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 |
|---|---|---|---|---|
| Treatment of heel fracture 28400 CPT 28400 | not published | not published | $223.71 – $494.69 | 9 |
| Treatment of miscarriage CPT 59821 | $4,603.55 | $4,603.55 | $355.31 – $846.13 | 9 |
| Treatment of mouth lesion physical 40820 CPT 40820 | not published | not published | $158.96 – $500.48 | 9 |
| Treatment of penis lesion CPT 54110 | not published | not published | $596.74 – $1,267.49 | 8 |
| Treatment of penis lesion CPT 54115 | not published | not published | $410.70 – $887.24 | 9 |
| Treatment of rectal prolapse CPT 45520 | not published | not published | $38.73 – $312.24 | 9 |
| Treatment of retinal lesion CPT 67208 | not published | not published | $289.32 – $1,159.72 | 9 |
| Treatment of retinal lesion CPT 67210 | not published | not published | $475.08 – $1,002.46 | 9 |
| Treatment of retinal lesion CPT 67218 | not published | not published | $1,318.32 – $2,783.72 | 8 |
| Treatment of thigh fracture CPT 27501 | not published | not published | $232.17 – $1,033.64 | 9 |
| Treatment of thigh fracture CPT 27503 | not published | not published | $771.37 – $1,645.03 | 8 |
| Treatment of thigh fracture CPT 27506 | not published | not published | $1,277.53 – $2,734.25 | 8 |
| Treatment of thigh fracture CPT 27508 | not published | not published | $232.17 – $1,040.80 | 9 |
| Treatment of thigh fracture CPT 27509 | not published | not published | $653.01 – $1,394.23 | 8 |
| Treatment of thigh fracture CPT 27510 | $2,411.30 | $2,411.30 | $518.93 – $1,407.12 | 9 |
| Treatment of thigh fracture CPT 27511 | not published | not published | $946.62 – $2,032.72 | 8 |
| Treatment of thigh fracture CPT 27507 | not published | not published | $923.58 – $1,976.46 | 8 |
| Treatment of thigh fracture CPT 27513 | not published | not published | $1,169.72 – $2,513.95 | 8 |
| Treatment of thigh fracture CPT 27514 | not published | not published | $919.91 – $1,971.04 | 8 |
| Treatment of tibia fracture CPT 27756 | not published | not published | $557.90 – $1,196.31 | 8 |
| Treatment of tibia fracture CPT 27758 | not published | not published | $862.12 – $1,841.58 | 8 |
| Treatment of tibia fracture CPT 27759 | not published | not published | $955.57 – $2,042.21 | 8 |
| Treatment of toe fracture 28510 CPT 28510 | $338.20 | $338.20 | $116.79 – $247.75 | 9 |
| Treatment of urethra lesion CPT 53220 | not published | not published | $433.71 – $920.44 | 8 |
| Treatment of urethra lesion CPT 53260 | not published | not published | $173.70 – $401.54 | 9 |
| Treatment of urethra lesion CPT 53265 | not published | not published | $180.81 – $444.59 | 9 |
| Treatment radiation delivery level 2 CPT 77407 | $666.10 | $666.10 | $250.93 – $626.13 | 9 |
| Treatment x10sv retinopathy CPT 67228 | not published | not published | $288.88 – $649.53 | 9 |
| Treat metacarpal fracture CPT 26608 | not published | not published | $467.81 – $1,005.86 | 8 |
| Treat metacarpal fracture CPT 26615 | not published | not published | $556.86 – $1,194.96 | 8 |
| Treat metatarsal fracture CPT 28476 | not published | not published | $375.48 – $803.20 | 8 |
| Treat metatarsal fracture CPT 28485 | not published | not published | $544.12 – $1,161.75 | 8 |
| Treat midfoot fracture each CPT 28455 | not published | not published | $227.95 – $539.04 | 9 |
| Treat midfoot fracture each CPT 28465 | not published | not published | $614.58 – $1,320.35 | 8 |
| Treat neck spine fracture CPT 22326 | not published | not published | $1,420.60 – $3,117.20 | 8 |
| Treat odontoid fx w/graft CPT 22319 | not published | not published | $1,708.56 – $3,788.90 | 8 |
| Treat odontoid fx without graft CPT 22318 | not published | not published | $1,543.32 – $3,417.48 | 8 |
| Treat pelvic fracture(s) CPT 27215 | not published | not published | $589.33 – $1,231.55 | 6 |
| Treat pelvic ring fracture CPT 27216 | not published | not published | $871.52 – $1,819.22 | 6 |
| Treat pelvic ring fracture CPT 27217 | not published | not published | $819.02 – $1,710.77 | 6 |
| Treat pelvic ring fracture CPT 27218 | not published | not published | $1,125.60 – $2,344.50 | 6 |
| Treat penis lesion graft CPT 54111 | not published | not published | $760.33 – $1,616.56 | 8 |
| Treat penis lesion graft CPT 54112 | not published | not published | $890.84 – $1,894.46 | 8 |
| Treat radius fracture CPT 24665 | not published | not published | $634.96 – $1,361.02 | 8 |
| Treat radius fracture CPT 24666 | not published | not published | $707.15 – $1,510.82 | 8 |
| Treat sesamoid bone fracture CPT 28531 | not published | not published | $175.38 – $637.33 | 9 |
| Treat skull fracture CPT 62000 | not published | not published | $972.19 – $2,147.95 | 8 |
| Treat skull fracture CPT 62005 | not published | not published | $1,189.81 – $2,638.00 | 8 |
