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 |
|---|---|---|---|---|
| Oscillation chest wall mechanical per session CPT 94669 | $145.60 | $145.60 | $17.97 – $121.87 | 8 |
| O shoe add felt w leath insl HCPCS L3520 | not published | not published | $29.51 – $78.29 | 3 |
| O shoe add horseshoe toe tap HCPCS L3560 | not published | not published | $21.29 – $56.45 | 3 |
| O shoe add instep extension HCPCS L3570 | not published | not published | $79.18 – $210.07 | 3 |
| O shoe add instep velcro clo HCPCS L3580 | not published | not published | $60.25 – $159.84 | 3 |
| O shoe add standard toe tap HCPCS L3550 | not published | not published | $8.25 – $21.88 | 3 |
| O shoe convert to sof counte HCPCS L3590 | not published | not published | $49.62 – $131.61 | 3 |
| Osmolality blood CPT 83930 | $74.15 | $74.15 | $6.61 – $69.70 | 8 |
| Osmolality urine CPT 83935 | $63.80 | $63.80 | $6.82 – $59.97 | 8 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $310.37 – $915.51 | 8 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $556.20 – $1,203.09 | 7 |
| Osteoart algrft w/surf & b1 CPT 20932 | not published | not published | $719.70 – $1,529.12 | 7 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $1,315.64 – $2,829.82 | 7 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $942.31 – $2,027.98 | 7 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $1,174.84 – $2,526.84 | 7 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | $95.90 | $95.90 | $22.04 – $69.04 | 8 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | not published | not published | $24.78 – $128.80 | 8 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | not published | not published | $24.78 – $151.32 | 8 |
| Osteoplasty humerus CPT 24420 | not published | not published | $1,024.36 – $2,192.68 | 7 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $1,538.96 – $3,367.99 | 7 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $338.95 – $732.71 | 7 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $1,511.62 – $3,273.09 | 7 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $1,657.58 – $3,666.91 | 7 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $797.43 – $1,718.91 | 7 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $1,057.41 – $2,276.73 | 7 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $650.04 – $1,388.14 | 7 |
| Ostomy clamp, replacement HCPCS A4363 | not published | not published | $2.63 – $5.89 | 3 |
| Ostomy irrigation set HCPCS A4400 | not published | not published | $54.33 – $143.08 | 3 |
| Ost pch drain 2 piece system HCPCS A4426 | not published | not published | $3.04 – $7.98 | 3 |
| Ost pch drain for barrier fl HCPCS A4425 | not published | not published | $3.98 – $10.48 | 3 |
| Ost pch drain w bar & filter HCPCS A4424 | not published | not published | $5.29 – $13.93 | 3 |
| Ost pch for bar w flange/flt HCPCS A4419 | not published | not published | $1.92 – $5.05 | 3 |
| Ost skn barr extnd >4 sq HCPCS A4410 | not published | not published | $10.05 – $26.47 | 3 |
| Ost urine pch w b/bltin conv HCPCS A4430 | not published | not published | $9.46 – $24.94 | 3 |
| Other bone graft microvasc CPT 20962 | not published | not published | $2,547.20 – $5,477.30 | 7 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $17.39 – $35.92 | 7 |
| Oth resp proc, group HCPCS G0239 | $141.55 | $141.55 | $11.80 – $118.48 | 8 |
| Oth resp proc, indiv HCPCS G0238 | not published | not published | $9.61 – $21.02 | 7 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $71.50 | $71.50 | $21.45 – $67.21 | 8 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | not published | not published | $9.26 – $55.89 | 8 |
| Otoplasty 69300 CPT 69300 | not published | not published | $453.29 – $1,263.08 | 8 |
| Ot re-evaluation patient/family CPT 97168 | $256.15 | $256.15 | $67.55 – $214.40 | 8 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $122.40 | $122.40 | $21.51 – $102.45 | 8 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $127.70 | $127.70 | $22.20 – $44.74 | 8 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $1,481.17 – $3,168.05 | 7 |
| Out of office emerg med serv CPT 99060 | not published | not published | $39.96 – $48.80 | 3 |
| Outrigger HCPCS L1080 | not published | not published | $52.43 – $139.09 | 3 |
| Outrigger bil with vert extens HCPCS L1085 | not published | not published | $136.98 – $363.37 | 3 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $742.23 – $1,573.86 | 7 |
| Ovine, 1000 usp units HCPCS J3472 | not published | not published | $137.80 – $223.00 | 3 |
