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 |
|---|---|---|---|---|
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | not published | not published | $31,905.54 – $114,375.39 | 4 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | not published | not published | $339.63 – $603.04 | 4 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | not published | not published | $67.56 – $137.02 | 6 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | not published | not published | $78.34 – $117.70 | 6 |
| Menacwy-tt menb-fhbp vacc im CPT 90623 | not published | not published | $469.85 – $469.85 | 1 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $1,587.23 – $3,402.55 | 8 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $76.90 | $76.90 | $6.02 – $16.99 | 9 |
| Meperidine/promethazine inj HCPCS J2180 | not published | not published | $3.79 – $15.59 | 4 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $12,675.25 | $12,675.25 | $29.96 – $6,874.23 | 9 |
| Mercaptopurine 50 mg HCPCS S0108 | not published | not published | $2.91 – $5.42 | 3 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $111.98 | $111.98 | $0.32 – $22.42 | 9 |
| Mesh ez derm 7x18 xenograft porcine -cost per sq cm HCPCS Q4136 | $161.21 | $161.21 | $19.79 – $25.30 | 6 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $234.11 – $505.63 | 8 |
| Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364 | not published | not published | $18.39 – $18.39 | 1 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $203.59 | $203.59 | $1.37 – $124.74 | 7 |
| Metabolic Blood Panel (Basic) CPT 80048 | $371.65 | $371.65 | $6.26 – $99.64 | 9 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $374.85 | $374.85 | $5.99 – $126.67 | 9 |
| Metabolic panel ionized ca CPT 80047 | not published | not published | $8.24 – $27.96 | 7 |
| Metal frame recipro hip & ca HCPCS L2628 | not published | not published | $1,738.66 – $4,376.83 | 7 |
| Metatarsal joint implant HCPCS L8641 | not published | not published | $442.50 – $1,113.92 | 7 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | $926.33 | $926.33 | $0.85 – $870.75 | 7 |
| Methadone injection HCPCS J1230 | $239.13 | $239.13 | $5.62 – $20.55 | 7 |
| Methadone oral 5mg HCPCS S0109 | not published | not published | $0.31 – $0.67 | 4 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | not published | not published | $5.42 – $11.85 | 6 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $254.27 | $254.27 | $0.24 – $135.48 | 7 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $373.79 | $373.79 | $2.50 – $29.10 | 9 |
| Methotrexate therapeutic drug level CPT 80204 | $274.60 | $274.60 | $15.43 – $205.86 | 9 |
| Methyl aminolevulinate, top HCPCS J7309 | not published | not published | $83.69 – $155.29 | 3 |
| Methyldopate hcl injection HCPCS J0210 | not published | not published | $19.65 – $81.95 | 4 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $4,919.46 | $4,919.46 | $7.86 – $1,183.84 | 9 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $318.42 | $318.42 | $13.09 – $58.57 | 9 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $1,729.79 | $1,729.79 | $1.31 – $908.46 | 7 |
| Methylphenidate CPT 80360 | $295.00 | $295.00 | $4.32 – $209.29 | 9 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $17.70 | $17.70 | $0.23 – $1.89 | 7 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $501.75 | $501.75 | $0.12 – $68.06 | 9 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $447.70 | $447.70 | $0.26 – $40.35 | 9 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $13.35 | $13.35 | $0.93 – $5.95 | 9 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $13.93 | $13.93 | $0.02 – $13.09 | 8 |
| Metyrapone panel CPT 80436 | not published | not published | $45.02 – $185.62 | 7 |
| Mgmt promoter methylation analysis CPT 81287 | not published | not published | $49.86 – $253.79 | 7 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $1,903.55 | $1,903.55 | $0.42 – $541.51 | 7 |
| Microalbumin urine screen CPT 82044 | $31.30 | $31.30 | $3.74 – $22.65 | 9 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $16.07 – $81.79 | 7 |
| Microdissection laser CPT 88380 | not published | not published | $49.74 – $103.03 | 8 |
| Microdissection manual CPT 88381 | $691.25 | $691.25 | $21.94 – $472.00 | 9 |
| Microfluid analy tears CPT 83861 | not published | not published | $8.99 – $45.77 | 7 |
| Microprcsr cu combo vad, rep HCPCS Q0482 | $45,586.20 | $45,586.20 | $4,266.39 – $42,851.03 | 9 |
| Microsatellite instability CPT 81301 | $1,763.10 | $1,763.10 | $142.99 – $1,160.15 | 9 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $197.06 – $441.92 | 8 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $35.16 – $73.87 | 8 |
