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 |
|---|---|---|---|---|
| Brst prsth bra & bilat form HCPCS L8002 | not published | not published | $153.54 – $386.51 | 7 |
| Brst rcnstj 1pdcl tram anast CPT 19368 | not published | not published | $2,054.33 – $4,392.82 | 8 |
| Brst rcnstj 2 pdcl tram flap CPT 19369 | not published | not published | $1,909.51 – $4,082.40 | 8 |
| Brst rcnstj free flap CPT 19364 | not published | not published | $2,571.57 – $5,505.76 | 8 |
| Brush provox 4-10mm HCPCS L8513 | not published | not published | $4.84 – $12.18 | 7 |
| Bso omentectomy w/tah 58956 CPT 58956 | not published | not published | $1,290.90 – $2,781.02 | 8 |
| Btk gene common variants CPT 81233 | not published | not published | $70.16 – $357.15 | 7 |
| Budesonide comp unit HCPCS J7627 | not published | not published | $0.31 – $9.49 | 3 |
| Budesonide non-comp con HCPCS J7633 | not published | not published | $0.03 – $4.82 | 2 |
| Budesonide non-comp unit HCPCS J7626 | not published | not published | $0.92 – $2.30 | 6 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $164.55 | $164.55 | $0.61 – $4.94 | 9 |
| Bundled special stain group 1 microorganisms CPT 88312 | $335.10 | $335.10 | $20.89 – $51.74 | 9 |
| Bundled special stain group 2 CPT 88313 | $567.80 | $567.80 | $11.25 – $124.45 | 9 |
| Bundle his recording CPT 93600 | not published | not published | $86.71 – $217.15 | 8 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $1,832.30 | $1,832.30 | $0.02 – $14.79 | 9 |
| Bupivacaine implant, 1 mg HCPCS C9089 | not published | not published | $0.85 – $2.63 | 7 |
| Bupren/nal 3.1 to 6mg bupren HCPCS J0573 | not published | not published | $7.91 – $18.51 | 3 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | not published | not published | $2.71 – $11.75 | 3 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | not published | not published | $4.89 – $19.19 | 3 |
| Buprenorphine and metabolite - sendout CPT 80348 | $185.50 | $185.50 | $16.36 – $65.59 | 9 |
| Buprenorphine hydrochloride HCPCS J0592 | not published | not published | $3.79 – $7.55 | 6 |
| Buprenorphine oral 1mg HCPCS J0571 | $115.90 | $115.90 | $0.69 – $44.20 | 6 |
| Buprenorphine X-ray over 100 mg HCPCS Q9992 | $7,598.10 | $7,598.10 | $1,829.73 – $5,500.93 | 9 |
| Buprenorph X-ray 100 mg or less HCPCS Q9991 | $7,598.10 | $7,598.10 | $1,829.73 – $5,500.93 | 9 |
| Bupropion hcl sr 60 tablets HCPCS S0106 | not published | not published | $15.70 – $165.38 | 3 |
| Bur hol/trph drg brn abs/cst CPT 61150 | not published | not published | $1,260.14 – $2,794.56 | 8 |
| Burr hol aspir hmtm/cst icer CPT 61156 | not published | not published | $1,157.52 – $2,565.47 | 8 |
| Burr hole for vent puncture 61120 CPT 61120 | not published | not published | $709.42 – $1,560.97 | 8 |
| Burr hole implant ventricular cath/other device CPT 61210 | not published | not published | $332.70 – $747.61 | 8 |
| Burr hole skull for biopsy 61140 CPT 61140 | not published | not published | $1,192.05 – $2,638.00 | 8 |
| Burr hole skull & remove clot 61154 CPT 61154 | not published | not published | $1,199.80 – $2,650.87 | 8 |
| Burr hole treph ittl uni/bi CPT 61253 | not published | not published | $931.76 – $2,061.18 | 8 |
| Burr hole/treph sbsq tapping CPT 61151 | not published | not published | $931.76 – $2,061.18 | 8 |
