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 |
|---|---|---|---|---|
| Monovisc inj per dose HCPCS J7327 | not published | not published | $528.58 – $1,116.22 | 8 |
| Monthly tx for dmht 20mins HCPCS G0553 | not published | not published | $29.09 – $61.69 | 6 |
| Mopath procedure level 1 CPT 81400 | not published | not published | $25.58 – $130.24 | 7 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $60.13 – $306.10 | 7 |
| Mopath procedure level 5 CPT 81404 | $1,727.35 | $1,727.35 | $109.93 – $507.98 | 9 |
| Mopath procedure level 6 CPT 81405 | $2,161.95 | $2,161.95 | $120.54 – $833.69 | 9 |
| Mopath procedure level 7 CPT 81406 | $679.70 | $679.70 | $113.15 – $582.14 | 9 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $846.27 – $1,723.17 | 7 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $964.59 – $4,072.40 | 7 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $143.53 | $143.53 | $1.73 – $6.51 | 9 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | not published | not published | $4.55 – $8.29 | 6 |
| Morphine 500 mg HCPCS S0093 | not published | not published | $7.74 – $359.91 | 3 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $3,600.05 | $3,600.05 | $10.48 – $54.24 | 9 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | not published | not published | $39.13 – $82.02 | 8 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | not published | not published | $40.43 – $84.72 | 8 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $711.50 | $711.50 | $38.84 – $577.84 | 9 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $629.64 – $1,208.55 | 8 |
| Motion analysis video/3d CPT 96000 | not published | not published | $79.79 – $166.74 | 8 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $101.21 – $214.87 | 8 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $2.48 – $5.42 | 8 |
| Mouth piece HCPCS A4617 | not published | not published | $3.44 – $8.61 | 7 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $274.11 – $717.64 | 9 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $23.67 – $49.47 | 8 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $908.95 | $908.95 | $60.56 – $689.64 | 9 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $32.02 – $65.75 | 8 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $60.66 – $141.98 | 8 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $60.13 – $306.10 | 7 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $9.90 – $40.83 | 7 |
| M.pneumon dna quant CPT 87582 | not published | not published | $86.08 – $616.19 | 7 |
| Mpsv4 vaccine subq CPT 90733 | $176.50 | $176.50 | $129.83 – $165.91 | 6 |
| MRA abdomen post contrast CPT 74185 | $4,510.55 | $4,510.55 | $80.64 – $1,552.82 | 9 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $4,510.55 | $4,510.55 | $80.87 – $1,552.82 | 9 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $4,510.55 | $4,510.55 | $81.29 – $1,552.82 | 9 |
| MRA pelvis CPT 72198 | $3,480.10 | $3,480.10 | $80.97 – $1,552.82 | 9 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $1,209.54 – $1,209.54 | 1 |
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $233.95 – $240.96 | 5 |
| MRA spinal canal CPT 72159 | $2,999.20 | $2,999.20 | $81.20 – $1,552.82 | 9 |
| MRA upper extremity post contrast-bil CPT 73225 | $2,999.20 | $2,999.20 | $76.32 – $1,515.32 | 9 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $1,209.54 – $1,209.54 | 1 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $345.64 – $356.01 | 5 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $345.64 – $356.01 | 5 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $233.95 – $240.96 | 5 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $233.95 – $240.96 | 5 |
| MRA without fol w/cont, pelvis HCPCS C8920 | not published | not published | $1,209.54 – $1,209.54 | 1 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $345.64 – $356.01 | 5 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $1,209.54 – $1,209.54 | 1 |
| Mr elastography CPT 76391 | $488.65 | $488.65 | $49.74 – $410.47 | 9 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | not published | not published | $1,099.65 – $2,471.94 | 6 |
| MRI brain w/dye CPT 70558 | not published | not published | $160.05 – $336.20 | 8 |
| MRI brain without dye CPT 70557 | not published | not published | $144.68 – $305.00 | 8 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $150.04 – $315.86 | 8 |
