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 |
|---|---|---|---|---|
| Asp core fat pad CPT 17999 | $1,624.30 | $1,624.30 | $58.50 – $468.46 | 8 |
| Asp & inj bone cyst CPT 20615 | not published | not published | $155.79 – $492.76 | 8 |
| Asp & inj w/heparin pleurx cath CPT 32999 | not published | not published | $2,684.14 – $2,684.14 | 1 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $5,961.25 | $5,961.25 | $138.24 – $460.01 | 8 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | not published | not published | $39.59 – $125.93 | 8 |
| Aspirate pleura without imaging 32554 CPT 32554 | $823.70 | $823.70 | $85.55 – $450.36 | 8 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $2,174.80 | $2,174.80 | $71.49 – $258.92 | 8 |
| Aspiration orbital contents CPT 67415 | not published | not published | $98.71 – $206.74 | 7 |
| Aspiration peritonsillar abscess CPT 42999 | $715.70 | $715.70 | $34.79 – $108.99 | 8 |
| Aspir/inj thyroid cyst 60300 CPT 60300 | not published | not published | $47.04 – $206.23 | 8 |
| Asp pq spinal cord cyst/syrinx CPT 62268 | not published | not published | $247.54 – $679.84 | 7 |
| Assay acid phosphatase CPT 84060 | not published | not published | $7.64 – $16.01 | 6 |
| Assay alkaline phosphatase CPT 84078 | not published | not published | $8.26 – $17.31 | 6 |
| Assay blood catecholamines CPT 82383 | not published | not published | $29.08 – $60.94 | 6 |
| Assay chondroitin sulfate CPT 82485 | not published | not published | $20.65 – $43.27 | 6 |
| Assay dir meas fr estradiol CPT 82681 | not published | not published | $15.85 – $58.30 | 6 |
| Assay duodenal fluid trypsin CPT 84485 | not published | not published | $7.20 – $14.92 | 6 |
| Assay free hydroxyproline CPT 83500 | not published | not published | $22.65 – $47.44 | 6 |
| Assay malate dehydrogenase CPT 83775 | not published | not published | $7.37 – $15.44 | 6 |
| Assay myeloperoxidase CPT 83876 | not published | not published | $50.86 – $106.41 | 6 |
| Assay neurflmnt light chain CPT 83884 | $136.45 | $136.45 | $40.94 – $128.26 | 8 |
| Assay of adp & amp CPT 82030 | not published | not published | $25.80 – $54.06 | 6 |
| Assay of androsterone CPT 82160 | not published | not published | $25.55 – $53.54 | 6 |
| Assay of blood lipoprotein CPT 83719 | not published | not published | $12.75 – $26.44 | 6 |
| Assay of bradykinin CPT 82286 | not published | not published | $5.16 – $10.81 | 6 |
| Assay of breath ethanol CPT 82075 | not published | not published | $21.91 – $62.86 | 6 |
| Assay of cathepsin-d CPT 82387 | not published | not published | $18.06 – $37.84 | 6 |
| Assay of chloramphenicol CPT 82415 | not published | not published | $12.67 – $26.44 | 6 |
| Assay of corticosterone CPT 82528 | not published | not published | $22.52 – $47.19 | 6 |
| Assay of digoxin free CPT 80163 | not published | not published | $13.28 – $27.79 | 6 |
| Assay of endocrine hormone CPT 84235 | not published | not published | $71.23 – $149.11 | 6 |
| Assay of estrogen CPT 84233 | not published | not published | $87.88 – $184.15 | 6 |
| Assay of etiocholanolone CPT 82696 | not published | not published | $26.24 – $54.90 | 6 |
| Assay of feces for trypsin CPT 84490 | not published | not published | $9.93 – $20.81 | 6 |
| Assay of feces porphyrins CPT 84126 | not published | not published | $39.11 – $81.95 | 6 |
| Assay of feces/urobilinogen CPT 84577 | not published | not published | $16.80 – $35.20 | 6 |
| Assay of fluoride CPT 82735 | not published | not published | $18.54 – $38.64 | 6 |
| Assay of galactose CPT 82760 | not published | not published | $11.20 – $23.47 | 6 |
| Assay of gdh enzyme CPT 82965 | not published | not published | $13.15 – $27.55 | 6 |
| Assay of glucosidase CPT 82963 | not published | not published | $21.48 – $44.74 | 6 |
| Assay of glutathione CPT 82978 | $96.40 | $96.40 | $15.45 – $90.62 | 8 |
| Assay of haptoglobins CPT 83012 | not published | not published | $26.89 – $56.26 | 6 |
| Assay of idh enzyme CPT 83570 | not published | not published | $8.85 – $18.29 | 6 |
| Assay of interleukin-6 (il-6) CPT 83529 | $124.80 | $124.80 | $9.80 – $117.31 | 8 |
| Assay of intrinsic factor CPT 83528 | not published | not published | $19.82 – $41.34 | 6 |
| Assay of lap enzyme CPT 83670 | not published | not published | $9.81 – $20.33 | 6 |
| Assay of leflunomide CPT 80193 | not published | not published | $21.88 – $80.65 | 6 |
| Assay of lrh hormone CPT 83727 | not published | not published | $17.19 – $35.92 | 6 |
| Assay of methemalbumin CPT 83857 | not published | not published | $10.74 – $22.36 | 6 |
| Assay of neonatal thyroxine CPT 84437 | not published | not published | $6.47 – $13.56 | 6 |
