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 |
|---|---|---|---|---|
| Laparoscopy splenectomy CPT 38120 | not published | not published | $993.04 – $2,158.11 | 8 |
| Laparoscopy surg colpopexy CPT 57425 | not published | not published | $920.48 – $1,982.58 | 8 |
| Laparoscopy tubal block 58671 CPT 58671 | not published | not published | $353.47 – $760.50 | 8 |
| Laparoscopy ureterolithotomy CPT 50945 | not published | not published | $918.11 – $1,955.44 | 8 |
| Laparoscopy vagus nerve CPT 43651 | not published | not published | $620.94 – $1,346.11 | 8 |
| Laparoscopy vagus nerve CPT 43652 | not published | not published | $720.79 – $1,566.39 | 8 |
| Laparo sling operation 51992 CPT 51992 | not published | not published | $788.94 – $1,698.56 | 8 |
| Laparotomy; inject/aspirate liver cyst 47015 CPT 47015 | not published | not published | $1,090.50 – $2,371.62 | 8 |
| Laparotomy islet cell transp HCPCS G0343 | not published | not published | $1,153.93 – $2,513.95 | 8 |
| Laparo total proctocolectomy CPT 44212 | not published | not published | $1,899.05 – $4,075.62 | 8 |
| Laparo urethral suspension CPT 51990 | not published | not published | $707.86 – $1,506.08 | 8 |
| Laparo-vag hyst incl t/o CPT 58552 | not published | not published | $929.16 – $2,002.22 | 8 |
| Laparo-vag hyst w/t/o compl CPT 58554 | not published | not published | $1,230.03 – $2,656.30 | 8 |
| Laparscpy ablat 1>lvr tum cryo CPT 47371 | not published | not published | $1,175.79 – $2,563.43 | 8 |
| Lap close enterostomy with resect 44227 CPT 44227 | not published | not published | $1,540.40 – $3,346.29 | 8 |
| Lap colectomy/coloproctostomy 44207 CPT 44207 | not published | not published | $1,684.18 – $3,649.28 | 8 |
| Lap colectomy/coloproctostomy w/clst 44208 CPT 44208 | not published | not published | $1,832.97 – $3,973.26 | 8 |
| Lap colectomy part w/ileum 44205 CPT 44205 | not published | not published | $1,244.26 – $2,694.93 | 8 |
| Lap colectomy w/proctectomy 44211 CPT 44211 | not published | not published | $1,986.71 – $4,249.81 | 8 |
| Lap colostomy 44188 CPT 44188 | not published | not published | $1,135.91 – $2,459.06 | 8 |
| Lap enterectomy 44202 CPT 44202 | not published | not published | $1,293.18 – $2,812.87 | 8 |
| Lap enterolysis CPT 44180 | not published | not published | $861.37 – $1,872.08 | 8 |
| Lap esophageal lengthening addl 43283 CPT 43283 | not published | not published | $143.43 – $316.53 | 8 |
| Lap fimbrioplasty 58672 CPT 58672 | not published | not published | $689.08 – $1,488.45 | 8 |
| Lap gastr bypass incl smll i CPT 43645 | not published | not published | $1,722.79 – $3,750.95 | 8 |
| Lap gastric bypass/roux-en-y CPT 43644 | $5,686.85 | $5,686.85 | $1,616.57 – $3,530.67 | 9 |
| Lap ileo/jejuno-stomy 44187 CPT 44187 | not published | not published | $1,024.67 – $2,208.28 | 8 |
| Lap impl electrode antrum CPT 43647 | not published | not published | $1,122.22 – $12,431.34 | 7 |
| Lap inc hernia repair 49654 CPT 49654 | not published | not published | $1,722.15 – $1,722.15 | 1 |
| Lap inc hernia repair recurr 49656 CPT 49656 | not published | not published | $1,868.52 – $1,868.52 | 1 |
| Lap inc hern recur comp 49657 CPT 49657 | not published | not published | $2,691.24 – $2,691.24 | 1 |
| Lap inc hern repair comp 49655 CPT 49655 | not published | not published | $2,101.49 – $2,101.49 | 1 |
