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 |
|---|---|---|---|---|
| Electroejaculation CPT 55870 | not published | not published | $134.01 – $344.35 | 9 |
| Electrogastrography CPT 91132 | not published | not published | $24.77 – $52.19 | 8 |
| Electrogastrography w/test CPT 91133 | not published | not published | $31.59 – $65.75 | 8 |
| Electrolyte panel CPT 80051 | $180.75 | $180.75 | $5.20 – $83.57 | 9 |
| Electromagntic tx for ulcers HCPCS G0329 | not published | not published | $8.06 – $21.69 | 8 |
| Electron elbow child switch HCPCS L7186 | not published | not published | $9,226.74 – $23,226.95 | 7 |
| Electronic analysis with brain program ea add 15 min 95984 CPT 95984 | not published | not published | $40.78 – $86.75 | 9 |
| Electronic analysis with brain program first 15 min 95983 CPT 95983 | not published | not published | $46.19 – $98.28 | 9 |
| Electronic elbo simultaneous HCPCS L7181 | not published | not published | $37,292.54 – $93,878.51 | 7 |
| Electronic elbow sequential HCPCS L7180 | not published | not published | $35,686.40 – $89,835.29 | 7 |
| Electron microscopy diagnostic CPT 88348 | not published | not published | $72.72 – $151.15 | 8 |
| Electro-oculography w/i&r CPT 92270 | not published | not published | $40.16 – $84.05 | 8 |
| Electrophysiologic study CPT 93624 | not published | not published | $87.98 – $447.80 | 8 |
| Electrophysiology evaluation CPT 93619 | $7,202.40 | $7,202.40 | $340.41 – $6,050.02 | 9 |
| Electrophysiology evaluation CPT 93620 | $21,607.25 | $21,607.25 | $368.70 – $18,150.09 | 9 |
| Electrophysiology evaluation CPT 93621 | $5,540.95 | $5,540.95 | $54.23 – $4,654.40 | 9 |
| Electrophysiology evaluation CPT 93622 | $5,012.40 | $5,012.40 | $111.83 – $4,210.42 | 9 |
| Electrophysiology evaluation CPT 93641 | $4,549.25 | $4,549.25 | $278.68 – $3,821.37 | 9 |
| Electrophysiology evaluation CPT 93642 | $1,298.95 | $1,298.95 | $79.85 – $1,091.12 | 9 |
| Electrophysiology evaluation CPT 93644 | $3,364.95 | $3,364.95 | $48.66 – $2,826.56 | 9 |
| Electrophys map 3d add-on CPT 93613 | $11,248.60 | $11,248.60 | $161.31 – $9,448.82 | 9 |
| Elisa hiv-1/hiv-2 screen HCPCS G0433 | not published | not published | $7.32 – $37.24 | 7 |
| Elliotts b solution per ml HCPCS J9175 | not published | not published | $7.45 – $15.90 | 4 |
| Elosulfase alfa, injection HCPCS J1322 | $5,199.10 | $5,199.10 | $267.96 – $4,887.15 | 9 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | not published | not published | $7.20 – $14.21 | 8 |
| Elranatamab-bcmm 40 mg/ml subcutaneous solution HCPCS J1323 | not published | not published | $185.31 – $348.98 | 6 |
| Embedded ip cath exit-site 49436 CPT 49436 | not published | not published | $175.85 – $1,033.08 | 9 |
| Emboli detcj wo IV mbubb njx CPT 93897 | not published | not published | $35.26 – $74.56 | 6 |
| Embolization s&i CPT 75894 | $7,604.65 | $7,604.65 | $66.32 – $412.99 | 9 |
| Embo or occlude vascular arterial s&i CPT 37242 | $47,767.05 | $47,767.05 | $433.61 – $7,318.29 | 9 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $47,767.05 | $47,767.05 | $609.19 – $11,476.08 | 9 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $47,767.05 | $47,767.05 | $518.01 – $16,067.89 | 9 |
| Embo or occlude vascular venous s&i CPT 37241 | $47,767.05 | $47,767.05 | $390.62 – $8,715.68 | 9 |
