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 |
|---|---|---|---|---|
| Culture virus isolation CPT 87250 | not published | not published | $9.66 – $39.83 | 7 |
| Curette/treat cornea CPT 65435 | not published | not published | $65.91 – $158.04 | 9 |
| Curette/treat cornea CPT 65436 | not published | not published | $352.60 – $745.57 | 9 |
| Cus elbo skt in for con/atyp HCPCS L6696 | not published | not published | $1,224.27 – $3,081.93 | 7 |
| Cus elbo skt in not con/atyp HCPCS L6697 | not published | not published | $1,224.27 – $3,081.93 | 7 |
| Custom glove for term device HCPCS L6895 | not published | not published | $705.86 – $1,776.91 | 7 |
| Custom shape cover ak HCPCS L5705 | not published | not published | $1,032.71 – $2,599.68 | 7 |
| Custom shape cover bk HCPCS L5704 | not published | not published | $563.30 – $1,418.05 | 7 |
| Custom shape cvr hip disart HCPCS L5707 | not published | not published | $1,353.28 – $3,406.71 | 7 |
| Custom shape cvr knee disart HCPCS L5706 | not published | not published | $1,007.29 – $2,535.68 | 7 |
| Cutter lead HCPCS C1773 | $17,195.80 | $17,195.80 | $44.14 – $56.40 | 6 |
| Cv line/pic reposition CPT 36597 | $2,451.65 | $2,451.65 | $55.96 – $211.36 | 9 |
| Cv stress test i&r only 93018 CPT 93018 | $51.00 | $51.00 | $13.52 – $27.79 | 9 |
| Cv stress test/supervision only 93016 CPT 93016 | $75.90 | $75.90 | $20.01 – $42.01 | 9 |
| Cyanocobalamin unsat binding capacity CPT 82608 | not published | not published | $7.07 – $29.16 | 7 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $54.95 | $54.95 | $1.11 – $19.43 | 9 |
| Cyclic citrullinated peptide antibody CPT 86200 | $162.25 | $162.25 | $6.39 – $55.65 | 9 |
| Cyclophosphamide 100 mg inj HCPCS J9070 | not published | not published | $17.94 – $127.78 | 6 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $5,178.44 | $5,178.44 | $0.62 – $732.12 | 9 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $46.79 | $46.79 | $0.62 – $26.70 | 7 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $710.32 | $710.32 | $24.39 – $404.13 | 6 |
| Cyclosporine 2 hour CPT 80158 | $228.95 | $228.95 | $8.91 – $140.58 | 9 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $28.03 | $28.03 | $0.76 – $15.99 | 7 |
| Cyclosporine oral 100 mg HCPCS J7502 | $111.84 | $111.84 | $2.19 – $27.37 | 7 |
| Cygnus matrix, per sq cm HCPCS Q4199 | not published | not published | $273.20 – $610.17 | 6 |
| Cygnus, per sq cm HCPCS Q4170 | not published | not published | $45.56 – $108.98 | 6 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $14,970.00 | $14,970.00 | $235.39 – $762.45 | 9 |
| Cymetra injectable HCPCS Q4112 | not published | not published | $872.08 – $1,429.42 | 3 |
| Cyp2c19 gene com variants CPT 81225 | not published | not published | $116.54 – $593.27 | 7 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $69.92 – $355.95 | 7 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $180.36 – $918.14 | 7 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $174.81 – $355.95 | 7 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $174.81 – $355.95 | 7 |
| Cystatin c CPT 82610 | $87.45 | $87.45 | $7.41 – $79.76 | 9 |
| Cystic fibrosis cftr CPT 81223 | not published | not published | $199.60 – $1,016.06 | 7 |
| Cystine urine quantitative CPT 82131 | $174.45 | $174.45 | $9.19 – $121.50 | 9 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $452.76 – $964.51 | 8 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $872.80 | $872.80 | $14.38 – $347.09 | 9 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $8,949.76 – $9,218.25 | 5 |
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $155.03 – $332.80 | 6 |
| Cysto, litho, vacuum kidney HCPCS C9761 | not published | not published | $8,949.76 – $9,218.25 | 5 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $99.11 – $212.14 | 8 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $848.26 – $1,813.11 | 8 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $706.04 – $1,514.20 | 8 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $155.03 – $5,157.71 | 8 |
| Cystoscopy and biopsy CPT 52007 | $8,204.35 | $8,204.35 | $156.70 – $865.41 | 9 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $224.78 – $477.86 | 8 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $163.91 – $1,433.34 | 9 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $189.41 – $1,497.59 | 9 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $230.72 – $491.40 | 8 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $270.28 – $576.81 | 8 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $366.56 – $782.86 | 8 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $197.64 – $421.60 | 8 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $152.69 – $717.64 | 9 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $248.12 – $528.01 | 8 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $302.69 – $645.27 | 8 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $190.09 – $681.66 | 9 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $185.00 – $675.23 | 9 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $228.89 – $486.65 | 8 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $262.39 – $559.18 | 8 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $271.78 – $579.52 | 8 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $260.42 – $555.11 | 8 |
| Cystoscopy and treatment CPT 52310 | $3,174.25 | $3,174.25 | $142.84 – $615.48 | 9 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $257.19 – $904.59 | 9 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $231.12 – $491.40 | 8 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $246.68 – $1,159.01 | 9 |
| Cystoscopy (Bladder Scope) CPT 52000 | $1,421.25 | $1,421.25 | $75.57 – $461.94 | 9 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $158.90 – $746.55 | 9 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $156.16 – $735.62 | 9 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $315.54 – $673.74 | 8 |
| Cystoscopy inject material CPT 52327 | not published | not published | $241.81 – $516.48 | 8 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $4,920.13 – $5,067.73 | 5 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $268.98 – $844.84 | 9 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $171.28 – $808.22 | 9 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $233.41 – $1,036.94 | 9 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $299.42 – $638.49 | 8 |
| Cystoscopy & ureter catheter CPT 52005 | $3,556.20 | $3,556.20 | $126.02 – $584.65 | 9 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $5,161.50 | $5,161.50 | $280.28 – $2,891.11 | 9 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $452.35 – $959.76 | 8 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $742.77 – $1,577.91 | 8 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $283.88 – $605.28 | 8 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $345.92 – $738.12 | 8 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $390.54 – $832.34 | 8 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $437.54 – $932.66 | 8 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $389.02 – $829.63 | 8 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $366.56 – $782.19 | 8 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $417.23 – $890.63 | 8 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $331.98 – $706.95 | 8 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $369.05 – $787.60 | 8 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $247.67 – $529.37 | 8 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $3,556.20 | $3,556.20 | $143.63 – $628.98 | 9 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $133.35 – $726.63 | 9 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $47.54 – $1,647.29 | 9 |
| Cystourethro w/implant CPT 52441 | not published | not published | $196.95 – $2,423.38 | 9 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $322.47 – $686.61 | 8 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $289.73 – $618.15 | 8 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $266.18 – $568.00 | 8 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $206.85 | $206.85 | $0.76 – $47.42 | 9 |
| Cytarabine liposome inj HCPCS J9098 | not published | not published | $604.66 – $971.65 | 4 |
| Cytog alys chrml abnr lw-ps CPT 81349 | not published | not published | $360.00 – $2,439.25 | 7 |
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.