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 |
|---|---|---|---|---|
| Anti mog serum - sendout CPT 86362 | not published | not published | $4.82 – $24.54 | 7 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $400.90 | $400.90 | $4.82 – $88.92 | 9 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | not published | not published | $4.82 – $24.54 | 7 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | not published | not published | $664.88 – $1,472.17 | 8 |
| Ant instrumentation/4-7 vert seg 22846 CPT 22846 | not published | not published | $692.18 – $1,532.51 | 8 |
| Antinuclear antibodies CPT 86038 | $212.75 | $212.75 | $5.97 – $70.17 | 9 |
| Antinuclear antibodies titer CPT 86039 | $128.45 | $128.45 | $5.51 – $101.00 | 9 |
| Antiphosphatidylserine antibody CPT 86148 | not published | not published | $7.94 – $32.72 | 7 |
| Antipsychotics nos 1-3 CPT 80342 | $292.55 | $292.55 | $5.62 – $125.58 | 9 |
| Antipsychotics nos 4-6 CPT 80343 | not published | not published | $32.33 – $32.33 | 1 |
| Antipsychotics nos 7/more CPT 80344 | not published | not published | $8.25 – $8.25 | 1 |
| Antistreptolysin o screen CPT 86063 | not published | not published | $2.85 – $11.75 | 7 |
| Antistreptolysin o titer CPT 86060 | $106.55 | $106.55 | $3.60 – $52.88 | 9 |
| Antithrombin iii activity CPT 85300 | $290.80 | $290.80 | $5.85 – $104.72 | 9 |
| Antithrombin iii injection HCPCS J7197 | $5,968.38 | $5,968.38 | $3.79 – $5,610.28 | 9 |
| Antithrombin recombinant HCPCS J7196 | not published | not published | $143.31 – $286.09 | 4 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | $8,643.12 | $8,643.12 | $3,061.32 – $8,124.53 | 9 |
| Antithymocyte globuln rabbit HCPCS J7511 | $4,821.65 | $4,821.65 | $904.11 – $4,532.35 | 9 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | not published | not published | $824.29 – $1,776.51 | 8 |
| Ant sgm img ir flrscn angrph CPT 92287 | not published | not published | $22.64 – $55.89 | 8 |
| Ant sgm img i&r speclr mic CPT 92286 | not published | not published | $17.23 – $40.47 | 8 |
| Ant thrc vrt body tethrg <7 CPT 22836 | not published | not published | $1,635.89 – $3,481.19 | 8 |
| Ant thrc vrt body tethrg 8+ CPT 22837 | not published | not published | $1,802.01 – $3,834.31 | 8 |
| Aoi transducer/actuator repl HCPCS L8694 | not published | not published | $878.95 – $2,212.64 | 7 |
| Aortic Aneurysm Screening Ultrasound CPT 76706 | $761.45 | $761.45 | $24.65 – $417.94 | 9 |
| Aortic circulation assist 33971 CPT 33971 | not published | not published | $649.55 – $1,419.31 | 8 |
| Aortic dysfunction/dilation CPT 81410 | not published | not published | $201.60 – $1,026.24 | 7 |
| Aortic dysfunction/dilation CPT 81411 | not published | not published | $540.08 – $2,749.26 | 7 |
| Aortic hemiarch graft 33866 CPT 33866 | not published | not published | $827.47 – $1,821.93 | 8 |
| Aortic suspension CPT 33800 | not published | not published | $902.94 – $1,976.46 | 8 |
| Apc gene dup/delet variants CPT 81203 | not published | not published | $80.00 – $407.24 | 7 |
| Apc gene full sequence CPT 81201 | not published | not published | $312.00 – $1,588.24 | 7 |
| Apc gene known fam variants CPT 81202 | not published | not published | $112.00 – $570.14 | 7 |
| Aphakia prosth service temp CPT 92358 | not published | not published | $10.23 – $59.21 | 7 |
| Apheresis immunoads slctv CPT 36516 | $10,159.00 | $10,159.00 | $80.78 – $3,421.78 | 9 |
| Apheresis plasma CPT 36514 | $5,916.65 | $5,916.65 | $88.13 – $1,281.07 | 9 |
| Apheresis platelets CPT 36513 | $5,916.65 | $5,916.65 | $102.00 – $4,969.99 | 9 |
| Apheresis rbc CPT 36512 | $5,916.65 | $5,916.65 | $100.51 – $4,969.99 | 9 |
| Apheresis wbc CPT 36511 | $5,916.65 | $5,916.65 | $106.08 – $4,969.99 | 9 |
| Apl(pml-rara) quant - sendout CPT 81315 | $716.10 | $716.10 | $102.38 – $673.13 | 9 |
| Apomorphine hydrochloride HCPCS J0364 | not published | not published | $6.10 – $56.91 | 4 |
| Appendectomy CPT 44950 | not published | not published | $602.00 – $1,309.50 | 8 |
| Appendectomy add-on 44955 CPT 44955 | not published | not published | $77.00 – $168.09 | 8 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | not published | not published | $820.38 – $1,786.01 | 8 |
| Appendico-vesicostomy CPT 50845 | not published | not published | $1,191.98 – $2,532.93 | 8 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $568.45 – $1,232.25 | 8 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $5,763.80 | $5,763.80 | $208.61 – $656.59 | 9 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $2,587.45 | $2,587.45 | $51.86 – $182.45 | 9 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $2,587.45 | $2,587.45 | $23.34 – $62.32 | 9 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $9,427.65 | $9,427.65 | $180.92 – $594.93 | 9 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $4,714.15 | $4,714.15 | $40.73 – $156.11 | 9 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $2,587.45 | $2,587.45 | $15.78 – $47.54 | 9 |
