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 |
|---|---|---|---|---|
| Apply rigid leg cast 29445 CPT 29445 | $916.80 | $916.80 | $93.80 – $249.28 | 9 |
| Apply r&l pulm art bands CPT 33620 | not published | not published | $1,497.03 – $3,290.05 | 8 |
| Apply short leg castambul type 29425 CPT 29425 | $128.35 | $128.35 | $52.11 – $147.77 | 9 |
| Apply srs headframe add-on CPT 61800 | not published | not published | $136.72 – $306.37 | 8 |
| Apply surf ldr radionuclide CPT 77789 | $699.50 | $699.50 | $58.35 – $587.58 | 9 |
| App mdlty 1+hubbrd tnk ea 15 CPT 97036 | not published | not published | $33.36 – $71.17 | 8 |
| App mltpln uni xtrnl fix 1st CPT 20696 | not published | not published | $1,112.55 – $2,378.40 | 8 |
| App mltpln uni xtrnl fix xch CPT 20697 | not published | not published | $1,548.94 – $3,440.52 | 8 |
| App skn cll ssp f/n/g/hf 1st CPT 15017 | not published | not published | $1,770.40 – $1,823.51 | 5 |
| App skn cl ssp agrft t/a/l 1 CPT 15015 | not published | not published | $1,770.40 – $1,823.51 | 5 |
| App topical fluoride varnish CPT 99188 | not published | not published | $9.64 – $22.48 | 6 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | $1,876.25 | $1,876.25 | $1.72 – $1,763.68 | 9 |
| Aprotonin, 10,000 kiu HCPCS J0365 | not published | not published | $2.65 – $5.42 | 4 |
| #aptt mix-1:1 incubated CPT 87532 | not published | not published | $17.33 – $71.45 | 7 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $410.00 | $410.00 | $4.82 – $283.36 | 9 |
| Aqmbf pet rest & rx stress CPT 78434 | not published | not published | $27.68 – $57.60 | 8 |
| Aquaporin-4 antibody cba each CPT 86052 | not published | not published | $4.82 – $24.54 | 7 |
| Aquaporin-4 antibody elisa CPT 86051 | not published | not published | $4.61 – $23.48 | 7 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $218.90 | $218.90 | $35.89 – $183.88 | 9 |
| Aquatic exercise - group charge CPT 97150 | $314.55 | $314.55 | $17.44 – $85.97 | 9 |
| Aqueous shunt eye w/graft CPT 66180 | not published | not published | $1,085.61 – $2,287.57 | 8 |
| Aqueous shunt eye without graft CPT 66179 | not published | not published | $1,030.48 – $2,172.36 | 8 |
| Architect ecm px fx 1 sq cm HCPCS Q4147 | not published | not published | $93.64 – $282.81 | 6 |
| Arch supp att to shoe long/m HCPCS L3090 | not published | not published | $37.82 – $95.19 | 7 |
| Arch supp att to shoe metata HCPCS L3080 | not published | not published | $29.51 – $74.28 | 7 |
| Arch suprt att to sho longit HCPCS L3070 | not published | not published | $29.51 – $74.28 | 7 |
| Arformoterol non-comp unit HCPCS J7605 | not published | not published | $1.46 – $3.11 | 6 |
| Argatroban dialysis (accord) HCPCS J0892 | not published | not published | $0.43 – $8.27 | 7 |
| Argatroban dialysis, auromed HCPCS J0899 | not published | not published | $1.64 – $3.98 | 6 |
| Argatroban esrd dialysis 1mg HCPCS J0884 | not published | not published | $1.59 – $5.74 | 5 |
| Argatroban nonesrd (accord) HCPCS J0891 | not published | not published | $0.43 – $4.04 | 8 |
| Argatroban nonesrd (auromed) HCPCS J0898 | not published | not published | $1.45 – $3.98 | 8 |
| Argatroban nonesrd use 1mg HCPCS J0883 | $2,147.10 | $2,147.10 | $0.74 – $1,582.87 | 9 |
| Ar gene charac alleles CPT 81204 | not published | not published | $54.80 – $278.96 | 7 |
