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 |
|---|---|---|---|---|
| Compression stocking bk18-30 HCPCS A6530 | not published | not published | $38.04 – $75.20 | 7 |
| Comp rpr tof wo pulm atresia CPT 33692 | not published | not published | $1,769.03 – $3,894.64 | 8 |
| Concentration infection agents any type CPT 87015 | $218.40 | $218.40 | $3.30 – $76.23 | 9 |
| Conditioning play audiometry 92582 CPT 92582 | not published | not published | $76.55 – $176.23 | 8 |
| Conduit wrap neuomend 3mmx2.5cm HCPCS C9361 | not published | not published | $177.26 – $177.26 | 1 |
| Condylomata destruction 56420 CPT 56420 | $364.95 | $364.95 | $79.46 – $186.54 | 9 |
| Conform band n/s w>=3"<5"/yd HCPCS A6443 | not published | not published | $0.30 – $0.77 | 7 |
| Conform band s w>=3" <5"/yd HCPCS A6446 | not published | not published | $0.44 – $1.08 | 7 |
| Conform band s w >=5"/yd HCPCS A6447 | not published | not published | $0.77 – $1.89 | 7 |
| Congo red blood test HCPCS P2029 | not published | not published | $4.95 – $10.08 | 7 |
| Conivaptan hcl HCPCS C9488 | not published | not published | $45.46 – $93.03 | 3 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | $494.05 | $494.05 | $244.59 – $590.43 | 9 |
| Conization of cervix CPT 57520 | not published | not published | $284.74 – $688.72 | 9 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $3,836.42 | $3,836.42 | $362.90 – $1,491.50 | 9 |
| Connect omega .5mm HCPCS L8613 | $555.00 | $555.00 | $21.41 – $386.25 | 9 |
| Connector tis 2x10mm HCPCS C9352 | $2,749.00 | $2,749.00 | $960.88 – $1,227.88 | 6 |
| Constj trachesophgl fstl CPT 31611 | $5,037.65 | $5,037.65 | $516.64 – $4,231.63 | 9 |
| Construct bladder opening CPT 51980 | not published | not published | $680.76 – $1,446.44 | 8 |
| Construct bowel bladder CPT 50820 | not published | not published | $1,241.22 – $2,645.45 | 8 |
| Construct bowel bladder CPT 50825 | not published | not published | $1,554.61 – $3,311.04 | 8 |
| Construction of absent anus CPT 46730 | not published | not published | $1,869.56 – $4,051.90 | 8 |
| Construction of absent anus CPT 46735 | not published | not published | $2,145.04 – $4,657.85 | 8 |
| Construction of absent anus CPT 46740 | not published | not published | $2,036.38 – $4,418.57 | 8 |
| Construction of vagina CPT 57291 | not published | not published | $522.90 – $1,124.47 | 8 |
| Construct thumb replacement CPT 26550 | not published | not published | $1,570.99 – $3,375.45 | 8 |
| Construct vagina with graft CPT 57292 | not published | not published | $783.04 – $1,688.40 | 8 |
| Consultation pathology during surgery CPT 88329 | not published | not published | $33.00 – $106.01 | 9 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | not published | not published | $30.66 – $114.36 | 8 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $178.40 | $178.40 | $24.44 – $79.27 | 9 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $706.20 | $706.20 | $39.82 – $79.39 | 9 |
| Consultation/report referred material w/preparation of slides CPT 88323 | not published | not published | $29.35 – $164.47 | 8 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $577.75 | $577.75 | $37.99 – $185.68 | 9 |
| Consultation with family CPT 90887 | $223.35 | $223.35 | $71.24 – $167.51 | 8 |
| Consult comp w/report rfrd material CPT 88325 | not published | not published | $127.68 – $297.46 | 9 |
| Contact layer >16<= 48 sq in HCPCS A6207 | $143.40 | $143.40 | $8.16 – $105.42 | 9 |
| Contact lens fitg aphakia 1 CPT 92311 | not published | not published | $48.57 – $198.53 | 9 |
| Contact lens fitg aphakia ou CPT 92312 | not published | not published | $58.42 – $237.07 | 9 |
| Contact lens fitting for tx CPT 92071 | not published | not published | $30.63 – $69.38 | 9 |
| Contact lens fitting ou CPT 92310 | not published | not published | $56.09 – $192.10 | 7 |
| Contact lens gas permeable HCPCS V2531 | not published | not published | $533.19 – $1,332.69 | 7 |
| Cont gluc mntr analysis i&r 95251 CPT 95251 | not published | not published | $32.98 – $69.82 | 8 |
| Cont intraop neuro monitor HCPCS G0453 | not published | not published | $30.08 – $63.72 | 8 |
| Contour cranial bone lesion CPT 21181 | not published | not published | $711.76 – $1,511.49 | 8 |
| Contour of face bone lesion CPT 21029 | not published | not published | $599.43 – $1,497.59 | 9 |
| Contrast baths charges CPT 97034 | $146.85 | $146.85 | $13.55 – $123.35 | 9 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $7,747.35 | $7,747.35 | $57.50 – $2,584.18 | 9 |
| Contrast exam thoracic aorta CPT 75600 | $4,887.20 | $4,887.20 | $21.71 – $3,463.95 | 9 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $9,157.30 | $9,157.30 | $49.90 – $6,188.20 | 9 |
| Contrast x-ray gallbladder CPT 74290 | $676.55 | $676.55 | $14.70 – $568.30 | 9 |
| Contrast x-ray of ankle CPT 73615 | $775.80 | $775.80 | $25.96 – $461.83 | 9 |
