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 |
|---|---|---|---|---|
| Warde anti-mullerian hormone CPT 82166 | $160.70 | $160.70 | $38.62 – $108.99 | 9 |
| Warde apolipoprotein b CPT 82172 | $167.35 | $167.35 | $8.44 – $85.54 | 9 |
| Warde bile acids CPT 82239 | $190.10 | $190.10 | $8.46 – $121.50 | 9 |
| Warde cadmium blood CPT 82300 | $271.70 | $271.70 | $11.43 – $121.50 | 9 |
| Warde calcitonin CPT 82308 | $886.80 | $886.80 | $13.23 – $88.69 | 9 |
| Warde calculus (stone) infrared CPT 82365 | $243.55 | $243.55 | $6.37 – $113.65 | 9 |
| Warde clozapine therapeutic drug level CPT 80159 | $201.60 | $201.60 | $9.13 – $85.12 | 9 |
| Warde cobalt heavy metal quantitative each nes CPT 83018 | $441.15 | $441.15 | $10.85 – $143.87 | 9 |
| Warde collagen cross links c-telopeptide CPT 82523 | $140.55 | $140.55 | $9.23 – $42.72 | 9 |
| Warde complement total hemolytic CPT 86162 | $242.40 | $242.40 | $10.04 – $139.54 | 9 |
| Warde copper CPT 82525 | $252.15 | $252.15 | $6.13 – $76.52 | 9 |
| Warde cryoglobulin CPT 82595 | $71.45 | $71.45 | $3.19 – $37.37 | 9 |
| Warde erythropoietin CPT 82668 | $209.65 | $209.65 | $9.28 – $123.42 | 9 |
| Warde estrogen fractionated CPT 82671 | $443.15 | $443.15 | $15.95 – $131.65 | 9 |
| Warde fluorescent antibody screen endomysial iga CPT 86231 | $346.40 | $346.40 | $4.84 – $104.62 | 9 |
| Warde folic acid rbc CPT 82747 | $288.25 | $288.25 | $8.55 – $141.85 | 9 |
| Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative CPT 82955 | $120.90 | $120.90 | $4.79 – $72.47 | 9 |
| Warde gastrin CPT 82941 | $194.70 | $194.70 | $8.71 – $81.03 | 9 |
| Warde growth hormone (hgh) CPT 83003 | $335.30 | $335.30 | $8.23 – $58.52 | 9 |
| Warde haloperidol therapeutic drug level CPT 80173 | not published | not published | $7.19 – $32.13 | 7 |
| Warde helminth antibody strongyloides igg CPT 86682 | $150.90 | $150.90 | $6.42 – $111.11 | 9 |
| Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020 | $60.80 | $60.80 | $6.36 – $32.34 | 9 |
| Warde hepatitis a antibody CPT 86708 | $155.65 | $155.65 | $6.12 – $44.65 | 9 |
| Warde hepatitis be antibody CPT 86707 | $162.80 | $162.80 | $5.71 – $27.03 | 9 |
| Warde hepatitis delta agent antibody CPT 86692 | $200.70 | $200.70 | $8.48 – $141.61 | 9 |
| Warde immunofixation electrophoresis urine CPT 86335 | $560.60 | $560.60 | $14.49 – $114.16 | 9 |
| Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 | $162.15 | $162.15 | $5.69 – $43.90 | 9 |
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $1,029.65 | $1,029.65 | $127.14 – $300.28 | 9 |
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $221.90 | $221.90 | $9.77 – $171.22 | 9 |
| Warde lipoprotein (a) CPT 83695 | $259.20 | $259.20 | $6.39 – $69.04 | 9 |
| Warde lipoprotein-associated phospholipase a2 CPT 83698 | not published | not published | $18.52 – $94.30 | 7 |
| Warde mitochondrial antibody each CPT 86381 | $227.05 | $227.05 | $10.18 – $110.92 | 9 |
| Warde neutralization rabies CPT 86382 | $256.50 | $256.50 | $8.35 – $135.13 | 9 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $289.50 | $289.50 | $6.54 – $66.41 | 9 |
| Warde pancreatic elastase fecal quantitative CPT 82653 | $255.85 | $255.85 | $9.19 – $226.31 | 9 |
| Warde protein c antigen CPT 85302 | not published | not published | $5.93 – $24.45 | 7 |
| Warde sex hormone binding globulin CPT 84270 | $210.35 | $210.35 | $10.73 – $58.09 | 9 |
| Warde somatomedin CPT 84305 | $255.85 | $255.85 | $10.50 – $147.39 | 9 |
| Warde sugars single qualitative each specimen stool CPT 84376 | $33.05 | $33.05 | $2.72 – $14.62 | 9 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $530.60 | $530.60 | $7.78 – $140.67 | 9 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $1,045.35 | $1,045.35 | $25.11 – $154.16 | 9 |
| Warde topiramate therapeutic drug level CPT 80201 | $328.65 | $328.65 | $5.89 – $124.55 | 9 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $791.20 | $791.20 | $12.87 – $205.77 | 9 |
| Warde viscosity CPT 85810 | $375.75 | $375.75 | $5.76 – $54.00 | 9 |
| Warde vitamin a CPT 84590 | $329.90 | $329.90 | $5.73 – $75.44 | 9 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $201.60 | $201.60 | $10.48 – $40.47 | 9 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $498.75 | $498.75 | $13.88 – $104.62 | 9 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $88.70 | $88.70 | $4.88 – $72.47 | 9 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $743.60 | $743.60 | $19.01 – $207.08 | 9 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $364.80 | $364.80 | $7.00 – $76.52 | 9 |
| Warde zinc CPT 84630 | $115.20 | $115.20 | $5.62 – $35.67 | 9 |