| Burr hole/treph sttl expl CPT 61250 | not published | not published | $817.59 – $1,802.95 | 8 |
| Bur rotalink 2.15mm HCPCS C1724 | $18,693.30 | $18,693.30 | $588.22 – $751.67 | 6 |
| Busulfan injection HCPCS J0594 | not published | not published | $0.96 – $2.00 | 8 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $101.61 | $101.61 | $2.80 – $50.89 | 9 |
| Butorphanol tartrate, nasal HCPCS S0012 | not published | not published | $57.53 – $115.90 | 3 |
| Buttock fasciotomy CPT 27027 | not published | not published | $845.52 – $1,815.15 | 8 |
| Buttock fasciotomy w/dbrdmt CPT 27057 | not published | not published | $962.52 – $2,061.88 | 8 |
| Bx arm/elbow soft tissue supf 24065 CPT 24065 | not published | not published | $156.39 – $503.05 | 9 |
| Bx bone trocar/ndl deep CPT 20225 | $2,864.30 | $2,864.30 | $122.20 – $727.27 | 9 |
| Bx breast 1st lesion mr imag CPT 19085 | $6,321.00 | $6,321.00 | $168.28 – $1,456.46 | 9 |
| Bx breast 1st lesion strtctc CPT 19081 | $3,792.90 | $3,792.90 | $152.70 – $954.07 | 9 |
| Bx breast add lesion mr imag CPT 19086 | $3,160.85 | $3,160.85 | $83.87 – $1,126.24 | 9 |
| Bx breast add lesion strtctc CPT 19082 | $1,896.80 | $1,896.80 | $76.41 – $145.70 | 9 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $1,896.80 | $1,896.80 | $72.19 – $585.86 | 9 |
| Bx breast perq without image 19100 CPT 19100 | $235.15 | $235.15 | $63.27 – $287.83 | 9 |
| Bx breast pq tomo guide CPT 19499 | $3,912.45 | $3,912.45 | $46.80 – $3,817.31 | 9 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | $393.95 | $393.95 | $126.20 – $327.66 | 9 |
| Bx/exc idrl imed lesn cervl CPT 63285 | not published | not published | $2,418.76 – $5,389.19 | 8 |
| Bx/exc idrl imed lesn thrc CPT 63286 | not published | not published | $2,392.25 – $5,301.08 | 8 |
| Bx/exc idrl imed lesn thrlmb CPT 63287 | not published | not published | $2,534.23 – $5,649.46 | 8 |
| Bx/exc idrl spine lesn crvl CPT 63280 | not published | not published | $1,965.05 – $4,376.55 | 8 |
| Bx/exc idrl spine lesn scrl CPT 63283 | not published | not published | $1,773.55 – $3,938.01 | 8 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | not published | not published | $396.74 – $1,022.16 | 9 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | not published | not published | $241.43 – $652.10 | 9 |
| Bx/exc xdrl/idrl lsn any lvl CPT 63290 | not published | not published | $2,576.53 – $5,744.36 | 8 |
| Bx/exc xdrl spine lesn crvl CPT 63275 | not published | not published | $1,677.50 – $3,712.99 | 8 |
| Bx/exc xdrl spine lesn lmbr CPT 63277 | not published | not published | $1,464.00 – $3,218.19 | 8 |
| Bx/exc xdrl spine lesn scrl CPT 63278 | not published | not published | $1,489.85 – $3,302.92 | 8 |
| Bx/exc xdrl spine lesn thrc CPT 63276 | not published | not published | $1,666.91 – $3,689.94 | 8 |
| Bx leg/ankle soft tissue deep 27614 CPT 27614 | not published | not published | $400.05 – $1,144.22 | 9 |
| Bx liver with other CPT 47001 | $1,842.60 | $1,842.60 | $95.42 – $1,547.78 | 9 |
| Bx muscle CPT 20200 | not published | not published | $89.99 – $417.61 | 9 |
| Bx nasopharynx/unknown pri lesion 42806 CPT 42806 | not published | not published | $136.28 – $468.35 | 9 |