| Ovulation tests CPT 84830 | not published | not published | $12.70 – $26.44 | 6 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $126.02 | $126.02 | $0.94 – $59.23 | 8 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $152.07 | $152.07 | $0.07 – $142.95 | 8 |
| Oxymorphone hcl injection HCPCS J2410 | not published | not published | $2.85 – $4.74 | 3 |
| Oxytetracycline injection HCPCS J2460 | not published | not published | $0.94 – $0.94 | 2 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | not published | not published | $1.43 – $7.46 | 3 |
| P-32 chromic phos ther per mci HCPCS A9564 | not published | not published | $130.26 – $141,809.99 | 6 |
| P-32 sod phosphate ther per mci HCPCS A9563 | not published | not published | $310.97 – $775.86 | 5 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $137.00 – $287.07 | 6 |
| Packing strips, non-impreg HCPCS A6407 | not published | not published | $2.09 – $5.47 | 3 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | not published | not published | $0.09 – $0.21 | 7 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $4,805.60 | $4,805.60 | $12.02 – $4,517.26 | 8 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $160.46 – $1,417.29 | 6 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $170.94 – $631.46 | 6 |
| Palifermin injection HCPCS J2425 | not published | not published | $25.13 – $67.20 | 7 |
| Palingen or palingen xplus HCPCS Q4173 | not published | not published | $383.25 – $719.82 | 7 |
| Palingen or promatrx HCPCS Q4174 | not published | not published | $291.27 – $2,797.41 | 3 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $10,855.22 | $10,855.22 | $13.92 – $6,802.77 | 8 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | not published | not published | $711.78 – $2,039.14 | 4 |
| Palonosetron hcl HCPCS J2469 | $253.45 | $253.45 | $0.85 – $238.24 | 8 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $63.46 | $63.46 | $8.87 – $59.65 | 8 |
| Pancreas removal/transplant CPT 48160 | not published | not published | $5,445.32 – $6,346.93 | 3 |
| Pancreatectomy CPT 48146 | not published | not published | $1,793.43 – $3,842.44 | 7 |
| Pancreatectomy CPT 48152 | not published | not published | $2,743.99 – $5,865.69 | 7 |
| Pancreatectomy CPT 48154 | not published | not published | $2,755.35 – $5,891.44 | 7 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | $2,951.84 – $6,304.89 | 7 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | $1,492.73 – $3,199.90 | 7 |
| Pancreatorrhaphy CPT 48545 | not published | not published | $1,282.85 – $2,755.27 | 7 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $22,039.81 | $22,039.81 | $145.27 – $20,717.42 | 8 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $30.42 | $30.42 | $8.94 – $28.02 | 8 |
| Papaverin hcl injection HCPCS J2440 | not published | not published | $1.28 – $38.25 | 3 |
| Parathormone (pth) intact CPT 83970 | $446.15 | $446.15 | $41.28 – $419.38 | 8 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | not published | not published | $1,342.67 – $2,848.79 | 7 |
| Parathyrd planar w/spect&ct CPT 78072 | not published | not published | $72.60 – $147.08 | 7 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | not published | $231.19 – $487.34 | 7 |
| Parathyroid planar imaging CPT 78070 | $946.40 | $946.40 | $37.00 – $792.14 | 8 |
| Parathyroid planar img w/tomo spect CPT 78071 | $1,512.50 | $1,512.50 | $55.35 – $1,265.96 | 8 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $806.45 – $1,708.74 | 7 |
| Parenteral 50% dextrose solu HCPCS B4164 | not published | not published | $51.67 – $51.67 | 1 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $865.65 – $1,863.28 | 7 |
| Paricalcitol HCPCS J2501 | not published | not published | $0.66 – $1.78 | 7 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $553.70 | $553.70 | $15.50 – $137.49 | 8 |
| Parotid duct diversion CPT 42507 | not published | not published | $479.74 – $1,011.28 | 7 |
| Parotid duct diversion CPT 42509 | not published | not published | $794.10 – $1,668.74 | 7 |
| Parotid duct diversion CPT 42510 | not published | not published | $589.73 – $1,243.77 | 7 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $827.40 – $1,853.10 | 7 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $197.04 – $416.17 | 7 |
| Partial complicated cystectomy 51555 CPT 51555 | not published | not published | $1,210.03 – $2,557.33 | 7 |
| Partial exc bone humerus CPT 24140 | not published | not published | $679.40 – $1,464.73 | 7 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $424.41 – $1,143.59 | 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.