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 |
|---|---|---|---|---|
| Knee-shin ext jnts fld swg e HCPCS L5726 | not published | not published | $2,137.68 – $5,381.29 | 7 |
| Knee-shin fluid swg & stance HCPCS L5728 | not published | not published | $3,007.94 – $7,572.06 | 7 |
| Knee-shin pneum/hydra pneum HCPCS L5780 | not published | not published | $1,156.84 – $2,912.19 | 7 |
| Knee-shin pneum swg frct exo HCPCS L5722 | not published | not published | $935.50 – $2,354.99 | 7 |
| Knee-shin pro flex/ext cont HCPCS L5859 | not published | not published | $13,504.24 – $33,994.95 | 7 |
| Knee-shin sys hydraul stance HCPCS L5848 | not published | not published | $1,000.83 – $2,519.47 | 7 |
| Knee-shin sys stance flexion HCPCS L5845 | not published | not published | $1,668.21 – $4,199.48 | 7 |
| Knee X-ray CPT 73564 | $534.95 | $534.95 | $10.60 – $278.70 | 9 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $393.95 | $393.95 | $7.68 – $195.30 | 9 |
| Knee X-ray (3 views, both knees) CPT 73562 | $503.65 | $503.65 | $8.65 – $256.73 | 9 |
| Knee X-ray (standing, both knees) CPT 73565 | $460.70 | $460.70 | $8.01 – $163.25 | 9 |
| Kne-shin exo sng axi mnl loc HCPCS L5710 | not published | not published | $385.01 – $969.19 | 7 |
| Kne sing axis fric shin sach HCPCS L5200 | not published | not published | $3,971.61 – $9,997.95 | 7 |
| Ko dbl upright w/air pre cst HCPCS L1847 | not published | not published | $534.29 – $1,344.99 | 7 |
| Ko dbl upright w/air pre ots HCPCS L1848 | not published | not published | $534.29 – $1,344.99 | 7 |
| Ko derot ant cruciate custom HCPCS L1840 | not published | not published | $868.04 – $2,185.19 | 7 |
| Ko elastic w/joints pre ots HCPCS L1812 | $262.60 | $262.60 | $80.82 – $246.84 | 9 |
| Ko rigid without joints pre ots HCPCS L1836 | not published | not published | $102.97 – $203.56 | 7 |
| Ko single upright pre cst HCPCS L1843 | not published | not published | $833.49 – $2,098.16 | 7 |
| Ko single upright prefab ots HCPCS L1851 | not published | not published | $692.40 – $1,368.82 | 7 |
| Ko supracondylar socket mold HCPCS L1860 | not published | not published | $1,009.60 – $2,541.54 | 7 |
| Ko swedish type pre ots HCPCS L1850 | not published | not published | $237.16 – $468.84 | 7 |
| Ko w/0 joint rigid molded to HCPCS L1834 | not published | not published | $921.06 – $2,318.64 | 7 |
| Ko w adj flex/ext rotat mold HCPCS L1846 | not published | not published | $1,153.50 – $2,903.78 | 7 |
| Ko w/adj jt rot cntrl molded HCPCS L1844 | not published | not published | $1,519.87 – $3,826.06 | 7 |
| Kras gene addl variants CPT 81276 | $524.70 | $524.70 | $77.30 – $331.40 | 9 |
| Kras gene variants exon 2 CPT 81275 | $524.70 | $524.70 | $77.30 – $331.40 | 9 |
| Kyleena, 19.5 mg HCPCS J7296 | $4,919.91 | $4,919.91 | $1,123.73 – $4,328.95 | 6 |
| Kyphectomy 1-2 segments CPT 22818 | not published | not published | $2,029.66 – $4,365.71 | 8 |
| Kyphectomy 3 or more CPT 22819 | not published | not published | $2,336.43 – $5,025.22 | 8 |
| Kyphosis pad HCPCS L1020 | not published | not published | $76.92 – $193.64 | 7 |
| Kyphosis pad floating HCPCS L1025 | not published | not published | $119.18 – $299.99 | 7 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | $264.85 | $264.85 | $17.51 – $52.69 | 9 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | $261.90 | $261.90 | $14.05 – $46.26 | 9 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $48.87 | $48.87 | $0.17 – $3.23 | 8 |
