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 |
|---|---|---|---|---|
| Inj., triptorelin X-ray 3.75 mg HCPCS J3316 | not published | not published | $3,185.21 – $6,740.09 | 8 |
| Inj, trivisc 1 mg HCPCS J7329 | not published | not published | $5.45 – $12.07 | 8 |
| Inj, tyenne, 1 mg HCPCS Q5135 | not published | not published | $4.69 – $8.11 | 6 |
| Inj ustekinumab-aekn, 1 mg HCPCS Q9998 | not published | not published | $47.80 – $49.23 | 5 |
| Inj ustekinumab-kfce, 1 mg HCPCS Q5100 | not published | not published | $3.17 – $3.26 | 5 |
| Inj ustekinumab-stba, 1 mg HCPCS Q5099 | not published | not published | $2.41 – $2.48 | 5 |
| Inj, uzedy, 1 mg HCPCS J2799 | not published | not published | $24.70 – $46.89 | 7 |
| Inj, vancomycin hcl (mylan) HCPCS J3371 | $191.70 | $191.70 | $5.94 – $92.72 | 9 |
| Inj, vancomycin hcl (xellia) HCPCS J3372 | not published | not published | $6.48 – $12.76 | 7 |
| Inj vasopressin (am reg) 1 u HCPCS J2599 | not published | not published | $0.46 – $1.57 | 6 |
| Inj, vasopressin (baxter) HCPCS J2601 | $763.46 | $763.46 | $2.94 – $717.65 | 9 |
| Inj, vegzelma, 10 mg HCPCS Q5129 | $9,723.40 | $9,723.40 | $43.62 – $2,680.79 | 9 |
| Inj velmanase alfa-tycv 1 mg HCPCS J0217 | not published | not published | $408.00 – $855.20 | 7 |
| Inj., vestronidase alfa-vjbk HCPCS J3397 | not published | not published | $261.12 – $536.95 | 4 |
| Inj. viltolarsen HCPCS J1427 | not published | not published | $57.53 – $115.82 | 5 |
| Inj vocal cord bulking agent HCPCS L8607 | $615.00 | $615.00 | $39.91 – $540.50 | 9 |
| Inj w/fluor eval cv device CPT 36598 | $1,363.30 | $1,363.30 | $33.07 – $228.08 | 9 |
| Inj. xembify, 100 mg HCPCS J1558 | not published | not published | $13.89 – $27.14 | 8 |
| Inj xipere 1 mg HCPCS J3299 | not published | not published | $48.00 – $93.32 | 8 |
| Inj., yutiq, 0.01 mg HCPCS J7314 | not published | not published | $527.13 – $1,012.50 | 8 |
| Inj zanidatamab-hrii, 2 mg HCPCS J9276 | not published | not published | $25.08 – $25.83 | 5 |
| Inj zenocutuzumab-zbco 1 mg HCPCS J9382 | not published | not published | $32.62 – $33.60 | 5 |
| Inner skull vessel surgery CPT 61702 | not published | not published | $3,692.56 – $8,249.50 | 8 |
| Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln HCPCS J9229 | $27,320.49 | $27,320.49 | $2,529.56 – $25,681.26 | 9 |
| Inpatient consultation CPT 99251 | not published | not published | $97.13 – $97.13 | 1 |
| Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy HCPCS G0459 | not published | not published | $41.25 – $85.40 | 8 |
| Inpt/ed teleconsult30 HCPCS G0425 | $285.70 | $285.70 | $87.32 – $186.39 | 9 |
| Inpt/ed teleconsult50 HCPCS G0426 | $452.80 | $452.80 | $123.79 – $263.67 | 9 |
| Inpt/ed teleconsult70 HCPCS G0427 | $547.25 | $547.25 | $176.30 – $372.79 | 9 |
| Inpt/tele follow up 15 HCPCS G0406 | not published | not published | $38.72 – $82.69 | 8 |
| Inpt/tele follow up 25 HCPCS G0407 | not published | not published | $68.67 – $145.06 | 8 |
| Inpt/tele follow up 35 HCPCS G0408 | not published | not published | $99.40 – $211.47 | 8 |
| Ins cath ren art 1st bi CPT 36252 | $12,200.50 | $12,200.50 | $322.53 – $2,636.68 | 9 |
| Ins cath ren art 1st uni CPT 36251 | $12,200.50 | $12,200.50 | $231.86 – $2,430.45 | 9 |