| Treat slipped epiphysis CPT 27176 | not published | not published | $886.93 – $1,893.77 | 8 |
| Treat slipped epiphysis CPT 27175 | not published | not published | $642.24 – $1,372.54 | 8 |
| Treat slipped epiphysis CPT 27177 | not published | not published | $1,068.19 – $2,284.86 | 8 |
| Treat slipped epiphysis CPT 27178 | not published | not published | $886.93 – $1,893.77 | 8 |
| Treat slipped epiphysis CPT 27181 | not published | not published | $1,072.63 – $2,294.35 | 8 |
| Treat spinal cord lesion CPT 62280 | $273.75 | $273.75 | $153.29 – $257.33 | 9 |
| Treat spinal cord lesion CPT 62281 | $335.25 | $335.25 | $149.94 – $292.30 | 9 |
| Treat spine fracture CPT 22325 | not published | not published | $1,397.72 – $3,046.70 | 8 |
| Treat sternum fracture CPT 21820 | not published | not published | $143.48 – $312.48 | 9 |
| Treat tail bone fracture CPT 27202 | not published | not published | $509.01 – $1,089.22 | 8 |
| Treat thigh fracture CPT 27230 | not published | not published | $232.17 – $998.39 | 9 |
| Treat thigh fracture CPT 27235 | not published | not published | $869.90 – $1,859.21 | 8 |
| Treat thigh fracture CPT 27236 | not published | not published | $1,139.03 – $2,439.41 | 8 |
| Treat thigh fracture CPT 27238 | not published | not published | $453.06 – $975.36 | 8 |
| Treat thigh fracture CPT 27245 | not published | not published | $1,170.16 – $2,504.46 | 8 |
| Treat thigh fracture CPT 27246 | not published | not published | $232.17 – $807.94 | 9 |
| Treat thigh fracture CPT 27248 | not published | not published | $714.44 – $1,527.76 | 8 |
| Treat thigh fracture CPT 27240 | not published | not published | $916.04 – $1,953.43 | 8 |
| Treat thigh fracture CPT 27244 | not published | not published | $1,171.57 – $2,507.87 | 8 |
| Treat thigh fx growth plate CPT 27516 | not published | not published | $232.17 – $1,031.80 | 9 |
| Treat thigh fx growth plate CPT 27517 | $2,932.25 | $2,932.25 | $601.55 – $1,427.44 | 9 |
| Treat thigh fx growth plate CPT 27519 | not published | not published | $849.55 – $1,819.89 | 8 |
| Treat thorax spine fracture CPT 22327 | not published | not published | $1,451.60 – $3,174.82 | 8 |
| Treat thumb fracture CPT 26650 | not published | not published | $468.17 – $1,005.17 | 8 |
| Treat thumb fracture CPT 26665 | not published | not published | $607.57 – $1,298.67 | 8 |
| Treat toe dislocation CPT 28636 | not published | not published | $191.71 – $689.36 | 9 |
| Treat toe dislocation CPT 28665 | $478.85 | $478.85 | $121.26 – $296.18 | 9 |
| Treat toe dislocation CPT 28666 | not published | not published | $169.39 – $357.88 | 8 |
| Treat toe fracture CPT 28525 | not published | not published | $392.32 – $1,103.11 | 9 |
| Treat trigeminal nerve CPT 61790 | not published | not published | $833.30 – $1,830.75 | 8 |
| Treat trigeminal tract CPT 61791 | $5,582.85 | $5,582.85 | $1,057.00 – $4,689.59 | 9 |
| Treat ulnar fracture CPT 24675 | $2,672.75 | $2,672.75 | $226.93 – $476.10 | 9 |
| Treat ulnar fracture CPT 24685 | not published | not published | $631.29 – $1,353.56 | 8 |
| Treat vaginal bleeding CPT 57180 | $342.25 | $342.25 | $99.69 – $246.87 | 9 |
| Treat wrist bone fracture CPT 25635 | $2,360.95 | $2,360.95 | $282.73 – $486.92 | 9 |
| Treat wrist dislocation CPT 25675 | $1,003.25 | $1,003.25 | $232.17 – $442.18 | 9 |
| Tremelimumab-actl 20 mg/ml intravenous solution HCPCS J9347 | not published | not published | $135.56 – $260.76 | 8 |
| Treponema pallidum ag if CPT 87285 | not published | not published | $5.92 – $24.80 | 7 |
| Treponema pallidum antibody CPT 86780 | $171.35 | $171.35 | $9.80 – $59.27 | 9 |
| Treprostinil injection HCPCS J3285 | $16,813.99 | $16,813.99 | $55.48 – $6,535.59 | 9 |
| Treprostinil, non-comp unit HCPCS J7686 | not published | not published | $730.32 – $1,393.19 | 6 |
| Trg gene rearrangement anal CPT 81342 | not published | not published | $79.77 – $410.29 | 7 |
| Trh stimulation panel CPT 80439 | not published | not published | $33.19 – $136.85 | 7 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $95.28 | $95.28 | $0.95 – $26.31 | 9 |
| Triamcinolone a inj prs-free HCPCS J3300 | not published | not published | $4.27 – $25.24 | 8 |
| Triamcinolone diacetate inj HCPCS J3302 | not published | not published | $0.28 – $0.67 | 4 |
| Triamcinolone hexacetonl inj HCPCS J3303 | not published | not published | $3.61 – $13.72 | 4 |
| Trichinella antibody CPT 86784 | not published | not published | $6.20 – $25.57 | 7 |
| Trichomonas assay w/optic CPT 87808 | not published | not published | $9.17 – $31.13 | 7 |
| #tricyclicantidprssnt CPT 80337 | not published | not published | $10.35 – $10.35 | 1 |
| Triglycerides CPT 84478 | $192.85 | $192.85 | $4.25 – $61.29 | 9 |
| Trilaciclib 300 mg intravenous solution HCPCS J1448 | $5,707.85 | $5,707.85 | $5.20 – $5,365.38 | 9 |
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.