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 |
|---|---|---|---|---|
| Evasc prlng admn rx agnt 1st CPT 61650 | $2,542.90 | $2,542.90 | $535.15 – $2,136.04 | 9 |
| Evasc prlng admn rx agnt add CPT 61651 | $2,542.90 | $2,542.90 | $228.51 – $2,136.04 | 9 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | not published | not published | $1,107.77 – $2,452.28 | 8 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | not published | not published | $1,111.56 – $2,447.53 | 8 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | not published | not published | $1,604.42 – $3,562.51 | 8 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | not published | not published | $2,039.01 – $4,505.34 | 8 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | not published | not published | $393.91 – $874.36 | 8 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | not published | not published | $1,230.61 – $2,718.65 | 8 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | not published | not published | $2,043.34 – $4,523.65 | 8 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | not published | not published | $1,045.03 – $2,299.09 | 8 |
| Evasc rpr ilio-iliac rpt CPT 34708 | not published | not published | $1,625.76 – $3,603.87 | 8 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | not published | not published | $885.68 – $1,945.96 | 8 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | $17,052.90 | $17,052.90 | $704.55 – $14,324.44 | 9 |
| Event monitor CPT 93270 | $1,048.80 | $1,048.80 | $7.73 – $282.07 | 9 |
| Evoked auditory tst complete CPT 92588 | not published | not published | $4.80 – $53.96 | 8 |
| Evoked oa emissions ltd CPT 92587 | not published | not published | $3.49 – $34.04 | 8 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $1,468.25 | $1,468.25 | $26.61 – $275.47 | 9 |
| Evoked potentials upper limbs CPT 95925 | $1,662.55 | $1,662.55 | $25.96 – $633.74 | 9 |
| Evoked potential visual not glaucoma CPT 95930 | $1,468.25 | $1,468.25 | $17.43 – $1,233.33 | 9 |
| Evok oa screening qual CPT 92558 | not published | not published | $8.29 – $17.99 | 7 |
| Ewhfo w/joint(s) cf HCPCS L3766 | not published | not published | $1,147.88 – $2,889.61 | 7 |
| Ewho w/joint(s) cf HCPCS L3764 | not published | not published | $803.82 – $2,023.49 | 7 |
| Exam of vagina w/scope 57420 CPT 57420 | $261.15 | $261.15 | $84.98 – $258.28 | 9 |
| Exam pelvic add-on CPT 99459 | not published | not published | $20.95 – $43.69 | 8 |
| Exam plvc w/anes othr thn lcl CPT 57410 | $3,465.70 | $3,465.70 | $100.52 – $216.22 | 9 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $527.27 – $1,127.85 | 8 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $663.59 – $1,422.02 | 8 |
| Exc 1st&/crv rib w/sympth CPT 21616 | not published | not published | $660.00 – $1,445.07 | 8 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $420.28 – $904.87 | 8 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $541.09 – $1,162.43 | 8 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $633.28 – $1,365.76 | 8 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | $1,142.91 – $2,441.41 | 7 |
| Exc abd tum over 10 cm 49205 CPT 49205 | not published | not published | $1,670.95 – $3,589.96 | 7 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $389.11 – $835.05 | 8 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $317.67 – $1,029.24 | 9 |
| Exc aurl glomus tum extended CPT 69554 | not published | not published | $2,413.45 – $5,149.93 | 8 |
| Exc aurl glomus tum trnscanl CPT 69550 | not published | not published | $1,022.35 – $2,164.21 | 8 |
| Exc aurl glomus tum trnsmstd CPT 69552 | not published | not published | $1,518.53 – $3,228.35 | 8 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | $349.76 – $978.48 | 9 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $700.42 – $1,510.82 | 8 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $298.66 – $641.87 | 8 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | not published | not published | $216.82 – $548.67 | 9 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | not published | not published | $304.41 – $743.34 | 9 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | not published | not published | $171.48 – $461.29 | 9 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $1,224.75 | $1,224.75 | $80.42 – $248.63 | 9 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $513.30 | $513.30 | $101.64 – $278.19 | 9 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $214.50 | $214.50 | $140.80 – $375.19 | 9 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | not published | not published | $171.69 – $442.02 | 9 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $1,224.75 | $1,224.75 | $105.54 – $309.67 | 9 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $1,971.10 | $1,971.10 | $150.16 – $398.33 | 9 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | not published | not published | $258.48 – $635.40 | 9 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $970.60 | $970.60 | $101.79 – $302.61 | 9 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $1,179.60 | $1,179.60 | $142.87 – $384.19 | 9 |
