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 |
|---|---|---|---|---|
| Ecp ciliary body destruction CPT 66711 | not published | not published | $481.08 – $1,021.44 | 8 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | $23,407.75 | $23,407.75 | $44.77 – $9,777.24 | 9 |
| Eculizumab injection HCPCS J1300 | not published | not published | $225.47 – $444.04 | 7 |
| Edetate calcium disodium inj HCPCS J0600 | not published | not published | $96.25 – $6,648.20 | 8 |
| Edetate disodium per 150 mg HCPCS J3520 | not published | not published | $0.67 – $2.44 | 4 |
| Ed svc ckd grp per session HCPCS G0421 | not published | not published | $24.99 – $52.87 | 8 |
| Ed svc ckd ind per session HCPCS G0420 | not published | not published | $103.74 – $219.60 | 8 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $116.95 | $116.95 | $27.04 – $87.84 | 8 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $2,094.90 | $2,094.90 | $53.46 – $707.83 | 9 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $583.10 | $583.10 | $36.36 – $489.80 | 9 |
| Eeg during surgery CPT 95955 | $1,640.80 | $1,640.80 | $50.21 – $1,378.27 | 9 |
| Eeg monitoring/function test CPT 95958 | $842.65 | $842.65 | $211.68 – $707.83 | 9 |
| Eeg monitoring/giving drugs CPT 95954 | not published | not published | $105.04 – $222.33 | 8 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $1,873.25 | $1,873.25 | $53.46 – $489.80 | 9 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $842.65 | $842.65 | $80.84 – $707.83 | 9 |
| Eeg phy/qhp>36<60 hr without vid CPT 95721 | not published | not published | $194.19 – $412.11 | 9 |
| Eeg phy/qhp>36<60 hr w/veeg CPT 95722 | not published | not published | $236.04 – $501.56 | 9 |
| Eeg phy/qhp>60<84 hr without vid CPT 95723 | not published | not published | $238.31 – $501.58 | 9 |
| Eeg phy/qhp>60<84 hr w/veeg CPT 95724 | not published | not published | $299.52 – $631.04 | 9 |
| Eeg phy/qhp>84 hr without vid CPT 95725 | not published | not published | $273.05 – $578.85 | 9 |
| Eeg phy/qhp>84 hr w/veeg CPT 95726 | not published | not published | $380.67 – $808.61 | 9 |
| Eeg phy/qhp ea incr w/veeg CPT 95720 | not published | not published | $194.73 – $413.45 | 9 |
| Eeg phys/qhp 2-12 hr without vid CPT 95717 | not published | not published | $98.42 – $212.15 | 9 |
| Eeg phys/qhp 2-12 hr w/veeg CPT 95718 | not published | not published | $126.57 – $269.08 | 9 |
| Eeg phys/qhp ea incr without vid CPT 95719 | not published | not published | $151.56 – $321.27 | 9 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $1,393.45 | $1,393.45 | $53.46 – $489.80 | 9 |
| Eeg recording awake and asleep CPT 95819 | $1,583.70 | $1,583.70 | $53.46 – $489.80 | 9 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | $503.65 | $503.65 | $301.39 – $473.43 | 9 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $1,451.50 | $1,451.50 | $116.29 – $423.07 | 9 |
| Eeg without vid ea 12-26hr cont CPT 95710 | $967.10 | $967.10 | $508.60 – $909.07 | 9 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | $967.10 | $967.10 | $513.54 – $909.07 | 9 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | $503.65 | $503.65 | $301.39 – $473.43 | 9 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | $2,902.80 | $2,902.80 | $171.90 – $812.36 | 9 |
| E equine encephalitis igg CPT 86652 | $46.50 | $46.50 | $6.51 – $31.02 | 9 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | not published | not published | $32.08 – $61.60 | 8 |
| Egd balloon dil esoph30 mm/> CPT 43233 | not published | not published | $213.32 – $458.88 | 8 |
| Egd control bleeding any CPT 43255 | $2,755.05 | $2,755.05 | $187.90 – $1,200.13 | 9 |
| Egd dilate stricture CPT 43245 | not published | not published | $164.92 – $1,138.45 | 9 |
| Egd endo mucosal resection CPT 43254 | not published | not published | $252.65 – $538.86 | 8 |
| Egd endoscopic stent place CPT 43266 | not published | not published | $203.30 – $435.16 | 8 |
| Egd esophagogastrc fndoplsty CPT 43210 | not published | not published | $400.50 – $862.17 | 8 |
| Egd flx trnsorl dplmnt balo CPT 43290 | not published | not published | $166.63 – $5,011.23 | 9 |
| Egd flx trnsorl rmvl balo CPT 43291 | not published | not published | $151.22 – $884.03 | 9 |
| Egd guide wire insertion CPT 43248 | not published | not published | $155.78 – $795.37 | 9 |
| Egd injection varices CPT 43243 | not published | not published | $222.00 – $475.15 | 8 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | not published | not published | $133.70 – $285.35 | 8 |
| Egd lesion ablation CPT 43270 | not published | not published | $210.37 – $1,398.64 | 9 |
| Egd optical endomicroscopy CPT 43252 | not published | not published | $157.72 – $654.03 | 9 |
| Egd remove foreign body CPT 43247 | $1,915.35 | $1,915.35 | $165.39 – $738.19 | 9 |
