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 |
|---|---|---|---|---|
| Ocular reconst transplant CPT 65782 | not published | not published | $1,092.61 – $2,303.85 | 7 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | not published | not published | $61.54 – $420.24 | 5 |
| Off base opioid tx, 60 m HCPCS G2087 | not published | not published | $300.19 – $824.92 | 7 |
| Off base opioid tx 70min HCPCS G2086 | not published | not published | $284.64 – $893.03 | 7 |
| Office consultation CPT 99241 | not published | not published | $62.42 – $62.42 | 1 |
| Office emergency care CPT 99058 | not published | not published | $41.12 – $42.70 | 3 |
| Off/op cnsltj new/est low 30 CPT 99243 | $547.25 | $547.25 | $86.90 – $410.44 | 8 |
| Off/op cnsltj new/est mod 40 CPT 99244 | $741.40 | $741.40 | $132.47 – $556.05 | 8 |
| Off/op consltj new/est hi 55 CPT 99245 | $920.70 | $920.70 | $177.74 – $690.53 | 8 |
| Off/op consltj new/est sf 20 CPT 99242 | $372.10 | $372.10 | $54.86 – $279.08 | 8 |
| Offset knee joint each HCPCS L2390 | not published | not published | $129.88 – $344.55 | 3 |
| Offset knee joint heavy duty HCPCS L2395 | not published | not published | $185.65 – $492.49 | 3 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | not published | not published | $0.91 – $1.47 | 7 |
| Olanzapine long-acting inj HCPCS J2358 | not published | not published | $2.83 – $5.76 | 7 |
| Ol dig e/m svc 11-20 min CPT 99422 | not published | not published | $24.76 – $56.54 | 8 |
| Ol dig e/m svc 21+ min CPT 99423 | not published | not published | $39.32 – $89.95 | 8 |
| Ol dig e/m svc 5-10 min CPT 99421 | not published | not published | $12.54 – $28.91 | 8 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $8,613.98 | $8,613.98 | $36.81 – $4,048.57 | 8 |
| Omental flap extra-abdom 49904 CPT 49904 | not published | not published | $1,328.17 – $2,826.43 | 7 |
| Omental flap intra-abdom 49905 CPT 49905 | not published | not published | $335.37 – $711.00 | 7 |
| Onc breast mrna 12 genes CPT 81522 | not published | not published | $2,196.92 – $8,115.31 | 6 |
| Onc breast mrna 58 genes CPT 81520 | not published | not published | $2,510.21 – $5,259.73 | 6 |
| Onc breast mrna 70 genes CPT 81521 | not published | not published | $3,873.00 – $8,115.31 | 6 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $3,873.00 – $8,115.31 | 6 |
| Onc brst mrna 70 cnt 31 gene CPT 81523 | not published | not published | $2,196.92 – $8,115.31 | 6 |
| Onc cutan mlnma mrna 31 gene CPT 81529 | not published | not published | $4,080.16 – $15,072.24 | 6 |
| Oncology colon mrna CPT 81525 | not published | not published | $1,134.48 – $6,529.25 | 6 |
| Oncology colorectal scr CPT 81528 | not published | not published | $508.87 – $1,066.18 | 6 |
| Oncology gynecologic CPT 81535 | not published | not published | $579.46 – $1,213.95 | 6 |
| Oncology gynecologic CPT 81536 | not published | not published | $177.56 – $372.07 | 6 |
| Oncology lung CPT 81538 | not published | not published | $262.63 – $6,015.99 | 6 |
| Oncology prostate prob score CPT 81539 | not published | not published | $760.00 – $1,592.53 | 6 |
| Oncology thyroid CPT 81545 | not published | not published | $1,134.48 – $1,134.48 | 1 |
| Oncology tissue of origin CPT 81504 | not published | not published | $83.61 – $1,089.63 | 6 |
| Oncology tum unknown origin CPT 81540 | not published | not published | $1,134.48 – $7,857.74 | 6 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $208.99 – $1,879.54 | 6 |
| Onco (ovar) two proteins CPT 81500 | not published | not published | $83.61 – $545.63 | 6 |
| Oncoprotein dcp CPT 83951 | not published | not published | $64.41 – $134.88 | 6 |
| Oncoprotein her-2/neu CPT 83950 | not published | not published | $64.41 – $134.88 | 6 |
| Onc prostate 3 genes CPT 81551 | not published | not published | $1,013.09 – $4,253.73 | 6 |
| Onc prostate mrna 22 cnt gen CPT 81542 | not published | not published | $812.85 – $8,115.31 | 6 |
| Onc prostate mrna 46 genes CPT 81541 | not published | not published | $3,873.00 – $8,115.31 | 6 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $2,042.06 – $7,543.23 | 6 |
| Onc uveal mlnma mrna 15 gene CPT 81552 | not published | not published | $439.38 – $16,294.11 | 6 |
| Ondansetron 4 mg s0119 HCPCS S0119 | not published | not published | $0.46 – $29.82 | 3 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $1.40 | $1.40 | $0.01 – $1.32 | 8 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $38.25 | $38.25 | $0.09 – $3.43 | 8 |
| One-way allow prorated trip HCPCS P9604 | not published | not published | $5.08 – $21.69 | 6 |
| One way chest drain valve HCPCS A7040 | not published | not published | $43.88 – $115.54 | 3 |
