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 |
|---|---|---|---|---|
| Dup scan/hemodialysis access 93990 CPT 93990 | $1,357.55 | $1,357.55 | $21.26 – $1,140.34 | 9 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $2,240.30 | $2,240.30 | $22.14 – $876.86 | 9 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $2,691.30 | $2,691.30 | $35.55 – $389.55 | 9 |
| Duragen 1x1 5ea/bx HCPCS C9354 | not published | not published | $19.38 – $19.38 | 1 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $15,109.20 | $15,109.20 | $80.14 – $3,408.68 | 9 |
| Dxa bone density axl vrt fx CPT 77085 | $529.90 | $529.90 | $13.52 – $446.18 | 9 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $63.98 – $152.27 | 8 |
| Dx aly aud oi snd prcsr each CPT 92623 | not published | not published | $16.78 – $39.20 | 8 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $123.34 – $527.46 | 9 |
| Dx bronchoscope/lavage 31624 CPT 31624 | not published | not published | $125.19 – $490.85 | 9 |
| Dx bronchoscope/wash 31622 CPT 31622 | $3,029.55 | $3,029.55 | $123.34 – $480.57 | 9 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $14.78 – $71.46 | 8 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $48.21 – $530.68 | 9 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $72.96 – $712.50 | 9 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $35.64 – $451.66 | 9 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $57.17 – $391.27 | 9 |
| Dx intraop epcar Ultrasound chd i&r CPT 76989 | not published | not published | $33.37 – $71.17 | 8 |
| Dx intraop epicar car Ultrasound chd CPT 76987 | not published | not published | $89.45 – $190.47 | 8 |
| Dx intraop thoracic aorta Ultrasound CPT 76984 | $1,506.65 | $1,506.65 | $28.83 – $1,265.59 | 9 |
| Dx laryngoscopy newborn CPT 31520 | $718.10 | $718.10 | $148.70 – $359.05 | 9 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $149.35 – $317.89 | 8 |
| Dx ntrop epcr Ultrasound chd img acq CPT 76988 | not published | not published | $56.50 – $121.32 | 8 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $110.36 – $277.54 | 9 |
| Dynamic fine wire emg CPT 96003 | not published | not published | $16.45 – $33.21 | 7 |
| Dynamic surface emg CPT 96002 | not published | not published | $20.45 – $42.70 | 8 |
| Ear and throat examination CPT 92502 | not published | not published | $91.88 – $193.17 | 8 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $61.17 – $279.47 | 9 |
| Ear cartilage graft CPT 21235 | not published | not published | $549.33 – $1,429.48 | 9 |
| Ear irrigation 69209 CPT 69209 | $143.25 | $143.25 | $14.30 – $31.85 | 9 |
| Ear protector evaluation CPT 92596 | not published | not published | $37.99 – $156.56 | 8 |
| Ecallantide injection HCPCS J1290 | not published | not published | $530.91 – $1,048.09 | 8 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $6.37 – $13.56 | 8 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | not published | not published | $5.54 – $13.56 | 8 |
| Ecg < 30 days transmission & analysis CPT 93271 | $860.45 | $860.45 | $88.84 – $667.58 | 9 |
| Ecg external < 48 hours recording CPT 93225 | $553.45 | $553.45 | $17.12 – $179.84 | 9 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $1,336.65 | $1,336.65 | $33.60 – $300.34 | 9 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $603.85 | $603.85 | $11.17 – $87.99 | 9 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $603.85 | $603.85 | $11.17 – $87.99 | 9 |
| Ecg record/review CPT 93268 | not published | not published | $164.65 – $342.29 | 8 |
| Ecg/review interpret only CPT 93272 | $103.20 | $103.20 | $22.81 – $48.12 | 9 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,910.55 | $2,910.55 | $65.10 – $136.91 | 9 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $795.50 | $795.50 | $23.46 – $49.47 | 9 |
| Echocardiography doppler color flow mapping CPT 93325 | $445.90 | $445.90 | $2.92 – $6.10 | 9 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,913.15 | $2,913.15 | $541.82 – $1,497.98 | 9 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $2,028.05 | $2,028.05 | $270.47 – $640.23 | 9 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $667.25 | $667.25 | $6.70 – $307.78 | 9 |
| Echo exam of eye CPT 76516 | not published | not published | $21.66 – $44.74 | 8 |
| Echo exam of eye CPT 76519 | not published | not published | $29.14 – $60.33 | 8 |
| Echo exam of eye CPT 76529 | not published | not published | $29.99 – $63.03 | 8 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $3.49 – $14.78 | 8 |
| Echo exam of fetal heart CPT 76825 | $1,358.25 | $1,358.25 | $75.16 – $1,140.93 | 9 |