| Egd remove lesion snare CPT 43251 | not published | not published | $183.56 – $950.21 | 9 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | not published | not published | $159.42 – $864.12 | 9 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | not published | not published | $211.90 – $450.73 | 8 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | not published | not published | $217.84 – $463.62 | 8 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | not published | not published | $245.52 – $524.63 | 8 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | not published | not published | $245.74 – $523.93 | 8 |
| Egd varices ligation CPT 43244 | not published | not published | $229.09 – $489.38 | 8 |
| Egd w/thrml txmnt gerd CPT 43257 | not published | not published | $217.52 – $465.65 | 8 |
| Egd w/transmural drain cyst CPT 43240 | not published | not published | $365.42 – $782.18 | 8 |
| Egfr gene com variants CPT 81235 | not published | not published | $129.83 – $660.91 | 7 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $328.40 | $328.40 | $14.04 – $126.90 | 9 |
| Eia hiv-1/hiv-2 screen HCPCS G0432 | not published | not published | $7.83 – $39.85 | 7 |
| EKG (Electrocardiogram) CPT 93000 | not published | not published | $13.78 – $29.14 | 8 |
| EKG for initial prevent exam g0403 HCPCS G0403 | not published | not published | $13.78 – $29.14 | 8 |
| EKG interpret & report preve g0405 HCPCS G0405 | not published | not published | $7.68 – $16.26 | 8 |
| EKG tracing for initial prev HCPCS G0404 | not published | not published | $5.85 – $12.87 | 8 |
| EKG (Tracing Only) CPT 93005 | $332.30 | $332.30 | $5.85 – $175.90 | 9 |
| Elb disart prosth tiss shap HCPCS L6450 | not published | not published | $3,828.04 – $9,636.54 | 7 |
| Elb mold sock flex hinge pad HCPCS L6100 | not published | not published | $2,007.74 – $5,054.19 | 7 |
| Elbow arthroscopy CPT 29830 | not published | not published | $439.53 – $944.17 | 8 |
| Elbow arthroscopy/surgery CPT 29834 | not published | not published | $475.92 – $1,016.02 | 8 |
| Elbow arthroscopy/surgery CPT 29835 | not published | not published | $491.57 – $1,054.65 | 8 |
| Elbow arthroscopy/surgery CPT 29836 | not published | not published | $565.10 – $1,206.49 | 8 |
| Elbow arthroscopy/surgery CPT 29837 | not published | not published | $505.93 – $1,084.48 | 8 |
| Elbow arthroscopy/surgery CPT 29838 | not published | not published | $573.72 – $1,228.85 | 8 |
| Elbow inter loc elbow forarm HCPCS L6250 | not published | not published | $2,611.90 – $6,575.09 | 7 |
| Elbow mold doub splt soc ste HCPCS L6120 | not published | not published | $2,532.90 – $6,376.20 | 7 |
| Elbow mold outsid lock hinge HCPCS L6200 | not published | not published | $3,151.30 – $7,932.93 | 7 |
| Elbow mold sock suspension t HCPCS L6110 | not published | not published | $2,004.33 – $5,045.60 | 7 |
| Elbow socket ins use without lck HCPCS L6695 | not published | not published | $623.27 – $1,568.99 | 7 |
| Elbow socket ins use w/lock HCPCS L6694 | not published | not published | $747.96 – $1,882.85 | 7 |
| Elbow stump activated lock h HCPCS L6130 | not published | not published | $2,752.73 – $6,929.60 | 7 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $393.95 | $393.95 | $7.68 – $220.37 | 9 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $393.95 | $393.95 | $8.00 – $256.73 | 9 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | $729.20 | $729.20 | $32.32 – $85.45 | 9 |
| Elec hand ind art digits HCPCS L6880 | not published | not published | $22,237.45 – $55,979.52 | 7 |
| Elec knee-shin swing/stance HCPCS L5856 | not published | not published | $22,597.56 – $56,886.01 | 7 |
| Elec stim unattend for press HCPCS G0281 | not published | not published | $11.27 – $23.72 | 8 |
| Elect analysis of infusion pump 62367 CPT 62367 | $729.20 | $729.20 | $23.13 – $61.68 | 9 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | $541.05 | $541.05 | $32.65 – $177.96 | 9 |
| Electrd sq emblem s-icd HCPCS C1896 | $6,602.01 | $6,602.01 | $1,839.00 – $2,350.00 | 6 |
| Electrical bone stim 20974 CPT 20974 | not published | not published | $48.09 – $162.54 | 9 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $165.85 | $165.85 | $14.19 – $77.91 | 9 |
| Electrical stimulation/unattended 97014 CPT 97014 | $74.75 | $74.75 | $6.83 – $49.16 | 9 |
| Electric stim/w chemodenervation 95873 CPT 95873 | not published | not published | $18.40 – $38.63 | 8 |
| Electroacous eval hear aid/biaural 92595 CPT 92595 | not published | not published | $47.23 – $94.21 | 4 |
| Electrocochleography CPT 92584 | not published | not published | $105.21 – $219.60 | 8 |
| Electroconvulsive therapy 90870 CPT 90870 | $2,468.05 | $2,468.05 | $100.01 – $332.79 | 9 |
| Electrocorticography durng sx CPT 95829 | $583.10 | $583.10 | $309.89 – $548.11 | 9 |
| Electrodes, pair HCPCS A4556 | not published | not published | $11.47 – $28.67 | 7 |
| Electrode stimulation brain CPT 95961 | $754.45 | $754.45 | $150.67 – $633.74 | 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.