| Oocyte identification CPT 89254 | not published | not published | $144.73 – $743.97 | 2 |
| Oophorectomy partial or total 58943 CPT 58943 | not published | not published | $1,132.07 – $2,457.69 | 7 |
| Open ablate liver tumor cryo CPT 47381 | not published | not published | $1,410.26 – $3,029.77 | 7 |
| Open ablate liver tumor rf CPT 47380 | not published | not published | $1,378.71 – $2,953.85 | 7 |
| Open aortic tube prosth repair 34830 CPT 34830 | not published | not published | $1,647.85 – $3,504.22 | 7 |
| Open aortofemor prosth repr CPT 34832 | not published | not published | $1,771.21 – $3,767.89 | 7 |
| Open aortoiliac prosth repr 34831 CPT 34831 | not published | not published | $1,801.24 – $3,845.17 | 7 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $427.60 – $921.13 | 7 |
| Open bx of lung pleura 32098 CPT 32098 | not published | not published | $716.86 – $1,527.76 | 7 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | not published | not published | $216.11 – $456.16 | 7 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $733.09 – $1,554.88 | 7 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $647.49 – $1,375.93 | 7 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $644.83 – $1,386.11 | 7 |
| Open skull for drainage 61312 CPT 61312 | not published | not published | $1,946.00 – $4,283.70 | 7 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $276.52 – $833.28 | 8 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $577.31 – $1,234.27 | 7 |
| Open tx compl front sinus fx CPT 21344 | not published | not published | $1,352.78 – $2,842.02 | 7 |
| Open tx iliac spine uni/bil HCPCS G0412 | not published | not published | $696.02 – $1,497.25 | 7 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $516.39 – $1,093.29 | 7 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $691.29 – $1,464.73 | 7 |
| Open tx post pelvic fxcture HCPCS G0415 | not published | not published | $1,313.65 – $2,823.03 | 7 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $563.14 – $1,199.70 | 7 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $682.60 – $1,452.53 | 7 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $930.33 – $1,990.01 | 7 |
| Open tx/sternum fracture 21825 CPT 21825 | not published | not published | $525.06 – $1,139.37 | 7 |
| Open wedge/bx lung infiltr CPT 32096 | not published | not published | $753.69 – $1,621.97 | 7 |
| Open wedge bx lung nodule 32097 CPT 32097 | not published | not published | $755.66 – $1,622.66 | 7 |
| Ophthalmic biometry CPT 92136 | not published | not published | $29.53 – $57.18 | 7 |
| Ophthalmic endoscope add-on CPT 66990 | not published | not published | $84.61 – $177.59 | 7 |
| Ophthalmic mitomycin HCPCS J7315 | not published | not published | $438.60 – $901.04 | 3 |
| Ophthalmodynamometry CPT 92260 | not published | not published | $10.26 – $36.09 | 8 |
| Ophth Ultrasound b & quant a CPT 76510 | not published | not published | $38.19 – $73.88 | 7 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $31.60 – $65.06 | 7 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $34.86 – $67.45 | 7 |
| Opioids & opiate analogs 3/4 CPT 80363 | not published | not published | $15.93 – $15.93 | 1 |
| Opn abltj 1/> rnl mas crysrg CPT 50250 | not published | not published | $1,168.94 – $2,466.52 | 7 |
| Opn ax/subcla art expos CPT 34715 | not published | not published | $279.75 – $590.37 | 7 |
| Opn exc/dst ntra-abd CPT 49189 | not published | not published | $4,756.11 – $4,756.11 | 1 |
| Opn exc/dst ntra-abd 10.1-20 CPT 49188 | not published | not published | $4,088.49 – $4,088.49 | 1 |
| Opn exc/dstr ntra-abd >30 cm CPT 49190 | not published | not published | $5,862.97 – $5,862.97 | 1 |
| Opn exc/dstr ntra-abd 5.1-10 CPT 49187 | not published | not published | $3,421.53 – $3,421.53 | 1 |
| Opn exc/dstr ntra-abd 5 cm/< CPT 49186 | not published | not published | $2,677.32 – $2,677.32 | 1 |
| Opn fem art expos cndt crtj 34714 CPT 34714 | not published | not published | $251.91 – $534.78 | 7 |
| Opn ilac art expos cndt crtj CPT 34833 | not published | not published | $366.41 – $778.12 | 7 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $576.73 – $1,243.77 | 7 |
| Opn impltj nea neuromuscular CPT 64580 | not published | not published | $300.37 – $650.70 | 7 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | $294.56 – $645.94 | 7 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $634.17 – $1,336.62 | 7 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | not published | not published | $827.85 – $1,709.41 | 7 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $1,047.02 – $2,222.50 | 7 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $1,225.67 – $2,616.99 | 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.