| Echo exam of fetal heart CPT 76826 | $987.35 | $987.35 | $37.42 – $829.37 | 9 |
| Echo exam of fetal heart CPT 76827 | $822.60 | $822.60 | $26.39 – $690.98 | 9 |
| Echo exam of fetal heart CPT 76828 | $660.25 | $660.25 | $21.49 – $554.61 | 9 |
| Echo exam uterus 76831- CPT 76831 | $1,012.70 | $1,012.70 | $32.88 – $474.81 | 9 |
| Echograp trans r pros study CPT 76873 | $2,127.45 | $2,127.45 | $73.13 – $1,787.06 | 9 |
| Echo guidance radiotherapy CPT 76965 | $3,606.65 | $3,606.65 | $27.38 – $3,029.59 | 9 |
| Echo guidance radiotherapy HCPCS G6001 | not published | not published | $30.64 – $63.71 | 8 |
| Echo guide for amniocentesis CPT 76946 | not published | not published | $14.94 – $34.70 | 8 |
| Echo guide for artery repair CPT 76936 | $2,024.40 | $2,024.40 | $87.81 – $1,700.50 | 9 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $33.19 – $71.16 | 8 |
| Echo guide for transfusion CPT 76941 | $682.45 | $682.45 | $61.00 – $573.26 | 9 |
| Echo guide ova aspiration CPT 76948 | not published | not published | $30.40 – $63.71 | 8 |
| Echo guide villus sampling CPT 76945 | $289.30 | $289.30 | $30.40 – $243.01 | 9 |
| Echo stress CPT 93350 | $1,593.60 | $1,593.60 | $65.10 – $136.91 | 9 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $23.86 – $50.84 | 8 |
| Echo tee guidance CPT 93355 | $3,425.70 | $3,425.70 | $210.44 – $2,877.59 | 9 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $2,103.05 | $2,103.05 | $79.53 – $210.79 | 9 |
| Echo transesophageal CPT 93313 | not published | not published | $10.47 – $22.36 | 8 |
| Echo transesophageal CPT 93314 | not published | not published | $83.20 – $176.23 | 8 |
| Echo transesophageal CPT 93315 | $1,894.60 | $1,894.60 | $118.50 – $1,591.46 | 9 |
| Echo transesophageal CPT 93317 | not published | not published | $82.69 – $174.20 | 8 |
| Echo transesophageal intraop CPT 93318 | $1,538.45 | $1,538.45 | $95.64 – $1,292.30 | 9 |
| Echo transthoracic CPT 93303 | $1,077.05 | $1,077.05 | $57.96 – $904.72 | 9 |
| Echo transthoracic CPT 93304 | $460.70 | $460.70 | $33.52 – $386.99 | 9 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $1,593.70 | $1,593.70 | $41.20 – $1,341.90 | 9 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | $18,123.75 | $18,123.75 | $213.77 – $15,223.95 | 9 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | $18,123.75 | $18,123.75 | $219.06 – $15,223.95 | 9 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | $18,123.75 | $18,123.75 | $311.02 – $15,223.95 | 9 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | $18,123.75 | $18,123.75 | $280.93 – $15,223.95 | 9 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $742.30 – $1,632.14 | 8 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | not published | not published | $751.18 – $1,657.89 | 8 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $424.67 – $931.97 | 8 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | $380.65 – $834.37 | 8 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | not published | not published | $429.57 – $943.49 | 8 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | not published | not published | $385.62 – $847.24 | 8 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $460.29 – $1,011.28 | 8 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | not published | not published | $473.38 – $1,038.38 | 8 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | not published | not published | $244.30 – $537.50 | 8 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | not published | not published | $166.08 – $363.30 | 8 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | not published | not published | $255.59 – $562.58 | 8 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | not published | not published | $214.13 – $470.40 | 8 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | not published | not published | $442.16 – $972.65 | 8 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | not published | not published | $419.29 – $921.14 | 8 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | not published | not published | $210.64 – $462.93 | 8 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | not published | not published | $166.08 – $363.30 | 8 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | not published | not published | $210.64 – $462.93 | 8 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | not published | not published | $166.08 – $363.30 | 8 |
| Ecog impltd brn npgt <30 d CPT 95836 | not published | not published | $36.09 – $212.15 | 8 |
| E coli 0157 ag ia CPT 87335 | not published | not published | $5.92 – $25.78 | 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.