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 |
|---|---|---|---|---|
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $1,054.10 | $1,054.10 | $52.65 – $885.44 | 9 |
| Hcg free betachain test CPT 84704 | not published | not published | $7.44 – $31.13 | 7 |
| Hcg qualitative CPT 84703 | $106.10 | $106.10 | $5.57 – $53.67 | 9 |
| Hcg quantitative CPT 84702 | $195.05 | $195.05 | $7.44 – $166.05 | 9 |
| Hc hearing aid chck binaurl CPT 92593 | not published | not published | $37.93 – $75.24 | 4 |
| Hc hearing aid chck monarl CPT 92592 | not published | not published | $23.06 – $45.41 | 4 |
| Hc hearing aid exam both ears CPT 92591 | not published | not published | $73.64 – $146.40 | 4 |
| Hc hearing aid exam one ear CPT 92590 | not published | not published | $57.64 – $115.23 | 4 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $73.50 | $73.50 | $36.41 – $99,999.99 | 7 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $127.76 – $334.72 | 9 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $337.21 – $1,313.84 | 9 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $179.64 – $797.30 | 9 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $302.68 – $1,234.81 | 9 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $47.19 – $154.20 | 9 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | not published | not published | $165.91 – $763.89 | 9 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $43.14 – $90.82 | 8 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $388.91 – $400.57 | 5 |
| Hc nm kidney imaging with flow CPT 78701 | not published | not published | $22.17 – $46.10 | 8 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $2,631.20 | $2,631.20 | $41.08 – $2,210.21 | 9 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $8,278.55 | $8,278.55 | $69.83 – $2,442.80 | 9 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | not published | not published | $121.00 – $264.34 | 8 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $4,513.95 | $4,513.95 | $99.91 – $3,791.72 | 9 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $4,513.95 | $4,513.95 | $194.73 – $3,791.72 | 9 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $4,513.95 | $4,513.95 | $274.60 – $3,791.72 | 9 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $53.80 – $111.16 | 8 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $71.55 – $148.44 | 8 |
| Head CT scan (with and without contrast) CPT 70470 | $3,125.30 | $3,125.30 | $57.41 – $1,620.11 | 9 |
| Head CT scan (with contrast) CPT 70460 | $2,262.10 | $2,262.10 | $51.03 – $1,462.48 | 9 |
| Head CT scan (without contrast) CPT 70450 | $1,728.30 | $1,728.30 | $38.49 – $854.32 | 9 |
| Hearing loss dup/del analys CPT 81431 | not published | not published | $271.83 – $1,383.74 | 7 |
| Hearing loss sequence analys CPT 81430 | not published | not published | $650.00 – $3,308.82 | 7 |
| Heart first pass add-on CPT 78496 | not published | not published | $18.54 – $44.33 | 8 |
| Heart first pass multiple CPT 78483 | not published | not published | $65.09 – $136.91 | 8 |
| Heart image spect CPT 78494 | not published | not published | $52.76 – $110.48 | 8 |
| Heart infarct image CPT 78466 | $972.50 | $972.50 | $30.27 – $816.90 | 9 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $35.68 – $74.57 | 8 |
| Heart revascularize (tmr) CPT 33140 | not published | not published | $1,415.80 – $3,093.48 | 8 |
| Heart tmr w/other procedure 33141 CPT 33141 | not published | not published | $118.77 – $261.63 | 8 |
| Heavy duty control cable HCPCS L6660 | not published | not published | $110.39 – $277.90 | 7 |
| Heavy metal qual any number CPT 83015 | not published | not published | $9.30 – $42.64 | 7 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $365.75 | $365.75 | $7.35 – $165.61 | 9 |
| Heel leather reinforced HCPCS L3440 | not published | not published | $70.90 – $178.47 | 7 |
| Heinz bodies direct CPT 85441 | not published | not published | $2.07 – $8.55 | 7 |
| Heinz bodies induced CPT 85445 | not published | not published | $3.37 – $13.89 | 7 |
| Helicobacter pylori antibody igm CPT 86677 | $326.40 | $326.40 | $7.16 – $125.26 | 9 |
| Helicoll, per square cm HCPCS Q4164 | not published | not published | $1,335.38 – $3,019.64 | 6 |
| Hemagglutination inhibition CPT 86280 | not published | not published | $4.05 – $16.68 | 7 |
| Hematocrit CPT 85014 | $46.75 | $46.75 | $1.76 – $26.84 | 9 |
| Hematopoietic nuclear tx CPT 79403 | $1,151.30 | $1,151.30 | $79.74 – $967.09 | 9 |
| Hemicrt intrclry algrft prtl CPT 20933 | not published | not published | $644.66 – $1,394.23 | 8 |
