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 |
|---|---|---|---|---|
| Cath suction replogle 8fr neonatal esophageal HCPCS A4624 | not published | not published | $0.67 – $4.05 | 3 |
| Cath temp pace flo bipol 5fr electrd HCPCS C1779 | $420.00 | $420.00 | $308.95 – $394.80 | 6 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $356.10 | $356.10 | $3.13 – $8.65 | 9 |
| Cath w/drainage 2-way latex HCPCS A4314 | not published | not published | $23.88 – $59.70 | 7 |
| Cath w/drainage 2-way silcne HCPCS A4315 | not published | not published | $24.92 – $62.29 | 7 |
| Cath without bag 2-way silicone HCPCS A4312 | not published | not published | $17.05 – $42.60 | 7 |
| Cauterization chemical granulation tissue CPT 17250 | $610.85 | $610.85 | $35.66 – $168.33 | 9 |
| Cauterization of cervix 57510 CPT 57510 | not published | not published | $107.11 – $325.09 | 9 |
| Cbc/diffwbc without platelet HCPCS G0306 | not published | not published | $3.84 – $15.82 | 7 |
| CBC without platelet HCPCS G0307 | not published | not published | $3.19 – $13.17 | 7 |
| #cbg+cort-cbg CPT 84449 | $271.70 | $271.70 | $8.89 – $103.54 | 9 |
| Cciiv4 vacc abx free im CPT 90756 | not published | not published | $31.19 – $63.75 | 7 |
| Cciiv4 vac no prsv 0.5 ml im CPT 90674 | $40.55 | $40.55 | $30.41 – $67.29 | 8 |
| Ccnd1/igh translocation alys CPT 81168 | not published | not published | $82.92 – $422.12 | 7 |
| Cdna analysis for variants CPT 81403 | $740.80 | $740.80 | $74.08 – $325.57 | 9 |
| Cdp-sot 6 cond w/i&r CPT 92548 | not published | not published | $13.31 – $63.61 | 8 |
| Cdp-sot 6 cond w/i&r mct&adt CPT 92549 | not published | not published | $19.85 – $84.80 | 8 |
| Cebpa gene full sequence CPT 81218 | not published | not published | $119.46 – $492.56 | 7 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $117.35 | $117.35 | $0.76 – $7.90 | 9 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $143.84 | $143.84 | $1.26 – $24.69 | 9 |
| Cefotaxime sodium injection HCPCS J0698 | not published | not published | $2.78 – $16.54 | 4 |
| Cefotetan 1 gm vial HCPCS S0074 | not published | not published | $12.35 – $24.66 | 3 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $158.60 | $158.60 | $4.48 – $74.35 | 9 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $2,621.23 | $2,621.23 | $3.84 – $924.30 | 9 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $126.76 | $126.76 | $1.62 – $4.17 | 7 |
| Ceftazidime and avibactam HCPCS J0714 | $4,228.17 | $4,228.17 | $92.66 – $2,035.49 | 9 |
| Ceftizoxime sodium / 500 mg HCPCS J0715 | not published | not published | $5.24 – $8.59 | 3 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $267.11 | $267.11 | $0.46 – $4.76 | 9 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $38.79 | $38.79 | $1.87 – $18.24 | 7 |
| #celiac hla-dq2 CPT 81377 | not published | not published | $45.34 – $192.91 | 7 |
| #celiac hla-dq8 CPT 81383 | not published | not published | $53.89 – $222.21 | 7 |
| Cell count body fluid CPT 89050 | $90.35 | $90.35 | $2.33 – $41.83 | 9 |
| Cell count w differential body fluid CPT 89051 | $216.75 | $216.75 | $2.72 – $61.48 | 9 |
| Cell cryopreserve/storage CPT 88240 | not published | not published | $5.72 – $26.61 | 7 |
| Cell enumeration & id CPT 86152 | not published | not published | $121.34 – $510.64 | 7 |
| Cell enumeration phys interp CPT 86153 | not published | not published | $30.74 – $66.42 | 8 |
| Cellesta or duo per sq cm HCPCS Q4184 | not published | not published | $34.75 – $1,199.32 | 4 |
| Cell function assay w/stim CPT 86352 | $775.55 | $775.55 | $67.09 – $580.59 | 9 |
| Cell marker study CPT 88182 | $575.10 | $575.10 | $35.59 – $115.46 | 9 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | $39,204.25 | $39,204.25 | $27.46 – $36,852.00 | 9 |
| Centralization wrist on ulna CPT 25335 | not published | not published | $907.97 – $1,939.20 | 8 |
| Centruroides immune f(ab) HCPCS J0716 | not published | not published | $4,859.01 – $10,066.97 | 8 |
| Cephalin floculation test HCPCS P2028 | not published | not published | $4.95 – $10.08 | 7 |
| Cerclage cervix pregnancy abdominal 59325 CPT 59325 | not published | not published | $221.14 – $490.05 | 8 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | not published | not published | $341.26 – $727.28 | 8 |
| Cerebrospinal fld flw imag CPT 78645 | $941.35 | $941.35 | $24.97 – $790.73 | 9 |
| Cer post col occ/man sup adj HCPCS L0180 | $171.35 | $171.35 | $19.27 – $573.27 | 9 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | not published | not published | $4.46 – $7.71 | 8 |
| Cerv collar supp adj cerv ba HCPCS L0190 | $1,255.15 | $1,255.15 | $532.80 – $711.20 | 9 |
| Cervical collar molded to pt HCPCS L0170 | not published | not published | $731.84 – $1,842.31 | 7 |
