MaineHealth - Memorial Hospital
3073 White Mountain Highway, North Conway, NH · MaineHealth · · NPI 1760436216
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 |
|---|---|---|---|---|
| Resect thigh/knee tum < 5 cm CPT 27329 | not published | not published | $986.97 – $2,126.93 | 8 |
| Resect thigh/knee tum 5 cm/> CPT 27364 | not published | not published | $1,479.07 – $3,183.62 | 8 |
| Resect tibia tumor CPT 27645 | not published | not published | $1,675.18 – $3,594.38 | 8 |
| Reslizumab 10 mg/ml intravenous solution HCPCS J2786 | not published | not published | $10.09 – $19.65 | 8 |
| Respirator motion mgmt simul CPT 77293 | $685.40 | $685.40 | $102.19 – $575.74 | 9 |
| #resp virpnl dfa-adenovirus CPT 87260 | not published | not published | $5.92 – $29.38 | 7 |
| #resp virpnl dfa-parainfluenza CPT 87279 | not published | not published | $6.57 – $33.45 | 7 |
| Resp virus 6-11 targets CPT 87632 | not published | not published | $105.40 – $444.01 | 7 |
| Restore/remodelventricle 33548 CPT 33548 | not published | not published | $2,675.50 – $5,853.48 | 8 |
| Restorigin 1 sq cm HCPCS Q4191 | not published | not published | $1,454.88 – $2,009.08 | 4 |
| Resuscitation delivery/birthing room CPT 99465 | $708.40 | $708.40 | $133.72 – $283.99 | 9 |
| Reteplase injection HCPCS J2993 | not published | not published | $2,301.91 – $3,081.45 | 8 |
| Reticulated platelet assay CPT 85055 | not published | not published | $14.30 – $72.77 | 7 |
| Reticulocyte automated CPT 85045 | $133.25 | $133.25 | $1.97 – $47.94 | 9 |
| Reticulocyte direct measurement automated CPT 85046 | not published | not published | $2.75 – $11.34 | 7 |
| Retifanlimab-dlwr 500 mg/20 ml intravenous solution HCPCS J9345 | $18,889.31 | $18,889.31 | $29.36 – $17,755.95 | 9 |
| Retr bone flap to fix skull CPT 62148 | not published | not published | $114.17 – $256.22 | 8 |
| Retrieval of oocyte CPT 58970 | not published | not published | $184.53 – $465.78 | 9 |
| Retrograde ejaculation anal CPT 89331 | not published | not published | $9.67 – $39.89 | 7 |
| Reusable nipple prosthesis HCPCS L8032 | not published | not published | $36.46 – $91.79 | 7 |
| Revasc intra lithotrip-ather HCPCS C9766 | not published | not published | $17,379.23 – $17,900.61 | 5 |
| Revasc intra lithotrip-stent HCPCS C9765 | $29,817.20 | $29,817.20 | $12,874.80 – $17,900.61 | 9 |
| Revasc intravasc lithotripsy HCPCS C9764 | $9,529.05 | $9,529.05 | $6,999.45 – $11,305.13 | 9 |
| Revasc lithotr-ather tib/per HCPCS C9774 | not published | not published | $17,379.23 – $17,900.61 | 5 |
| Revasc lithotrip-stent-ather HCPCS C9767 | $30,490.35 | $30,490.35 | $17,379.23 – $28,660.93 | 9 |
| Revasc lithotrip tibi/perone HCPCS C9772 | $18,626.75 | $18,626.75 | $10,975.86 – $17,509.15 | 9 |
| Revasc lithotr-stent tib/per HCPCS C9773 | not published | not published | $17,379.23 – $17,900.61 | 5 |
| Revasc lith-sten-ath tib/per HCPCS C9775 | not published | not published | $17,379.23 – $17,900.61 | 5 |
| Revascularization penis CPT 37788 | not published | not published | $1,193.45 – $2,541.75 | 8 |
| Revefenacin inh non-com 1mcg HCPCS J7677 | not published | not published | $0.18 – $0.37 | 6 |
| Revise abdomen-venous shunt CPT 49426 | not published | not published | $631.59 – $1,371.20 | 8 |
| Revise additional leg tendon CPT 27692 | not published | not published | $95.97 – $205.37 | 8 |
