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 |
|---|---|---|---|---|
| Exc hidradenitis peri/umb int 11470 CPT 11470 | not published | not published | $275.34 – $881.46 | 9 |
| Exc hip/pelv tum deep < 5 cm CPT 27048 | not published | not published | $587.34 – $1,258.68 | 8 |
| Exc hip/pelv tum deep 5 cm/> CPT 27045 | not published | not published | $699.89 – $1,502.00 | 8 |
| Excimer lsr psriasis 250-500 CPT 96921 | not published | not published | $55.82 – $328.93 | 9 |
| Excimer lsr psriasis<250sqcm CPT 96920 | not published | not published | $48.97 – $300.02 | 9 |
| Excimer lsr psriasis>500sqcm CPT 96922 | not published | not published | $90.10 – $447.80 | 9 |
| Exc im tumor/back/flank/ < 5 cm 21932 CPT 21932 | not published | not published | $633.93 – $1,358.31 | 8 |
| Exc im tumor/foot/toe < 1.5 cm 28045 CPT 28045 | not published | not published | $337.63 – $926.43 | 9 |
| Exc im tumor/shoulder area 5cm/> 23073 CPT 23073 | not published | not published | $666.54 – $1,430.17 | 8 |
| Exc intracard tumor/resect/bypass 33120 CPT 33120 | not published | not published | $1,899.57 – $4,165.76 | 8 |
| Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946 CPT 15946 | not published | not published | $1,520.30 – $3,276.49 | 8 |
| Exc ischial pr ulc prim sutr CPT 15940 | not published | not published | $677.01 – $1,449.14 | 8 |
| Exc isch pr ulc prm sut ostc CPT 15941 | not published | not published | $897.75 – $1,893.77 | 8 |
| Exc isch pr ulc skn flp clsr CPT 15944 | not published | not published | $897.60 – $1,905.96 | 8 |
| Exc isch pr ulc skn flp ostc CPT 15945 | not published | not published | $979.01 – $2,080.85 | 8 |
| Excise anal ext tag/papilla CPT 46220 | not published | not published | $116.61 – $485.70 | 9 |
| Excise epiphyseal bar CPT 20150 | not published | not published | $959.33 – $2,052.39 | 8 |
| Excise foot tendon sheath CPT 28086 | not published | not published | $338.48 – $1,011.89 | 9 |
| Excise foot tendon sheath CPT 28088 | not published | not published | $281.49 – $896.25 | 9 |
| Excise ileoanal reservior CPT 45136 | not published | not published | $1,679.77 – $3,593.69 | 8 |
| Excise inferior turbinate CPT 30130 | not published | not published | $402.73 – $848.61 | 8 |
| Excise intestine lesion(s) 44110 CPT 44110 | not published | not published | $798.09 – $1,730.42 | 8 |
| Excise intraspinl lesion crv CPT 63265 | not published | not published | $1,554.69 – $3,447.29 | 8 |
| Excise intrspinl lesion crvl CPT 63270 | not published | not published | $1,928.20 – $4,290.48 | 8 |
| Excise intrspinl lesion lmbr CPT 63267 | not published | not published | $1,289.61 – $2,829.14 | 8 |
| Excise intrspinl lesion lmbr CPT 63272 | not published | not published | $1,760.32 – $3,857.36 | 8 |
| Excise intrspinl lesion scrl CPT 63268 | not published | not published | $1,328.27 – $3,032.47 | 8 |
| Excise intrspinl lesion scrl CPT 63273 | not published | not published | $1,738.17 – $3,863.47 | 8 |
| Excise intrspinl lesion thrc CPT 63271 | not published | not published | $1,927.72 – $4,277.59 | 8 |
| Excise lesion testis CPT 54512 | not published | not published | $515.73 – $1,093.30 | 8 |
| Excise lip or cheek fold CPT 40819 | $416.00 | $416.00 | $191.72 – $377.36 | 9 |
| Excise lwr jaw cyst w/repair CPT 21047 | not published | not published | $1,164.83 – $2,454.99 | 8 |
| Excise mandible lesion CPT 21040 | not published | not published | $351.53 – $893.66 | 9 |
| Excise max/zygoma b9 tumor CPT 21030 | not published | not published | $348.89 – $884.67 | 9 |
| Excise max/zygoma mal tumor CPT 21034 | not published | not published | $1,075.30 – $2,505.62 | 9 |
| Excise oral mucosa for graft 40818 CPT 40818 | not published | not published | $256.24 – $702.85 | 9 |
| Excise parotid gland/lesion CPT 42410 | not published | not published | $603.61 – $1,291.22 | 8 |
| Excise parotid gland/lesion CPT 42415 | not published | not published | $1,011.39 – $2,162.18 | 8 |
| Excise parotid gland/lesion CPT 42420 | not published | not published | $1,131.27 – $2,417.72 | 8 |
| Excise parotid gland/lesion CPT 42425 | not published | not published | $803.78 – $1,715.52 | 8 |
| Excise parotid gland/lesion CPT 42426 | not published | not published | $1,282.97 – $2,747.81 | 8 |
| Excise pharynx lesion CPT 42808 | not published | not published | $161.02 – $452.29 | 9 |
| Excise/repair mouth lesion CPT 40812 | not published | not published | $176.57 – $535.18 | 9 |
| Excise sacral spine tumor CPT 49215 | not published | not published | $2,067.26 – $4,499.91 | 8 |
| Excise sublingual gland CPT 42450 | not published | not published | $353.29 – $920.01 | 9 |
| Excise submaxillary gland CPT 42440 | not published | not published | $400.92 – $854.72 | 8 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | not published | not published | $319.31 – $917.44 | 9 |
| Excise tendon forearm/wrist CPT 25109 | not published | not published | $519.87 – $1,112.27 | 8 |
| Excise wrist tendon sheath CPT 25118 | not published | not published | $371.73 – $799.80 | 8 |