| Cervical laminoplsty 2/> seg CPT 63050 | not published | not published | $1,397.93 – $3,008.08 | 8 |
| Cervical lymphadenectomy 38720 CPT 38720 | not published | not published | $1,276.00 – $2,738.32 | 8 |
| Cervical or vaginal cancer screening g0101 HCPCS G0101 | $139.45 | $139.45 | $25.65 – $75.81 | 9 |
| Cerv sr wire occ/man pre ots HCPCS L0160 | not published | not published | $185.84 – $467.82 | 7 |
| Cesarean section delivery only 59514 CPT 59514 | not published | not published | $829.75 – $1,844.30 | 8 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $5,828.85 | $5,828.85 | $71.54 – $4,234.05 | 9 |
| #cf-97variants CPT 81220 | $1,850.10 | $1,850.10 | $100.41 – $573.30 | 9 |
| Cftr gene dup/delet variants CPT 81222 | not published | not published | $79.77 – $911.64 | 7 |
| Cftr gene intron poly t CPT 81224 | not published | not published | $67.50 – $343.61 | 7 |
| Cftr gene known fam variants CPT 81221 | not published | not published | $38.89 – $197.96 | 7 |
| Change cystostomy tube; complex 51710 CPT 51710 | $1,068.10 | $1,068.10 | $76.20 – $262.77 | 9 |
| Change cystostomy tube simple CPT 51705 | $567.55 | $567.55 | $49.54 – $188.24 | 9 |
| Change gastric port open CPT 43888 | not published | not published | $443.45 – $955.69 | 8 |
| Change g-tube to g-j perc CPT 49446 | $2,918.70 | $2,918.70 | $135.77 – $1,483.52 | 9 |
| Change nephroureteral cath CPT 50387 | $3,003.05 | $3,003.05 | $77.12 – $1,011.36 | 9 |
| Change of ureter tube/stent CPT 50688 | $2,914.60 | $2,914.60 | $74.20 – $1,547.78 | 9 |
| Change of windpipe airway 31502 CPT 31502 | $436.85 | $436.85 | $32.54 – $69.82 | 9 |
| Change stent via transureth CPT 50385 | not published | not published | $201.79 – $1,922.26 | 9 |
| Change ureter stent percut CPT 50382 | $3,302.50 | $3,302.50 | $233.10 – $1,892.70 | 9 |
| Charger coch impl/aoi battry HCPCS L8625 | not published | not published | $175.77 – $442.47 | 7 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $54.38 – $353.86 | 9 |
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | $89.90 – $238.36 | 9 |
| Chemical peel face epiderm 15788 CPT 15788 | not published | not published | $205.81 – $753.61 | 9 |
| Chemical peel nonfacial 15793 CPT 15793 | not published | not published | $339.34 – $920.66 | 9 |
| Chemical peel nonfacial; epidermal CPT 15792 | not published | not published | $199.37 – $649.53 | 9 |
| Chemo adm cns w/lmbr punct CPT 96450 | $738.85 | $738.85 | $72.64 – $311.60 | 9 |
| Chemodener muscle larynx emg CPT 64617 | not published | not published | $102.75 – $312.88 | 9 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | not published | not published | $64.97 – $180.53 | 9 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | not published | not published | $75.53 – $233.21 | 9 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | not published | not published | $109.26 – $344.35 | 9 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | $909.50 | $909.50 | $100.60 – $296.82 | 9 |
| Chemodenervation anal musc CPT 46505 | $2,856.70 | $2,856.70 | $239.37 – $609.06 | 9 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | $368.40 | $368.40 | $112.82 – $259.19 | 9 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | not published | not published | $205.14 – $466.44 | 9 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $48.11 – $201.73 | 9 |
| Chemodenerv eccrine glands 64650 CPT 64650 | not published | not published | $38.28 – $171.53 | 9 |
| Chemodenerv musc migraine 64615 CPT 64615 | $368.40 | $368.40 | $113.47 – $271.00 | 9 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | $522.05 | $522.05 | $102.21 – $269.20 | 9 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | not published | not published | $104.21 – $257.62 | 9 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | not published | not published | $108.77 – $312.88 | 9 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | not published | not published | $123.46 – $356.57 | 9 |
| Chemo extend IV infus w/pump HCPCS G0498 | $685.30 | $685.30 | $233.00 – $499.59 | 9 |
| Chemo ia infuse each addl hr CPT 96423 | not published | not published | $44.66 – $140.31 | 8 |
| Chemo ia infusion up to 1 hr CPT 96422 | not published | not published | $145.01 – $302.31 | 8 |
| Chemo ia push tecnique CPT 96420 | $1,227.65 | $1,227.65 | $94.94 – $1,031.23 | 9 |
| Chemo intralesional over 7 CPT 96406 | $404.00 | $404.00 | $42.44 – $249.92 | 9 |
| Chemo intralesional up to 7 96405 CPT 96405 | $125.10 | $125.10 | $27.60 – $105.08 | 9 |
| Chemotaxis assay CPT 86155 | not published | not published | $7.90 – $32.56 | 7 |
| Chemotherapy injection 96542 CPT 96542 | $404.00 | $404.00 | $39.40 – $251.85 | 9 |
| Chemotx admn pertl cav impl CPT 96446 | $301.95 | $301.95 | $18.25 – $253.64 | 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.