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 |
|---|---|---|---|---|
| Coroners autopsy (necropsy) CPT 88045 | not published | not published | $24.77 – $118.62 | 4 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | not published | not published | $468.25 – $1,350.47 | 9 |
| Correct cock-up 5th toe/plast clos 28286 CPT 28286 | $679.45 | $679.45 | $287.68 – $854.48 | 9 |
| Correct finger deformity CPT 26567 | not published | not published | $696.80 – $1,479.63 | 8 |
| Correct inverted nipple(s) CPT 19355 | not published | not published | $593.16 – $1,462.25 | 9 |
| Correction claw finger other CPT 26499 | not published | not published | $840.18 – $1,792.10 | 8 |
| Correction eyelid w/implant CPT 67912 | not published | not published | $462.83 – $1,726.30 | 9 |
| Correction hallux valgus sesamoidectomy;prox meta osteotomy CPT 28295 | not published | not published | $580.49 – $2,019.92 | 9 |
| Correction of astigmatism CPT 65772 | not published | not published | $385.94 – $875.68 | 9 |
| Correction of astigmatism CPT 65775 | not published | not published | $547.94 – $1,156.99 | 8 |
| Correction of bladder defect CPT 51940 | not published | not published | $1,547.74 – $3,298.18 | 8 |
| Correction of everted punctum 68705 CPT 68705 | not published | not published | $158.00 – $501.76 | 9 |
| Correction trichiasis epilation forcep 67820 CPT 67820 | not published | not published | $21.21 – $44.74 | 9 |
| Correction trichiasis inccision lid margin 67830 CPT 67830 | not published | not published | $131.20 – $517.83 | 9 |
| Correct malrotation of bowel 44055 CPT 44055 | not published | not published | $1,388.93 – $3,021.64 | 8 |
| Correct metacarpal flaw CPT 26565 | not published | not published | $690.96 – $1,465.41 | 8 |
| Correct rectal prolapse CPT 45541 | not published | not published | $888.79 – $1,905.29 | 8 |
| Correct rectal prolapse; abdominal approach 45540 CPT 45540 | not published | not published | $989.35 – $2,123.55 | 8 |
| Correct skin color 6.0 cm/< CPT 11920 | not published | not published | $104.36 – $388.05 | 9 |
| Correct skin color ea 20.0cm CPT 11922 | not published | not published | $26.71 – $118.21 | 9 |
| Corrj halux rigdus w/implt CPT 28291 | not published | not published | $463.69 – $1,327.97 | 9 |
| Corrj halux rigdus without implt CPT 28289 | $1,051.15 | $1,051.15 | $445.84 – $1,328.62 | 9 |
| Corticorelin ovine triflutal HCPCS J0795 | not published | not published | $8.82 – $17.95 | 4 |
| Cortisol acth stimulation test - sendout CPT 80400 | $818.95 | $818.95 | $16.11 – $250.51 | 9 |
| Cortisol total am CPT 82533 | $408.85 | $408.85 | $8.05 – $123.66 | 9 |
| Costotransversectomy CPT 21610 | not published | not published | $1,074.97 – $2,499.05 | 8 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $1,084.93 | $1,084.93 | $21.73 – $399.27 | 9 |
| Co-treatment - group 15 mins, st CPT 92508 | $289.60 | $289.60 | $23.21 – $90.97 | 9 |
| Counseling smoke cess interm >10mins CPT 99407 | $133.05 | $133.05 | $23.57 – $52.69 | 9 |
| Counseling visit to discuss need for ldct g0296 HCPCS G0296 | not published | not published | $24.00 – $53.32 | 8 |
| Cov-19 amp prb hgh thruput HCPCS U0003 | not published | not published | $30.95 – $30.95 | 1 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $1,630.00 | $1,630.00 | $23.91 – $30.55 | 6 |
