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 |
|---|---|---|---|---|
| Interphalangeal joint spacer HCPCS L8658 | not published | not published | $385.81 – $971.23 | 7 |
| Interrogate subq defib CPT 93261 | $73.75 | $73.75 | $33.60 – $65.55 | 9 |
| Interrogation vad in person CPT 93750 | $166.05 | $166.05 | $37.49 – $97.65 | 9 |
| Interrog dev eval icpms ip CPT 93290 | not published | not published | $19.57 – $41.34 | 8 |
| Interrog dev eval scrms ip CPT 93291 | $48.95 | $48.95 | $16.76 – $41.12 | 9 |
| Interrog device eval heart CPT 93289 | $73.75 | $73.75 | $34.06 – $66.60 | 9 |
| Interrog evl pm/ldls pm ip CPT 93288 | $120.95 | $120.95 | $19.36 – $44.06 | 9 |
| Interrog&prgrmg ipnss CPT 93151 | not published | not published | $37.41 – $167.69 | 8 |
| Interrog&prgrmg ipnss polysm CPT 93152 | not published | not published | $83.23 – $303.25 | 8 |
| Interrog without prgrmg ipnss CPT 93153 | not published | not published | $20.44 – $99.58 | 8 |
| Interscap-thor myoelectronic HCPCS L6975 | not published | not published | $17,872.55 – $44,991.51 | 7 |
| Interscapular-thor switch CT HCPCS L6970 | not published | not published | $15,856.86 – $39,917.32 | 7 |
| Interstitial brachy inter CPT 77799 | not published | not published | $105.98 – $109.16 | 5 |
| Interthoracoscplr amputation CPT 23900 | not published | not published | $1,318.53 – $2,825.76 | 8 |
| Intestinal stricturoplasty CPT 44615 | not published | not published | $1,000.18 – $2,164.89 | 8 |
| Int hrhc lig 1 hroid without img CPT 46945 | not published | not published | $325.70 – $696.79 | 8 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $366.00 – $778.11 | 8 |
| Intl custm cong/latyp insert HCPCS L5681 | not published | not published | $1,224.27 – $3,081.93 | 7 |
| Intra-atrial pacing CPT 93610 | not published | not published | $59.99 – $301.32 | 8 |
| Intra-atrial recording CPT 93602 | not published | not published | $48.99 – $213.29 | 8 |
| Intracard echo interv w/s&i CPT 93662 | $6,918.35 | $6,918.35 | $46.77 – $5,811.41 | 9 |
| Intracran angioplsty w/stent CPT 61635 | $3,298.05 | $3,298.05 | $1,379.67 – $2,875.57 | 9 |
| Intracranial angioplasty CPT 61630 | $3,298.05 | $3,298.05 | $1,261.58 – $2,774.24 | 9 |
| Intracranial complete study CPT 93886 | $985.90 | $985.90 | $43.05 – $828.16 | 9 |
| Intracranial limited study CPT 93888 | $887.95 | $887.95 | $24.44 – $709.09 | 9 |
| Intracranial vessel surgery CPT 61680 | not published | not published | $2,092.80 – $4,672.07 | 8 |
| Intracranial vessel surgery CPT 61682 | not published | not published | $3,796.23 – $8,521.30 | 8 |
| Intracranial vessel surgery CPT 61684 | not published | not published | $2,623.69 – $5,850.08 | 8 |
| Intracranial vessel surgery CPT 61686 | not published | not published | $4,119.03 – $9,209.96 | 8 |
| Intracranial vessel surgery CPT 61690 | not published | not published | $2,023.88 – $4,502.63 | 8 |
| Intracranial vessel surgery CPT 61692 | not published | not published | $3,351.66 – $7,489.69 | 8 |
| Intranasal biopsy 30100 CPT 30100 | $2,288.05 | $2,288.05 | $65.22 – $272.41 | 9 |
| Intranasal reconstruction CPT 30620 | not published | not published | $645.11 – $1,361.70 | 8 |
| Intraop colon lavage add-on CPT 44701 | not published | not published | $155.55 – $340.94 | 8 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | not published | $275.93 – $738.19 | 8 |
| Intraop hipec px 1st 60 min CPT 96547 | not published | not published | $335.82 – $735.41 | 6 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | $1,023.75 | $1,023.75 | $101.70 – $280.76 | 9 |
| Intrapul surf admin endo tube CPT 94610 | $227.75 | $227.75 | $52.76 – $191.31 | 9 |
| Intrauterine transfusion ftl CPT 36460 | $802.55 | $802.55 | $319.54 – $693.38 | 9 |
| Intraventricular pacing CPT 93612 | $2,566.90 | $2,566.90 | $71.30 – $2,156.20 | 9 |
| Intrinsic factor antibody CPT 86340 | $221.55 | $221.55 | $7.44 – $57.34 | 9 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $38.78 – $171.53 | 9 |
| Intro cath dialysis circuit CPT 36901 | $3,197.25 | $3,197.25 | $154.42 – $1,296.04 | 9 |
| Intro cath dialysis circuit w/pta CPT 36902 | $22,541.25 | $22,541.25 | $219.42 – $2,282.67 | 9 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $45,558.65 | $45,558.65 | $287.59 – $7,999.34 | 9 |
| Intro catheter aorta CPT 36200 | $1,930.20 | $1,930.20 | $125.88 – $1,122.39 | 9 |
| Intro cath svc/ivc CPT 36010 | $1,930.20 | $1,930.20 | $98.10 – $997.99 | 9 |
| Intro long gi tube CPT 44500 | $507.40 | $507.40 | $18.05 – $426.22 | 9 |