| Labioplasty 56800 CPT 56800 | not published | not published | $241.85 – $519.19 | 8 |
| Lab pathology consultation CPT 80500 | not published | not published | $40.12 – $40.12 | 1 |
| Lab pathology consultation CPT 80502 | not published | not published | $141.47 – $141.47 | 1 |
| Lacer molded to patient mode HCPCS L2330 | not published | not published | $391.03 – $984.34 | 7 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $1,008.58 | $1,008.58 | $0.20 – $223.91 | 6 |
| Lactate dehydrogenase (ldh) CPT 83615 | $110.15 | $110.15 | $2.98 – $72.52 | 9 |
| Lactated ringers intravenous solution HCPCS J7120 | $174.77 | $174.77 | $2.45 – $21.83 | 7 |
| Lactation class HCPCS S9443 | $60.20 | $60.20 | $44.28 – $56.59 | 6 |
| Lactic acid CPT 83605 | $218.90 | $218.90 | $7.91 – $105.33 | 9 |
| Lactoferrin fecal qualitative CPT 83630 | not published | not published | $9.70 – $40.11 | 7 |
| Lactoferrin fecal quant CPT 83631 | not published | not published | $9.70 – $39.97 | 7 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | not published | not published | $236.92 – $523.26 | 8 |
| Lam facetec & foramot crv CPT 63045 | not published | not published | $1,210.00 – $2,656.98 | 8 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $1,046.02 – $2,278.08 | 8 |
| Lam facetec & foramot thrc CPT 63046 | not published | not published | $1,159.13 – $2,534.97 | 8 |
| Lam factc/frmt arthrd lum ea CPT 63053 | not published | not published | $210.16 – $464.97 | 8 |
| Lamie bx/exc idrl spine lesn lmbr 63282 CPT 63282 | not published | not published | $1,846.08 – $4,091.19 | 8 |
| Lamie bx/exc idrl spine lesn thrc 63281 CPT 63281 | not published | not published | $1,950.01 – $4,340.63 | 8 |
| Lamie excise intrspinl lesion thrc 63266 CPT 63266 | not published | not published | $1,602.07 – $3,538.12 | 8 |
| Lamination collar with couplin HCPCS L6629 | not published | not published | $143.24 – $360.59 | 7 |
| Laminotomy single cervical CPT 63040 | not published | not published | $1,295.99 – $2,829.14 | 8 |
| Laminotomy single lumbar CPT 63042 | not published | not published | $1,221.32 – $2,663.08 | 8 |
| Lamiotoiotiotinotomy addl cervical 63043 CPT 63043 | not published | not published | $424.33 – $1,172.50 | 8 |
| Lam w/cordotomy 1stg thrc CPT 63197 | not published | not published | $1,595.65 – $3,542.17 | 8 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | not published | not published | $36.66 – $88.93 | 8 |
| Lanthanum carbonate oral 5mg HCPCS J0607 | not published | not published | $0.08 – $0.08 | 1 |
| Laparo ablate liver tumor rf CPT 47370 | not published | not published | $1,172.92 – $2,552.60 | 8 |
| Laparo ablate renal cyst CPT 50541 | not published | not published | $868.49 – $1,849.72 | 8 |
| Laparo ablate renal mass CPT 50542 | not published | not published | $1,103.55 – $2,339.76 | 8 |
| Laparo-asst vag hysterectomy CPT 58550 | not published | not published | $836.09 – $1,802.95 | 8 |
| Laparo cholecystectomy/explr CPT 47564 | not published | not published | $1,049.69 – $2,280.79 | 8 |
| Laparo cholecystectomy/graph CPT 47563 | not published | not published | $676.21 – $1,467.43 | 8 |
