healthcosts.net

MaineHealth - Memorial Hospital

3073 White Mountain Highway, North Conway, NH · MaineHealth · · NPI 1760436216

Source: hospital's published price file ↗ · Published Sep 9, 2025 · Ingested Aug 13, 2026

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
Hered rta do gen seq 15 CPT 81434 not published not published $239.16 – $1,217.46 7
Heredtry nurondcrn tum dsrdr CPT 81438 not published not published $216.76 – $893.75 6
Hernia Repair (Inguinal) CPT 49505 not published not published $495.79 – $1,072.28 8
Herpes simplex 1 ag if CPT 87274 not published not published $5.92 – $25.08 7
Herpes simplex 2 ag if CPT 87273 not published not published $5.92 – $25.08 7
Herpes simplex type 1 antibody igg CPT 86695 $168.65 $168.65 $6.51 – $65.85 9
Herpes simplex type 2 antibody igg CPT 86696 $215.45 $215.45 $9.56 – $65.85 9
Herpes simplex virus isolation CPT 87255 not published not published $16.72 – $68.95 7
Heterophile antibodies screening CPT 86308 $134.00 $134.00 $3.83 – $61.48 9
Heterophile antibodies titer CPT 86309 not published not published $3.19 – $13.17 7
Heterophile antibody absrbj CPT 86310 not published not published $3.64 – $15.01 7
Hexa gene CPT 81255 $414.75 $414.75 $24.64 – $52.99 9
Hfo nontorsion jnts pre cst HCPCS L3929 $248.15 $248.15 $68.08 – $233.26 9
Hfo nontorsion jnts pre ots HCPCS L3930 not published not published $68.08 – $171.37 7
Hgb methemoglobin qual CPT 83045 not published not published $2.60 – $13.21 7
Hhv-6 dna dir probe CPT 87531 not published not published $23.20 – $118.10 7
Hhv-6 dna quant CPT 87533 not published not published $20.62 – $85.03 7
Hib-hepb vaccine im CPT 90748 not published not published $47.11 – $96.92 4
Hib-mency vacc 6wk-18m0 im CPT 90644 not published not published $27.68 – $48.11 4
Hi enrgy eswt plantar fascia CPT 28890 not published not published $213.85 – $604.56 9
High activity knee frame HCPCS L5930 not published not published $3,290.85 – $8,284.24 7
High compres band w>=3"<5"yd HCPCS A6452 not published not published $6.56 – $16.39 7
High inten beh couns std 30m HCPCS G0445 not published not published $22.08 – $50.76 8
Hinge extension/flex wrist/f HCPCS L3900 not published not published $1,132.92 – $2,851.96 7
Hinge ext/flex wrist finger HCPCS L3901 not published not published $1,399.42 – $3,522.83 7
Hip adj flex ext abduct cont HCPCS L2624 not published not published $294.68 – $741.83 7
Hip and Pelvis X-ray (2 views, both hips) CPT 73521 $497.05 $497.05 $10.27 – $200.97 9
Hip and Pelvis X-ray (3 to 4 views, both hips) CPT 73522 $497.05 $497.05 $13.52 – $200.97 9
Hip and Pelvis X-ray (single view, left side) CPT 73501 $301.20 $301.20 $8.65 – $123.35 9
Hip arthr0 w/debridement CPT 29862 not published not published $781.78 – $1,676.20 8
Hip arthr0 w/synovectomy CPT 29863 not published not published $780.44 – $1,674.84 8
Hip arthro acetabuloplasty CPT 29915 not published not published $971.30 – $2,082.87 8
Hip arthroscopy dx CPT 29860 not published not published $621.97 – $1,350.18 8
Hip arthro w/fb removal CPT 29861 not published not published $669.81 – $1,440.32 8
Hip arthro w/femoroplasty CPT 29914 not published not published $953.37 – $2,032.05 8
Hip arthro w/labral repair CPT 29916 not published not published $972.73 – $2,074.07 8
Hip canad sing axi cons fric HCPCS L5250 not published not published $5,282.32 – $13,297.47 7
Hip clevis/thrust bearing fr HCPCS L2600 not published not published $182.77 – $460.10 7
Hip clevis/thrust bearing lo HCPCS L2610 not published not published $216.12 – $544.05 7
Hip clevis type 2 posit jnt HCPCS L2570 not published not published $423.87 – $1,067.03 7
Hip disart canadian sach ft HCPCS L5331 not published not published $4,888.96 – $12,307.22 7
Hip disartic sach thermopls HCPCS L5595 not published not published $4,688.62 – $11,802.91 7
Hip disart sach laminat mold HCPCS L5600 not published not published $5,544.12 – $13,956.52 7
Hip flexible cover system HCPCS L5966 not published not published $1,300.56 – $3,273.99 7
Hip flex inner socket ext fr HCPCS L5643 not published not published $1,967.51 – $4,952.91 7
Hip joint adjustable flexion HCPCS L2622 not published not published $363.69 – $915.52 7
Hip X-ray CPT 73502 $304.90 $304.90 $10.27 – $123.35 9
Histamine CPT 83088 $372.75 $372.75 $14.58 – $310.20 9
