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 |
|---|---|---|---|---|
| Endoskel knee-shin mnl lock HCPCS L5810 | not published | not published | $615.45 – $1,549.28 | 7 |
| Endoskel posit rotat unit HCPCS L5926 | not published | not published | $830.84 – $1,652.11 | 6 |
| Endo sleeve gastro w/tube HCPCS C9784 | not published | not published | $10,076.40 – $10,378.69 | 5 |
| Endovasc prosth delayed 33886 CPT 33886 | not published | not published | $863.15 – $1,905.97 | 8 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | not published | not published | $1,368.03 – $3,022.98 | 8 |
| Endovasc tempory vessel occl CPT 61623 | not published | not published | $527.44 – $1,168.53 | 8 |
| Endovasc visc aorta 1 graft CPT 34841 | not published | not published | $1,464.43 – $2,981.87 | 8 |
| Endovasc visc aorta 2 graft CPT 34842 | not published | not published | $1,843.82 – $3,754.39 | 8 |
| Endovasc visc aorta 3 graft CPT 34843 | not published | not published | $2,223.19 – $4,526.86 | 8 |
| Endovasc visc aorta 4 graft CPT 34844 | not published | not published | $2,602.57 – $5,299.35 | 8 |
| Endovas iliac a device addon CPT 34808 | not published | not published | $180.23 – $400.58 | 8 |
| Endovenous laser vein addon 36479 CPT 36479 | $5,004.00 | $5,004.00 | $123.36 – $576.93 | 9 |
| Endovenous mchnchem 1st vein CPT 36473 | not published | not published | $164.61 – $2,289.75 | 9 |
| Endovenous mchnchem add-on CPT 36474 | not published | not published | $81.59 – $479.93 | 9 |
| Endovenous rf abl vein addl CPT 36476 | not published | not published | $120.94 – $536.46 | 9 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | not published | not published | $163.30 – $3,165.43 | 9 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | not published | not published | $80.27 – $262.77 | 9 |
| Energy storing foot HCPCS L5976 | not published | not published | $651.43 – $1,639.89 | 7 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $15,120.15 | $15,120.15 | $34.49 – $9,475.29 | 9 |
| Enfuvirtide injection HCPCS J1324 | not published | not published | $0.67 – $1.08 | 5 |
| Enlarge breast CPT 19324 | not published | not published | $999.36 – $999.36 | 1 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $17.80 | $17.80 | $0.58 – $16.73 | 7 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | not published | not published | $5.92 – $25.08 | 7 |
| Entamoeb hist dispr ag ia CPT 87336 | not published | not published | $6.40 – $32.58 | 7 |
| Enterectomy cong add-on CPT 44128 | not published | not published | $222.36 – $489.38 | 8 |
| Enterectomy small intestine addl 44121 CPT 44121 | not published | not published | $221.01 – $484.64 | 8 |
| Enterectomy small intestine single 44120 CPT 44120 | not published | not published | $1,138.86 – $2,480.07 | 8 |
| Enterectomy without taper cong CPT 44126 | not published | not published | $2,290.14 – $5,006.22 | 8 |
| Enterectomy w/taper cong CPT 44127 | not published | not published | $2,639.63 – $5,778.25 | 8 |
| Enteroenterostomy fusion 44130 CPT 44130 | not published | not published | $1,230.22 – $2,671.88 | 8 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | not published | not published | $1,303.25 – $2,847.44 | 8 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | not published | not published | $1,502.62 – $3,271.75 | 8 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | not published | not published | $788.09 – $1,714.83 | 8 |
| Enterovirus antibody dfa CPT 87267 | not published | not published | $5.92 – $27.33 | 7 |
| Envrn ivntj med mgmt psyc pt CPT 90882 | not published | not published | $110.59 – $166.05 | 4 |
| Enzyme cell activity ra CPT 82658 | not published | not published | $17.61 – $89.65 | 7 |
| Enzyme histochemistry CPT 88319 | $229.70 | $229.70 | $25.21 – $192.02 | 9 |
| Eo, adj lock joint prefab ot HCPCS L3761 | not published | not published | $422.77 – $1,064.24 | 7 |
| Eo elas w/metal jnts pre ots HCPCS L3710 | not published | not published | $135.19 – $340.31 | 7 |
| Ep & ablate supravent arrhyt CPT 93653 | $31,166.15 | $31,166.15 | $755.95 – $26,179.57 | 9 |
| Ep & ablate ventric tachy CPT 93654 | $28,534.20 | $28,534.20 | $910.89 – $23,968.73 | 9 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | $20,349.57 | $20,349.57 | $53.80 – $4,752.65 | 9 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | $5,766.05 | $5,766.05 | $664.72 – $1,562.47 | 9 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | not published | not published | $127.78 – $294.89 | 9 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | $1,764.00 | $1,764.00 | $677.63 – $1,481.76 | 9 |
| Epidrm autogrft t/a/l add-on CPT 15111 | not published | not published | $94.17 – $217.79 | 9 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $2,071.80 | $2,071.80 | $48.12 – $214.59 | 9 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $306.65 – $1,247.67 | 9 |