| Microwave bronch, 3d, ebus HCPCS C9751 | not published | not published | $3,629.88 – $3,738.78 | 5 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $534.95 | $534.95 | $9.62 – $127.68 | 9 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $636.22 | $636.22 | $0.14 – $1.16 | 9 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | $305.39 | $305.39 | $0.21 – $149.37 | 9 |
| Middle cerebral artery echo CPT 76821 | $654.20 | $654.20 | $31.91 – $176.95 | 9 |
| Mifepristone 200 mg ta HCPCS S0190 | not published | not published | $36.55 – $122.68 | 4 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $81.44 | $81.44 | $1.39 – $50.34 | 7 |
| Milwaukee type superstructur HCPCS L1230 | not published | not published | $568.80 – $1,431.90 | 7 |
| Minocycline hydrochloride HCPCS J2265 | $2,631.38 | $2,631.38 | $2.44 – $2,473.50 | 9 |
| Minoxidil, 10 mg HCPCS S0139 | not published | not published | $0.47 – $1.36 | 3 |
| Miroderm HCPCS Q4175 | not published | not published | $62.86 – $125.84 | 6 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | not published | not published | $65.71 – $126.16 | 8 |
| Misoprostol, oral, 200 mcg HCPCS S0191 | not published | not published | $1.02 – $3.38 | 4 |
| Mitochondrial gene CPT 81440 | not published | not published | $1,329.60 – $6,768.33 | 7 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $3,594.31 | $3,594.31 | $24.50 – $3,378.65 | 9 |
| Mitomycin instillation HCPCS J9281 | $2,025,909.52 | $2,025,909.52 | $295.30 – $1,904,354.95 | 9 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $1,756.56 | $1,756.56 | $29.60 – $1,613.28 | 9 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $2,547.43 – $5,583.04 | 8 |
| Mlh1 gene CPT 81288 | $496.35 | $496.35 | $76.93 – $414.59 | 9 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $80.96 – $412.13 | 7 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $270.16 – $1,415.24 | 7 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $132.40 – $673.98 | 7 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $20.67 – $45.62 | 9 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $5.85 – $11.52 | 8 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $1,014.90 – $2,169.63 | 8 |
| Mnl appl strs jt radiography CPT 77071 | $160.65 | $160.65 | $52.03 – $134.82 | 9 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $78.36 – $170.13 | 8 |
| Mnl prep&insj i-artic rx dev CPT 20704 | not published | not published | $140.31 – $302.29 | 8 |
| Mnl prep&insj imed rx dev CPT 20702 | not published | not published | $133.38 – $287.39 | 8 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $188.92 – $403.96 | 8 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $422.19 – $921.14 | 8 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $233.93 – $735.62 | 9 |
| Mnt subs tx for change dx HCPCS G0270 | $74.15 | $74.15 | $26.55 – $54.90 | 9 |
| Mobility cart pneum vad, rep HCPCS Q0502 | not published | not published | $609.46 – $1,523.32 | 7 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $110.57 – $241.29 | 8 |
| Modification of contact lens CPT 92325 | not published | not published | $42.15 – $83.36 | 8 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $1,244.61 – $2,725.43 | 8 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $538.28 – $1,169.21 | 8 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $633.75 | $633.75 | $4.82 – $279.70 | 9 |
| Molded inner boot HCPCS L2280 | not published | not published | $444.60 – $1,119.24 | 7 |
| Molded socket shin sach foot HCPCS L5100 | not published | not published | $2,648.56 – $6,667.37 | 7 |
| Mold sckt ext knee shin sach HCPCS L5150 | not published | not published | $3,405.67 – $8,573.30 | 7 |
| Mold socket ank hgt with toe f HCPCS L5010 | not published | not published | $1,161.10 – $2,922.90 | 7 |
| Mold socket bent knee shin s HCPCS L5160 | not published | not published | $3,993.82 – $10,053.84 | 7 |
| Molecular pathology interpr HCPCS G0452 | not published | not published | $3.16 – $88.02 | 8 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $11.35 – $21.79 | 8 |
| Mon cable elec/pneum vad rep HCPCS Q0486 | not published | not published | $274.28 – $685.53 | 7 |
| Monitor cable elec vad, rep HCPCS Q0485 | not published | not published | $329.51 – $823.60 | 7 |
| Monitor elec vad, rep HCPCS Q0483 | not published | not published | $17,575.62 – $43,929.59 | 7 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $4,845.00 | $4,845.00 | $3,236.64 – $4,136.00 | 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.