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 |
|---|---|---|---|---|
| Shldr disartic myoelectronic HCPCS L6965 | not published | not published | $14,813.90 – $37,291.82 | 7 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $452.96 – $966.54 | 8 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $878.71 – $1,878.19 | 8 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $1,014.40 – $2,170.32 | 8 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | $572.64 – $1,222.07 | 8 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $521.96 – $1,118.36 | 8 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $566.00 – $1,208.53 | 8 |
| Sho arthrs srg prtl synvct CPT 29820 | not published | not published | $515.05 – $1,100.08 | 8 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $566.00 – $1,211.23 | 8 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $991.19 – $2,119.48 | 8 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $572.00 – $1,222.76 | 8 |
| Shoe clubfoot wedge HCPCS L3380 | not published | not published | $46.04 – $115.90 | 7 |
| Shoe dennis browne splint bo HCPCS L3640 | not published | not published | $40.17 – $101.10 | 7 |
| Shoe heel new leather standa HCPCS L3455 | not published | not published | $37.82 – $95.19 | 7 |
| Shoe heel new rubber standar HCPCS L3460 | not published | not published | $31.87 – $80.23 | 7 |
| Shoe heel pad & depress for HCPCS L3480 | not published | not published | $57.88 – $145.69 | 7 |
| Shoe heel sach cushion type HCPCS L3450 | not published | not published | $98.07 – $246.89 | 7 |
| Shoe heel thomas extend to b HCPCS L3470 | not published | not published | $57.88 – $145.69 | 7 |
| Shoe heel thomas with wedge HCPCS L3465 | not published | not published | $54.34 – $136.77 | 7 |
| Shoe lift elev heel/sole neo HCPCS L3310 | not published | not published | $75.61 – $190.34 | 7 |
| Shoe metatarsal bar between HCPCS L3410 | not published | not published | $86.23 – $217.08 | 7 |
| Shoe metatarsal bar wedge ro HCPCS L3400 | not published | not published | $37.82 – $95.19 | 7 |
| Shoe outflare wedge HCPCS L3390 | not published | not published | $46.04 – $115.90 | 7 |
| Shoe post-op mens m HCPCS L3260 | $149.85 | $149.85 | $21.87 – $140.86 | 6 |
| Shoe sole wedge between sole HCPCS L3370 | not published | not published | $46.04 – $115.90 | 7 |
| Shoe sole wedge outside sole HCPCS L3360 | not published | not published | $33.08 – $83.28 | 7 |
| Shoe wedge sach HCPCS L3340 | not published | not published | $79.18 – $199.34 | 7 |
| Sho heel count plast reinfor HCPCS L3430 | not published | not published | $148.86 – $374.72 | 7 |
| Sho insert w arch toe filler HCPCS L5000 | not published | not published | $479.03 – $1,205.88 | 7 |
| Sho lift taper to metatarsal HCPCS L3300 | not published | not published | $48.43 – $121.93 | 7 |
| Shortening of hand tendon CPT 26479 | not published | not published | $653.35 – $1,388.14 | 8 |
| Shortening of thigh bone CPT 27465 | not published | not published | $1,189.67 – $2,547.86 | 8 |
| Shorten/lengthen thighs CPT 27468 | not published | not published | $1,277.78 – $2,736.96 | 8 |
| Shorten radius or ulna CPT 25390 | not published | not published | $743.08 – $1,583.35 | 8 |
| Shorten radius & ulna CPT 25392 | not published | not published | $972.39 – $2,078.13 | 8 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $161.95 | $161.95 | $13.61 – $35.35 | 9 |
| Shoulder abduction joint pai HCPCS L6640 | not published | not published | $265.56 – $668.53 | 7 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $683.75 | $683.75 | $8.65 – $374.52 | 9 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $1,021.95 – $2,186.57 | 8 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $503.65 | $503.65 | $8.33 – $175.90 | 9 |
| Shoulder flexion-abduction j HCPCS L6645 | not published | not published | $302.66 – $761.91 | 7 |
| Shoulder harness HCPCS L5699 | not published | not published | $228.68 – $575.65 | 7 |
| Shoulder lock actuator HCPCS L6647 | not published | not published | $483.26 – $1,216.55 | 7 |
| Shoulder MRI (with and without contrast) CPT 73223 | $6,736.70 | $6,736.70 | $97.62 – $2,519.33 | 9 |
| Shoulder MRI (with contrast) CPT 73222 | $3,989.15 | $3,989.15 | $73.53 – $2,085.05 | 9 |
| Shoulder MRI (without contrast) CPT 73221 | $3,614.95 | $3,614.95 | $61.31 – $1,552.82 | 9 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $1,016.26 – $2,166.92 | 8 |
| Shoulder prosthesis removal CPT 23335 | not published | not published | $1,207.45 – $2,587.15 | 8 |
| Shoulder universal joint HCPCS L6650 | not published | not published | $349.94 – $880.92 | 7 |
