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 |
|---|---|---|---|---|
| Insert semi-rigid prosthesis CPT 54400 | not published | not published | $509.26 – $1,081.77 | 8 |
| Insert spine fixation device CPT 22843 | not published | not published | $749.35 – $1,655.86 | 8 |
| Insert spine fixation device CPT 22841 | not published | not published | $494.72 – $795.75 | 4 |
| Insert spine fixation device CPT 22844 | not published | not published | $907.76 – $1,989.35 | 8 |
| Insert spine fixation device CPT 22847 | not published | not published | $743.78 – $1,608.41 | 8 |
| Insert spine infusion device 62360 CPT 62360 | not published | not published | $299.19 – $637.82 | 8 |
| Insert sq defib electrode CPT 33271 | $4,343.70 | $4,343.70 | $418.55 – $3,648.71 | 9 |
| Insert swan-ganz cath CPT 93503 | $3,863.20 | $3,863.20 | $81.72 – $316.03 | 9 |
| Insert tandem cuff CPT 53444 | not published | not published | $755.73 – $1,605.71 | 8 |
| Insert tissue expander(s) CPT 11960 | not published | not published | $970.45 – $2,073.38 | 8 |
| Insert tray without bag/cath HCPCS A4310 | not published | not published | $8.58 – $21.46 | 7 |
| Insert tunneled cv 2cath 2sits without port/pmp 36565 CPT 36565 | not published | not published | $311.69 – $1,573.39 | 9 |
| Insert tunneled cv cath CPT 36560 | not published | not published | $357.89 – $2,340.49 | 9 |
| Insert tunneled cv cath CPT 36563 | $8,978.95 | $8,978.95 | $336.68 – $2,075.81 | 9 |
| Insert ureteral support CPT 50605 | not published | not published | $942.80 – $2,048.32 | 8 |
| Insert uro/ves nck sphincter CPT 53445 | not published | not published | $723.55 – $1,535.89 | 8 |
| Insert uteri tandem/ovoids CPT 57155 | $1,206.95 | $1,206.95 | $275.63 – $769.03 | 9 |
| Insert vad art access left hrt arterial access CPT 33990 | $10,138.35 | $10,138.35 | $325.44 – $8,516.21 | 9 |
| Insert vad art access left hrt art & vein access CPT 33991 | not published | not published | $408.02 – $897.41 | 8 |
| Ins icd gen exist mlt leads CPT 33231 | $11,963.95 | $11,963.95 | $369.42 – $10,049.72 | 9 |
| Ins icd gen exist sgl lead CPT 33240 | $6,691.60 | $6,691.60 | $331.27 – $5,620.94 | 9 |
| Insitu hybridization auto CPT 88367 | not published | not published | $31.03 – $65.06 | 8 |
| Insitu hybridization (fish) CPT 88366 | not published | not published | $57.88 – $120.64 | 8 |
| Insitu hybridization manual CPT 88368 | not published | not published | $39.81 – $82.69 | 8 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $821.35 | $821.35 | $31.69 – $80.33 | 9 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $353.55 | $353.55 | $40.13 – $150.59 | 9 |
| Insj biomechanical device CPT 22859 | not published | not published | $306.78 – $675.08 | 8 |
| Insj biomechanical device 22853 CPT 22853 | not published | not published | $236.29 – $521.90 | 8 |
| Insj perq vad r hrt venous CPT 33995 | $10,138.35 | $10,138.35 | $319.78 – $8,516.21 | 9 |
| Insj phrnc nrv stim sys CPT 33276 | not published | not published | $533.51 – $1,155.65 | 8 |
| Insj phrnc nrv stim transvns CPT 33277 | not published | not published | $261.19 – $573.08 | 8 |
| Insj rx elut implt lac canal CPT 68841 | not published | not published | $31.10 – $73.24 | 9 |
| Insj stablj dev w/dcmprn CPT 22867 | not published | not published | $1,001.61 – $2,190.65 | 8 |