| Epidural lysis on single day 62264 CPT 62264 | $4,233.25 | $4,233.25 | $233.47 – $846.13 | 9 |
| Epidurography CPT 72275 | not published | not published | $78.13 – $78.13 | 1 |
| Epiglottidectomy CPT 31420 | not published | not published | $798.53 – $1,700.59 | 8 |
| Epikeratoplasty CPT 65767 | not published | not published | $1,843.97 – $3,169.39 | 4 |
| Epilepsy gen seq alys panel CPT 81419 | not published | not published | $979.42 – $4,985.76 | 7 |
| Ep induct arrhy by elect pacing CPT 93618 | $2,114.60 | $2,114.60 | $175.00 – $1,776.26 | 9 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $705.05 – $1,509.46 | 8 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $597.20 – $1,280.36 | 8 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | not published | not published | $1.33 – $2.57 | 6 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $5,215.75 | $5,215.75 | $74.97 – $207.27 | 9 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | not published | not published | $0.81 – $1.28 | 6 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $4,491.16 | $4,491.16 | $6.82 – $137.59 | 9 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $3,836.15 | $3,836.15 | $7.68 – $423.05 | 9 |
| Epoetin beta esrd use HCPCS J0887 | not published | not published | $1.08 – $2.41 | 7 |
| Epoetin beta non esrd HCPCS J0888 | not published | not published | $1.08 – $2.39 | 8 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $562.52 | $562.52 | $15.96 – $431.93 | 7 |
| Epstein barr early antigen antibody CPT 86663 | $279.75 | $279.75 | $6.48 – $112.42 | 9 |
| Epstein barr nuclear antigen antibody CPT 86664 | $309.95 | $309.95 | $7.55 – $51.14 | 9 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $309.95 | $309.95 | $8.96 – $51.14 | 9 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $1,526.91 | $1,526.91 | $5.97 – $430.60 | 7 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | not published | not published | $17.35 – $34.68 | 8 |
| Ercp biliary & pancreas CPT 74330 | $431.85 | $431.85 | $25.74 – $362.75 | 9 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $431.04 – $922.48 | 8 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $352.99 – $754.39 | 8 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $403.47 – $863.51 | 8 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $403.16 – $862.84 | 8 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $339.90 – $725.93 | 8 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $351.04 – $750.32 | 8 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $333.63 – $713.04 | 8 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $448.56 – $960.43 | 8 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $301.09 – $643.91 | 8 |
| Ergonovine 0.2 mg/ml inj HCPCS J1330 | not published | not published | $4.87 – $9.39 | 3 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $5,121.65 | $5,121.65 | $104.58 – $4,756.21 | 9 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $265.40 | $265.40 | $10.74 – $249.48 | 7 |
| ER Visit (level 1, minor) CPT 99281 | $342.00 | $342.00 | $10.69 – $34.00 | 9 |
| ER Visit (level 2) CPT 99282 | $660.25 | $660.25 | $39.41 – $84.05 | 9 |
| ER Visit (level 3) CPT 99283 | $789.95 | $789.95 | $66.61 – $143.01 | 9 |
| ER Visit (level 4) CPT 99284 | $1,360.50 | $1,360.50 | $113.44 – $243.33 | 9 |
| ER Visit (level 5, high severity) CPT 99285 | $2,545.15 | $2,545.15 | $164.37 – $352.47 | 9 |
| Erwinaze injection HCPCS J9019 | not published | not published | $411.15 – $820.75 | 5 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $971.40 | $971.40 | $69.79 – $552.67 | 8 |
| Escharotomy ea addl incision CPT 16036 | $481.25 | $481.25 | $76.36 – $294.13 | 9 |
| Esd endoscopy or colonoscopy HCPCS C9779 | not published | not published | $3,682.18 – $3,792.64 | 5 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | $545.20 | $545.20 | $0.40 – $512.49 | 9 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $4,186.01 | $4,186.01 | $0.26 – $32.90 | 9 |
| Esophageal dilat s&i CPT 74360 | $672.80 | $672.80 | $25.52 – $565.15 | 9 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $103.24 – $227.75 | 8 |
| Esophageal motility CPT 78258 | not published | not published | $31.77 – $66.42 | 8 |
| Esophageal recording CPT 93615 | not published | not published | $14.14 – $67.45 | 8 |
| Esophageal recording CPT 93616 | not published | not published | $14.04 – $109.21 | 8 |
| Esophag muc integ w/eso egd HCPCS C9777 | not published | not published | $3,682.18 – $3,792.64 | 5 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $1,246.51 – $2,718.65 | 8 |
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.