| Shoulder X-ray CPT 73030 | $411.95 | $411.95 | $8.65 – $256.73 | 9 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $393.95 | $393.95 | $7.03 – $207.13 | 9 |
| Shrinker prosth above knee HCPCS L8460 | not published | not published | $72.70 – $183.01 | 7 |
| Shrinker prosth below knee HCPCS L8440 | not published | not published | $44.59 – $112.26 | 7 |
| Shrinker upper limb HCPCS L8465 | not published | not published | $48.59 – $122.31 | 7 |
| Shunt as-aort to pulm art CPT 33755 | not published | not published | $1,211.73 – $2,648.16 | 8 |
| Shunt central w/prostc graft CPT 33764 | not published | not published | $1,211.73 – $2,648.16 | 8 |
| Shunt desc aorta to pulm art CPT 33762 | not published | not published | $1,171.79 – $2,568.18 | 8 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $795.00 | $795.00 | $26.97 – $34.47 | 6 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $507.40 | $507.40 | $21.73 – $348.17 | 9 |
| Shunt subclavian to pulm art CPT 33750 | not published | not published | $1,153.57 – $2,528.19 | 8 |
| Shunt supr v/c p-art 1 lung CPT 33766 | not published | not published | $1,216.35 – $2,667.14 | 8 |
| Shunt supr v/c p-art bth lng CPT 33767 | not published | not published | $1,296.93 – $2,846.08 | 8 |
| Sialidase enzyme assay CPT 87905 | not published | not published | $9.05 – $24.88 | 7 |
| Sialography s&i CPT 70390 | $879.05 | $879.05 | $17.30 – $738.40 | 9 |
| Sialolithotomy 42330 CPT 42330 | not published | not published | $160.00 – $454.86 | 9 |
| Sickling rbc CPT 85660 | $89.70 | $89.70 | $2.72 – $65.19 | 9 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $68.75 – $551.24 | 9 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | $1,579.80 | $1,579.80 | $107.05 – $1,277.89 | 9 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $110.70 – $943.14 | 9 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $63.81 – $559.59 | 9 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $150.37 – $4,359.13 | 9 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | $99.13 – $534.53 | 9 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $144.41 – $308.40 | 8 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $185.62 – $395.84 | 8 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $113.29 – $576.29 | 9 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $116.76 – $248.76 | 8 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $159.33 – $341.61 | 8 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $88.73 – $631.54 | 9 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $493.35 | $493.35 | $11.90 – $44.18 | 9 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $73.62 – $874.40 | 9 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $0.27 – $25.75 | 3 |
| Silicon gel insert w/wo lock HCPCS L6692 | not published | not published | $590.39 – $1,486.22 | 7 |
| Sim ang w/prs cath rad emb HCPCS C8004 | not published | not published | $10,975.86 – $11,305.13 | 5 |
| Simple cystometrogram 51725 CPT 51725 | not published | not published | $70.90 – $151.82 | 8 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $1,328.04 | $1,328.04 | $118.61 – $194.21 | 9 |
| Single energy x-ray study HCPCS G0130 | not published | not published | $10.60 – $21.69 | 8 |
| Single pivot hinge pair HCPCS L6605 | not published | not published | $175.60 – $442.04 | 7 |
| Single transfer toe-hand CPT 26553 | not published | not published | $3,091.36 – $6,653.96 | 8 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,481.90 | $2,481.90 | $57.08 – $1,620.11 | 9 |
| Sinus CT scan (with contrast) CPT 70487 | $1,987.35 | $1,987.35 | $51.03 – $1,427.37 | 9 |
| Sinus CT scan (without contrast) CPT 70486 | $1,728.30 | $1,728.30 | $38.82 – $854.32 | 9 |
| Sinus/juglr venogram s&i CPT 75860 | $9,131.70 | $9,131.70 | $50.78 – $7,670.63 | 9 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $334.68 – $812.72 | 9 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $574.74 – $1,216.65 | 8 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $498.17 – $1,054.65 | 8 |
| Sinus X-ray (complete) CPT 70220 | $534.95 | $534.95 | $9.95 – $309.46 | 9 |
| Sinus X-ray (limited) CPT 70210 | $431.85 | $431.85 | $8.00 – $208.99 | 9 |
| Sio flex pelvisacral custom HCPCS L0622 | not published | not published | $306.53 – $771.64 | 7 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | not published | not published | $133.52 – $263.97 | 7 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $53,426.66 – $106,523.17 | 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.