| Ar gene full gene sequence CPT 81173 | not published | not published | $120.54 – $613.61 | 7 |
| Ar gene known famil variant CPT 81174 | not published | not published | $74.08 – $377.10 | 7 |
| Aripiprazole 441 mg/1.6 ml inj HCPCS J1944 | $10,915.47 | $10,915.47 | $3.04 – $4,252.72 | 9 |
| Aripiprazole injection HCPCS J0400 | not published | not published | $0.67 – $1.41 | 4 |
| Arm CT Scan (with contrast, both arms) CPT 73201 | $2,716.15 | $2,716.15 | $52.33 – $1,426.24 | 9 |
| Arm CT Scan (without contrast, both arms) CPT 73200 | $2,599.70 | $2,599.70 | $44.98 – $854.32 | 9 |
| Arm or Leg Ultrasound (limited, left side) CPT 76882 | $606.10 | $606.10 | $24.48 – $55.18 | 9 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | not published | not published | $5.86 – $15.78 | 8 |
| Artacent ac 1 sq cm HCPCS Q4190 | not published | not published | $314.30 – $507.93 | 6 |
| Artacent wound, per sq cm HCPCS Q4169 | not published | not published | $176.06 – $402.90 | 6 |
| Art byp aor celiac msn and renal 35631 CPT 35631 | not published | not published | $1,655.51 – $3,666.91 | 8 |
| Art byp aortofemoral 35647 CPT 35647 | not published | not published | $1,377.59 – $3,049.42 | 8 |
| Art byp aortoiliac 35637 CPT 35637 | not published | not published | $1,486.63 – $3,290.72 | 8 |
| Art bypass aorsubcl/carot/innom 35626 CPT 35626 | not published | not published | $1,445.42 – $3,153.81 | 8 |
| Art bypass aortobifemoral 35646 CPT 35646 | not published | not published | $1,526.44 – $3,378.83 | 8 |
| Art bypass aortobi-iliac 35638 CPT 35638 | not published | not published | $1,567.41 – $3,439.83 | 8 |
| Art bypass axillary-femoral 35621 CPT 35621 | not published | not published | $982.97 – $2,175.73 | 8 |
| Art bypass axill-fem-femoral 35654 CPT 35654 | not published | not published | $1,226.55 – $2,705.09 | 8 |
| Art bypass carotid-subclavian 35606 CPT 35606 | not published | not published | $1,055.33 – $2,334.34 | 8 |
| Art bypass common ipsi carotid 35601 CPT 35601 | not published | not published | $1,263.75 – $2,778.99 | 8 |
| Art bypass fem-ant-post tib/prl 35666 CPT 35666 | not published | not published | $1,156.58 – $2,552.60 | 8 |
| Art bypass femoral-femoral 35661 CPT 35661 | not published | not published | $974.18 – $2,149.31 | 8 |
| Art bypass femoral-popliteal 35656 CPT 35656 | not published | not published | $962.00 – $2,128.29 | 8 |
| Art bypass iliofemoral 35665 CPT 35665 | not published | not published | $1,053.43 – $2,329.60 | 8 |
| Art bypass subclav-subclavian 35612 CPT 35612 | not published | not published | $941.21 – $2,079.49 | 8 |
| Art byp axillary-axillary 35650 CPT 35650 | not published | not published | $917.75 – $2,029.34 | 8 |
| Art byp grft aor/carot/innom CPT 35526 | not published | not published | $1,571.69 – $3,437.80 | 8 |
| Art byp grft aorcel/aormesen CPT 35531 | not published | not published | $1,745.25 – $3,868.21 | 8 |
| Art byp grft aortbifemoral 35540 CPT 35540 | not published | not published | $2,183.76 – $4,842.21 | 8 |
| Art byp grft aortobi-iliac 35538 CPT 35538 | not published | not published | $2,088.97 – $4,630.05 | 8 |
| Art byp grft aortofemoral CPT 35539 | not published | not published | $1,960.37 – $4,346.04 | 8 |
| Art byp grft aortoiliac CPT 35537 | not published | not published | $1,864.78 – $4,134.59 | 8 |
| Art byp grft aortorenal CPT 35560 | not published | not published | $1,527.68 – $3,382.90 | 8 |