| Ins cath ren art 2nd+ bi CPT 36254 | $5,598.50 | $5,598.50 | $377.14 – $3,737.86 | 9 |
| Ins cath ren art 2nd+ uni CPT 36253 | $12,200.50 | $12,200.50 | $326.18 – $3,791.84 | 9 |
| Ins cerv dilator (sep proc) CPT 59200 | $183.95 | $183.95 | $41.95 – $154.52 | 9 |
| Ins device for right guide open CPT 49412 | not published | not published | $75.45 – $165.38 | 8 |
| Insemination of oocytes CPT 89268 | not published | not published | $165.85 – $170.82 | 5 |
| Insert abdomen-venous drain CPT 49425 | $1,034.00 | $1,034.00 | $734.60 – $971.96 | 9 |
| Insert and remove bone pin CPT 20650 | not published | not published | $157.69 – $450.36 | 9 |
| Insert ant drainage device CPT 66183 | not published | not published | $981.42 – $2,067.29 | 8 |
| Insert balloon device CPT 33973 | not published | not published | $450.31 – $988.90 | 8 |
| Insert brain-fluid device 61215 CPT 61215 | not published | not published | $489.29 – $1,077.70 | 8 |
| Insert cannula hemo oth 36815 CPT 36815 | not published | not published | $122.22 – $269.08 | 8 |
| Insert cannula vein-to-vein hemodialysis CPT 36800 | not published | not published | $112.37 – $241.29 | 8 |
| Insert cath pleura with image CPT 32557 | $1,572.85 | $1,572.85 | $138.83 – $1,229.75 | 9 |
| Insert cath pleura without image CPT 32556 | $3,067.75 | $3,067.75 | $115.44 – $1,419.85 | 9 |
| Insert cv cath inf & sup app HCPCS C9780 | not published | not published | $7,985.16 – $8,224.72 | 5 |
| Insert drug del implant, >=4 HCPCS G0516 | not published | not published | $92.19 – $379.05 | 8 |
| Insert drug delivery implant CPT 11981 | $282.00 | $282.00 | $59.01 – $194.67 | 9 |
| Insert electrodes for eeg CPT 95830 | not published | not published | $86.65 – $1,324.76 | 9 |
| Insert epicard eltrd endo 33203 CPT 33203 | not published | not published | $743.12 – $1,624.68 | 8 |
| Insert epicardial lead open 33202 CPT 33202 | not published | not published | $708.36 – $1,546.07 | 8 |
| Insert eye socket implant CPT 67550 | not published | not published | $1,031.75 – $2,169.63 | 8 |
| Insert hepatic shunt (tips) CPT 37182 | $31,581.60 | $31,581.60 | $753.00 – $5,259.70 | 9 |
| Insert heyman uteri capsule CPT 58346 | not published | not published | $483.95 – $1,012.64 | 8 |
| Insert intervert bimech device 22854 CPT 22854 | not published | not published | $306.99 – $679.83 | 8 |
| Insert intracorporeal device CPT 33979 | not published | not published | $1,746.89 – $3,853.98 | 8 |
| Insert intrauterine device iud CPT 58300 | $2,109.20 | $2,109.20 | $41.49 – $90.42 | 8 |
| Insertion catheter artery nfs ther chemotx 36640 CPT 36640 | not published | not published | $111.59 – $236.55 | 8 |
| Insertion catheter bladder non indwelling CPT 51701 | $251.75 | $251.75 | $23.67 – $68.29 | 9 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $6,258.80 | $6,258.80 | $189.55 – $1,480.24 | 9 |
| Insertion intra aortic balloon assist device percutaneous CPT 33967 | $6,912.25 | $6,912.25 | $233.91 – $903.25 | 9 |
| Insertion intra-aortic circulation dev 33970 CPT 33970 | not published | not published | $318.22 – $699.50 | 8 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $18,084.50 | $18,084.50 | $202.48 – $3,803.40 | 9 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $2,585.25 | $2,585.25 | $78.30 – $407.96 | 9 |
