healthcosts.net

MaineHealth - Memorial Hospital

3073 White Mountain Highway, North Conway, NH · MaineHealth · · NPI 1760436216

Source: hospital's published price file ↗ · Published Sep 9, 2025 · Ingested Aug 13, 2026

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
Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 $1,581.50 $1,581.50 $21.60 – $276.36 9
Scan proc cranial extra CPT 61782 not published not published $162.36 – $347.70 8
Scan proc cranial intra 61781 CPT 61781 not published not published $213.67 – $479.89 8
Scan proc spinal CPT 61783 not published not published $211.27 – $469.71 8
Scap thorac prosth tiss shap HCPCS L6570 not published not published $5,270.32 – $13,267.29 7
Sclerotherapy fluid collection pq w/img CPT 49185 $4,631.85 $4,631.85 $111.74 – $1,801.97 9
Scope plantar fasciotomy CPT 29893 not published not published $422.44 – $1,286.22 9
Scope uretscp lithovue dig disp HCPCS C1747 $2,800.00 $2,800.00 $1,103.40 – $1,410.00 6
Scr c/v cyto, automated sys HCPCS G0147 not published not published $5.86 – $36.16 7
Scr c/v cyto,autosys and md HCPCS G0141 not published not published $22.04 – $48.81 8
Scr c/v cyto, autosys, rescr HCPCS G0148 not published not published $12.78 – $65.04 7
Scr c/v cyto,thinlayer,rescr HCPCS G0144 not published not published $17.59 – $89.53 7
Scr c/v cyto,thinlayer,rescr HCPCS G0145 not published not published $13.08 – $53.94 6
Scr c/v cyto,thinlayer,rescr HCPCS G0143 not published not published $10.82 – $55.08 7
Screen cerv/vag thin layer HCPCS G0123 not published not published $10.00 – $41.25 6
Screen c/v thin layer by md HCPCS G0124 not published not published $22.04 – $48.81 8
Screening Colonoscopy (average risk) HCPCS G0121 not published not published $86.85 – $655.32 8
Screening Colonoscopy (high risk) HCPCS G0105 not published not published $86.64 – $654.68 8
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 not published not published $7.86 – $36.75 7
Screening hepatitis b non-obstetric high risk HCPCS G0499 $833.75 $833.75 $13.96 – $130.33 9
Screening hepatitis c antibody high risk HCPCS G0472 not published not published $18.54 – $94.38 6
Screening HIV antigen/antibody combination assay HCPCS G0475 not published not published $11.89 – $49.03 7
Screening Mammogram CPT 77067 $1,036.15 $1,036.15 $34.60 – $565.82 9
Screening pap smear by phys HCPCS P3001 not published not published $22.04 – $48.81 8
Screening prostate cancer PSA HCPCS G0103 not published not published $9.08 – $40.46 6
Screen pap by tech w md supv HCPCS P3000 not published not published $5.86 – $36.16 7
Screen/visual acuity/bilat/quant 99173 CPT 99173 not published not published $2.72 – $6.77 6
Screw cortex 2.0 x 10mm HCPCS C1713 $25,750.00 $25,750.00 $1.94 – $4.58 9
Scrotal (Testicle) Ultrasound CPT 76870 $821.60 $821.60 $28.87 – $64.18 9
Sc ther infusion reset pump CPT 96371 not published not published $52.55 – $116.59 8
Sec abd wall suture evisceration/dehsn 49900 CPT 49900 not published not published $781.89 – $1,684.32 8
Sec art mech thrmbc non-intracranial add-on CPT 37186 $9,367.05 $9,367.05 $220.72 – $2,237.71 9
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 $273.00 $273.00 $5.16 – $123.40 9
Sedimentation rate erythrocyte automated CPT 85652 $118.25 $118.25 $2.00 – $34.40 9
Seg acet and eth estr yearly HCPCS J7294 not published not published $2,351.39 – $4,694.01 4
Segmentectomy 32484 CPT 32484 not published not published $1,312.42 – $2,869.80 8
Select picture audiometry CPT 92583 not published not published $50.59 – $115.90 8
Self-adher band w>=3" <5"/yd HCPCS A6454 not published not published $0.87 – $2.18 7
Self-Care and Home Skills Training (each 15 minutes) CPT 97535 $190.35 $190.35 $32.05 – $92.54 9
Self-meas bp 2 readg bid 30d CPT 99474 not published not published $8.33 – $32.13 9
Self-meas bp pt educaj/train CPT 99473 not published not published $11.80 – $29.14 8
Self-mgmt educ/train 2-4 pt 30min CPT 98961 $25.30 $25.30 $13.05 – $23.78 8
Self-mgmt educ/train 5-8 pt 30min CPT 98962 not published not published $9.61 – $22.36 6
Semen analysis HCPCS G0027 not published not published $3.21 – $13.24 7
Semen analysis presence/motility CPT 89321 $175.10 $175.10 $5.95 – $117.55 9
Semen analysis w/count CPT 89310 not published not published $4.25 – $17.53 7
Sensorimotor examination CPT 92060 not published not published $26.73 – $70.03 8
Sensorineural acuity lvl tst CPT 92575 not published not published $37.99 – $150.47 8
Separate eyelid adhesions CPT 68340 not published not published $379.16 – $1,157.73 9