| Warfarin respon genetic test HCPCS G9143 | not published | not published | $59.61 – $245.81 | 7 |
| Wash harvest stem cells CPT 38209 | not published | not published | $11.56 – $435.81 | 7 |
| Water distilled w/nebulizer HCPCS A7018 | not published | not published | $0.32 – $0.81 | 7 |
| Wbc automated CPT 85048 | $51.00 | $51.00 | $1.25 – $27.07 | 9 |
| Wcd device interrogate CPT 93292 | not published | not published | $19.57 – $41.34 | 8 |
| Wedge biopsy of liver 47100 CPT 47100 | not published | not published | $799.67 – $1,734.50 | 8 |
| Wedge rescj/bisctj ovary uni/bi 58920 CPT 58920 | not published | not published | $676.13 – $1,457.27 | 8 |
| Wedge resect of lung add-on 32506 CPT 32506 | not published | not published | $140.26 – $309.75 | 8 |
| Wedge resect of lung diag 32507 CPT 32507 | not published | not published | $140.26 – $309.75 | 8 |
| Wedge resect of lung initial 32505 CPT 32505 | not published | not published | $858.75 – $1,871.41 | 8 |
| Wedging of cast CPT 29740 | not published | not published | $64.79 – $194.03 | 9 |
| Wedging of clubfoot cast CPT 29750 | not published | not published | $72.58 – $208.80 | 9 |
| Western blot test CPT 84181 | $311.25 | $311.25 | $8.41 – $119.31 | 9 |
| Wet mounts/ w preparations HCPCS Q0111 | not published | not published | $5.86 – $36.16 | 7 |
| Whfo electric custom fitted HCPCS L3904 | not published | not published | $2,683.42 – $6,755.11 | 7 |
| Whfo nontorsion joint prefab HCPCS L3931 | $725.80 | $725.80 | $117.95 – $326.09 | 9 |
| Whfo w/joint(s) custom fab HCPCS L3806 | not published | not published | $384.03 – $966.75 | 7 |
| Whole blood for transfusion HCPCS P9010 | not published | not published | $49.98 – $231.87 | 7 |
| Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit HCPCS P9054 | not published | not published | $242.44 – $249.71 | 5 |
| Whole blood/red blood cells leukocytes reduced cmv negative each unit HCPCS P9051 | not published | not published | $172.20 – $177.37 | 5 |
| Whole-Body Bone Scan (Nuclear Medicine) CPT 78306 | $2,799.85 | $2,799.85 | $38.16 – $983.30 | 9 |
| Whole body photography CPT 96904 | not published | not published | $65.03 – $134.88 | 8 |
| Whole mitochondrial genome CPT 81460 | not published | not published | $514.80 – $2,620.59 | 7 |
| Whole mitochondrial genome CPT 81465 | not published | not published | $374.40 – $1,905.88 | 7 |
| Whole Skeleton X-ray Survey CPT 77075 | $1,228.40 | $1,228.40 | $24.97 – $327.68 | 9 |
| Who nontorsion jnts pre cst HCPCS L3915 | not published | not published | $449.38 – $1,131.25 | 7 |
| Who nontorsion jnts pre ots HCPCS L3916 | not published | not published | $449.38 – $1,131.25 | 7 |
| Wilate injection HCPCS J7183 | not published | not published | $1.27 – $2.42 | 8 |
| Wipe adh remover univ ostomy adh/barrier remover HCPCS A4456 | not published | not published | $0.27 – $0.67 | 7 |
| Wnd prep f/n/hf/g addl cm CPT 15005 | not published | not published | $83.19 – $223.58 | 9 |
| Woman's shoe oxford brace HCPCS L3224 | not published | not published | $66.33 – $166.99 | 7 |
| Wound Cleaning and Dead Tissue Removal (up to 20 sq cm) CPT 97597 | $597.55 | $597.55 | $26.72 – $189.64 | 9 |
| Wound closure by adhesive HCPCS G0168 | not published | not published | $11.34 – $235.14 | 8 |
| Woundfix biowound plus xplus HCPCS Q4217 | not published | not published | $573.00 – $919.90 | 6 |
| Wound pouch each HCPCS A6154 | not published | not published | $15.98 – $39.95 | 7 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $643.00 | $643.00 | $16.64 – $504.76 | 9 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $678.35 | $678.35 | $18.65 – $504.76 | 9 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $535.60 | $535.60 | $18.40 – $82.87 | 9 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $640.30 | $640.30 | $20.16 – $98.29 | 9 |
| Wrist arthroscopy CPT 29840 | not published | not published | $437.31 – $933.33 | 8 |
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $469.77 – $1,009.24 | 8 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $483.82 – $1,032.29 | 8 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $566.56 – $1,211.91 | 8 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $505.94 – $1,080.41 | 8 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $525.24 – $1,125.84 | 8 |
| Wrist/elbow bowden cable mol HCPCS L6580 | not published | not published | $1,537.85 – $3,871.30 | 7 |
| Wrist/elbow bowden cbl dir f HCPCS L6582 | not published | not published | $1,360.88 – $3,425.85 | 7 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $494.77 – $1,062.79 | 8 |
| Wrist X-ray CPT 73110 | $390.10 | $390.10 | $8.00 – $246.16 | 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.