| Revise aqueous shunt eye CPT 66185 | not published | not published | $811.13 – $1,710.78 | 8 |
| Revise arm/leg nerve CPT 64708 | not published | not published | $482.99 – $1,048.56 | 8 |
| Revise bladder & ureter(s) CPT 51565 | not published | not published | $1,219.47 – $2,595.30 | 8 |
| Revise breast reconst 19380 CPT 19380 | not published | not published | $775.46 – $1,647.73 | 8 |
| Revise circulation to head CPT 61708 | not published | not published | $2,351.65 – $5,243.46 | 8 |
| Revise circulation to head CPT 61705 | not published | not published | $2,403.01 – $5,357.32 | 8 |
| Revise circulation to head CPT 61710 | not published | not published | $1,985.51 – $4,424.01 | 8 |
| Revise esophagus & stomach 43325 CPT 43325 | not published | not published | $1,267.14 – $2,762.72 | 8 |
| Revise eye CPT 65091 | not published | not published | $707.62 – $1,484.39 | 8 |
| Revise eyelashes CPT 67825 | not published | not published | $116.02 – $258.92 | 9 |
| Revise eyelashes CPT 67835 | not published | not published | $421.20 – $889.27 | 8 |
| Revise eyelid defect CPT 67909 | not published | not published | $417.83 – $1,053.65 | 9 |
| Revise eyelid defect CPT 67911 | not published | not published | $533.40 – $1,126.51 | 8 |
| Revise eyelid lining CPT 68330 | not published | not published | $438.04 – $1,196.27 | 9 |
| Revise eyelid lining CPT 68360 | not published | not published | $390.72 – $1,042.07 | 9 |
| Revise eyelid lining CPT 68362 | not published | not published | $624.24 – $1,318.32 | 8 |
| Revise eye muscle CPT 67311 | not published | not published | $434.47 – $918.43 | 8 |
| Revise eye muscle CPT 67314 | not published | not published | $434.47 – $918.43 | 8 |
| Revise eye muscle add-on CPT 67340 | not published | not published | $275.74 – $582.90 | 8 |
| Revise eye muscle(s) CPT 67318 | not published | not published | $654.90 – $1,382.04 | 8 |
| Revise eye muscle(s) add-on CPT 67320 | not published | not published | $164.77 – $349.06 | 8 |
| Revise eye muscle w/suture CPT 67334 | not published | not published | $117.82 – $291.68 | 8 |
| Revise eye socket implant CPT 67560 | not published | not published | $1,053.30 – $2,215.04 | 8 |
| Revise eye sockets CPT 21260 | not published | not published | $1,306.03 – $2,778.29 | 8 |
| Revise eye sockets CPT 21261 | not published | not published | $2,306.73 – $4,916.77 | 8 |
| Revise eye sockets CPT 21263 | not published | not published | $2,134.99 – $4,549.40 | 8 |
| Revise eye sockets CPT 21267 | not published | not published | $1,527.89 – $3,248.70 | 8 |
| Revise eye sockets CPT 21268 | not published | not published | $1,914.79 – $4,076.29 | 8 |
| Revise eye with implant CPT 65093 | not published | not published | $701.49 – $1,471.50 | 8 |
| Revise finger joint each CPT 26135 | not published | not published | $537.35 – $1,148.19 | 8 |
| Revise finger joint each CPT 26140 | not published | not published | $492.46 – $1,056.69 | 8 |
| Revise gastric port open 43886 CPT 43886 | not published | not published | $351.56 – $759.14 | 8 |
| Revise/graft eyelid lining CPT 68320 | not published | not published | $513.58 – $1,426.91 | 9 |
| Revise/graft eyelid lining CPT 68325 | not published | not published | $625.03 – $1,320.35 | 8 |
| Revise/graft eyelid lining CPT 68326 | not published | not published | $613.69 – $1,297.30 | 8 |
