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 |
|---|---|---|---|---|
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $30.06 – $194.67 | 9 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $20.01 – $166.40 | 9 |
| C-lens fitg tech ou CPT 92314 | not published | not published | $33.19 – $167.03 | 7 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $132.85 | $132.85 | $1.90 – $9.17 | 9 |
| Clip ligating vesolock lg HCPCS C1760 | $9,587.90 | $9,587.90 | $63.26 – $80.84 | 6 |
| Clip phn wireless f/baha4 proc HCPCS L9900 | $198.80 | $198.80 | $61.61 – $78.73 | 6 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $1,099.77 – $2,372.31 | 8 |
| Cllr miami j sm HCPCS L0174 | not published | not published | $325.95 – $820.53 | 7 |
| Cl mult vsd w/rem pul band CPT 33677 | not published | not published | $1,905.28 – $4,190.15 | 8 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | not published | not published | $9.19 – $21.39 | 8 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $319.03 | $319.03 | $9.00 – $22.98 | 7 |
| Close bladder-uterus fistula CPT 51920 | not published | not published | $728.59 – $1,546.74 | 8 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $2,552.14 – $5,600.67 | 8 |
| Close chest after drainage CPT 32810 | not published | not published | $833.06 – $1,816.51 | 8 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $1,240.05 | $1,240.05 | $60.81 – $168.12 | 9 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | not published | not published | $385.55 – $867.97 | 9 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | $2,764.75 | $2,764.75 | $299.98 – $799.70 | 9 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $232.17 – $856.06 | 9 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $4,296.55 | $4,296.55 | $340.75 – $843.85 | 9 |
| Closed tx humerus fx without manip 23600 CPT 23600 | not published | not published | $232.17 – $671.70 | 9 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $1,217.40 | $1,217.40 | $59.16 – $163.56 | 9 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $541.45 | $541.45 | $107.31 – $285.51 | 9 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $618.53 – $1,563.13 | 9 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $160.61 – $425.31 | 9 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $315.66 – $988.75 | 9 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $2,764.75 | $2,764.75 | $360.11 – $995.60 | 9 |
| Closed tx septal&nose fx CPT 21337 | $5,433.70 | $5,433.70 | $289.75 – $810.79 | 9 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $97.78 – $232.57 | 9 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | not published | not published | $205.36 – $479.27 | 9 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $740.08 – $1,757.78 | 9 |
| Close kidney-skin fistula CPT 50520 | not published | not published | $1,085.73 – $2,363.50 | 8 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $552.00 | $552.00 | $119.05 – $294.83 | 9 |
| Close mastoid fistula CPT 69700 | not published | not published | $637.28 – $1,355.60 | 8 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $629.23 – $1,368.47 | 8 |
| Close mult vsd CPT 33675 | not published | not published | $1,787.81 – $3,931.25 | 8 |
| Close mult vsd w/resection CPT 33676 | not published | not published | $1,834.84 – $4,035.63 | 8 |
| Close nephrovisceral fistula CPT 50525 | not published | not published | $1,372.87 – $2,993.17 | 8 |
| Close nephrovisceral fistula CPT 50526 | not published | not published | $1,469.05 – $3,203.96 | 8 |
| Close tear duct opening CPT 68760 | not published | not published | $138.81 – $421.45 | 9 |
| Close tear duct opening CPT 68761 | not published | not published | $112.16 – $280.11 | 9 |
| Close tear system fistula CPT 68770 | not published | not published | $598.34 – $1,261.39 | 8 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $6.40 – $32.58 | 7 |
| Clos txnose fx without stablz 21315 CPT 21315 | $2,865.70 | $2,865.70 | $57.03 – $295.53 | 9 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $810.07 – $1,752.78 | 8 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $1,476.33 – $3,212.78 | 8 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $945.56 – $2,045.61 | 8 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $1,298.18 – $2,823.03 | 8 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $1,055.05 | $1,055.05 | $194.21 – $568.59 | 9 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $90.96 – $349.50 | 9 |
| Closure of salivary fistula CPT 42600 | not published | not published | $345.08 – $1,060.71 | 9 |
| Closure of valve CPT 33600 | not published | not published | $1,571.29 – $3,444.58 | 8 |
