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 |
|---|---|---|---|---|
| Cabgsingle coronary venous graft 33510 CPT 33510 | not published | not published | $1,760.01 – $3,855.32 | 8 |
| Cabg/valve reop >1 mo p org proced 33530 CPT 33530 | not published | not published | $471.35 – $1,038.38 | 8 |
| Cabg vein five CPT 33514 | not published | not published | $2,365.42 – $5,177.04 | 8 |
| Cabg/vein only/2 cor venous gfts 33511 CPT 33511 | not published | not published | $1,932.96 – $4,233.54 | 8 |
| Cabg/vein only/3 cor venous gfts 33512 CPT 33512 | not published | not published | $2,198.56 – $4,822.56 | 8 |
| Cabg/vein only/4 cor venous gfts 33513 CPT 33513 | not published | not published | $2,246.22 – $4,924.22 | 8 |
| Cabg vein six or more CPT 33516 | not published | not published | $2,448.21 – $5,358.02 | 8 |
| Cabg venous & art 1 vein graft 33517 CPT 33517 | not published | not published | $168.20 – $371.44 | 8 |
| Cabg venous & art 2 vein graft 33518 CPT 33518 | not published | not published | $369.82 – $813.36 | 8 |
| Cabg venous & art 3 vein graft 33519 CPT 33519 | not published | not published | $488.18 – $1,076.36 | 8 |
| Cabg venous & art 4 vein graft 33521 CPT 33521 | not published | not published | $585.91 – $1,289.85 | 8 |
| Cabg venous & art 5 vein graft 33522 CPT 33522 | not published | not published | $657.98 – $1,449.82 | 8 |
| Cabg venous & art 6 vein graft 33523 CPT 33523 | not published | not published | $742.04 – $1,631.46 | 8 |
| Cable cath 22-pin diag HCPCS C1730 | $1,950.00 | $1,950.00 | $72.09 – $92.12 | 6 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | not published | not published | $21.99 – $43.45 | 8 |
| Cacna1a gen detc abnor allel CPT 81184 | not published | not published | $54.80 – $278.96 | 7 |
| Cacna1a gene full gene seq CPT 81185 | not published | not published | $338.51 – $1,723.17 | 7 |
| Cacna1a gen known famil vrnt CPT 81186 | not published | not published | $74.08 – $377.10 | 7 |
| Cadd pump refill CPT 96521 | $431.00 | $431.00 | $114.78 – $362.04 | 9 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $173.06 | $173.06 | $1.52 – $124.75 | 6 |
| Calaspargase pegol-mknl 750 unit/ml intravenous solution HCPCS J9118 | $33,648.39 | $33,648.39 | $72.18 – $31,629.49 | 7 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $7,177.00 | $7,177.00 | $835.80 – $5,345.97 | 9 |
| Calcitonin stimul panel CPT 80410 | not published | not published | $13.23 – $163.65 | 7 |
| Calcium 24 hour urine CPT 82340 | $103.35 | $103.35 | $2.98 – $72.52 | 9 |
| Calcium acetate(phosphate binders) 667 mg tablet HCPCS J0615 | not published | not published | $0.02 – $0.02 | 1 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $274.85 | $274.85 | $0.04 – $62.49 | 9 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $402.09 | $402.09 | $0.08 – $123.18 | 9 |
| Calcium glycer & lact/10 ml HCPCS J0620 | not published | not published | $8.95 – $25.24 | 4 |
| Calcium infusion test CPT 82331 | not published | not published | $5.34 – $27.16 | 7 |
| Calcium ionized CPT 82330 | $259.15 | $259.15 | $6.75 – $76.66 | 9 |
| Calcium total CPT 82310 | $103.45 | $103.45 | $2.55 – $57.43 | 9 |
| Calculi urinary-sendout CPT 82360 | not published | not published | $6.36 – $26.21 | 7 |
| Calculus analysis qual CPT 82355 | not published | not published | $5.72 – $23.58 | 7 |
| Caloric vestibular test CPT 92533 | not published | not published | $27.89 – $52.19 | 4 |
| Caloric vstblr test w/rec CPT 92538 | not published | not published | $6.10 – $30.20 | 8 |
| Calprotectin fecal CPT 83993 | $414.60 | $414.60 | $9.70 – $212.68 | 9 |
| Cam cervix uteri drg colp CPT 57465 | not published | not published | $39.86 – $106.01 | 9 |
| Camisole mastectomy wht/l post-surg gental touch HCPCS L8015 | not published | not published | $55.79 – $140.46 | 7 |
| Campylobacter antibody CPT 86625 | not published | not published | $6.48 – $26.71 | 7 |
| Canakinumab injection HCPCS J0638 | not published | not published | $117.58 – $239.13 | 8 |
| Candida dna CPT 87480 | not published | not published | $9.90 – $40.83 | 7 |
| Candida dna quant CPT 87482 | not published | not published | $22.30 – $113.50 | 7 |
| Candida skin test CPT 86485 | not published | not published | $8.35 – $36.54 | 8 |
| Cannabinoids synthetic 1-3 CPT 80350 | not published | not published | $5.18 – $50.16 | 4 |
| Cannabinoids synthetic 4-6 CPT 80351 | not published | not published | $16.50 – $16.50 | 1 |
| Cannabinoid synthetic 7/more CPT 80352 | not published | not published | $16.10 – $16.10 | 1 |
| Cannula declotting 36861 CPT 36861 | not published | not published | $125.98 – $277.23 | 8 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $352,834.30 | $352,834.30 | $7.36 – $247.52 | 9 |
| Cannula nasal HCPCS A4615 | not published | not published | $0.81 – $2.04 | 7 |