| Laparo cholecystoenterostomy CPT 47570 | not published | not published | $727.87 – $1,584.02 | 8 |
| Laparo drng lymphocele 49323 CPT 49323 | not published | not published | $604.25 – $1,304.76 | 8 |
| Laparo ligate spermatic vein CPT 55550 | not published | not published | $413.18 – $876.40 | 8 |
| Laparo-myomectomy complex CPT 58546 | not published | not published | $1,049.22 – $2,267.91 | 8 |
| Laparo new ureter/bladder CPT 50947 | not published | not published | $1,305.12 – $2,785.77 | 8 |
| Laparo new ureter/bladder CPT 50948 | not published | not published | $1,204.80 – $2,554.64 | 8 |
| Laparo partial colectomy 44204 CPT 44204 | not published | not published | $1,430.48 – $3,104.33 | 8 |
| Laparo partial nephrectomy CPT 50543 | not published | not published | $1,408.48 – $3,000.63 | 8 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | not published | not published | $5,646.73 – $5,816.13 | 5 |
| Laparo radical nephrectomy CPT 50545 | not published | not published | $1,259.28 – $2,684.77 | 8 |
| Laparo removal donor kidney CPT 50547 | not published | not published | $1,530.94 – $3,300.88 | 8 |
| Laparo remove w/ureter CPT 50548 | not published | not published | $1,265.04 – $2,699.00 | 8 |
| Laparoscope proc rectum CPT 45499 | not published | not published | $5,646.73 – $5,816.13 | 5 |
| Laparoscopic myomectomy CPT 58545 | not published | not published | $852.19 – $1,840.23 | 8 |
| Laparoscopic nephrectomy CPT 50546 | not published | not published | $1,137.99 – $2,427.21 | 8 |
| Laparoscopic proc CPT 45400 | not published | not published | $1,064.64 – $2,288.93 | 8 |
| Laparoscopic salpingostomy 58673 CPT 58673 | not published | not published | $747.67 – $1,615.20 | 8 |
| Laparoscopy adrenalectomy CPT 60650 | not published | not published | $1,117.62 – $2,418.39 | 8 |
| Laparoscopy aspiration CPT 49322 | not published | not published | $353.31 – $765.92 | 8 |
| Laparoscopy biopsy CPT 49321 | not published | not published | $326.03 – $704.24 | 8 |
| Laparoscopye procstom 43659 CPT 43659 | not published | not published | $5,646.73 – $5,816.13 | 5 |
| Laparoscopy excise lesions CPT 58662 | not published | not published | $675.24 – $1,457.27 | 8 |
| Laparoscopy fundoplasty CPT 43280 | not published | not published | $1,004.70 – $2,190.65 | 8 |
| Laparoscopy gastrostomy CPT 43653 | not published | not published | $548.31 – $1,184.80 | 8 |
| Laparoscopy islet cell trans HCPCS G0342 | not published | not published | $707.81 – $1,537.92 | 8 |
| Laparoscopy lymphadenectomy CPT 38571 | not published | not published | $628.47 – $1,340.00 | 8 |
| Laparoscopy lymphadenectomy CPT 38572 | not published | not published | $849.59 – $1,824.64 | 8 |
| Laparoscopy lymph node biop CPT 38570 | not published | not published | $490.11 – $1,052.61 | 8 |
| Laparoscopy lysis CPT 58660 | not published | not published | $647.20 – $1,399.66 | 8 |
| Laparoscopy orchiectomy CPT 54690 | not published | not published | $624.96 – $1,328.50 | 8 |
| Laparoscopy orchiopexy CPT 54692 | not published | not published | $718.51 – $1,527.76 | 8 |
| Laparoscopy pyeloplasty CPT 50544 | not published | not published | $1,170.62 – $2,494.98 | 8 |
| Laparoscopy remove adnexa CPT 58661 | not published | not published | $616.84 – $1,331.88 | 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.