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 |
|---|---|---|---|---|
| Ring flange plastic/leather HCPCS L1100 | not published | not published | $172.14 – $433.32 | 7 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $777.00 | $777.00 | $36.78 – $723.60 | 9 |
| Ring ostmy barr adapt 48mm HCPCS A4385 | not published | not published | $5.67 – $14.15 | 7 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $26,778.88 | $26,778.88 | $14.84 – $25,172.15 | 9 |
| Risk ascvd tst once pr 12 mo HCPCS G0537 | not published | not published | $8.65 – $18.29 | 6 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $4,998.43 | $4,998.43 | $10.94 – $3,087.61 | 9 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | not published | not published | $75.93 – $151.51 | 8 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | not published | not published | $36.53 – $71.53 | 8 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | not published | not published | $31.18 – $59.52 | 8 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $4,405.85 | $4,405.85 | $29.92 – $2,836.69 | 9 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $4,405.85 | $4,405.85 | $19.25 – $2,836.69 | 9 |
| R & l heart cath congenital CPT 93531 | not published | not published | $874.80 – $874.80 | 1 |
| R & l heart cath congenital CPT 93532 | not published | not published | $1,089.45 – $1,089.45 | 1 |
| R & l heart cath congenital CPT 93533 | not published | not published | $727.71 – $727.71 | 1 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | $5,505.20 | $5,505.20 | $395.43 – $4,624.37 | 9 |
| R&l hrt cath chd nml nt cnj CPT 93596 | $5,505.20 | $5,505.20 | $304.27 – $4,624.37 | 9 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $1,043.18 – $2,278.77 | 8 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $284.15 | $284.15 | $86.32 – $280.76 | 9 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $631.46 – $1,371.20 | 8 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $328.55 – $841.63 | 9 |
| Rmvl fb upr arm/elbow deep CPT 24201 | $4,905.45 | $4,905.45 | $353.83 – $1,199.48 | 9 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $219.97 – $682.94 | 9 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | not published | not published | $134.29 – $427.24 | 9 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $694.93 – $1,483.70 | 8 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $115.87 – $250.11 | 8 |
| Rmvl icd by tv extr CPT 33244 | $4,423.30 | $4,423.30 | $792.82 – $3,715.57 | 9 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $42,732.75 | $42,732.75 | $356.89 – $9,802.04 | 9 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $60,906.50 | $60,906.50 | $371.69 – $6,639.49 | 9 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $41,883.85 | $41,883.85 | $343.51 – $10,902.40 | 9 |
| Rmvl icd pulse gen only CPT 33241 | $11,058.35 | $11,058.35 | $200.38 – $4,982.17 | 9 |
| Rmvl imed rx delivery device CPT 20703 | not published | not published | $97.71 – $210.12 | 8 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $442.16 – $972.65 | 8 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $2,124.08 – $4,672.75 | 8 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $1,571.95 | $1,571.95 | $147.74 – $350.78 | 9 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | not published | not published | $187.09 – $398.55 | 8 |
| Rmvl perm pm pulse gen CPT 33233 | $15,692.55 | $15,692.55 | $217.78 – $12,804.29 | 9 |
| Rmvl perq right heart vad CPT 33997 | $1,418.30 | $1,418.30 | $145.72 – $1,191.37 | 9 |
| Rmvl phrnc nrv stim pg only CPT 33280 | not published | not published | $198.11 – $418.19 | 8 |
| Rmvl phrnc nrv stim sys CPT 33278 | not published | not published | $528.78 – $1,150.23 | 8 |
| Rmvl phrnc nrv stim transvns CPT 33279 | not published | not published | $318.38 – $693.38 | 8 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $34,900.50 | $34,900.50 | $343.85 – $10,361.36 | 9 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $18,598.30 | $18,598.30 | $313.36 – $5,148.82 | 9 |
| Rmvl pq iabp CPT 33968 | $3,456.05 | $3,456.05 | $30.76 – $2,903.08 | 9 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $1,418.30 | $1,418.30 | $169.66 – $1,191.37 | 9 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $1,199.15 – $2,567.51 | 8 |
| Rmvl rplcmt hrt sys f/trnspl CPT 33929 | not published | not published | $1,865.25 – $5,775.50 | 4 |
| Rmvl & rplcmt tot hrt sys CPT 33928 | not published | not published | $3,731.88 – $11,551.00 | 4 |
| Rmvl sq defib electrode CPT 33272 | $4,423.30 | $4,423.30 | $322.09 – $3,715.57 | 9 |
| Rmvl subq card rhythm mntr CPT 33286 | $1,207.20 | $1,207.20 | $78.32 – $248.63 | 9 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $529.06 – $1,131.25 | 8 |
| Rmvl tongs/halo anthr indiv CPT 20665 | not published | not published | $94.53 – $228.08 | 9 |