| Exc breast duct fistula 19112 CPT 19112 | not published | not published | $307.29 – $894.95 | 9 |
| Exc carotid body tumor without exc art 60600 CPT 60600 | not published | not published | $1,245.93 – $2,734.92 | 8 |
| Exc cervix repair bowel 57556 CPT 57556 | not published | not published | $558.35 – $1,201.06 | 8 |
| Exc cervix/repair pelvis 57545 CPT 57545 | not published | not published | $788.34 – $1,699.92 | 8 |
| Exc cervix/repair vagina 57555 CPT 57555 | not published | not published | $587.74 – $1,264.78 | 8 |
| Exc chest wall tumor w/ribs 21601 CPT 21601 | not published | not published | $1,071.14 – $2,335.70 | 8 |
| Exc ch wal tum without lymphadec CPT 21602 | not published | not published | $1,450.63 – $3,110.42 | 8 |
| Exc ch wal tum w/lymphadec CPT 21603 | not published | not published | $1,568.58 – $3,409.33 | 8 |
| Exc coa rpr l subcl art/prst CPT 33851 | not published | not published | $1,169.72 – $2,556.65 | 8 |
| Exc coa w/direct anastomosis CPT 33840 | not published | not published | $1,139.52 – $2,489.56 | 8 |
| Exc coccygl pr ulc flap clsr CPT 15922 | not published | not published | $765.83 – $1,628.08 | 8 |
| Exc coccygl pr ulc prim sutr CPT 15920 | not published | not published | $605.67 – $1,291.22 | 8 |
| Exc constrict ring finger w/mlt z-plasties 26596 CPT 26596 | not published | not published | $789.45 – $1,685.69 | 8 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | not published | not published | $515.86 – $1,105.49 | 8 |
| Exc/crtg b1 cst/tum hum agrf CPT 24115 | not published | not published | $711.42 – $1,521.65 | 8 |
| Exc/crtg b1 cst/tum hum algr CPT 24116 | not published | not published | $826.96 – $1,768.38 | 8 |
| Exc/crtg b1 cst/tum rds agrf CPT 24125 | not published | not published | $601.76 – $1,290.52 | 8 |
| Exc/crtg b1 cst/tum rds algr CPT 24126 | not published | not published | $628.42 – $1,346.11 | 8 |
| Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106 CPT 28106 | not published | not published | $414.30 – $870.96 | 8 |
| Exc/curtg b1 cst/b9 tum hum CPT 24110 | not published | not published | $571.00 – $1,224.79 | 8 |
| Exc/destruct open intra-abd tumors cysts or endometriomas CPT 49204 | not published | not published | $1,455.91 – $3,126.19 | 7 |
| Exc excessive skin buttock CPT 15835 | not published | not published | $893.52 – $1,897.17 | 8 |
| Exc excessive skin hip CPT 15834 | not published | not published | $856.88 – $1,820.57 | 8 |
| Exc excessive skin leg CPT 15833 | not published | not published | $841.73 – $1,788.72 | 8 |
| Exc excessive skin thigh CPT 15832 | not published | not published | $884.31 – $1,879.53 | 8 |
| Exc excsv skin forearm/hand CPT 15837 | not published | not published | $687.55 – $1,679.40 | 9 |
| Exc excsv submental fat pad CPT 15838 | not published | not published | $622.96 – $1,327.13 | 8 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | not published | not published | $316.17 – $910.37 | 9 |
| Exc face tum deep < 2 cm CPT 21013 | not published | not published | $387.30 – $1,038.23 | 9 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | not published | not published | $501.96 – $1,069.58 | 8 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | not published | not published | $149.28 – $458.72 | 9 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | not published | not published | $217.70 – $609.06 | 9 |
| Exc foot/toe tum dep 1.5cm/> CPT 28041 | not published | not published | $436.25 – $923.84 | 8 |
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | not published | not published | $252.81 – $739.48 | 9 |
| Exc forearm les sc 3 cm/> CPT 25071 | not published | not published | $407.81 – $875.04 | 8 |
| Exc forearm tum deep < 3 cm CPT 25076 | not published | not published | $502.01 – $1,073.63 | 8 |
| Exc forearm tum deep 3 cm/> CPT 25073 | not published | not published | $517.44 – $1,106.84 | 8 |
| Exc hand les sc < 1.5 cm CPT 26115 | not published | not published | $321.28 – $1,069.71 | 9 |
| Exc hand tum deep 1.5 cm/> CPT 26113 | not published | not published | $528.99 – $1,132.60 | 8 |
| Exc hand tum deep < 1.5 cm 26116 CPT 26116 | not published | not published | $508.31 – $1,087.86 | 8 |
| Exchange biliary drg cath CPT 47536 | $10,704.30 | $10,704.30 | $122.77 – $268.34 | 9 |
| Exchange blood transfusion newborn 36450 CPT 36450 | not published | not published | $159.34 – $338.22 | 8 |
| Exchange drainage catheter CPT 49423 | $5,346.65 | $5,346.65 | $65.35 – $1,107.61 | 9 |
| Exchange lens prosthesis CPT 66986 | not published | not published | $859.09 – $1,811.08 | 8 |
| Exchange nephrostomy cath CPT 50435 | $2,579.30 | $2,579.30 | $93.46 – $1,043.70 | 9 |
| Exc hidradenitis ing simpl 11462 CPT 11462 | not published | not published | $236.87 – $810.79 | 9 |
| Exc hidradenitis peri/umb comp 11471 CPT 11471 | not published | not published | $335.90 – $1,056.85 | 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.