| Cover eye w/membrane CPT 65778 | not published | not published | $41.77 – $2,446.66 | 9 |
| Cover eye w/membrane suture CPT 65779 | not published | not published | $99.73 – $2,227.42 | 9 |
| Covers for upright each HCPCS L1120 | not published | not published | $35.34 – $88.98 | 7 |
| Cover wrist HCPCS L3984 | not published | not published | $376.35 – $947.40 | 7 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $50.00 | $50.00 | $25.00 – $81.45 | 9 |
| Covid-19 convalescent plasma HCPCS C9507 | not published | not published | $425.62 – $998.00 | 6 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose HCPCS M0249 | not published | not published | $432.38 – $916.29 | 7 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose HCPCS M0250 | not published | not published | $432.38 – $1,527.15 | 7 |
| Covid-19 lab test non-cdc HCPCS U0002 | not published | not published | $30.95 – $104.48 | 7 |
| #covid19rsv-rsv CPT 87634 | $192.55 | $192.55 | $65.47 – $154.58 | 9 |
| #coxa-coxsackie a serotype a16 CPT 86658 | not published | not published | $6.43 – $26.53 | 7 |
| CPAP or BiPAP Setup (first day) CPT 94660 | $1,094.30 | $1,094.30 | $34.81 – $124.63 | 9 |
| C-peptide CPT 84681 | $225.40 | $225.40 | $10.28 – $51.79 | 9 |
| CPR (Cardiopulmonary Resuscitation) CPT 92950 | $2,127.45 | $2,127.45 | $109.89 – $303.81 | 9 |
| Cptr-asst dir ms px CPT 20985 | not published | not published | $134.90 – $291.46 | 8 |
| Cptrized corneal topography CPT 92025 | not published | not published | $16.91 – $36.63 | 8 |
| Cptr ophth dx img post segmt CPT 92134 | not published | not published | $14.29 – $46.90 | 8 |
| Cptrz oph img pst sg rta oct CPT 92137 | not published | not published | $23.45 – $48.80 | 6 |
| Cr-51 sodium chromate HCPCS A9553 | $3,705.30 | $3,705.30 | $359.32 – $99,999.99 | 7 |
| Cranial cervical orthosis HCPCS L0112 | not published | not published | $1,300.13 – $3,272.91 | 7 |
| Cranial cervical torticollis HCPCS L0113 | not published | not published | $264.90 – $666.86 | 7 |
| Craniect/craniot w/wo duraplasty w/lobectomy 61323 CPT 61323 | not published | not published | $2,193.59 – $4,905.92 | 8 |
| Craniectomy/craniotomy expl 61304 CPT 61304 | not published | not published | $1,525.82 – $3,388.32 | 8 |
| Craniectomy/craniotomy tx penet wound brain 61571 CPT 61571 | not published | not published | $1,849.65 – $4,113.57 | 8 |
| Craniectomy exc brain tumor fossa 61518 CPT 61518 | not published | not published | $2,564.65 – $5,711.83 | 8 |
| Craniectomy exc brain tumor meningioma 61519 CPT 61519 | not published | not published | $2,719.11 – $6,053.44 | 8 |
| Craniectomy f/osteomyelitis CPT 61501 | not published | not published | $1,069.88 – $2,326.22 | 8 |
| Craniectomy or craniotomy for drng abscess 61320 CPT 61320 | not published | not published | $1,759.24 – $3,906.84 | 8 |
| Craniectomy or craniotomy for drng inf 61315 CPT 61315 | not published | not published | $1,917.41 – $4,272.17 | 8 |
| Craniectomy or craniotomy for drng supr 61313 CPT 61313 | not published | not published | $1,846.07 – $4,102.05 | 8 |
| Craniectomy subocc w/cerv lam (press relief) 61343 CPT 61343 | not published | not published | $2,031.07 – $4,520.24 | 8 |
| Craniofacial approach skull CPT 61580 | not published | not published | $2,349.62 – $5,070.63 | 8 |
| Craniofacial approach skull CPT 61581 | not published | not published | $2,569.95 – $5,487.46 | 8 |
