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 |
|---|---|---|---|---|
| Carotene CPT 82380 | $314.55 | $314.55 | $4.56 – $162.43 | 9 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,963.00 | $1,963.00 | $35.66 – $899.77 | 9 |
| Car outp meas drg cath chd CPT 93598 | $259.60 | $259.60 | $62.16 – $218.06 | 9 |
| Carpal Tunnel Release Surgery CPT 64721 | not published | not published | $420.72 – $906.21 | 9 |
| Car seat/bed test 60 minutes CPT 94780 | $170.15 | $170.15 | $21.73 – $99.31 | 9 |
| Car seat/bed test additional 30 minutes CPT 94781 | $135.00 | $135.00 | $7.68 – $41.12 | 9 |
| Car-t admn autologous CPT 38228 | not published | not published | $169.04 – $357.21 | 6 |
| Car-t therapy hrvg bld-drv t lymphcyt pr day CPT 38225 | not published | not published | $196.55 – $196.55 | 1 |
| Car-t therapy prepj bld-drv t lymphcyt f/trns CPT 38226 | not published | not published | $79.31 – $79.31 | 1 |
| Car-t therapy receipt & prepj car-t cells f/admn CPT 38227 | not published | not published | $79.98 – $79.98 | 1 |
| Ca screen;flexi sigmoidscope HCPCS G0104 | not published | not published | $53.41 – $359.14 | 8 |
| Casiri and imdev repeat HCPCS M0240 | not published | not published | $432.38 – $916.29 | 6 |
| Casirivimab and imdevimab HCPCS Q0243 | not published | not published | $0.02 – $0.02 | 3 |
| Caspofungin acetate HCPCS J0637 | not published | not published | $4.99 – $10.00 | 6 |
| Cassette provox xtraflow hme HCPCS A7507 | not published | not published | $2.77 – $6.94 | 7 |
| Cast sup lng arm splint fbrg HCPCS Q4018 | not published | not published | $14.41 – $36.04 | 7 |
| Cast sup lng arm splint plst HCPCS Q4017 | not published | not published | $9.04 – $22.60 | 7 |
| Cast sup lng arm splnt ped f HCPCS Q4020 | not published | not published | $7.24 – $18.10 | 7 |
| Cast sup lng arm splnt ped p HCPCS Q4019 | not published | not published | $4.53 – $11.32 | 7 |
| Cast sup lng leg ped fbrgls HCPCS Q4032 | not published | not published | $37.79 – $94.48 | 7 |
| Cast sup lng leg ped plaster HCPCS Q4031 | not published | not published | $14.34 – $35.86 | 7 |
| Cast sup lng leg splnt fbrgl HCPCS Q4042 | not published | not published | $33.91 – $84.79 | 7 |
| Cast sup lng leg splnt ped f HCPCS Q4044 | not published | not published | $16.97 – $42.45 | 7 |
| Cast sup lng leg splnt ped p HCPCS Q4043 | not published | not published | $9.94 – $24.84 | 7 |
| Cast sup long arm adult fbrg HCPCS Q4006 | not published | not published | $29.02 – $72.53 | 7 |
| Cast sup long arm adult plst HCPCS Q4005 | not published | not published | $12.88 – $32.19 | 7 |
| Cast sup long arm ped fbrgls HCPCS Q4008 | not published | not published | $14.51 – $36.24 | 7 |
| Cast sup long arm ped plster HCPCS Q4007 | not published | not published | $6.44 – $16.09 | 7 |
| Cast sup long leg fiberglass HCPCS Q4030 | not published | not published | $75.59 – $188.94 | 7 |
| Cast sup shrt leg ped fbrgls HCPCS Q4040 | not published | not published | $20.47 – $51.15 | 7 |
| Cast sup shrt leg ped plster HCPCS Q4039 | not published | not published | $8.20 – $20.46 | 7 |
| Cast sup shrt leg plaster HCPCS Q4037 | not published | not published | $16.33 – $40.79 | 7 |
| Cast sup sht arm adult fbrgl HCPCS Q4010 | not published | not published | $19.34 – $48.34 | 7 |