| Embryo hatching CPT 89253 | not published | not published | $165.85 – $170.82 | 5 |
| Embryo transfer intrauterine CPT 58974 | not published | not published | $165.17 – $868.02 | 7 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | not published | not published | $917.91 – $2,028.65 | 8 |
| Emb/throm/pop-tib-pero art/leg inc 34203 CPT 34203 | not published | not published | $854.83 – $1,884.97 | 8 |
| Emb w/colposcopy 58110 CPT 58110 | $121.60 | $121.60 | $37.81 – $97.02 | 9 |
| Emb without cervical dilation 58100 CPT 58100 | $333.10 | $333.10 | $59.10 – $196.60 | 9 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $282.00 | $282.00 | $73.54 – $236.88 | 9 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | not published | not published | $93.40 – $196.55 | 8 |
| Emg cranial nerve bilateral CPT 95868 | $289.30 | $289.30 | $58.33 – $243.01 | 9 |
| Emg needle test 1-extremity CPT 95860 | $391.05 | $391.05 | $47.94 – $328.48 | 9 |
| Emg needle test 4-extremities CPT 95864 | $282.00 | $282.00 | $99.13 – $236.88 | 9 |
| Emg thor paraspinal without t1/t2 CPT 95869 | $269.35 | $269.35 | $18.61 – $226.25 | 9 |
| Emr hd pmp elec/combo, rep HCPCS Q0494 | not published | not published | $201.15 – $502.76 | 7 |
| Emr pwr cbl combo vad, rep HCPCS Q0493 | not published | not published | $237.70 – $594.14 | 7 |
| Emr pwr cbl elec vad, rep HCPCS Q0492 | not published | not published | $83.46 – $208.61 | 7 |
| Emr pwr source combo vad rep HCPCS Q0491 | not published | not published | $1,036.15 – $2,589.84 | 7 |
| Emr pwr source elec vad, rep HCPCS Q0490 | not published | not published | $659.09 – $1,647.37 | 7 |
| Encephalitis, california igg/igm CPT 86651 | $46.50 | $46.50 | $6.51 – $31.02 | 9 |
| Encephalitis, st louis igg/igm CPT 86653 | $46.50 | $46.50 | $6.51 – $31.02 | 9 |
| Encephalitis, western equine igg/igm CPT 86654 | $46.50 | $46.50 | $6.51 – $31.02 | 9 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | $5,004.00 | $5,004.00 | $253.39 – $1,860.58 | 9 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | $5,515.40 | $5,515.40 | $251.81 – $2,037.26 | 9 |
| Endo ak/hip alignable system HCPCS L5920 | not published | not published | $670.73 – $1,688.46 | 7 |
| Endo ak/hip knee extens assi HCPCS L5850 | not published | not published | $121.29 – $305.31 | 7 |
| Endo ak ultra-light material HCPCS L5950 | not published | not published | $926.16 – $2,331.47 | 7 |
| Endo assay seven anal CPT 81506 | not published | not published | $32.41 – $140.33 | 7 |
| Endo below knee alignable sy HCPCS L5910 | not published | not published | $457.82 – $1,152.51 | 7 |
| Endo bk ultra-light material HCPCS L5940 | not published | not published | $475.57 – $1,197.16 | 7 |
| Endo cath bile duct s&i CPT 74328 | not published | not published | $21.85 – $46.10 | 8 |
| Endo cath panc duct s&i CPT 74329 | not published | not published | $22.17 – $46.77 | 8 |
| Endocerv curettage w/scope 57456 CPT 57456 | $301.20 | $301.20 | $94.47 – $296.18 | 9 |
| Endocervical curettage 57505 CPT 57505 | $287.10 | $287.10 | $105.15 – $301.32 | 9 |
| Endo cholangiopancreatograph CPT 43261 | not published | not published | $315.69 – $675.76 | 8 |
| Endo cholangiopancreatograph CPT 43262 | not published | not published | $333.09 – $711.69 | 8 |