| Closure of valve CPT 33602 | not published | not published | $1,526.41 – $3,344.28 | 8 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $318.81 – $864.12 | 9 |
| Closure paravalvlr leak pq CPT 33999 | $19,472.05 | $19,472.05 | $598.38 – $2,818.45 | 9 |
| Closure ureter/bowel fistula CPT 50930 | not published | not published | $1,042.79 – $2,219.11 | 8 |
| Closure ureter/skin fistula CPT 50920 | not published | not published | $838.68 – $1,782.61 | 8 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $9.35 – $38.55 | 7 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $10.08 – $41.58 | 7 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $9.35 – $38.55 | 7 |
| Clot factor xii hageman CPT 85280 | $739.60 | $739.60 | $9.56 – $140.58 | 9 |
| Clot factor xiii fibrin scrn CPT 85291 | $737.40 | $737.40 | $4.39 – $186.54 | 9 |
| Clot factor xiii fibrin stab CPT 85290 | not published | not published | $8.07 – $33.27 | 7 |
| Clotting assay whole blood CPT 85396 | not published | not published | $17.51 – $38.63 | 8 |
| Clozapine, 25 mg HCPCS S0136 | not published | not published | $0.66 – $2.03 | 3 |
| Clsd ostomy pouch w/flange HCPCS A5054 | not published | not published | $2.00 – $4.99 | 7 |
| Clsd ostomy pouch without barr HCPCS A5052 | not published | not published | $1.65 – $4.13 | 7 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $1,084.15 | $1,084.15 | $82.74 – $224.90 | 9 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | not published | not published | $232.17 – $675.87 | 9 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $816.75 | $816.75 | $101.83 – $281.53 | 9 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | not published | not published | $233.26 – $508.36 | 9 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | not published | not published | $232.06 – $503.61 | 9 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $2,644.30 | $2,644.30 | $326.00 – $722.13 | 9 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | not published | not published | $223.93 – $486.65 | 9 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | not published | not published | $183.55 – $405.33 | 9 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $549.55 | $549.55 | $74.73 – $206.61 | 9 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $1,403.20 | $1,403.20 | $92.45 – $255.59 | 9 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $827.85 | $827.85 | $232.17 – $442.74 | 9 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $431.60 | $431.60 | $76.83 – $190.40 | 9 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $7,168.25 | $7,168.25 | $666.13 – $1,548.77 | 9 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | not published | not published | $527.11 – $1,119.72 | 8 |
| Clsd tx fracture of radius 25500 CPT 25500 | not published | not published | $232.17 – $575.65 | 9 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $373.15 | $373.15 | $121.22 – $262.30 | 9 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $561.45 | $561.45 | $74.73 – $206.61 | 9 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | not published | not published | $232.17 – $690.01 | 9 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $2,070.75 | $2,070.75 | $79.61 – $220.10 | 9 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | not published | not published | $232.17 – $586.57 | 9 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $1,528.90 | $1,528.90 | $169.47 – $468.54 | 9 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $494.85 | $494.85 | $232.17 – $465.16 | 9 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $2,058.55 | $2,058.55 | $74.73 – $206.61 | 9 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $928.65 | $928.65 | $232.17 – $442.74 | 9 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $728.45 | $728.45 | $232.17 – $449.84 | 9 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $681.85 | $681.85 | $257.04 – $435.17 | 9 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $480.70 | $480.70 | $353.60 – $507.66 | 9 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | not published | not published | $216.26 – $471.57 | 9 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $704.75 | $704.75 | $216.05 – $276.08 | 9 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $950.25 | $950.25 | $200.18 – $322.19 | 9 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | not published | not published | $493.11 – $1,056.01 | 8 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $489.35 | $489.35 | $222.02 – $404.11 | 9 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | not published | not published | $199.18 – $434.94 | 9 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | not published | not published | $90.36 – $418.89 | 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.