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 |
|---|---|---|---|---|
| Anal pressure record CPT 91122 | not published | not published | $82.85 – $174.86 | 8 |
| Anal/urinary muscle study CPT 51784 | not published | not published | $27.05 – $70.03 | 8 |
| Anal/urinary muscle study CPT 51785 | $505.15 | $505.15 | $84.32 – $424.33 | 9 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | $1,612.70 | $1,612.70 | $47.48 – $101.00 | 9 |
| Analysis gene f2 20210g>a variant CPT 81240 | $1,195.10 | $1,195.10 | $26.28 – $515.03 | 9 |
| Analysis gene f5 leiden variant CPT 81241 | $713.55 | $713.55 | $30.18 – $426.85 | 9 |
| Analysis nerve CPT 88356 | not published | not published | $51.71 – $239.26 | 8 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | $1,612.70 | $1,612.70 | $35.48 – $75.23 | 9 |
| Analysis tumor CPT 88358 | not published | not published | $46.21 – $96.92 | 8 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | not published | not published | $36.65 – $92.52 | 9 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $328.40 | $328.40 | $14.04 – $126.90 | 9 |
| Anastamo/extrahep bil duct/gi trac 47760 CPT 47760 | not published | not published | $2,088.55 – $4,569.05 | 8 |
| Anastamo/roux-en-y/extrahep bil/gi 47780 CPT 47780 | not published | not published | $2,294.73 – $5,020.48 | 8 |
| Anast cavopulm sec sup v/c CPT 33768 | not published | not published | $373.36 – $825.56 | 8 |
| Anastomosis/artery-aorta CPT 33606 | not published | not published | $1,623.88 – $3,559.81 | 8 |
| Anastomosis of facial/other nerve 64868 CPT 64868 | not published | not published | $945.72 – $2,021.19 | 8 |
| Anastrozole 1 mg HCPCS S0170 | not published | not published | $0.49 – $12.20 | 3 |
| Anca screen with reflex to titer -quest CPT 86021 | $216.70 | $216.70 | $7.44 – $124.17 | 9 |
| An cholangiogram percutaneous compl CPT 47531 | $1,730.70 | $1,730.70 | $66.09 – $673.72 | 9 |
| Androstanediol CPT 82154 | not published | not published | $14.24 – $58.70 | 7 |
| An fluoro guide for cvp CPT 77001 | $850.40 | $850.40 | $17.07 – $306.01 | 9 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $9,225.05 | $9,225.05 | $134.07 – $1,113.40 | 9 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $13,859.05 | $13,859.05 | $398.04 – $2,987.21 | 9 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $23,137.10 | $23,137.10 | $359.03 – $2,716.56 | 9 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $11,899.40 | $11,899.40 | $178.87 – $1,274.36 | 9 |
| Angioscopy CPT 35400 | not published | not published | $128.24 – $285.36 | 8 |
| Angiotensin ii CPT 82163 | not published | not published | $10.14 – $41.78 | 7 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $2,538.24 | $2,538.24 | $0.33 – $356.45 | 9 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $11,899.40 | $11,899.40 | $484.86 – $3,654.13 | 9 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $11,173.10 | $11,173.10 | $158.01 – $1,114.04 | 9 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $23,137.10 | $23,137.10 | $315.75 – $3,426.27 | 9 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $11,054.40 | $11,054.40 | $133.06 – $835.84 | 9 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $22,541.25 | $22,541.25 | $271.44 – $2,555.08 | 9 |
| Anidulafungin injection HCPCS J0348 | not published | not published | $0.42 – $0.90 | 6 |
| Ank-foot sys dors-plant flex HCPCS L5973 | not published | not published | $16,329.35 – $41,106.74 | 7 |
| Ankle arthroscopy/surgery CPT 29891 | not published | not published | $647.48 – $1,385.43 | 8 |
| Ankle arthroscopy/surgery CPT 29892 | not published | not published | $622.35 – $1,315.61 | 8 |
| Ankle arthroscopy/surgery CPT 29894 | not published | not published | $480.31 – $1,037.04 | 8 |
| Ankle arthroscopy/surgery CPT 29895 | not published | not published | $445.68 – $950.95 | 8 |
| Ankle arthroscopy/surgery CPT 29897 | not published | not published | $476.80 – $1,018.06 | 8 |
| Ankle arthroscopy/surgery CPT 29898 | not published | not published | $541.86 – $1,149.56 | 8 |
| Ankle arthroscopy/surgery CPT 29899 | not published | not published | $956.48 – $2,055.10 | 8 |
| Ankle X-ray CPT 73610 | $368.40 | $368.40 | $8.00 – $233.53 | 9 |
| Ankle X-ray (2 views, both ankles) CPT 73600 | $346.60 | $346.60 | $7.35 – $215.93 | 9 |
| Ank symes mold sckt sach ft HCPCS L5050 | not published | not published | $2,582.93 – $6,502.14 | 7 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | $549.80 | $549.80 | $43.35 – $177.96 | 9 |
| Annual alcohol screen 15 min HCPCS G0442 | not published | not published | $8.65 – $36.63 | 8 |