| Intro long gi tube w/mult fluo CPT 74340 | $1,660.30 | $1,660.30 | $24.32 – $449.36 | 9 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $137.65 – $2,017.99 | 9 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $5,619.85 | $5,619.85 | $80.59 – $400.05 | 9 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $3,785.45 | $3,785.45 | $64.30 – $309.57 | 9 |
| Intubation endotracheal emergency procedure CPT 31500 | $723.35 | $723.35 | $121.01 – $282.64 | 9 |
| Io anal gast n-stim init CPT 95980 | not published | not published | $41.48 – $90.82 | 8 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $16.66 – $75.17 | 9 |
| Iodine i-123 sod iodide mil HCPCS A9509 | not published | not published | $94.36 – $1,844.67 | 9 |
| Iodine i-125 sodium iodide HCPCS A9527 | $1,883.19 | $1,883.19 | $43.13 – $437.88 | 9 |
| Iodine i-131 iobenguane 1mci HCPCS A9590 | not published | not published | $326.80 – $668.83 | 5 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $34.26 – $114.36 | 9 |
| Ionm in operatng room 15 min CPT 95940 | $189.30 | $189.30 | $30.73 – $159.01 | 9 |
| Ionm remote/>1 pt or per hr CPT 95941 | $754.45 | $754.45 | $244.13 – $709.18 | 6 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $437.60 | $437.60 | $0.16 – $23.12 | 9 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $525.48 | $525.48 | $0.12 – $71.64 | 9 |
| Io radiation tx management CPT 77469 | not published | not published | $310.75 – $645.94 | 8 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $7,398.64 – $7,620.60 | 5 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $7,398.64 – $7,620.60 | 5 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | not published | not published | $0.29 – $99,999.99 | 4 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $100,972.60 | $100,972.60 | $168.76 – $29,944.50 | 9 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | $485.05 | $485.05 | $98.10 – $228.03 | 8 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | $654.25 | $654.25 | $136.32 – $331.49 | 8 |
| Ip/obs consltj new/est hi 80 CPT 99255 | $721.05 | $721.05 | $183.03 – $399.75 | 8 |
| Ip/obs consltj new/est sf 35 CPT 99252 | $436.80 | $436.80 | $68.23 – $148.51 | 8 |
| Ipratropium bromide comp HCPCS J7645 | not published | not published | $0.03 – $0.05 | 3 |
| Ipratropium bromide non-comp HCPCS J7644 | not published | not published | $0.24 – $0.63 | 6 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | not published | not published | $1.95 – $3.90 | 6 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $10,690.15 | $10,690.15 | $61.15 – $10,048.74 | 9 |
| Iron CPT 83540 | $142.30 | $142.30 | $3.20 – $61.29 | 9 |
| Iron binding capacity CPT 83550 | $110.45 | $110.45 | $4.32 – $29.42 | 9 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $344.27 | $344.27 | $16.90 – $323.61 | 9 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $3.19 – $14.01 | 7 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $641.92 | $641.92 | $0.21 – $313.91 | 9 |
| Irradiation of blood product each unit reference CPT 86945 | $129.90 | $129.90 | $12.38 – $106.03 | 9 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $209.40 | $209.40 | $23.44 – $85.97 | 9 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $180.58 – $380.24 | 8 |
| Irrigation syringe HCPCS A4322 | not published | not published | $3.39 – $8.47 | 7 |
| Irrigation tray HCPCS A4320 | not published | not published | $5.94 – $14.84 | 7 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $23.88 – $111.78 | 9 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $73.13 – $146.79 | 8 |
| Island pedicle flap graft CPT 15740 | not published | not published | $807.61 – $1,962.09 | 9 |
| IV cipaglucosidase alfa-atga HCPCS G0138 | not published | not published | $173.61 – $360.58 | 6 |
| Ivc venogram s&i CPT 75825 | $7,747.35 | $7,747.35 | $49.88 – $3,135.26 | 9 |
| IV Fluids (each additional hour) CPT 96361 | $98.10 | $98.10 | $11.63 – $59.81 | 9 |
| IV Fluids (first hour) CPT 96360 | $423.90 | $423.90 | $30.26 – $172.45 | 9 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $101.41 – $202.44 | 3 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $608.95 | $608.95 | $18.48 – $82.60 | 9 |
| IV inj ra drug dx study CPT 78808 | $544.45 | $544.45 | $37.33 – $457.34 | 9 |
| IV Medicine Infusion (additional drug) CPT 96367 | $140.00 | $140.00 | $26.65 – $85.97 | 9 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $279.75 | $279.75 | $19.46 – $82.60 | 9 |
| IV Medicine Infusion (first hour) CPT 96365 | $743.25 | $743.25 | $58.05 – $251.13 | 9 |
| IV njx tst vasc flo flap/grf CPT 15860 | $584.55 | $584.55 | $99.29 – $491.02 | 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.