Histochemical stains add-on CPT 88314 not published not published $18.70 – $39.31 8
Histoplasmosis skin test CPT 86510 not published not published $6.76 – $15.59 8
Hiv-1 ag ia CPT 87390 not published not published $9.62 – $48.99 7
Hiv-1 dna dir probe CPT 87534 not published not published $9.90 – $44.63 7
Hiv-2 ag ia CPT 87391 not published not published $8.76 – $44.59 7
HIV 2 pcr qual - sendout CPT 87537 not published not published $9.90 – $44.63 7
Hiv-2 quant&revrse trnscripj CPT 87539 not published not published $23.45 – $119.36 7
HIV prep counsel, clin staff HCPCS G0013 not published not published $8.33 – $44.97 8
HIV prep, ftc/taf 200/25mg HCPCS J0751 $350.71 $350.71 $71.27 – $329.67 9
HIV prep, ftc/tdf 200/300mg HCPCS J0750 $349.15 $349.15 $1.22 – $275.77 9
HIV prep, inj, cabotegravir HCPCS J0739 $7,822.13 $7,822.13 $6.48 – $7,352.80 9
Hizentra injection HCPCS J1559 $6,107.68 $6,107.68 $12.87 – $4,525.78 9
Hkafo torsion ball bearing j HCPCS L2060 not published not published $575.36 – $1,448.39 7
Hkafo torsion bil rot straps HCPCS L2040 not published not published $202.01 – $508.54 7
Hkafo torsion cable hip pelv HCPCS L2050 not published not published $565.22 – $1,422.86 7
Hkafo torsion unilat rot str HCPCS L2070 not published not published $138.89 – $349.62 7
Hkafo unilat torsion ball br HCPCS L2090 not published not published $410.15 – $1,032.50 7
Hkafo unilat torsion cable HCPCS L2080 not published not published $426.78 – $1,074.34 7
Hla class i high defin qual CPT 86832 $841.80 $841.80 $129.50 – $666.27 9
Hla class ii high defin qual CPT 86833 $847.10 $847.10 $130.32 – $670.46 9
Hla class i&ii antibody qual CPT 86828 not published not published $25.68 – $130.70 7
Hla class i/ii antibody qual CPT 86829 not published not published $25.68 – $130.70 7
Hla class ii phenotype qual CPT 86831 not published not published $34.18 – $166.72 7
Hla class ii semiquant panel CPT 86835 not published not published $159.49 – $657.61 7
Hla class i phenotype qual CPT 86830 not published not published $39.87 – $194.50 7
Hla class i semiquant panel CPT 86834 not published not published $176.57 – $728.06 7
Hla i & ii type verify lr CPT 81371 not published not published $161.81 – $823.68 7
Hla i & ii typing hr CPT 81378 not published not published $170.65 – $703.65 7
Hla i & ii typing lr CPT 81370 not published not published $198.58 – $818.80 7
Hla ii typing 1 loc hr CPT 81382 not published not published $61.08 – $251.84 7
Hla ii typing ag equiv lr CPT 81375 not published not published $109.01 – $449.47 7
Hla i low res one antigen equiv ea CPT 81374 not published not published $35.92 – $151.35 7
Hla i typing 1 locus hr CPT 81380 not published not published $87.53 – $360.92 7
Hla i typing complete hr CPT 81379 not published not published $165.62 – $682.90 7
Hla i typing complete lr CPT 81372 not published not published $161.44 – $821.79 7
Hla i typing high res 1 allele grp ea CPT 81381 $1,154.35 $1,154.35 $67.96 – $722.39 9
Hla i typing low res one locus ea CPT 81373 not published not published $54.99 – $259.47 7
Hla typing a b or c CPT 86813 $1,369.40 $1,369.40 $28.64 – $178.93 9
Hla typing dr/dq CPT 86816 not published not published $13.76 – $61.43 7
Hla x-match noncytotoxc addl CPT 86826 not published not published $14.61 – $74.38 7
Hla x-math non-cytotoxic CPT 86825 not published not published $43.80 – $222.94 7
Hldr trach tb tie ad HCPCS A7526 not published not published $3.76 – $9.43 7
Hlth bhv assmt/reassessment CPT 96156 $179.90 $179.90 $84.26 – $190.81 9
Hlth bhv ivntj fam 1st 30 CPT 96167 $131.30 $131.30 $28.83 – $53.11 9
Hlth bhv ivntj fam without pt ea CPT 96171 $56.85 $56.85 $26.13 – $42.64 8
Hlth bhv ivntj fam wo pt 1st CPT 96170 $156.90 $156.90 $72.24 – $117.08 8
Hlth bhv ivntj grp 1st 30 CPT 96164 $56.50 $56.50 $8.73 – $19.92 9
Hlth bhv ivntj indiv 1st 30 CPT 96158 $122.85 $122.85 $57.27 – $129.13 9
Hmes or trach valve housing HCPCS A7505 not published not published $5.21 – $13.03 7
Ho abduction hip adjustable HCPCS L1650 not published not published $272.53 – $686.04 7
Ho abduction static plastic HCPCS L1660 not published not published $187.24 – $471.34 7
Ho bi thighcuffs w sprdr bar HCPCS L1652 not published not published $331.12 – $833.54 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.