| Insj stablj dev w/dcmprn CPT 22868 | not published | not published | $221.59 – $491.40 | 8 |
| Insj stablj dev without dcmprn CPT 22869 | not published | not published | $415.43 – $881.82 | 8 |
| Insj stablj dev without dcmprn CPT 22870 | not published | not published | $110.80 – $236.55 | 8 |
| Ins left heart vent thor inscn ecmo CPT 33988 | not published | not published | $696.66 – $1,530.47 | 8 |
| Ins lv lead exist pm/icd CPT 33224 | $6,460.25 | $6,460.25 | $465.56 – $5,426.61 | 9 |
| Ins mark abd/pel for right perq CPT 49411 | $5,050.15 | $5,050.15 | $175.72 – $920.66 | 9 |
| Ins mark thor for right perq CPT 32553 | $5,050.15 | $5,050.15 | $164.47 – $966.27 | 9 |
| Insole orthotic freedom sz6 6816 HCPCS L3060 | not published | not published | $68.50 – $172.45 | 7 |
| Ins picad w subq port 5yr> CPT 36571 | $5,427.40 | $5,427.40 | $291.14 – $2,371.99 | 9 |
| Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 | $2,922.95 | $2,922.95 | $75.32 – $708.00 | 9 |
| Ins pm gen exist dual lead CPT 33230 | $7,906.80 | $7,906.80 | $344.01 – $6,641.71 | 9 |
| Ins pm gen w/exist mlt leads CPT 33221 | $12,953.30 | $12,953.30 | $329.67 – $10,880.77 | 9 |
| Ins pq tunnld ip cath w/img CPT 49418 | $12,596.60 | $12,596.60 | $187.19 – $1,858.02 | 9 |
| Ins/rplcm prq eltrd ra pn ea CPT 64597 | not published | not published | $1,230.21 – $1,230.21 | 1 |
| Ins/rplcmt prq eltrd ra pn 1 CPT 64596 | not published | not published | $4,100.68 – $12,431.34 | 6 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | $46,870.25 | $46,870.25 | $322.41 – $39,371.01 | 9 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | $11,370.50 | $11,370.50 | $438.71 – $9,551.22 | 9 |
| Ins/rpl pm gen exist dual lead CPT 33213 | $20,158.90 | $20,158.90 | $312.04 – $4,297.44 | 9 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | $4,138.65 | $4,138.65 | $299.72 – $3,476.47 | 9 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | $20,158.90 | $20,158.90 | $419.74 – $10,561.07 | 9 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | not published | not published | $154.81 – $852.55 | 9 |
| Ins/rpl wireless pulm art sensor incl s&i CPT 33289 | $53,687.20 | $53,687.20 | $303.79 – $45,097.25 | 9 |
| Insrt/redo neurostim 1 array CPT 61885 | not published | not published | $499.42 – $1,098.04 | 8 |
| Ins sk-mnt crnl nstm pg/rcvr CPT 61889 | not published | not published | $1,193.07 – $2,557.33 | 8 |
| Ins subq extnsn pertneal cath CPT 49435 | not published | not published | $108.33 – $236.55 | 8 |
| Install spinal shunt CPT 63740 | not published | not published | $932.10 – $2,051.02 | 8 |
| Install spinal shunt 63741 CPT 63741 | not published | not published | $637.50 – $1,401.01 | 8 |
| Inst fibrinolysis agent ini day CPT 32561 | not published | not published | $62.76 – $182.45 | 9 |
| Inst fibrinolysis agent sbsq d CPT 32562 | $1,144.70 | $1,144.70 | $55.96 – $163.19 | 9 |
| Insti hexaminolevulinate hcl HCPCS A9589 | not published | not published | $1,269.33 – $2,539.18 | 6 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $1,078.85 | $1,078.85 | $41.16 – $170.89 | 9 |
| Instill, bupivac and meloxic HCPCS C9088 | not published | not published | $0.75 – $1.51 | 7 |
| Instill pharm renal pelvis HCPCS C9789 | not published | not published | $2,178.12 – $4,582.47 | 6 |