| Cast sup sht arm adult plstr HCPCS Q4009 | not published | not published | $8.60 – $21.50 | 7 |
| Cast sup sht arm ped fbrglas HCPCS Q4012 | not published | not published | $9.69 – $24.23 | 7 |
| Cast sup sht arm ped plaster HCPCS Q4011 | not published | not published | $4.28 – $10.71 | 7 |
| Cast sup sht arm splint fbrg HCPCS Q4022 | not published | not published | $12.07 – $30.22 | 7 |
| Cast sup sht arm splint plst HCPCS Q4021 | not published | not published | $6.70 – $16.74 | 7 |
| Cast sup sht arm splnt ped f HCPCS Q4024 | not published | not published | $6.05 – $15.13 | 7 |
| Cast sup sht arm splnt ped p HCPCS Q4023 | not published | not published | $3.37 – $8.41 | 7 |
| Cast sup sht leg splnt fbrgl HCPCS Q4046 | not published | not published | $18.54 – $46.36 | 7 |
| Cast sup sht leg splnt ped f HCPCS Q4048 | not published | not published | $9.28 – $23.21 | 7 |
| Cast sup sht leg splnt ped p HCPCS Q4047 | not published | not published | $5.74 – $14.36 | 7 |
| Cast sup sht leg splnt plstr HCPCS Q4045 | not published | not published | $11.54 – $28.83 | 7 |
| Cataract Surgery CPT 66984 | not published | not published | $518.82 – $1,093.29 | 8 |
| Cataract surg w/iol 1 stage CPT 66983 | not published | not published | $1,219.34 – $2,273.60 | 7 |
| Catecholamines,fractionated, urine CPT 82382 | not published | not published | $10.92 – $56.93 | 7 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $896.60 | $896.60 | $9.27 – $11.84 | 6 |
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | $4,100.00 | $4,100.00 | $926.86 – $1,184.40 | 6 |
| Cath ablt clsfast 7fx100cmx HCPCS C1888 | $1,763.00 | $1,763.00 | $652.66 – $834.02 | 6 |
| Cath ablt rx lasr 2.0mm turbo HCPCS C1885 | $2,900.00 | $2,900.00 | $1,986.12 – $2,538.00 | 6 |
| Cath access del ds spyscop 2.0 HCPCS C1748 | $3,825.00 | $3,825.00 | $191.26 – $244.40 | 6 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $39,000.00 | $39,000.00 | $6.25 – $7.99 | 6 |
| Cath acunav ge 10frx90cm HCPCS C1759 | $17,063.05 | $17,063.05 | $809.16 – $1,034.00 | 6 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $50,735.70 | $50,735.70 | $14.41 – $31.96 | 9 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $9,458.00 | $9,458.00 | $47.18 – $113.18 | 9 |
| Cath bi-dir df smarttouch HCPCS C1732 | $3,749.00 | $3,749.00 | $712.06 – $909.92 | 6 |
| Cath blazer dx/20 2-10-2 space HCPCS C1731 | $1,379.00 | $1,379.00 | $741.48 – $947.52 | 6 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | $7,942.00 | $7,942.00 | $286.26 – $4,106.63 | 9 |
| Cath council tip 16fr 5cc HCPCS A4344 | not published | not published | $16.89 – $44.47 | 7 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $7,473.70 | $7,473.70 | $2.85 – $7.87 | 9 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $1,985.00 | $1,985.00 | $69.85 – $89.25 | 6 |
| Cath entrl fd nutri 5fr 40cm HCPCS B4082 | not published | not published | $13.67 – $27.04 | 6 |
| Cath epdrl brevi-stf 12in .043 HCPCS C1755 | $950.00 | $950.00 | $18.39 – $23.50 | 6 |
| Catheter declot mechanical CPT 36596 | $540.90 | $540.90 | $42.25 – $221.01 | 9 |
| Catheter insert artery CPT 36625 | not published | not published | $97.20 – $210.11 | 8 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $58.90 | $58.90 | $1.20 – $42.11 | 9 |