| Endo defect closure gi tract HCPCS C9901 | not published | not published | $10,076.40 – $10,378.69 | 5 |
| Endo hip ultra-light materia HCPCS L5960 | not published | not published | $1,018.71 – $2,564.47 | 7 |
| Endo knee-shin fluid swg/sta HCPCS L5828 | not published | not published | $3,569.76 – $8,986.34 | 7 |
| Endo knee-shin fluid swing p HCPCS L5824 | not published | not published | $1,689.28 – $4,252.52 | 7 |
| Endo knee-shin frct swg & st HCPCS L5812 | not published | not published | $697.43 – $1,755.69 | 7 |
| Endo knee-shin frct swg & st HCPCS L5818 | not published | not published | $1,213.95 – $3,055.95 | 7 |
| Endo knee-shin hydral swg ph HCPCS L5814 | not published | not published | $3,456.57 – $8,701.40 | 7 |
| Endo knee-shin mnl lck ultra HCPCS L5811 | not published | not published | $921.93 – $2,320.84 | 7 |
| Endo knee-shin pneum swg frc HCPCS L5822 | not published | not published | $2,152.64 – $5,418.98 | 7 |
| Endo knee-shin pneum/swg pha HCPCS L5830 | not published | not published | $2,398.68 – $6,038.33 | 7 |
| Endo knee-shin polyc mch sta HCPCS L5816 | not published | not published | $869.42 – $2,188.65 | 7 |
| Endoluminal bx biliary tree CPT 47543 | $4,262.45 | $4,262.45 | $132.00 – $742.05 | 9 |
| Endoluminal bx urtr rnl plvs CPT 50606 | not published | not published | $128.82 – $916.80 | 9 |
| Endoluminl ivus oct c 1st CPT 92978 | $3,068.95 | $3,068.95 | $86.06 – $2,577.92 | 9 |
| Endoluminl ivus oct c ea CPT 92979 | $1,844.75 | $1,844.75 | $68.68 – $1,549.59 | 9 |
| Endome abla/them without hystero guide 58353 CPT 58353 | not published | not published | $219.20 – $1,775.78 | 9 |
| Endometrial cryoablation w/us 58356 CPT 58356 | not published | not published | $331.20 – $3,205.90 | 9 |
| Endo outlet restrict w/tube HCPCS C9785 | not published | not published | $10,076.40 – $10,378.69 | 5 |
| Endo poly hip, pneu/hyd/rot HCPCS L5961 | not published | not published | $4,327.13 – $10,892.92 | 7 |
| Endoscopic injection/implant CPT 51715 | not published | not published | $187.45 – $713.14 | 9 |
| Endoscopic pancreatoscopy CPT 43273 | not published | not published | $110.92 – $237.24 | 8 |
| Endoscopic Ultrasound exam esoph CPT 43237 | not published | not published | $183.25 – $391.09 | 8 |
| Endoscopic vein harvest 33508 CPT 33508 | not published | not published | $14.46 – $31.85 | 8 |
| Endoscopy bowel pouch/biop CPT 44386 | not published | not published | $84.09 – $597.50 | 9 |
| Endoscopy ligate perf veins 37500 CPT 37500 | not published | not published | $572.27 – $1,258.68 | 8 |
| Endoscopy maxillary sinus CPT 31267 | not published | not published | $250.05 – $536.82 | 8 |
| Endoscopy of bowel pouch 44385 CPT 44385 | not published | not published | $68.73 – $416.96 | 9 |
| Endoscopy of ureter CPT 50951 | not published | not published | $287.45 – $728.56 | 9 |
| Endoscopy of ureter CPT 50953 | $1,843.45 | $1,843.45 | $306.36 – $769.67 | 9 |
| Endoscopy swallow (fees) i&r CPT 92613 | not published | not published | $34.94 – $73.20 | 8 |
| Endoscopy swallow (fees) vid CPT 92612 | $685.45 | $685.45 | $63.75 – $382.91 | 9 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $3,131.20 | $3,131.20 | $159.10 – $484.42 | 9 |
| Endoskeletal axial rotation HCPCS L5984 | not published | not published | $656.30 – $1,652.11 | 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.