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 |
|---|---|---|---|---|
| Mayo lipoprotein electrophoresis CPT 83700 | $93.70 | $93.70 | $5.56 – $21.15 | 9 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $251.05 | $251.05 | $7.65 – $178.93 | 9 |
| Mayo manganese CPT 83785 | $318.40 | $318.40 | $12.15 – $72.47 | 9 |
| Mayo metanephrines plasma CPT 83835 | $617.50 | $617.50 | $8.37 – $70.12 | 9 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $363.50 | $363.50 | $5.18 – $99.64 | 9 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $207.10 | $207.10 | $7.36 – $108.24 | 9 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $57.40 | $57.40 | $18.40 – $37.88 | 9 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $267.55 | $267.55 | $7.18 – $133.81 | 9 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $331.05 | $331.05 | $7.46 – $254.41 | 9 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $1,115.65 | $1,115.65 | $54.80 – $552.11 | 9 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | not published | not published | $74.08 – $377.10 | 7 |
| Mayo muramidase CPT 85549 | not published | not published | $9.26 – $38.18 | 7 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $820.65 | $820.65 | $18.40 – $765.44 | 9 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | not published | not published | $8.91 – $36.75 | 7 |
| Mayo myoglobin CPT 83874 | $284.55 | $284.55 | $6.38 – $96.73 | 9 |
| Mayo nickel CPT 83885 | $259.20 | $259.20 | $12.10 – $140.86 | 9 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $275.35 | $275.35 | $6.77 – $212.16 | 9 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $292.55 | $292.55 | $5.47 – $61.90 | 9 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $275.35 | $275.35 | $5.62 – $123.75 | 9 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $380.65 | $380.65 | $8.48 – $113.65 | 9 |
| Mayo organic acids qualitative each specimen CPT 83919 | $450.50 | $450.50 | $8.12 – $93.39 | 9 |
| Mayo oxalate 24 hour urine CPT 83945 | $136.75 | $136.75 | $6.36 – $52.64 | 9 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | not published | not published | $5.70 – $23.48 | 7 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $224.65 | $224.65 | $7.42 – $64.16 | 9 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $138.80 | $138.80 | $5.95 – $80.85 | 9 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $289.15 | $289.15 | $17.33 – $83.19 | 9 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | not published | not published | $8.88 – $37.68 | 7 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $217.35 | $217.35 | $6.80 – $132.87 | 9 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $122.05 | $122.05 | $4.17 – $72.29 | 9 |
| Mayo pregnenolone CPT 84140 | $95.65 | $95.65 | $10.21 – $77.60 | 9 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $241.80 | $241.80 | $8.19 – $38.40 | 9 |
| Mayo proinsulin CPT 84206 | $172.80 | $172.80 | $10.68 – $123.75 | 9 |
| Mayo psaft prostate specific antigen free CPT 84154 | $183.20 | $183.20 | $9.08 – $119.29 | 9 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $435.95 | $435.95 | $7.36 – $264.14 | 9 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $106.90 | $106.90 | $6.60 – $26.23 | 9 |
| Mayo receptor assay transferrin soluble CPT 84238 | not published | not published | $18.06 – $74.46 | 7 |
| Mayo renin CPT 84244 | $244.25 | $244.25 | $10.86 – $73.41 | 9 |
| Mayo repu protein electrophoresis urine CPT 84166 | $330.00 | $330.00 | $8.80 – $111.93 | 9 |
| Mayo selenium CPT 84255 | $281.50 | $281.50 | $12.61 – $187.91 | 9 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | not published | not published | $7.65 – $31.56 | 7 |
| Mayo serotonin CPT 84260 | $277.65 | $277.65 | $15.30 – $105.70 | 9 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $98.40 | $98.40 | $9.56 – $46.39 | 9 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $320.10 | $320.10 | $6.78 – $73.65 | 9 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $137.65 | $137.65 | $101.26 – $129.39 | 6 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $121.75 | $121.75 | $2.11 – $41.31 | 9 |
| Mayo tau phosphorylated 217 each CPT 84393 | $180.45 | $180.45 | $61.35 – $169.62 | 9 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | not published | not published | $103.17 – $425.40 | 7 |
| Mayo tgrp testosterone free CPT 84402 | $202.80 | $202.80 | $12.58 – $71.91 | 9 |
| Mayo tgrp testosterone total CPT 84403 | $376.45 | $376.45 | $12.75 – $92.50 | 9 |
| Mayo thiopurine s-methyltransferase CPT 84433 | not published | not published | $8.87 – $45.14 | 7 |