| Lap ing hernia repair init CPT 49650 | not published | not published | $411.97 – $889.27 | 8 |
| Lap ing hernia repair recur CPT 49651 | not published | not published | $536.68 – $1,160.39 | 8 |
| Lap ins device for right CPT 49327 | not published | not published | $119.39 – $261.63 | 8 |
| Lap insert tunnel ip cath CPT 49324 | not published | not published | $361.15 – $788.27 | 8 |
| Lap jejunostomy 44186 CPT 44186 | not published | not published | $611.69 – $1,329.84 | 8 |
| Lap mobil splenic fl add-on 44213 CPT 44213 | not published | not published | $171.82 – $373.46 | 8 |
| Lap myotomy heller CPT 43279 | not published | not published | $1,190.03 – $2,601.39 | 8 |
| Lap paraesophag hern repair CPT 43281 | not published | not published | $1,422.28 – $3,113.82 | 8 |
| Lap paraesoph her rpr w/mesh CPT 43282 | not published | not published | $1,602.50 – $3,506.95 | 8 |
| Lap part colectomy w/stoma 44206 CPT 44206 | not published | not published | $1,616.61 – $3,516.44 | 8 |
| Lap place gastr adj device CPT 43770 | not published | not published | $1,055.54 – $2,296.39 | 8 |
| Lap proctopexy w/sig resect 45402 CPT 45402 | not published | not published | $1,416.99 – $3,060.27 | 8 |
| Lap radical hyst CPT 58548 | not published | not published | $1,782.75 – $3,843.13 | 8 |
| Lap removal of rectum w/colostomy 45395 CPT 45395 | not published | not published | $1,828.14 – $3,944.79 | 8 |
| Lap remove rectum w/pouch CPT 45397 | not published | not published | $1,984.88 – $4,268.10 | 8 |
| Lap replace gastr adj device CPT 43773 | not published | not published | $1,195.44 – $2,604.12 | 8 |
| Lap resect s/intestine addl 44203 CPT 44203 | not published | not published | $220.47 – $482.60 | 8 |
| Lap revise gastr adj device CPT 43771 | not published | not published | $1,195.44 – $2,604.12 | 8 |
| Lap revise/remv eltrd antrum CPT 43648 | not published | not published | $838.46 – $10,378.69 | 7 |
| Lap revision perm ip cath CPT 49325 | not published | not published | $385.21 – $840.48 | 8 |
| Lap rmvl gastr adj all parts CPT 43774 | not published | not published | $900.51 – $1,958.84 | 8 |
| Lap rmvl gastr adj device CPT 43772 | not published | not published | $890.33 – $1,936.47 | 8 |
| Laps abltj uterine fibroids CPT 58674 | not published | not published | $768.38 – $1,658.58 | 8 |
| Laps esophgl sphnctr agmntj 43284 CPT 43284 | not published | not published | $615.04 – $1,333.91 | 8 |
| Lap sleeve gastrectomy CPT 43775 | not published | not published | $1,018.59 – $2,238.78 | 8 |
| Laps pelvic lymphadec CPT 38573 | not published | not published | $1,114.49 – $2,393.98 | 8 |
| Laps surg prst8ect rpbic rad CPT 55866 | not published | not published | $1,130.32 – $2,408.21 | 8 |
| Laps surg prst8ect smpl stot CPT 55867 | not published | not published | $993.65 – $2,115.41 | 8 |
| Laps tot hyst resj mal CPT 58575 | not published | not published | $1,831.04 – $3,945.48 | 8 |
| Lap tot proctocolectomy 44210 CPT 44210 | not published | not published | $1,654.08 – $3,569.30 | 8 |
| Lapt stg/restg ovarian tubal/prim mal 2nd 58960 CPT 58960 | not published | not published | $950.31 – $2,041.53 | 8 |
| Lap vent/abd hernia repair 49652 CPT 49652 | not published | not published | $1,513.83 – $1,513.83 | 1 |
| Lap vent/abd hern proc comp 49653 CPT 49653 | not published | not published | $1,888.93 – $1,888.93 | 1 |