| Cantharidin top, applicator HCPCS J7354 | not published | not published | $669.59 – $1,407.02 | 6 |
| Canthotomy 67715 CPT 67715 | $3,970.15 | $3,970.15 | $103.00 – $501.12 | 9 |
| Capecitabine, oral, 50 mg HCPCS J8522 | $249.08 | $249.08 | $0.05 – $79.62 | 9 |
| Cap nerve 2x15mm HCPCS C1763 | $4,180.00 | $4,180.00 | $97.47 – $454.38 | 9 |
| Capsaicin 8% patch HCPCS J7336 | not published | not published | $3.27 – $6.39 | 8 |
| Capsular contracture release CPT 23020 | not published | not published | $666.08 – $1,423.39 | 8 |
| Capsulectomy/capsulotomy hip CPT 27036 | not published | not published | $977.26 – $2,088.98 | 8 |
| Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 | not published | not published | $243.28 – $737.55 | 9 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | $3,441.30 | $3,441.30 | $323.45 – $938.65 | 9 |
| Cap trach decann 15mm HCPCS C1750 | $4,984.90 | $4,984.90 | $23.83 – $30.45 | 6 |
| Carbamazepine free CPT 80157 | not published | not published | $6.54 – $26.98 | 7 |
| Carbamazepine free -sendout CPT 80161 | not published | not published | $7.46 – $39.06 | 7 |
| Carbamazepine total therapeutic drug level CPT 80156 | $204.05 | $204.05 | $7.19 – $127.75 | 9 |
| Carbidopa levodopa ent 100ml HCPCS J7340 | not published | not published | $224.16 – $437.99 | 8 |
| Carbohydrate deficient transf - sendout CPT 82373 | not published | not published | $8.92 – $36.77 | 7 |
| Carbohydrate urine - sendout CPT 84377 | not published | not published | $2.72 – $11.20 | 7 |
| Carbon dioxide CPT 82374 | $87.50 | $87.50 | $2.41 – $52.41 | 9 |
| Carbon graphite lamination HCPCS L2755 | not published | not published | $121.33 – $305.45 | 7 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $480.07 | $480.07 | $2.42 – $66.74 | 9 |
| Carboxyhemoglobin quantitative CPT 82375 | $236.75 | $236.75 | $6.08 – $84.32 | 9 |
| Car-car bp grft/endovas taa CPT 33891 | not published | not published | $856.73 – $1,903.26 | 8 |
| Carcinoembryonic ag (cea) CPT 82378 | $286.30 | $286.30 | $9.36 – $160.98 | 9 |
| Cardiac drug stress test CPT 93024 | not published | not published | $52.12 – $109.12 | 8 |
| Cardiac MRI seg dys strain HCPCS C9762 | not published | not published | $530.67 – $546.59 | 5 |
| Cardiac MRI seg dys stress HCPCS C9763 | not published | not published | $530.67 – $546.59 | 5 |
| Cardiac MRI w/stress img CPT 75559 | $1,848.60 | $1,848.60 | $130.51 – $1,552.82 | 9 |
| Cardiac perf planar mult/ef/wm CPT 78454 | $2,497.65 | $2,497.65 | $60.33 – $2,098.03 | 9 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | $2,497.65 | $2,497.65 | $44.00 – $2,098.03 | 9 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $3,786.05 | $3,786.05 | $60.87 – $1,623.85 | 9 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $406.50 | $406.50 | $12.75 – $49.46 | 9 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $479.85 | $479.85 | $8.00 – $32.77 | 9 |
| Cardiac shunt imaging CPT 78428 | $1,385.00 | $1,385.00 | $34.38 – $1,163.40 | 9 |
| Cardiac Stress Test CPT 93015 | not published | not published | $67.80 – $146.40 | 8 |
| Cardioassist external CPT 92971 | not published | not published | $91.06 – $198.59 | 8 |
| Cardioassist internal CPT 92970 | not published | not published | $170.33 – $373.46 | 8 |
| Cardiokymography HCPCS Q0035 | not published | not published | $7.89 – $16.27 | 8 |
| Cardiolipin antibody iga CPT 86147 | $178.15 | $178.15 | $12.57 – $126.29 | 9 |
| Cardiology hrt trnspl mrna CPT 81595 | not published | not published | $1,206.66 – $6,597.29 | 7 |
| Cardioversion/elective/internal 92961 CPT 92961 | not published | not published | $221.76 – $485.30 | 8 |
| Cardioversion (Scheduled Heart Rhythm Shock) CPT 92960 | $2,603.65 | $2,603.65 | $102.46 – $294.89 | 9 |
| Card MRI veloc flow mapping CPT 75565 | $642.45 | $642.45 | $11.24 – $539.66 | 9 |
| Caregiver health risk assmt CPT 96161 | $60.85 | $60.85 | $2.50 – $51.11 | 9 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $70.80 | $70.80 | $23.90 – $66.08 | 9 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | $38.15 | $38.15 | $12.87 – $35.58 | 9 |
| Care manage beh svs 20mins HCPCS G0323 | not published | not published | $28.55 – $106.01 | 8 |
| Care mgmt svc bhvl hlth cond CPT 99484 | not published | not published | $28.83 – $106.01 | 9 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $7,318.19 | $7,318.19 | $45.66 – $4,017.96 | 9 |
| Carinal reconstruction CPT 31766 | not published | not published | $1,619.98 – $3,553.70 | 8 |
| Car ion chnnlpath inc 10 gns CPT 81413 | not published | not published | $288.84 – $1,190.97 | 7 |
| Car ion chnnlpath inc 2 gns CPT 81414 | not published | not published | $288.84 – $1,190.97 | 7 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | not published | not published | $173.64 – $504.73 | 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.