| Mayo thyroglobulin CPT 84432 | $364.35 | $364.35 | $7.93 – $79.15 | 9 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $108.30 | $108.30 | $5.02 – $78.30 | 9 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $173.10 | $173.10 | $6.12 – $67.02 | 9 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $292.55 | $292.55 | $4.90 – $144.01 | 9 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $303.50 | $303.50 | $25.33 – $163.84 | 9 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | not published | not published | $5.66 – $28.83 | 7 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $94.80 | $94.80 | $6.69 – $55.84 | 9 |
| Mayo vasoactive intestinal peptide CPT 84586 | $629.20 | $629.20 | $17.45 – $221.70 | 9 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $217.70 | $217.70 | $9.99 – $118.16 | 9 |
| Mayo vitamin b3 (niacin) CPT 84591 | $405.30 | $405.30 | $6.82 – $237.21 | 9 |
| Mayo vitamin k CPT 84597 | $218.35 | $218.35 | $6.78 – $165.11 | 9 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $396.00 | $396.00 | $6.54 – $110.12 | 9 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $781.31 – $1,698.56 | 8 |
| Mcoln1 gene CPT 81290 | $316.85 | $316.85 | $15.72 – $40.49 | 9 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $486.53 – $1,048.56 | 8 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $521.81 – $1,122.43 | 8 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $553.20 – $1,189.55 | 8 |
| Mcrscp xm hair pluck/clipped CPT 96902 | not published | not published | $19.62 – $41.76 | 7 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $875.71 – $2,741.39 | 9 |
| Md inr test revie inter mgmt HCPCS G0250 | not published | not published | $8.33 – $17.61 | 8 |
| Md service required for pmd HCPCS G0372 | not published | not published | $8.33 – $17.61 | 8 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $17.50 – $37.28 | 8 |
| Measure kidney pressure CPT 50396 | $1,281.20 | $1,281.20 | $109.72 – $1,076.21 | 9 |
| Measurement post void urine by ultrasound CPT 51798 | $150.55 | $150.55 | $9.92 – $110.18 | 9 |
| Measure ureter pressure CPT 50686 | not published | not published | $84.39 – $276.90 | 9 |
| Mecasermin injection HCPCS J2170 | not published | not published | $14.23 – $248.26 | 4 |
| Mech hip extension assist HCPCS L5855 | not published | not published | $292.80 – $737.08 | 7 |
| Mechlorethamine hcl inj HCPCS J9230 | not published | not published | $265.70 – $507.64 | 4 |
| #mec-opiates CPT 80356 | $95.50 | $95.50 | $6.34 – $70.03 | 9 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $60.00 – $305.43 | 7 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $211.15 – $1,074.85 | 7 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $13.46 – $244.34 | 7 |
| Med genetics&genetic counseling svcs each 30 min CPT 96041 | not published | not published | $105.07 – $105.07 | 1 |
| Medial canthopexy CPT 21280 | not published | not published | $564.03 – $1,199.71 | 8 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $368.64 – $805.91 | 8 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $283.42 – $617.48 | 8 |
| Medical services after hrs CPT 99050 | not published | not published | $23.11 – $36.61 | 4 |
| Med physic dos eval rad exps CPT 76145 | $252.00 | $252.00 | $185.37 – $528.94 | 9 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $254.49 | $254.49 | $0.53 – $1.36 | 6 |
| Med serv 10pm-8am 24 hr fac CPT 99053 | not published | not published | $30.22 – $36.61 | 3 |
| Med serv eve/wkend/holiday CPT 99051 | not published | not published | $6.00 – $36.61 | 4 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | not published | not published | $0.20 – $0.67 | 3 |
| Meg evoked each addl CPT 95967 | not published | not published | $162.50 – $342.29 | 8 |
| Meg evoked single CPT 95966 | not published | not published | $188.36 – $394.47 | 8 |
| Meg spontaneous CPT 95965 | not published | not published | $388.30 – $818.10 | 8 |
| Melphalan oral 2 mg HCPCS J8600 | not published | not published | $9.34 – $15.01 | 4 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $1,031.04 | $1,031.04 | $305.58 – $430.55 | 7 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | not published | not published | $132.88 – $255.24 | 6 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | not published | not published | $21.82 – $56.79 | 4 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | not published | not published | $129.08 – $329.36 | 6 |
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.