8
Observation/inpatient hospital care low severity 99234 CPT 99234 $212.60 $212.60 $96.33 – $196.55 8
Observation/inpatient hospital care mod severity 99235 CPT 99235 $342.90 $342.90 $155.96 – $319.93 8
Observation per hour HCPCS G0378 $120.30 $120.30 $36.09 – $113.08 8
Obstetrical care 59410 CPT 59410 not published not published $1,009.72 – $2,202.18 7
Obstetric panel inc HIV tstg CPT 80081 not published not published $74.86 – $156.57 6
Obstetrics panel CPT 80055 not published not published $47.81 – $100.18 6
Obtaining screen pap smear HCPCS Q0091 not published not published $17.17 – $36.61 7
Ob Ultrasound nuchal meas 1 gest CPT 76813 not published not published $56.08 – $112.52 7
Ob Ultrasound nuchal meas add-on CPT 76814 not published not published $46.55 – $89.30 7
Occlude fallopian tube(s) device 58615 CPT 58615 not published not published $245.91 – $516.48 7
Occupational Therapy Evaluation (high complexity) CPT 97167 $533.90 $533.90 $98.55 – $446.87 8
Occupational Therapy Evaluation (low complexity) CPT 97165 $436.85 $436.85 $98.55 – $365.64 8
Occupational Therapy Evaluation (moderate complexity) CPT 97166 $483.95 $483.95 $98.55 – $405.07 8
Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 $62,777.42 $62,777.42 $58.76 – $59,010.77 8
Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 $30.24 $30.24 $0.89 – $25.74 8
Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 not published not published $208.63 – $431.68 7
Ocular function screen CPT 99172 not published not published $6.77 – $37.42 3
Ocular instrumnt screen bil CPT 99174 not published not published $5.54 – $12.89 6
Ocular instrumnt screen bil CPT 99177 not published not published $4.29 – $10.16 6
Ocular photodynamic ther CPT 67221 not published not published $200.18 – $496.18 8
Ocular reconst transplant CPT 65780 not published not published $637.02 – $1,194.29 7
Ocular reconst transplant CPT 65781 not published not published $1,265.85 – $2,666.46 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.