| Annual nursing fac assessmnt CPT 99318 | not published | not published | $191.43 – $191.43 | 1 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | $214.35 | $214.35 | $84.23 – $177.35 | 8 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | $242.60 | $242.60 | $91.30 – $192.84 | 8 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | $242.60 | $242.60 | $92.21 – $248.63 | 8 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | $294.55 | $294.55 | $111.84 – $286.53 | 8 |
| Anodyne therapy charges pt CPT 97026 | not published | not published | $6.36 – $13.56 | 8 |
| Anogenital exam child w imag CPT 99170 | not published | not published | $79.99 – $318.03 | 9 |
| Anora (draw only) CPT 99001 | not published | not published | $7.70 – $12.87 | 4 |
| Anorectal myomectomy CPT 45108 | not published | not published | $357.17 – $769.99 | 8 |
| Anoscopy CPT 46611 | not published | not published | $76.30 – $429.81 | 9 |
| Anoscopy ablation lesion 46615 CPT 46615 | not published | not published | $86.04 – $341.79 | 9 |
| Anoscopy and biopsy CPT 46606 | not published | not published | $71.75 – $539.68 | 9 |
| Anoscopy and dilation 46604 CPT 46604 | not published | not published | $62.57 – $1,234.17 | 9 |
| Anoscopy control bleeding 46614 CPT 46614 | $1,267.80 | $1,267.80 | $61.60 – $324.44 | 9 |
| Anoscopy remove fb 46608 CPT 46608 | $1,928.70 | $1,928.70 | $79.38 – $558.30 | 9 |
| Anoscopy remove lesion 46610 CPT 46610 | not published | not published | $76.07 – $528.10 | 9 |
| Anoscopy remove lesions w/cautery/snare 46612 CPT 46612 | not published | not published | $89.53 – $637.33 | 9 |
| Ans parasymp & symp w/tilt CPT 95924 | not published | not published | $61.31 – $163.83 | 8 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | not published | not published | $583.71 – $1,253.93 | 8 |
| Anterior asis pad HCPCS L1250 | not published | not published | $75.07 – $188.98 | 7 |
| Anterior swing band HCPCS L2335 | not published | not published | $267.13 – $672.46 | 7 |
| Anterior thoracic derotation HCPCS L1260 | not published | not published | $75.12 – $189.08 | 7 |
| Anterior thoracic extension HCPCS L1220 | not published | not published | $197.15 – $496.30 | 7 |
| Anthrax vaccine sc or im CPT 90581 | not published | not published | $110.88 – $241.29 | 4 |
| Antibody CPT 86744 | not published | not published | $6.51 – $32.56 | 7 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $183.65 | $183.65 | $6.36 – $82.11 | 9 |
| Antibody elution rbc reference CPT 86860 | $285.10 | $285.10 | $13.39 – $207.41 | 9 |
| Antibody htlv/hiv confirm test CPT 86689 | not published | not published | $9.56 – $39.40 | 7 |
| Antibody htlv-i CPT 86687 | not published | not published | $4.14 – $18.51 | 7 |
| Antibody htlv-ii CPT 86688 | not published | not published | $6.92 – $28.51 | 7 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $232.15 | $232.15 | $9.07 – $79.48 | 9 |
| Antibody id rbc panel CPT 86870 | $310.00 | $310.00 | $18.29 – $143.02 | 9 |
| Antibody influenza virus CPT 86710 | not published | not published | $6.69 – $27.59 | 7 |
| Antibody lymphocytic choriomeningitis CPT 86727 | not published | not published | $6.36 – $26.21 | 7 |
| Antibody screen rbc CPT 86850 | $134.90 | $134.90 | $3.91 – $52.41 | 9 |
| Antibody tetanus CPT 86774 | $580.65 | $580.65 | $7.31 – $79.76 | 9 |
| Anticoag mgmt pt warfarin CPT 93793 | not published | not published | $10.94 – $23.05 | 8 |
| Antidepressant not specified CPT 80338 | $323.65 | $323.65 | $12.75 – $130.52 | 9 |
| Antidepressants class 3-5 CPT 80333 | not published | not published | $14.90 – $14.90 | 1 |
| Antidepressants class 6/more CPT 80334 | not published | not published | $9.54 – $9.54 | 1 |
| Antidepressant tricyclic 3-5 CPT 80336 | $94.60 | $94.60 | $20.30 – $117.86 | 9 |
| Antiepileptics nos 4-6 CPT 80340 | not published | not published | $7.66 – $7.66 | 1 |
| Antiepileptics nos 7/more CPT 80341 | not published | not published | $6.62 – $6.62 | 1 |
| Antigen therapy services CPT 95145 | not published | not published | $2.93 – $70.03 | 9 |
| Antigen therapy services CPT 95146 | not published | not published | $2.93 – $130.42 | 9 |
| Antigen therapy services CPT 95147 | not published | not published | $2.93 – $125.29 | 9 |
| Antigen therapy services CPT 95148 | not published | not published | $2.93 – $186.31 | 9 |
| Antigen therapy services CPT 95149 | not published | not published | $2.93 – $247.99 | 9 |
| Antigen therapy services CPT 95165 | not published | not published | $2.95 – $28.27 | 9 |
| Antigen therapy services CPT 95170 | not published | not published | $2.93 – $21.21 | 9 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $16.80 | $16.80 | $1.19 – $10.29 | 9 |
| Antihemophilic viii/vwf comp HCPCS J7186 | not published | not published | $0.90 – $2.28 | 8 |
| Anti-inhibitor HCPCS J7198 | $27.49 | $27.49 | $1.88 – $25.84 | 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.