| MRI breast c- unilateral CPT 77046 | $1,848.60 | $1,848.60 | $65.20 – $953.48 | 9 |
| MRI breast c-+ w/cad uni CPT 77048 | $2,999.20 | $2,999.20 | $95.35 – $2,085.05 | 9 |
| MRI breast without cont bi CPT 77047 | $2,270.25 | $2,270.25 | $72.23 – $1,552.82 | 9 |
| MRI breast w IV cont bi CPT 77049 | $4,979.55 | $4,979.55 | $104.33 – $2,519.33 | 9 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $1,848.60 | $1,848.60 | $105.31 – $1,552.82 | 9 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $2,999.20 | $2,999.20 | $116.76 – $2,519.33 | 9 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $2,999.20 | $2,999.20 | $133.63 – $2,519.33 | 9 |
| MRI chest without contrast CPT 71550 | $3,883.20 | $3,883.20 | $66.06 – $1,552.82 | 9 |
| MRI chest without & w/contrast CPT 71552 | $8,522.55 | $8,522.55 | $102.38 – $2,519.33 | 9 |
| MRI chest w IV cont CPT 71551 | $4,655.10 | $4,655.10 | $77.95 – $2,085.05 | 9 |
| MRI compatible system HCPCS L0859 | not published | not published | $1,151.73 – $2,899.28 | 7 |
| MRI fetal ea addl gestation CPT 74713 | $337.55 | $337.55 | $84.22 – $283.54 | 9 |
| MRI fetal sngl/1st gestation CPT 74712 | $1,345.60 | $1,345.60 | $136.44 – $1,130.30 | 9 |
| MRI guid ndl plc s&i CPT 77021 | $3,893.80 | $3,893.80 | $67.58 – $3,270.79 | 9 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $189.38 – $397.18 | 8 |
| MRI hyperpolarized xenon129 HCPCS C9791 | not published | not published | $1,210.28 – $2,546.27 | 6 |
| MRI loex nonjt w IV cont CPT 73719 | $3,989.15 | $3,989.15 | $73.20 – $2,085.05 | 9 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $3,614.95 | $3,614.95 | $60.98 – $1,552.82 | 9 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $6,736.70 | $6,736.70 | $97.62 – $2,519.33 | 9 |
| MRI orbit fac&nck w IV cont CPT 70542 | $3,380.85 | $3,380.85 | $73.20 – $2,085.05 | 9 |
| MRI tmj CPT 70336 | $3,932.90 | $3,932.90 | $66.38 – $1,552.82 | 9 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $3,614.95 | $3,614.95 | $61.31 – $1,552.82 | 9 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $6,736.70 | $6,736.70 | $97.62 – $2,519.33 | 9 |
| MRI upper extremity w/dye CPT 73219 | $3,989.15 | $3,989.15 | $73.20 – $2,085.05 | 9 |
| MRI w/cont, breast, bi HCPCS C8906 | $5,229.70 | $5,229.70 | $345.64 – $2,333.27 | 9 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $172.29 – $177.46 | 5 |
| MRI without fol w/cont, breast HCPCS C8908 | not published | not published | $1,209.54 – $1,209.54 | 1 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $345.64 – $356.01 | 5 |
| Mr safety determination physician/other qhp CPT 76016 | $176.10 | $176.10 | $26.92 – $120.18 | 9 |
| Mr safety implant elec prepj CPT 76018 | $183.60 | $183.60 | $33.73 – $125.26 | 9 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $98.00 | $98.00 | $33.32 – $66.83 | 9 |
| Mr safety implt pos&/immoblj CPT 76019 | $118.80 | $118.80 | $26.36 – $81.08 | 9 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $49.00 | $49.00 | $10.69 – $33.42 | 9 |
| Mr sfty med physics xm cstmz CPT 76017 | $483.45 | $483.45 | $34.27 – $329.85 | 9 |
| Mr spectroscopy CPT 76390 | $4,340.25 | $4,340.25 | $85.22 – $4,079.84 | 9 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $85.32 – $434.32 | 7 |
| Msh2 gene full seq CPT 81295 | not published | not published | $152.68 – $777.22 | 7 |
| Msh2 gene known variants CPT 81296 | not published | not published | $135.09 – $687.69 | 7 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $95.20 – $484.62 | 7 |
| Msh6 gene full seq CPT 81298 | not published | not published | $256.74 – $1,306.93 | 7 |
| Msh6 gene known variants CPT 81299 | not published | not published | $123.20 – $627.15 | 7 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $2,597.42 – $5,581.69 | 8 |
| Mthfr gene analy common variants CPT 81291 | not published | not published | $26.14 – $133.05 | 7 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $10.75 – $54.73 | 7 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $21.15 – $87.23 | 7 |
| Mucin synovial fluid CPT 83872 | not published | not published | $2.90 – $11.93 | 7 |
| Mucopolysaccharides CPT 83864 | not published | not published | $11.40 – $58.03 | 7 |
| Mucormycosis antibody CPT 86732 | not published | not published | $6.51 – $30.54 | 7 |
| Mult fam adapt bhv tx gdn CPT 97157 | not published | not published | $6.08 – $41.36 | 7 |
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.