| Bx of breast open 19101 CPT 19101 | not published | not published | $211.80 – $634.76 | 9 |
| Bx of cervix w/scope leep 57460 CPT 57460 | $472.55 | $472.55 | $150.71 – $607.13 | 9 |
| Bx pancreas pq ndl CPT 48102 | not published | not published | $220.69 – $975.91 | 9 |
| Bx perianal mass CPT 46999 | $1,027.70 | $1,027.70 | $74.08 – $908.86 | 9 |
| Bx pleura pq ndl CPT 32400 | $2,788.15 | $2,788.15 | $78.21 – $323.80 | 9 |
| Bx prst8 ndl sat sampling CPT 55706 | not published | not published | $360.68 – $763.21 | 8 |
| Bx shoulder tissues deep 23066 CPT 23066 | not published | not published | $351.91 – $1,114.04 | 9 |
| Bx shoulder tissues supf 23065 CPT 23065 | not published | not published | $153.19 – $437.51 | 9 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $235.15 | $235.15 | $28.89 – $130.86 | 9 |
| Bx skin punch ea sep/ addl les CPT 11105 | $235.15 | $235.15 | $24.01 – $77.62 | 9 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $235.15 | $235.15 | $20.67 – $77.62 | 9 |
| Bx/soft tis/forearm/wrist/superfic 25065 CPT 25065 | not published | not published | $152.11 – $496.62 | 9 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | $1,820.40 | $1,820.40 | $191.63 – $655.32 | 9 |
| Bx soft tiss pelvis/hip deep 27041 CPT 27041 | $1,905.70 | $1,905.70 | $679.89 – $1,600.79 | 9 |
| Bx soft tissue back/flank deep 21925 CPT 21925 | not published | not published | $361.96 – $964.34 | 9 |
| Bx soft tissue back/flank supf 21920 CPT 21920 | not published | not published | $149.12 – $497.26 | 9 |
| Bx spinal cord pq ndl CPT 62269 | $2,603.80 | $2,603.80 | $246.34 – $2,187.19 | 9 |
| Bx thigh/knee soft tiss supf 27323 CPT 27323 | $454.10 | $454.10 | $168.58 – $531.96 | 9 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $1,179.95 | $1,179.95 | $69.84 – $172.95 | 9 |
| Bx vag mucos smpl (sep proc) CPT 57100 | $784.15 | $784.15 | $61.72 – $201.10 | 9 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | $391.65 | $391.65 | $55.56 – $186.95 | 9 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | $91.30 | $91.30 | $27.02 – $73.24 | 9 |
| Bypass graft/av fist patency CPT 35686 | not published | not published | $143.11 – $317.22 | 8 |
| Bypass graft patency/patch CPT 35685 | not published | not published | $176.45 – $391.09 | 8 |
| Bypass temp external fem-fem CPT 37799 | $22,541.25 | $22,541.25 | $45.82 – $95.27 | 9 |
| C-1 esterase, berinert HCPCS J0597 | $12,146.75 | $12,146.75 | $61.94 – $7,591.96 | 9 |
| C-1 esterase, cinryze HCPCS J0598 | not published | not published | $61.50 – $120.18 | 8 |
| C1 esterase inhibitor func - sendout CPT 86161 | not published | not published | $5.92 – $24.43 | 7 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | not published | not published | $203.57 – $406.77 | 8 |
| Cabergoline, oral 0.25mg HCPCS J8515 | not published | not published | $2.98 – $28.47 | 4 |
| Cabg 2 arterial grafts 33534 CPT 33534 | not published | not published | $2,002.24 – $4,384.69 | 8 |
| Cabg 3 arterial grafts 33535 CPT 33535 | not published | not published | $2,223.95 – $4,871.34 | 8 |
| Cabg arterial four or more 33536 CPT 33536 | not published | not published | $2,394.60 – $5,248.88 | 8 |
| Cabgsingle artery graft 33533 CPT 33533 | not published | not published | $1,705.10 – $3,734.00 | 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.