| Catheter stripping venous CPT 36595 | $3,439.30 | $3,439.30 | $167.92 – $1,123.03 | 9 |
| Catheter w/bag 3-way HCPCS A4313 | not published | not published | $17.50 – $43.74 | 7 |
| Catheter without bag 2-way latex HCPCS A4311 | not published | not published | $15.53 – $38.81 | 7 |
| Cath ext adhere actv m 28mm HCPCS A4349 | not published | not published | $2.24 – $5.58 | 7 |
| Cath follower heyman 20f HCPCS A4352 | not published | not published | $7.14 – $17.84 | 7 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $6,954.50 | $6,954.50 | $66.30 – $179.54 | 9 |
| Cath hawkone s directional HCPCS C1714 | $6,591.05 | $6,591.05 | $2,574.60 – $3,290.00 | 6 |
| Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt HCPCS C1881 | $185.00 | $185.00 | $136.09 – $173.90 | 6 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $9,691.00 | $9,691.00 | $414.29 – $529.41 | 6 |
| Cath impl vasc access portal HCPCS A4300 | not published | not published | $15.36 – $15.36 | 1 |
| Cath indw foley 3 way HCPCS A4346 | not published | not published | $21.77 – $46.24 | 7 |
| Cath infuse micro 150cm rapidtransit HCPCS A4351 | not published | not published | $2.02 – $5.03 | 7 |
| Cath insertion tray w/bag HCPCS A4354 | not published | not published | $13.11 – $32.80 | 7 |
| Cathj rmvl dev ischmc rmdlg CPT 53866 | not published | not published | $77.88 – $166.73 | 6 |
| Cathj umbilical vein dx/ther nb CPT 36510 | $225.35 | $225.35 | $19.02 – $52.59 | 9 |
| Cath left heart/lv gram CPT 93452 | $7,942.00 | $7,942.00 | $214.24 – $6,671.28 | 9 |
| Cath left heart transseptal punc CPT 93462 | $5,527.25 | $5,527.25 | $187.37 – $4,642.89 | 9 |
| Cath lt/rt pulm art CPT 36014 | $2,959.10 | $2,959.10 | $139.07 – $1,448.03 | 9 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $35,364.20 | $35,364.20 | $1.75 – $4.85 | 9 |
| Cath occl flo-rester 2.25x12mm cor internal vessel occluder HCPCS C1817 | $9,995.00 | $9,995.00 | $3,356.54 – $4,289.22 | 6 |
| Cath pezzer 34fr drain bardex propor head mushrm ltx HCPCS A4340 | not published | not published | $35.30 – $88.21 | 7 |
| Cath place 1st order venous 36011 CPT 36011 | $3,298.05 | $3,298.05 | $142.72 – $1,141.77 | 9 |
| Cath place cardio brachytx CPT 92974 | $3,404.95 | $3,404.95 | $145.42 – $2,860.16 | 9 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $7,942.00 | $7,942.00 | $374.48 – $6,406.09 | 9 |
| Cath plc art/angio/rt hrt cath CPT 93456 | $12,905.70 | $12,905.70 | $282.16 – $6,406.09 | 9 |
| Cath plc art/grft/angio right hrt CPT 93457 | $7,942.00 | $7,942.00 | $317.25 – $6,406.09 | 9 |
| Cath right heart w/o2 sat & card CPT 93451 | $7,942.00 | $7,942.00 | $119.35 – $6,406.09 | 9 |
| Cath right hrt mnpul art CPT 36013 | $1,659.40 | $1,659.40 | $116.11 – $1,393.90 | 9 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $443.15 | $443.15 | $55.15 – $154.52 | 9 |
| Cath segmntl pulm art CPT 36015 | $3,263.10 | $3,263.10 | $159.07 – $1,393.90 | 9 |
| Cath soaker 5in 400mlx4ml/hr on-q silvr dual 2ml site HCPCS A4306 | not published | not published | $21.28 – $24.39 | 2 |
| Cath steerable flex adv 12f HCPCS C1766 | $1,650.00 | $1,650.00 | $570.09 – $728.50 | 6 |
| Cath stripping venous s&i CPT 75901 | $1,166.10 | $1,166.10 | $21.07 – $326.63 | 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.