| Assay of osteocalcin CPT 83937 | not published | not published | $29.85 – $62.36 | 6 |
| Assay of phenylketones CPT 84035 | not published | not published | $3.98 – $8.13 | 6 |
| Assay of pregnanediol CPT 84135 | not published | not published | $21.27 – $44.57 | 6 |
| Assay of pregnanetriol CPT 84138 | not published | not published | $21.05 – $44.07 | 6 |
| Assay of procainamide CPT 80190 | not published | not published | $30.46 – $125.39 | 6 |
| Assay of procainamide w/metab CPT 80192 | not published | not published | $16.75 – $35.10 | 6 |
| Assay of progesterone CPT 84234 | not published | not published | $64.88 – $135.95 | 6 |
| Assay of prostaglandin CPT 84150 | $102.20 | $102.20 | $30.66 – $96.07 | 8 |
| Assay of PSA complexed CPT 84152 | not published | not published | $18.39 – $38.54 | 6 |
| Assay of quinine CPT 84228 | not published | not published | $11.63 – $24.37 | 6 |
| Assay of rbc pg6d enzyme CPT 84085 | not published | not published | $9.44 – $19.66 | 6 |
| Assay of salicylate CPT 80179 | $221.10 | $221.10 | $10.58 – $207.83 | 8 |
| Assay of semen fructose CPT 82757 | not published | not published | $17.34 – $36.33 | 6 |
| Assay of sialic acid CPT 84275 | not published | not published | $13.44 – $28.16 | 6 |
| Assay of silica CPT 84285 | $210.35 | $210.35 | $25.21 – $197.73 | 8 |
| Assay of somatostatin CPT 84307 | not published | not published | $18.28 – $38.30 | 6 |
| Assay of thiocyanate CPT 84430 | not published | not published | $11.63 – $24.37 | 6 |
| Assay of troponin qual CPT 84512 | not published | not published | $10.09 – $21.02 | 6 |
| Assay of tyrosine CPT 84510 | not published | not published | $10.63 – $22.27 | 6 |
| Assay of urine sulfate CPT 84392 | $38.50 | $38.50 | $5.49 – $36.19 | 8 |
| Assay of urine urobilinogen CPT 84580 | not published | not published | $9.55 – $20.01 | 6 |
| Assay of urine urobilinogen CPT 84583 | not published | not published | $6.05 – $12.68 | 6 |
| Assay phosphatidylglycerol CPT 84081 | not published | not published | $16.52 – $34.57 | 6 |
| Assay phosphohexose enzymes CPT 84087 | not published | not published | $10.73 – $22.36 | 6 |
| Assay rbc glutathione CPT 82979 | not published | not published | $9.44 – $19.66 | 6 |
| Assay toxin or antitoxin CPT 87230 | not published | not published | $19.74 – $41.34 | 6 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $413.90 | $413.90 | $95.58 – $346.43 | 8 |
| Assess care plan pt w/cog impair 99483 CPT 99483 | not published | not published | $189.57 – $526.19 | 8 |
| Assess cyst contrast inject CPT 49424 | $773.70 | $773.70 | $36.20 – $343.72 | 8 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $77.40 | $77.40 | $4.27 – $72.76 | 8 |
| Asses tinnit/pitch/loud/match/mask 92625 CPT 92625 | not published | not published | $60.05 – $129.13 | 8 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | not published | not published | $220.26 – $473.11 | 7 |
| Assistive tech assessment, ot CPT 97755 | not published | not published | $37.83 – $78.62 | 7 |
| Assist oocyte fertilization CPT 89280 | not published | not published | $558.12 – $3,546.52 | 2 |
| Assist oocyte fertilization CPT 89281 | not published | not published | $144.73 – $743.97 | 2 |
| Ast/sgot CPT 84450 | $59.50 | $59.50 | $4.20 – $22.50 | 8 |
| Asxl1 full gene sequence CPT 81175 | not published | not published | $676.50 – $1,417.29 | 6 |
| Asxl1 gene target seq alys CPT 81176 | not published | not published | $241.90 – $506.89 | 6 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $34,221.29 | $34,221.29 | $82.68 – $32,168.01 | 8 |
| Athletic trn eval high cmplx CPT 97171 | not published | not published | $101.51 – $112.78 | 3 |
| Athletic trn eval low cmplx CPT 97169 | not published | not published | $101.51 – $112.78 | 3 |
| Athletic trn eval mod cmplx CPT 97170 | not published | not published | $101.51 – $112.78 | 3 |
| Athletic trn re-eval plan cr CPT 97172 | not published | not published | $51.39 – $76.66 | 3 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | not published | not published | $560.48 – $16,236.97 | 8 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | not published | not published | $652.02 – $16,494.14 | 8 |
| Atn1 gene detc abnor alleles CPT 81177 | not published | not published | $137.00 – $287.07 | 6 |
| Atomic absorption CPT 82190 | not published | not published | $9.88 – $33.21 | 6 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $57.27 | $57.27 | $0.08 – $53.83 | 8 |
| Attach bladder/urethra comp 51841 CPT 51841 | not published | not published | $776.44 – $1,636.89 | 7 |
| Attach bladder/urethra simple 51840 CPT 51840 | not published | not published | $671.03 – $1,416.60 | 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.