| Appl bdy cst sho to hip 1thi CPT 29044 | not published | not published | $152.72 – $575.65 | 9 |
| Appl bdy cst sho to hip b th CPT 29046 | not published | not published | $178.79 – $628.98 | 9 |
| Appl bdy cst sho to hip head CPT 29040 | not published | not published | $164.53 – $586.57 | 9 |
| Appl body cast sho to hips CPT 29035 | not published | not published | $136.54 – $515.90 | 9 |
| Appl cast figure-of-eight CPT 29049 | not published | not published | $66.10 – $197.24 | 9 |
| Appl cast plaster velpeau CPT 29058 | not published | not published | $89.29 – $243.50 | 9 |
| Appl cast shoulder spica CPT 29055 | not published | not published | $130.94 – $445.87 | 9 |
| Appl halo cranial 6+pins CPT 20664 | not published | not published | $836.89 – $1,845.65 | 8 |
| Appl halo type body cast CPT 29000 | not published | not published | $184.90 – $711.85 | 9 |
| Appl hip spica cast1&1/2 CPT 29325 | not published | not published | $168.75 – $544.17 | 9 |
| Appl hip spica cast 1 leg CPT 29305 | not published | not published | $150.72 – $492.76 | 9 |
| Application clubfoot cast CPT 29450 | not published | not published | $106.76 – $283.33 | 9 |
| Application finger splntstatic 29130 CPT 29130 | $220.25 | $220.25 | $20.78 – $31.46 | 9 |
| Application halo femoral CPT 20663 | not published | not published | $462.02 – $997.05 | 8 |
| Application halo pelvic CPT 20662 | not published | not published | $501.45 – $1,079.06 | 8 |
| Application long leg splint 29505 CPT 29505 | $305.90 | $305.90 | $49.69 – $176.68 | 9 |
| Application lower leg splint 29515 CPT 29515 | $323.50 | $323.50 | $47.42 – $101.67 | 9 |
| Application multi layer compression below knee (both sides) CPT 29581 | $525.20 | $525.20 | $25.51 – $169.62 | 9 |
| Application of body cast CPT 29010 | not published | not published | $152.60 – $547.38 | 9 |
| Application of body cast CPT 29015 | not published | not published | $171.90 – $585.92 | 9 |
| Application of cylinder cast 29365 CPT 29365 | not published | not published | $83.19 – $245.43 | 9 |
| Application of forearm cast 29075 CPT 29075 | $501.50 | $501.50 | $30.82 – $85.21 | 9 |
| Application of long arm cast 29065 CPT 29065 | $655.20 | $655.20 | $65.09 – $191.45 | 9 |
| Application of long leg cast CPT 29355 | not published | not published | $101.26 – $278.19 | 9 |
| Application of long leg cast 29345 CPT 29345 | $510.25 | $510.25 | $48.50 – $134.09 | 9 |
| Application of paste boot 29580 CPT 29580 | $297.70 | $297.70 | $24.63 – $107.18 | 9 |
| Application short leg cast 29405 CPT 29405 | $510.00 | $510.00 | $56.00 – $158.04 | 9 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $5,763.80 | $5,763.80 | $88.87 – $306.45 | 9 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $5,763.80 | $5,763.80 | $79.49 – $297.46 | 9 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $177.90 | $177.90 | $12.92 – $35.72 | 9 |
| Appl long leg cast brace CPT 29358 | not published | not published | $98.19 – $319.94 | 9 |
| Appl mltpln uni ext fixj sys CPT 20692 | not published | not published | $1,080.66 – $2,310.62 | 8 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $142.75 | $142.75 | $5.43 – $67.19 | 9 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $175.35 | $175.35 | $11.45 – $45.17 | 9 |
| Appl modality 1+lllt po pain CPT 97037 | not published | not published | $37.99 – $39.13 | 5 |
| Appl multlay comprs arm/hand CPT 29584 | $297.70 | $297.70 | $15.13 – $154.20 | 9 |
| Appl patllr tdn bearing cast CPT 29435 | not published | not published | $77.51 – $244.13 | 9 |
| Appl unipln uni ext fixj sys CPT 20690 | not published | not published | $572.88 – $1,222.76 | 8 |
| Apply finger cast 29086 CPT 29086 | not published | not published | $47.41 – $151.62 | 9 |
| Apply forearm splintdynamic 29126 CPT 29126 | $463.55 | $463.55 | $47.34 – $154.20 | 9 |
| Apply halo w/removal cranial CPT 20661 | not published | not published | $490.71 – $1,079.07 | 8 |
| Apply hand/wrist cast 29085 CPT 29085 | $291.05 | $291.05 | $64.24 – $189.53 | 9 |
| Apply interstit radiat compl CPT 77778 | $15,210.00 | $15,210.00 | $448.86 – $12,776.40 | 9 |
| Apply intrcav radiat compl CPT 77763 | $15,210.00 | $15,210.00 | $330.11 – $12,776.40 | 9 |
| Apply intrcav radiat interm CPT 77762 | $14,767.85 | $14,767.85 | $250.81 – $12,404.99 | 9 |
| Apply intrcav radiat simple CPT 77761 | $14,199.70 | $14,199.70 | $197.33 – $11,927.75 | 9 |
| Apply of finger splint 29131 CPT 29131 | $297.70 | $297.70 | $33.24 – $95.55 | 9 |
| Apply rem fixation device CPT 20660 | not published | not published | $221.46 – $488.02 | 8 |
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.