| Craniofacial approach skull CPT 61582 | not published | not published | $2,844.86 – $6,163.23 | 8 |
| Craniofacial approach skull CPT 61583 | not published | not published | $2,724.69 – $5,996.51 | 8 |
| Crbrospnl fld flw imag cistern CPT 78630 | $1,382.05 | $1,382.05 | $30.16 – $1,160.92 | 9 |
| C-reactive protein CPT 86140 | $126.45 | $126.45 | $3.83 – $61.48 | 9 |
| C-reactive protein high sensitivity CPT 86141 | $293.05 | $293.05 | $6.39 – $118.86 | 9 |
| C-reactive protein, quantitative CPT 86406 | not published | not published | $5.25 – $21.67 | 7 |
| Creat artery-vein fistula autograft 36825 CPT 36825 | not published | not published | $717.36 – $1,579.96 | 8 |
| Create eardrum opening CPT 69436 | not published | not published | $154.38 – $328.05 | 8 |
| Create passage to kidney CPT 52334 | not published | not published | $172.59 – $365.34 | 8 |
| Create tear duct drain CPT 68745 | not published | not published | $778.16 – $1,637.56 | 8 |
| Create tear duct drain CPT 68750 | not published | not published | $820.27 – $1,726.37 | 8 |
| Create tear sac drain CPT 68720 | not published | not published | $773.63 – $1,629.43 | 8 |
| Creatine isoforms CPT 82554 | not published | not published | $5.86 – $24.17 | 7 |
| Creatine kinase CPT 82550 | $87.45 | $87.45 | $4.82 – $66.41 | 9 |
| Creatine kinase isoenzymes CPT 82552 | $23.50 | $23.50 | $6.61 – $22.09 | 9 |
| Creatine kinase mb CPT 82553 | $274.60 | $274.60 | $5.70 – $92.21 | 9 |
| Creatine - sendout CPT 82540 | not published | not published | $2.29 – $9.45 | 7 |
| Creatinine CPT 82565 | $157.25 | $157.25 | $2.53 – $51.14 | 9 |
| Creatinine 24 hour urine CPT 82570 | $102.25 | $102.25 | $3.83 – $48.50 | 9 |
| Creatinine clearance urine CPT 82575 | $299.10 | $299.10 | $4.67 – $111.91 | 9 |
| #creutz-prot.,western blot CPT 84182 | $427.90 | $427.90 | $11.68 – $175.10 | 9 |
| Crh stimulation panel CPT 80412 | not published | not published | $320.65 – $1,632.26 | 7 |
| Cricopharyngeal myotomy 43030 CPT 43030 | not published | not published | $503.43 – $1,074.32 | 8 |
| Cricotracheal resection CPT 31592 | not published | not published | $1,657.80 – $3,529.98 | 8 |
| Crisis psychotherapy 90839 CPT 90839 | $324.85 | $324.85 | $124.83 – $242.95 | 9 |
| Crisis psychotherapy additional 30 mins 90840 CPT 90840 | $230.65 | $230.65 | $62.10 – $140.05 | 9 |
| Critical care each additional 30 minutes CPT 99292 | $1,310.45 | $1,310.45 | $100.80 – $230.01 | 9 |
| Critical Care (first 30 to 74 minutes) CPT 99291 | $4,670.40 | $4,670.40 | $201.38 – $525.53 | 9 |
| Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 | not published | not published | $127.10 – $244.63 | 8 |
| Crnec/crnot drg icr abs ittl CPT 61321 | not published | not published | $1,969.63 – $4,384.02 | 8 |
| Crnec/crnot expl infratntorl CPT 61305 | not published | not published | $1,861.83 – $4,140.67 | 8 |
| Crnec/crnot ittl xdrl/sdrl CPT 61314 | not published | not published | $1,698.90 – $3,770.59 | 8 |
| Crnec exc tum/bone les skull CPT 61500 | not published | not published | $1,219.55 – $2,673.25 | 8 |
| Crnec sopl sctj 1+crnl nrv CPT 61460 | not published | not published | $1,953.24 – $4,347.41 | 8 |
| Crnec sopl xpl/dcmpr crl nrv CPT 61458 | not published | not published | $1,872.63 – $4,150.85 | 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.