| Instll rx agnt into rnal tub CPT 50391 | not published | not published | $91.52 – $240.93 | 9 |
| Ins trurl ablt trnsdc thr Ultrasound CPT 51721 | not published | not published | $204.46 – $438.53 | 6 |
| Inst tauro 1.35mg/hep 100u HCPCS J0911 | not published | not published | $1.69 – $17.98 | 6 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | $9,472.60 | $9,472.60 | $331.44 – $7,888.86 | 9 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | $7,847.75 | $7,847.75 | $300.46 – $2,193.38 | 9 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $5,826.15 | $5,826.15 | $242.37 – $1,561.20 | 9 |
| Ins tun intraperit dia cath CPT 49421 | $5,728.60 | $5,728.60 | $208.14 – $3,493.14 | 9 |
| Inst via cath agent pleurds CPT 32560 | not published | not published | $70.08 – $485.70 | 9 |
| Insulin for insulin pump use HCPCS J1817 | not published | not published | $2.54 – $9.74 | 6 |
| Insulin suppression panel CPT 80432 | not published | not published | $66.72 – $337.22 | 7 |
| Insulin tolerance panel CPT 80434 | not published | not published | $114.01 – $580.38 | 7 |
| Insulin tolerance panel CPT 80435 | not published | not published | $50.87 – $209.73 | 7 |
| Insulin total CPT 83525 | $336.60 | $336.60 | $5.64 – $106.03 | 9 |
| Ins vag brachytx device CPT 57156 | $635.75 | $635.75 | $146.79 – $442.66 | 9 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | not published | not published | $1,507.00 – $2,877.42 | 6 |
| Integra meshed bil wound mat HCPCS C9363 | not published | not published | $72.77 – $72.77 | 1 |
| Intens behave ther cardio dx HCPCS G0446 | not published | not published | $22.40 – $48.83 | 8 |
| Intens cardiac rehab no exer HCPCS G0423 | not published | not published | $116.38 – $260.96 | 8 |
| Intens cardiac rehab w/exerc HCPCS G0422 | not published | not published | $116.38 – $260.96 | 8 |
| Intercalary algrft compl CPT 20934 | not published | not published | $702.28 – $1,518.94 | 8 |
| Interdental fixation CPT 21110 | not published | not published | $684.74 – $1,651.79 | 9 |
| Interdental wirg oth/thn fx CPT 21497 | not published | not published | $565.68 – $1,363.96 | 9 |
| Interdiscal perq aspir dx CPT 62267 | $2,119.30 | $2,119.30 | $145.42 – $506.91 | 9 |
| Interferon alfa-2a inj HCPCS J9213 | not published | not published | $29.22 – $71.16 | 4 |
| Interferon alfa-2b inj HCPCS J9214 | not published | not published | $26.43 – $56.44 | 6 |
| Interferon alfacon-1 inj HCPCS J9212 | not published | not published | $6.55 – $19.00 | 4 |
| Interferon alfa-n3 inj HCPCS J9215 | not published | not published | $30.72 – $49.17 | 4 |
| Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 | not published | not published | $53.69 – $104.27 | 8 |
| Interferon beta-1a inj HCPCS J1826 | not published | not published | $1,180.04 – $2,269.23 | 8 |
| Interferon beta-1b / .25 mg HCPCS J1830 | not published | not published | $524.36 – $1,078.17 | 4 |
| Interferon gamma 1-b inj HCPCS J9216 | not published | not published | $606.62 – $12,844.70 | 4 |
| Interfyl, 1 mg HCPCS Q4171 | $2,139.00 | $2,139.00 | $10.90 – $2,010.66 | 7 |
| Intermediate visual field xm CPT 92082 | not published | not published | $19.70 – $41.34 | 8 |
| Internal nerve revision 64727 CPT 64727 | not published | not published | $169.93 – $360.59 | 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.