| Revise/graft eyelid lining CPT 68328 | not published | not published | $672.24 – $1,415.93 | 8 |
| Revise/graft eyelid lining CPT 68335 | not published | not published | $615.48 – $1,300.70 | 8 |
| Revise graft w/vein CPT 35879 | not published | not published | $830.07 – $1,829.38 | 8 |
| Revise graft w/vein 35881 CPT 35881 | not published | not published | $921.14 – $2,036.11 | 8 |
| Revise hand/finger tendon CPT 26390 | not published | not published | $843.66 – $1,800.23 | 8 |
| Revise head/neck of femur CPT 27179 | not published | not published | $938.77 – $2,006.29 | 8 |
| Revise hernia & sperm veins CPT 55540 | not published | not published | $526.12 – $1,138.03 | 8 |
| Revise hip joint replacement CPT 27134 | not published | not published | $1,798.13 – $3,866.17 | 8 |
| Revise hip joint replacement CPT 27138 | not published | not published | $1,442.61 – $3,096.18 | 8 |
| Revise hip joint replacement CPT 27137 | not published | not published | $1,389.33 – $2,981.65 | 8 |
| Revise/implant finger joint CPT 26536 | not published | not published | $725.16 – $1,538.62 | 8 |
| Revise kneecap CPT 27437 | not published | not published | $638.15 – $1,366.45 | 8 |
| Revise kneecap with implant CPT 27438 | not published | not published | $809.20 – $1,728.39 | 8 |
| Revise knuckle joint CPT 26530 | not published | not published | $523.29 – $1,125.84 | 8 |
| Revise knuckle with implant CPT 26531 | not published | not published | $611.62 – $1,308.16 | 8 |
| Revise low back nerve(s) CPT 64714 | not published | not published | $728.69 – $1,573.86 | 8 |
| Revise lower leg tendon CPT 27690 | not published | not published | $617.56 – $1,310.86 | 8 |
| Revise lower leg tendon CPT 27691 | not published | not published | $717.54 – $1,526.40 | 8 |
| Revise lower leg tendons CPT 27686 | $1,250.05 | $1,250.05 | $510.31 – $1,095.33 | 9 |
| Revise middle ear bone CPT 69660 | not published | not published | $882.58 – $1,878.85 | 8 |
| Revise middle ear bone CPT 69661 | not published | not published | $1,148.94 – $2,446.86 | 8 |
| Revise middle ear bone CPT 69662 | not published | not published | $1,097.82 – $2,339.09 | 8 |
| Revise middle ear & mastoid CPT 69641 | not published | not published | $994.88 – $2,115.40 | 8 |
| Revise middle ear & mastoid CPT 69642 | not published | not published | $1,275.53 – $2,713.23 | 8 |
| Revise middle ear & mastoid CPT 69643 | not published | not published | $1,166.78 – $2,482.11 | 8 |
| Revise middle ear & mastoid CPT 69644 | not published | not published | $1,446.83 – $3,070.43 | 8 |
| Revise middle ear & mastoid CPT 69646 | not published | not published | $1,501.98 – $3,187.70 | 8 |
| Revise middle ear & mastoid 69645 CPT 69645 | not published | not published | $1,420.57 – $3,012.82 | 8 |
| Revise ocular implant CPT 65125 | not published | not published | $279.44 – $874.40 | 9 |
| Revise ocular implant CPT 65150 | not published | not published | $667.72 – $1,399.67 | 8 |
| Revise ovarian tube(s) CPT 58752 | not published | not published | $856.97 – $1,849.72 | 8 |
| Revise palsy hand tendon(s) CPT 25315 | not published | not published | $742.23 – $1,586.73 | 8 |
| Revise palsy hand tendon(s) CPT 25316 | not published | not published | $881.49 – $1,883.61 | 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.