| Rmvl tot arthrp 1ntrspc crv CPT 22864 | not published | not published | $1,920.28 – $4,268.79 | 8 |
| Rmvl tot arthrp 1ntrspc lmbr CPT 22865 | not published | not published | $2,102.20 – $4,666.64 | 8 |
| Rmvl transplanted rnl algrft CPT 50370 | not published | not published | $1,150.61 – $2,484.82 | 8 |
| Rmvl tv pm lead dual CPT 33235 | $11,058.35 | $11,058.35 | $587.08 – $8,039.93 | 9 |
| Rmvl tv pm lead sgl CPT 33234 | $6,418.05 | $6,418.05 | $446.52 – $3,715.57 | 9 |
| Rmv ntr oi implt skl prq esp CPT 69726 | not published | not published | $457.24 – $973.33 | 8 |
| Rmv ntr oi imp sk tc>=100 CPT 69728 | not published | not published | $567.06 – $1,210.55 | 8 |
| Rmv ntr oi imp sk tc esp<100 CPT 69727 | not published | not published | $509.45 – $1,085.83 | 8 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | not published | not published | $249.37 – $547.66 | 8 |
| Rmv&rplcmt phrnc nrv stim ld CPT 33288 | not published | not published | $465.70 – $991.62 | 8 |
| Rmv&rplcmt phrnc nrv stim pg CPT 33287 | not published | not published | $359.73 – $775.41 | 8 |
| Rmv sk-mnt crnl nstm pg/rcvr CPT 61892 | not published | not published | $791.65 – $1,682.31 | 8 |
| Rmv suture/anesthesia/not local 15850 CPT 15850 | not published | not published | $83.75 – $83.75 | 1 |
| Rnl altrnsplj without rcp nfrct CPT 50360 | not published | not published | $2,281.96 – $4,955.40 | 8 |
| Rnl altrnsplj w/rcp nfrct CPT 50365 | not published | not published | $2,728.30 – $5,916.53 | 8 |
| Rnl autotrnsplj rimpltj kdn CPT 50380 | not published | not published | $1,931.06 – $4,170.50 | 8 |
| Robot lin-radsurg com, first HCPCS G0339 | not published | not published | $4,309.35 – $8,774.70 | 8 |
| Robt lin-radsurg fractx 2-5 HCPCS G0340 | not published | not published | $2,925.85 – $5,957.62 | 8 |
| Rocker bottom, contact afo HCPCS L2232 | not published | not published | $92.45 – $232.74 | 7 |
| Rolapitant, oral, 1mg HCPCS J8670 | not published | not published | $1.56 – $3.14 | 8 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | not published | not published | $29.77 – $58.68 | 8 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $19,758.40 | $19,758.40 | $11.00 – $3,679.44 | 9 |
| Romiplostim injection HCPCS J2796 | not published | not published | $92.42 – $198.54 | 7 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | not published | not published | $10.10 – $20.55 | 8 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $1,830.46 | $1,830.46 | $0.07 – $5.27 | 9 |
| Rotation wrst with cable lock HCPCS L6625 | not published | not published | $672.32 – $1,692.45 | 7 |
| Rotavirus antibody CPT 86759 | not published | not published | $7.29 – $37.12 | 7 |
| Round caliper and plate atta HCPCS L2240 | not published | not published | $91.57 – $230.52 | 7 |
| Routine footcare pt w lops HCPCS G0247 | not published | not published | $20.53 – $162.54 | 8 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | not published | not published | $22.04 – $43.90 | 7 |
| Rplcm oi implt sk tc esp<100 CPT 69719 | not published | not published | $615.60 – $1,314.93 | 8 |
| Rplcmt a-valve tlcj autol pv CPT 33440 | not published | not published | $3,074.15 – $6,738.01 | 8 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | $536.90 – $1,145.49 | 8 |
| Rplc oi implt sk tc esp>=100 CPT 69730 | not published | not published | $655.72 – $1,401.01 | 8 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $2,585.25 | $2,585.25 | $60.17 – $358.50 | 9 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $1,301.85 | $1,301.85 | $32.11 – $615.55 | 9 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $2,631.00 | $2,631.00 | $63.99 – $1,789.54 | 9 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $2,984.55 | $2,984.55 | $91.88 – $2,507.02 | 9 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $2,585.25 | $2,585.25 | $55.00 – $614.85 | 9 |
| Rpl tun-cvad w subq port CPT 36582 | $6,993.00 | $6,993.00 | $267.52 – $1,653.06 | 9 |
| Rpl tun-cvad w subq pump CPT 36583 | not published | not published | $307.92 – $2,176.68 | 9 |
| Rpl tun cvc wo subq port CPT 36581 | $5,826.15 | $5,826.15 | $171.22 – $1,464.18 | 9 |
| Rpm tx mgmt 1st 20 min CPT 99457 | not published | not published | $28.44 – $94.45 | 9 |
| Rpm tx mgmt ea addl 20 min CPT 99458 | not published | not published | $28.44 – $75.81 | 9 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | not published | not published | $950.51 – $2,074.07 | 8 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | not published | not published | $716.61 – $1,563.68 | 8 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | $690.65 – $1,512.86 | 8 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | not published | not published | $531.33 – $1,162.43 | 8 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | $318.25 – $694.75 | 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.