| Contrast x-ray of brain CPT 70010 | not published | not published | $30.50 – $110.51 | 8 |
| Contrast x-ray of brain CPT 70015 | $1,836.75 | $1,836.75 | $53.96 – $1,542.87 | 9 |
| Contrast x-ray of elbow CPT 73085 | $1,108.15 | $1,108.15 | $24.65 – $601.82 | 9 |
| Contrast x-ray of hip CPT 73525 | $1,118.85 | $1,118.85 | $26.50 – $876.83 | 9 |
| Contrast x-ray of knee joint CPT 73580 | $1,377.70 | $1,377.70 | $28.87 – $673.72 | 9 |
| Contrast x-ray of wrist CPT 73115 | $839.95 | $839.95 | $25.84 – $482.92 | 9 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | not published | not published | $13,621.09 – $34,045.41 | 7 |
| Controller infinity pt dbs HCPCS C1787 | $19,495.00 | $19,495.00 | $367.80 – $523.33 | 9 |
| Control nosebleed pack+caut 30905 CPT 30905 | $700.00 | $700.00 | $99.51 – $675.23 | 9 |
| Control nose/throat bleeding comp req hospital 42971 CPT 42971 | not published | not published | $436.27 – $930.62 | 8 |
| Control nose/throat bleeding with surg ivntj 42972 CPT 42972 | not published | not published | $487.08 – $1,039.74 | 8 |
| Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 | not published | not published | $224.75 – $845.23 | 8 |
| Control of nosebleed ant comp 30903 CPT 30903 | $563.85 | $563.85 | $47.60 – $106.03 | 9 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $442.60 | $442.60 | $47.60 – $103.06 | 9 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $230.00 | $230.00 | $155.45 – $216.20 | 9 |
| Control throat bleeding CPT 42961 | not published | not published | $404.91 – $862.17 | 8 |
| Control throat bleeding CPT 42962 | not published | not published | $498.76 – $1,061.43 | 8 |
| Conversion ext bil drg cath CPT 47535 | $10,704.30 | $10,704.30 | $181.53 – $1,675.54 | 9 |
| Convert nephrostomy catheter CPT 50434 | $2,579.30 | $2,579.30 | $177.69 – $1,043.70 | 9 |
| Conv gtube to jtube CPT 44373 | not published | not published | $179.86 – $382.28 | 8 |
| Coombs direct CPT 86880 | $67.80 | $67.80 | $2.66 – $40.51 | 9 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $40.00 | $40.00 | $2.83 – $170.82 | 9 |
| Coombs indirect titer reference CPT 86886 | $179.40 | $179.40 | $2.56 – $61.48 | 9 |
| Copper cu 64 dotatate diag HCPCS A9592 | $2,960.50 | $2,960.50 | $595.10 – $2,782.87 | 9 |
| Copper intrauterine device HCPCS J7300 | $4,087.35 | $4,087.35 | $756.43 – $3,713.80 | 9 |
| Cor artery disease mrna CPT 81493 | not published | not published | $420.00 – $2,138.01 | 7 |
| Core ndl bx lng/med perq CPT 32408 | $3,582.10 | $3,582.10 | $141.63 – $1,617.72 | 9 |
| Corf related serv 15 mins ea HCPCS G0409 | not published | not published | $13.88 – $48.12 | 8 |
| Corf skilled nursing service HCPCS G0128 | not published | not published | $8.35 – $19.65 | 8 |
| Cor hlx vlgs double osteot CPT 28299 | not published | not published | $573.04 – $1,951.17 | 9 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | not published | not published | $497.55 – $1,703.82 | 9 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | $1,121.65 | $1,121.65 | $488.64 – $1,611.30 | 9 |
| Cornea 1/2moon str split thick HCPCS L8609 | not published | not published | $6,064.12 – $15,265.53 | 7 |
| Corneal hysteresis deter CPT 92145 | not published | not published | $5.08 – $10.85 | 8 |
| Corneal smear CPT 65430 | not published | not published | $96.77 – $220.36 | 9 |
| Corneal transplant CPT 65710 | not published | not published | $1,087.60 – $2,290.29 | 8 |
| Corneal transplant CPT 65730 | not published | not published | $1,191.85 – $2,511.25 | 8 |
| Corneal transplant CPT 65750 | not published | not published | $1,197.84 – $2,524.81 | 8 |
| Corneal transplant CPT 65755 | not published | not published | $1,193.95 – $2,516.68 | 8 |
| Corneal trnspl endothelial CPT 65756 | not published | not published | $1,125.84 – $2,372.99 | 8 |
| Cornea pre-cut midwest eye cornea pre-cut midwest eye HCPCS V2785 | $4,300.00 | $4,300.00 | $305.27 – $390.10 | 6 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $7,942.00 | $7,942.00 | $302.46 – $6,406.09 | 9 |
| Coronary angio/lv gram/lt heart CPT 93458 | $12,905.70 | $12,905.70 | $266.71 – $6,406.09 | 9 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $7,942.00 | $7,942.00 | $338.95 – $6,406.09 | 9 |
| Coronary artery correction CPT 33502 | not published | not published | $1,176.12 – $2,568.87 | 8 |
| Coronary artery graft CPT 33503 | not published | not published | $1,223.99 – $2,670.54 | 8 |
| Coronary artery graft CPT 33504 | not published | not published | $1,345.82 – $2,943.00 | 8 |
| Coronary art/grft angio s&i CPT 93455 | $7,942.00 | $7,942.00 | $252.56 – $6,406.09 | 9 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $7,942.00 | $7,942.00 | $216.40 – $6,406.09 | 9 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | $1,145.95 | $1,145.95 | $48.37 – $272.13 | 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.