Sept9 promoter methylation analysis CPT 81327 not published not published $33.47 – $390.95 7
Sequestrectomy olecrn proces CPT 24138 not published not published $663.86 – $1,424.73 8
Sequestrectomy radial h/n CPT 24136 not published not published $611.15 – $1,308.83 8
Sequestrectomy shft/dstl hum CPT 24134 not published not published $720.96 – $1,541.99 8
Serial casting application 97139app CPT 97139 not published not published $5.00 – $38.63 2
Serial tonometry CPT 92100 not published not published $30.63 – $163.83 9
Sermorelin acetate injection HCPCS Q0515 not published not published $1.80 – $2.95 4
Serpina1 gene CPT 81332 not published not published $21.56 – $88.88 7
Sertraline (zoloft) - sendout CPT 80332 not published not published $7.92 – $50.16 4
Set radiation therapy field CPT 77280 $448.05 $448.05 $36.37 – $376.36 9
Set radiation therapy field CPT 77285 $1,025.85 $1,025.85 $54.78 – $861.71 9
Set radiation therapy field CPT 77290 $1,238.90 $1,238.90 $79.89 – $1,040.68 9
Set-up cardiovert-defibrill CPT 93745 not published not published $73.19 – $298.97 7
Set up port xray equipment HCPCS Q0092 not published not published $23.06 – $52.86 8
Sevelamer carbonate 800 mg tablet HCPCS J0601 not published not published $0.02 – $0.02 1
Sevelamer carbonate pdr 20mg HCPCS J0602 not published not published $0.10 – $0.10 1
Sever cranial nerve CPT 64771 not published not published $558.23 – $1,186.82 8
Sewhfo airplane without jnts cf HCPCS L3976 not published not published $1,420.36 – $3,575.55 7
Sewhfo airplane w/jnt(s) cf HCPCS L3978 not published not published $1,676.97 – $4,221.53 7
Sewhfo cap desgn w/jnt(s) cf HCPCS L3977 not published not published $1,591.85 – $4,007.24 7
Sewhfo cap design without jnt cf HCPCS L3975 not published not published $1,420.36 – $3,575.55 7
Sewho airplane without jnts cf HCPCS L3967 not published not published $1,676.97 – $4,221.53 7
Sewho airplane w/jnt(s) cf HCPCS L3973 not published not published $1,676.97 – $4,221.53 7
Sewho cap design without jnts cf HCPCS L3961 not published not published $1,420.36 – $3,575.55 7
Sewho cap design w/jnt(s) cf HCPCS L3971 not published not published $1,591.85 – $4,007.24 7
Sewho erbs palsey design abd HCPCS L3962 not published not published $833.07 – $2,097.14 7
Sex chromatin identification CPT 88130 not published not published $8.88 – $37.68 7
Sex chromatin identification CPT 88140 not published not published $4.53 – $16.74 7
Sex transformation f to m CPT 55980 not published not published $3,338.05 – $8,463.69 7
Sex transformation m to f CPT 55970 not published not published $4,777.69 – $8,017.01 7
Sf3b1 gene common variants CPT 81347 not published not published $77.30 – $393.50 7
Sgmdsc w/band ligation CPT 45350 not published not published $95.02 – $1,283.64 9
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 not published not published $42.96 – $223.58 9
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 $347.95 $347.95 $59.62 – $92.73 9
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 not published not published $70.77 – $300.02 9
Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 not published not published $90.90 – $349.50 9
Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 $347.95 $347.95 $35.33 – $114.07 9
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 not published not published $46.17 – $236.43 9
Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 $144.00 $144.00 $58.38 – $124.72 9
Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 $400.65 $400.65 $65.37 – $160.73 9
Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 $194.35 $194.35 $32.14 – $194.03 9
Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 $115.75 $115.75 $48.91 – $100.92 9
Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 $115.75 $115.75 $56.81 – $264.69 9
Sheath above knee HCPCS L8410 not published not published $26.18 – $65.91 7
Sheath below knee HCPCS L8400 not published not published $16.99 – $42.76 7
Sheath gldlight lasr 12fx50cm HCPCS C2629 $17,773.65 $17,773.65 $2,129.56 – $2,721.30 6
Sheath laser cavaclear 14f HCPCS C1603 $18,485.85 $18,485.85 $2,291.39 – $2,928.10 6
Sheath upper limb HCPCS L8415 not published not published $27.09 – $68.21 7
Shigella antibody CPT 86771 not published not published $9.79 – $49.85 7
Shlder disart int lock elbow HCPCS L6300 not published not published $4,706.72 – $11,848.48 7
Shldr disar prosth tiss shap HCPCS L6550 not published not published $3,880.33 – $9,768.18 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.