| Excision addl breast lesion 19126 CPT 19126 | not published | not published | $147.04 – $323.31 | 8 |
| Excision aural polyp CPT 69540 | not published | not published | $125.43 – $409.89 | 9 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $1,195.00 | $1,195.00 | $127.54 – $337.94 | 9 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $911.80 | $911.80 | $130.27 – $347.58 | 9 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $938.35 | $938.35 | $111.02 – $333.45 | 9 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | not published | not published | $237.02 – $618.69 | 9 |
| Excision breast lesion CPT 19125 | not published | not published | $439.83 – $1,113.40 | 9 |
| Excision coa w/graft CPT 33845 | not published | not published | $1,227.59 – $2,682.06 | 8 |
| Excision floor mouth lesion 41116 CPT 41116 | not published | not published | $207.99 – $646.96 | 9 |
| Excision graft abdomen CPT 35907 | not published | not published | $1,714.58 – $3,787.56 | 8 |
| Excision graft extremity CPT 35903 | not published | not published | $512.87 – $1,125.14 | 8 |
| Excision graft neck CPT 35901 | not published | not published | $435.45 – $953.67 | 8 |
| Excision graft thorax 35905 CPT 35905 | not published | not published | $1,505.48 – $3,334.09 | 8 |
| Excision gum each quadrant CPT 41820 | not published | not published | $297.50 – $3,232.94 | 7 |
| Excision hand/finger tendon CPT 26415 | not published | not published | $818.60 – $1,743.30 | 8 |
| Excision lesion mouth roof CPT 42106 | not published | not published | $156.47 – $484.42 | 9 |
| Excision lesion mouth roof CPT 42107 | not published | not published | $316.10 – $858.33 | 9 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | not published | not published | $128.00 – $483.13 | 9 |
| Excision of anal lesion(s) CPT 46922 | $2,982.10 | $2,982.10 | $132.39 – $607.13 | 9 |
| Excision of bile duct cyst CPT 47715 | not published | not published | $1,242.60 – $2,708.49 | 8 |
| Excision of bile duct tumor CPT 47711 | not published | not published | $1,447.42 – $3,167.35 | 8 |
| Excision of bile duct tumor CPT 47712 | not published | not published | $1,851.63 – $4,048.50 | 8 |
| Excision of bowel lesion(s) CPT 44111 | not published | not published | $918.99 – $1,986.64 | 8 |
| Excision of brain tumor CPT 61545 | not published | not published | $2,944.17 – $6,561.78 | 8 |
| Excision of esophagus lesion CPT 43100 | not published | not published | $611.37 – $1,304.76 | 8 |
| Excision of esophagus lesion CPT 43101 | not published | not published | $928.70 – $2,027.97 | 8 |
| Excision of gum flap CPT 41821 | not published | not published | $67.06 – $1,476.65 | 7 |
| Excision of gum lesion CPT 41822 | not published | not published | $192.68 – $686.16 | 9 |
| Excision of gum lesion CPT 41823 | not published | not published | $349.96 – $1,026.02 | 9 |
| Excision of gum lesion CPT 41826 | not published | not published | $190.28 – $575.65 | 9 |
| Excision of gum lesion CPT 41827 | not published | not published | $277.59 – $834.57 | 9 |
| Excision of gum lesion CPT 41828 | not published | not published | $213.41 – $682.30 | 9 |
| Excision of gum lesion 41825 CPT 41825 | not published | not published | $116.69 – $426.60 | 9 |
| Excision of lesion of mesentery 44820 CPT 44820 | not published | not published | $798.71 – $1,737.88 | 8 |
| Excision of lingual tonsil CPT 42870 | not published | not published | $567.68 – $1,199.70 | 8 |
| Excision of meckels diverticulum 44800 CPT 44800 | not published | not published | $731.00 – $1,587.40 | 8 |
| Excision of mouth lesion complex 40816 CPT 40816 | not published | not published | $292.24 – $781.24 | 9 |
| Excision of neck cyst CPT 42815 | not published | not published | $517.51 – $1,104.13 | 8 |
| Excision of neck cyst confined 42810 CPT 42810 | not published | not published | $273.18 – $759.40 | 9 |
| Excision of penis lesion(s) 54060 CPT 54060 | $160.25 | $160.25 | $126.16 – $380.98 | 9 |
| Excision of rectal lesion CPT 45160 | not published | not published | $963.81 – $2,094.39 | 8 |
| Excision of rectal prolapse CPT 45135 | not published | not published | $1,227.53 – $2,619.69 | 8 |
| Excision of rectal stricture CPT 45150 | not published | not published | $404.04 – $870.96 | 8 |
| Excision of salivary cyst CPT 42408 | not published | not published | $337.84 – $1,045.93 | 9 |
| Excision of skull/sutures CPT 61558 | not published | not published | $1,752.45 – $3,893.28 | 8 |
| Excision of skull/sutures CPT 61559 | not published | not published | $2,229.29 – $4,953.36 | 8 |
| Excision of skull tumor CPT 61563 | not published | not published | $1,839.05 – $4,093.23 | 8 |
| Excision of skull tumor CPT 61564 | not published | not published | $2,229.48 – $4,962.85 | 8 |
| Excision of stomach lesion CPT 43610 | not published | not published | $911.98 – $1,990.02 | 8 |
| Excision of stomach lesion CPT 43611 | not published | not published | $1,148.12 – $2,500.41 | 8 |
| Excision of tongue lesion CPT 41112 | not published | not published | $234.57 – $655.96 | 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.