| Art byp grft axillary-axilry CPT 35518 | not published | not published | $1,025.51 – $2,267.25 | 8 |
| Art byp grft axill-brachial CPT 35522 | not published | not published | $1,049.81 – $2,322.14 | 8 |
| Art byp grft axill/fem/fem CPT 35533 | not published | not published | $1,351.28 – $2,992.48 | 8 |
| Art byp grft axill-femoral CPT 35521 | not published | not published | $1,103.63 – $2,440.08 | 8 |
| Art byp grft brachial-brchl CPT 35525 | not published | not published | $987.84 – $2,190.65 | 8 |
| Art byp grft brchl-ulnr-rdl CPT 35523 | not published | not published | $1,105.26 – $2,443.46 | 8 |
| Art byp grft carotid-brchial CPT 35510 | not published | not published | $1,102.83 – $2,441.44 | 8 |
| Art byp grft carotid-vertbrl CPT 35508 | not published | not published | $1,194.98 – $2,640.04 | 8 |
| Art byp grft contral carotid CPT 35509 | not published | not published | $1,265.28 – $2,800.00 | 8 |
| Art byp grft fem-femoral 35558 CPT 35558 | not published | not published | $1,099.71 – $2,430.60 | 8 |
| Art byp grft fem-popliteal 35556 CPT 35556 | not published | not published | $1,250.52 – $2,762.72 | 8 |
| Art byp grft hepatorenal CPT 35535 | not published | not published | $1,703.66 – $3,775.34 | 8 |
| Art byp grft ilioiliac CPT 35563 | not published | not published | $1,189.08 – $2,629.87 | 8 |
| Art byp grft ipsilat carotid CPT 35501 | not published | not published | $1,306.97 – $2,895.56 | 8 |
| Art byp grft splenorenal CPT 35536 | not published | not published | $1,514.64 – $3,353.07 | 8 |
| Art byp grft subclav-axilary CPT 35516 | not published | not published | $1,094.74 – $2,422.47 | 8 |
| Art byp grft subclav-brchial CPT 35512 | not published | not published | $1,081.71 – $2,393.98 | 8 |
| Art byp grft subclav-carotid CPT 35506 | not published | not published | $1,143.01 – $2,528.19 | 8 |
| Art byp grft subclav-subclav CPT 35511 | not published | not published | $1,005.36 – $2,224.55 | 8 |
| Art byp grft subclav-vertbrl CPT 35515 | not published | not published | $1,194.98 – $2,640.04 | 8 |
| Art byp ilioiliac 35663 CPT 35663 | not published | not published | $1,095.33 – $2,421.77 | 8 |
| Art byp pop-tibl-prl-other 35571 CPT 35571 | not published | not published | $1,187.23 – $2,625.11 | 8 |
| Art byp tibial-tib/peroneal CPT 35570 | not published | not published | $1,322.22 – $2,926.73 | 8 |
| Arterial blood draw/perc 36620 CPT 36620 | $271.50 | $271.50 | $40.92 – $88.38 | 9 |
| Artery by graft; iliofemoral 35565 CPT 35565 | not published | not published | $1,176.21 – $2,602.76 | 8 |
| Artery to vein shunt CPT 36835 | not published | not published | $449.89 – $976.70 | 8 |
| Artery transpose/endovas taa CPT 33889 | not published | not published | $712.82 – $1,573.86 | 8 |
| Artery-vein nonautograft CPT 36830 | not published | not published | $603.71 – $1,327.13 | 8 |
| Artery xray each vessel 7577426 CPT 75774 | $5,501.05 | $5,501.05 | $28.77 – $584.64 | 9 |
| Artery xray of abdomen 75726-26 CPT 75726 | $3,819.95 | $3,819.95 | $75.71 – $2,496.19 | 9 |
| Artery x-rays adrenal gland CPT 75731 | $9,587.85 | $9,587.85 | $51.68 – $8,053.79 | 9 |
| Artery x-rays adrenals CPT 75733 | $4,934.45 | $4,934.45 | $57.95 – $4,144.94 | 9 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $7,341.65 | $7,341.65 | $65.89 – $1,292.68 | 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.