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 |
|---|---|---|---|---|
| Decompression of thigh/knee CPT 27498 | not published | not published | $634.09 – $1,358.98 | 8 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $677.36 – $1,449.82 | 8 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $347.12 – $1,019.59 | 9 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $351.15 – $765.92 | 8 |
| Decompressive craniotomy CPT 61322 | not published | not published | $2,206.61 – $4,916.08 | 8 |
| Decompress optic nerve CPT 67570 | not published | not published | $1,207.64 – $2,539.04 | 8 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $1,515.71 – $3,346.98 | 8 |
| Decompress small bowel CPT 44021 | not published | not published | $910.56 – $1,973.75 | 8 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $1,393.62 – $3,062.30 | 8 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $1,646.96 – $3,642.50 | 8 |
| Decompress spine cord add-on CPT 63066 | not published | not published | $186.14 – $418.19 | 8 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $294.43 – $652.05 | 8 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $144.92 – $587.85 | 9 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $789.62 | $789.62 | $6.90 – $172.87 | 9 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $4,972.13 | $4,972.13 | $4.14 – $1,933.02 | 9 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $731.17 – $1,554.19 | 8 |
| Delay flap arms/legs CPT 15610 | not published | not published | $233.48 – $714.41 | 9 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $329.51 – $897.52 | 9 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $312.84 – $867.97 | 9 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $201.77 – $656.59 | 9 |
| Delivery of placenta 59414 CPT 59414 | $4,603.55 | $4,603.55 | $73.55 – $184.36 | 9 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $856.75 – $1,908.00 | 8 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | not published | not published | $1,274.68 – $2,826.43 | 8 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | not published | not published | $591.78 – $1,301.38 | 8 |
| Demonstrate use home inr mon HCPCS G0248 | not published | not published | $80.55 – $202.67 | 8 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $247.30 | $247.30 | $14.65 – $36.61 | 9 |
| Denervation of hip joint CPT 27035 | not published | not published | $1,097.29 – $2,297.06 | 8 |
| Dengue vacc quad 3 dose subq CPT 90587 | not published | not published | $73.92 – $165.52 | 4 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $12,379.40 | $12,379.40 | $23.48 – $5,266.12 | 9 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $453.95 | $453.95 | $124.75 – $194.25 | 9 |
| Deodorant ostmy adapt lube 8ml HCPCS A4394 | not published | not published | $2.88 – $7.21 | 7 |
| Depo-estradiol cypionate inj HCPCS J1000 | $1,270.15 | $1,270.15 | $29.84 – $1,193.94 | 7 |
| Dermabrasion other than face CPT 15782 | not published | not published | $354.18 – $940.58 | 9 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $406.51 – $1,036.30 | 9 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $340.32 – $872.47 | 9 |
| Dermabrasion total face CPT 15780 | not published | not published | $637.32 – $1,638.29 | 9 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $646.23 – $1,376.61 | 8 |
| Derma-gide, 1 sq cm HCPCS Q4203 | not published | not published | $206.74 – $576.63 | 6 |
| Dermagraft HCPCS Q4106 | $177.37 | $177.37 | $16.58 – $61.43 | 7 |
| Dermal filler injection(s) HCPCS G0429 | not published | not published | $64.82 – $192.10 | 8 |
| Dermapure 1 square cm HCPCS Q4152 | not published | not published | $43.45 – $86.25 | 6 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $727.17 – $1,684.54 | 9 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $571.02 – $1,391.58 | 9 |
| Dermavest, plurivest sq cm HCPCS Q4153 | not published | not published | $44.23 – $241.19 | 6 |
| Derm-maxx, per sq cm HCPCS Q4238 | not published | not published | $460.98 – $2,587.11 | 4 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | $21,056.15 | $21,056.15 | $1,602.71 – $17,687.17 | 9 |
| Description not available HCPCS S0013 | not published | not published | $13.40 – $26.76 | 4 |
| Design custom breast implant CPT 19396 | not published | not published | $135.75 – $524.90 | 9 |
| Design mlc device for imrt CPT 77338 | $5,530.15 | $5,530.15 | $219.30 – $650.50 | 9 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $3,271.77 | $3,271.77 | $3.89 – $292.72 | 9 |
| Desoxycorticosterone CPT 82633 | not published | not published | $15.30 – $63.08 | 7 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $351.31 – $780.82 | 8 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | not published | not published | $1,376.99 – $3,042.65 | 8 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $998.19 – $2,204.21 | 8 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | $278.90 | $278.90 | $83.03 – $273.04 | 9 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | $333.80 | $333.80 | $113.94 – $348.85 | 9 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $131.62 – $398.33 | 9 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | $291.55 | $291.55 | $91.84 – $244.90 | 9 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $101.48 – $322.52 | 9 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $116.61 – $365.56 | 9 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $67.96 – $193.38 | 9 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | $286.40 | $286.40 | $83.34 – $163.84 | 9 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | $363.50 | $363.50 | $106.38 – $345.65 | 9 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $117.62 – $373.92 | 9 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $1,618.65 | $1,618.65 | $184.14 – $844.84 | 9 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $2,128.90 | $2,128.90 | $63.46 – $439.95 | 9 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $145.37 – $418.89 | 9 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $161.75 | $161.75 | $52.47 – $131.06 | 9 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $203.20 – $539.02 | 9 |
| Destroy vulva lesion simple 56501 CPT 56501 | $341.30 | $341.30 | $128.87 – $373.92 | 9 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $267.05 | $267.05 | $78.95 – $257.62 | 9 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $344.14 – $866.68 | 9 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | $1,600.10 | $1,600.10 | $265.25 – $668.17 | 9 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $504.92 – $1,231.61 | 9 |
| Destruction 2-14 lesions 17003 CPT 17003 | $13.35 | $13.35 | $1.95 – $12.85 | 9 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $129.39 – $512.04 | 9 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $174.06 – $1,072.91 | 9 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | $379.80 | $379.80 | $132.24 – $221.04 | 9 |
| Destruction benign lesions < 14 lesions CPT 17110 | $344.70 | $344.70 | $64.25 – $97.57 | 9 |
| Destruction by injection tx of nerve 64630 CPT 64630 | $1,292.50 | $1,292.50 | $183.57 – $495.35 | 9 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $1,618.65 | $1,618.65 | $55.78 – $462.58 | 9 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $1,676.50 | $1,676.50 | $184.25 – $851.92 | 9 |
| Destruction ciliary body CPT 66700 | not published | not published | $373.28 – $868.61 | 9 |
| Destruction ciliary body CPT 66720 | not published | not published | $390.63 – $900.09 | 9 |
| Destruction ciliary body CPT 66740 | not published | not published | $373.28 – $843.56 | 9 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $136.53 – $504.98 | 9 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $124.15 – $855.76 | 9 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $142.97 – $302.61 | 9 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $131.97 – $405.40 | 9 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $161.72 – $473.50 | 9 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $125.52 – $400.90 | 9 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $147.75 – $455.51 | 9 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $102.53 – $280.76 | 9 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $165.36 – $431.74 | 9 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $563.05 | $563.05 | $95.18 – $323.80 | 9 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $668.29 – $1,421.35 | 8 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $177.54 – $479.93 | 9 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $111.20 – $325.73 | 9 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $92.08 – $267.91 | 9 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $12.01 – $61.15 | 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.