| Insertion of cannula CPT 36810 | not published | not published | $182.04 – $397.69 | 8 |
| Insertion of cannula(s) CPT 36823 | not published | not published | $1,308.60 – $2,852.19 | 8 |
| Insertion of catheter vein CPT 36481 | $747.75 | $747.75 | $300.85 – $606.84 | 9 |
| Insertion of catheter vein CPT 36500 | $3,665.30 | $3,665.30 | $167.15 – $3,078.85 | 9 |
| Insertion of heart electrode 33211 CPT 33211 | $3,825.85 | $3,825.85 | $152.35 – $3,213.71 | 9 |
| Insertion of infusion pump CPT 36260 | not published | not published | $618.67 – $1,341.37 | 8 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | $26,780.60 | $26,780.60 | $475.54 – $4,173.16 | 9 |
| Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207 | $22,233.35 | $22,233.35 | $440.44 – $10,471.31 | 9 |
| Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 | $10,285.70 | $10,285.70 | $418.88 – $8,639.99 | 9 |
| Insertion palate prosthesis CPT 42281 | not published | not published | $155.61 – $433.01 | 9 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $2,874.45 | $2,874.45 | $84.35 – $189.10 | 9 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $2,368.45 | $2,368.45 | $77.91 – $723.42 | 9 |
| Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 | $60,906.50 | $60,906.50 | $836.73 – $6,710.38 | 9 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $16,188.80 | $16,188.80 | $146.72 – $645.20 | 9 |
| Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 | $11,193.45 | $11,193.45 | $344.05 – $8,026.37 | 9 |
| Insertion subcutaneous cardiac rhythm monitor CPT 33285 | $15,692.55 | $15,692.55 | $79.83 – $8,033.26 | 9 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $6,993.00 | $6,993.00 | $309.27 – $1,846.44 | 9 |
| Insertion ureth cath CPT 51045 | not published | not published | $469.82 – $1,007.21 | 8 |
| Insert lens prosthesis CPT 66985 | not published | not published | $733.45 – $1,546.75 | 8 |
| Insert major vessel graft CPT 33330 | not published | not published | $1,301.10 – $2,837.26 | 8 |
| Insert major vessel graft with bypass 33335 CPT 33335 | not published | not published | $1,699.19 – $3,712.32 | 8 |
| Insert multi-comp penis pros CPT 54405 | not published | not published | $769.43 – $1,634.84 | 8 |
| Insert nasal septal button CPT 30220 | not published | not published | $123.41 – $588.50 | 9 |
| Insert ocular implant CPT 65130 | not published | not published | $813.83 – $1,707.38 | 8 |
| Insert ocular implant CPT 65135 | not published | not published | $823.47 – $1,727.71 | 8 |
| Insert palate implants HCPCS C9727 | not published | not published | $1,433.64 – $1,476.65 | 5 |
| Insert pelv fixation device CPT 22848 | not published | not published | $331.08 – $727.96 | 8 |
| Insert pessary/other device CPT 57160 | $316.35 | $316.35 | $43.10 – $74.59 | 9 |
| Insert picvad cath CPT 36570 | not published | not published | $311.05 – $2,752.32 | 9 |
| Insert pm/icd lead dual CPT 33217 | $5,168.10 | $5,168.10 | $341.98 – $4,341.20 | 9 |
| Insert prost urethral stent CPT 53855 | not published | not published | $76.61 – $1,246.39 | 9 |
| Insert/repl sq defib w/eltrd CPT 33270 | $7,757.95 | $7,757.95 | $514.95 – $6,516.68 | 9 |
| Insert self-contd prosthesis CPT 54401 | not published | not published | $638.92 – $1,356.27 | 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.