| Hemiepiphyseal arrest CPT 24470 | not published | not published | $648.93 – $1,390.17 | 8 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | $14,962.83 | $14,962.83 | $29.61 – $11,213.33 | 9 |
| Hemipelvect canad sing axis HCPCS L5280 | not published | not published | $5,680.89 – $14,300.80 | 7 |
| Hemipelvectomy canadian sach HCPCS L5341 | not published | not published | $4,791.56 – $12,062.06 | 7 |
| Hemodialysis access study CPT 90940 | not published | not published | $54.22 – $129.13 | 4 |
| Hemodialysis one evaluation CPT 90935 | $3,758.00 | $3,758.00 | $67.25 – $1,143.07 | 9 |
| Hemodialysis repeated eval CPT 90937 | not published | not published | $97.20 – $204.70 | 8 |
| Hemoglobin CPT 85018 | $46.50 | $46.50 | $1.76 – $29.42 | 9 |
| Hemoglobin copper sulfate CPT 83026 | not published | not published | $2.41 – $8.13 | 7 |
| Hemoglobin fetal qualitative CPT 83033 | not published | not published | $3.20 – $16.29 | 7 |
| Hemoglobin f (fetal) chemical CPT 83030 | not published | not published | $4.30 – $21.87 | 7 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $236.75 | $236.75 | $3.62 – $30.74 | 9 |
| Hemoglobin-oxygen affinity CPT 82820 | $403.75 | $403.75 | $5.34 – $185.51 | 9 |
| Hemoglobin plasma CPT 83051 | not published | not published | $3.61 – $14.88 | 7 |
| Hemoglobin thermolabile CPT 83065 | not published | not published | $3.60 – $18.33 | 7 |
| Hemoglobin urine CPT 83069 | not published | not published | $1.95 – $8.04 | 7 |
| Hemolysin acid CPT 85475 | not published | not published | $4.38 – $18.06 | 7 |
| Hemolysins/agglutinins auto CPT 86940 | not published | not published | $4.05 – $17.86 | 7 |
| Hemolysins and agglutinins incubated CPT 86941 | not published | not published | $5.98 – $24.66 | 7 |
| Hemoperfusion CPT 90997 | not published | not published | $83.67 – $176.23 | 8 |
| Hemophilus influenza antibdy CPT 86684 | $98.40 | $98.40 | $7.82 – $41.03 | 9 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | not published | not published | $426.47 – $908.25 | 8 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $1,335.55 | $1,335.55 | $185.17 – $548.02 | 9 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | not published | not published | $371.29 – $798.46 | 8 |
| Hepagam b im injection HCPCS J1571 | $2,069.99 | $2,069.99 | $59.62 – $1,945.79 | 9 |
| Hepagam b intravenous, inj HCPCS J1573 | not published | not published | $71.66 – $130.34 | 8 |
| Heparin assay CPT 85520 | $267.85 | $267.85 | $6.46 – $182.69 | 9 |
| Heparin bolus from bag HCPCS J1644 | $250.86 | $250.86 | $0.06 – $7.20 | 9 |
| Heparin neutralization CPT 85525 | not published | not published | $5.85 – $24.11 | 7 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | not published | not published | $0.02 – $0.04 | 6 |
| Heparin-protamine tolerance CPT 85530 | not published | not published | $6.46 – $26.65 | 7 |
| Hepatectomy removal of liver 47120 CPT 47120 | not published | not published | $2,172.86 – $4,738.50 | 8 |
| Hepatitis a antibody igm CPT 86709 | $143.90 | $143.90 | $5.56 – $69.00 | 9 |
| Hepatitis b core antibody igm CPT 86705 | $409.45 | $409.45 | $5.82 – $80.51 | 9 |
| Hepatitis b core antibody total CPT 86704 | $183.75 | $183.75 | $5.95 – $85.59 | 9 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $3,369.00 | $3,369.00 | $130.66 – $3,166.86 | 9 |
| Hepatitis b surface ag quan CPT 87467 | not published | not published | $6.02 – $53.06 | 7 |
| Hepatitis b surface antibody CPT 86706 | $188.45 | $188.45 | $5.30 – $85.59 | 9 |
| Hepatitis b vaccine 40 mcg/ml inj-adult CPT 90747 | not published | not published | $140.75 – $270.37 | 8 |
| Hepatitis c antibody CPT 86803 | $167.10 | $167.10 | $10.57 – $94.56 | 9 |
| Hepatitis c rna dir probe CPT 87520 | not published | not published | $12.49 – $63.57 | 7 |
| Hepatitis d quantification CPT 87523 | not published | not published | $42.84 – $87.23 | 7 |
| Hepatitis g dna amp probe CPT 87526 | not published | not published | $17.33 – $79.94 | 7 |
| Hepatitis g dna dir probe CPT 87525 | not published | not published | $11.92 – $60.68 | 7 |
| Hepatitis g dna quant CPT 87527 | not published | not published | $20.62 – $85.03 | 7 |
| Hep b vac 3ag 10mcg 3 dos im CPT 90759 | not published | not published | $72.52 – $141.80 | 8 |
| Hepb vacc 3 dose immunsup im CPT 90740 | $88.40 | $88.40 | $66.30 – $321.50 | 9 |
| Hereditary colon ca dsordrs CPT 81435 | not published | not published | $288.84 – $1,343.07 | 7 |
| Hereditary colon ca dsordrs CPT 81436 | not published | not published | $288.84 – $1,190.97 | 6 |
| Hered neuroend tum-rlt do 5+ CPT 81437 | not published | not published | $216.76 – $1,343.07 | 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.