| Lap w/omentopexy add-on 49326 CPT 49326 | not published | not published | $172.26 – $378.90 | 8 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $734.10 | $734.10 | $42.72 – $125.93 | 9 |
| Largsc w/laser dstrj les CPT 31572 | not published | not published | $171.51 – $1,009.32 | 9 |
| Largsc w/njx augmentation CPT 31574 | not published | not published | $141.89 – $1,800.19 | 9 |
| Largsc w/removal lesion CPT 31578 | not published | not published | $141.89 – $592.35 | 9 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | $837.00 | $837.00 | $126.94 – $528.75 | 9 |
| Largsc w/ther injection CPT 31573 | not published | not published | $141.35 – $556.37 | 9 |
| Laronidase injection HCPCS J1931 | not published | not published | $36.77 – $71.92 | 8 |
| Laryngeal function studies CPT 92520 | $207.40 | $207.40 | $38.65 – $155.48 | 9 |
| Laryngoplasty cricoid split CPT 31587 | not published | not published | $1,162.78 – $2,465.84 | 8 |
| Laryngoplasty fx rdctj fixj CPT 31584 | not published | not published | $1,349.37 – $2,868.44 | 8 |
| Laryngoplasty laryngeal sten CPT 31551 | not published | not published | $1,478.99 – $3,146.36 | 8 |
| Laryngoplasty laryngeal sten CPT 31552 | not published | not published | $1,428.61 – $3,037.22 | 8 |
| Laryngoplasty laryngeal sten CPT 31553 | not published | not published | $1,606.54 – $3,419.50 | 8 |
| Laryngoplasty laryngeal sten CPT 31554 | not published | not published | $1,607.19 – $3,420.86 | 8 |
| Laryngoplasty laryngeal web CPT 31580 | not published | not published | $1,231.73 – $2,612.92 | 8 |
| Laryngoplasty medialization CPT 31591 | not published | not published | $1,061.79 – $2,249.61 | 8 |
| Laryngoscope w/vc inj CPT 31570 | not published | not published | $216.36 – $664.31 | 9 |
| Laryngoscopic sensory i&r CPT 92615 | not published | not published | $31.05 – $65.75 | 8 |
| Laryngoscopic sensory vid CPT 92614 | $685.45 | $685.45 | $62.65 – $287.83 | 9 |
| Laryngoscop w/arytenoidectom CPT 31560 | not published | not published | $294.09 – $629.00 | 8 |
| Laryngoscop w/vc inj + scope CPT 31571 | not published | not published | $234.96 – $502.25 | 8 |
| Laryngoscopy and dilation CPT 31528 | not published | not published | $137.12 – $292.13 | 8 |
| Laryngoscopy and dilation CPT 31529 | not published | not published | $152.58 – $326.02 | 8 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $3,757.50 | $3,757.50 | $151.94 – $484.42 | 9 |
| Laryngoscopy for treatment CPT 31527 | not published | not published | $184.91 – $393.80 | 8 |
| Laryngoscopy telescopic CPT 31579 | not published | not published | $114.56 – $382.27 | 9 |
| Laryngoscopy w/biopsy CPT 31535 | not published | not published | $179.51 – $382.28 | 8 |
| Laryngoscopy w/bx & op scope CPT 31536 | not published | not published | $198.65 – $424.30 | 8 |
| Laryngoscopy w/exc of tumor CPT 31540 | not published | not published | $227.84 – $486.65 | 8 |
| Laryngoscopy w/fb & op scope CPT 31531 | not published | not published | $199.18 – $426.34 | 8 |
| Laryngoscopy w/fb removal CPT 31530 | $3,259.50 | $3,259.50 | $187.80 – $2,737.98 | 9 |
| Laryngoscopy with biopsy CPT 31576 | not published | not published | $114.21 – $522.97 | 9 |
| Laryngoscopy with biopsy 31510 CPT 31510 | not published | not published | $115.84 – $417.61 | 9 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | not published | not published | $105.85 – $411.18 | 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.