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 |
|---|---|---|---|---|
| Multi-axial knee/shin system HCPCS L5840 | not published | not published | $3,512.33 – $8,841.77 | 7 |
| Multi-axial rotation unit HCPCS L5986 | not published | not published | $614.98 – $1,548.12 | 7 |
| Multi den insert custom mold HCPCS A5513 | not published | not published | $43.01 – $107.53 | 7 |
| Multi den insert direct form HCPCS A5512 | not published | not published | $28.83 – $72.06 | 7 |
| Multi-durometer below knee HCPCS L5665 | not published | not published | $647.25 – $1,629.37 | 7 |
| Multi-durometer symes HCPCS L5661 | not published | not published | $769.26 – $1,936.53 | 7 |
| Multi family grp psychotherapy CPT 90849 | $86.85 | $86.85 | $28.35 – $67.20 | 9 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $31.73 – $65.75 | 8 |
| Multiple sleep latency test CPT 95805 | $4,989.10 | $4,989.10 | $54.07 – $2,268.22 | 9 |
| Multipo locking shoulder jnt HCPCS L6646 | not published | not published | $2,935.51 – $7,389.74 | 7 |
| Mumps antibody igg CPT 86735 | $164.85 | $164.85 | $6.44 – $88.41 | 9 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $1,159.37 – $2,478.71 | 8 |
| Muscle-skin graft leg CPT 15738 | not published | not published | $1,198.42 – $2,574.96 | 8 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $1,418.05 – $3,050.78 | 8 |
| Muscle test cran nerv unilat CPT 95867 | $255.20 | $255.20 | $39.50 – $214.37 | 9 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $62.23 – $126.06 | 8 |
| Muscle test larynx CPT 95865 | $214.95 | $214.95 | $63.72 – $180.56 | 9 |
| Muscle test one fiber CPT 95872 | not published | not published | $36.88 – $280.11 | 8 |
| Muscle transfers CPT 23397 | not published | not published | $1,086.86 – $2,335.01 | 8 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $1,229.70 – $2,627.15 | 8 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $980.19 – $2,091.01 | 8 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $725.13 – $1,546.74 | 8 |
| Mycobacteria dna amp probe CPT 87551 | not published | not published | $19.30 – $98.23 | 7 |
| Mycobacteria dna dir probe CPT 87550 | not published | not published | $9.90 – $40.83 | 7 |
| Mycobacteria dna quant CPT 87552 | not published | not published | $21.15 – $87.23 | 7 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $67.40 | $67.40 | $0.16 – $1.17 | 7 |
| Mycophenolic acid HCPCS J7518 | $46.60 | $46.60 | $0.37 – $2.16 | 7 |
| Mycoplasma antibody igm CPT 86738 | $174.20 | $174.20 | $6.54 – $73.18 | 9 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $828.10 | $828.10 | $70.16 – $659.50 | 9 |
| Myelogphy 2/> spine regions CPT 72270 | $3,390.45 | $3,390.45 | $62.26 – $2,135.45 | 9 |
| Myelography l-s spine CPT 72265 | $1,614.95 | $1,614.95 | $38.17 – $1,356.56 | 9 |
| Myelography neck spine CPT 72240 | $1,883.45 | $1,883.45 | $41.30 – $1,582.10 | 9 |
| Myelography thoracic spine CPT 72255 | $1,715.10 | $1,715.10 | $41.09 – $1,440.68 | 9 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $3,155.65 | $3,155.65 | $115.38 – $528.10 | 9 |
| Myelography via inj w/s&i cervical CPT 62302 | $3,155.65 | $3,155.65 | $112.25 – $487.63 | 9 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $3,155.65 | $3,155.65 | $110.63 – $485.06 | 9 |
| Myelography via inj w/s&i thoracic CPT 62303 | $3,155.65 | $3,155.65 | $112.25 – $495.99 | 9 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $128.75 | $128.75 | $8.54 – $73.79 | 9 |
| Myocardial resection 33542 CPT 33542 | not published | not published | $2,388.11 – $5,221.77 | 8 |
| Myocrd img pet 1std rst/strs CPT 78491 | not published | not published | $68.54 – $143.02 | 8 |
| Myocrd img pet 1 std w/ct CPT 78429 | $8,278.55 | $8,278.55 | $75.34 – $6,953.98 | 9 |
| Myocrd img pet 2rtracer CPT 78432 | not published | not published | $91.68 – $187.07 | 8 |
| Myocrd img pet 2rtracer CT CPT 78433 | not published | not published | $97.83 – $204.70 | 8 |
| Myocrd img pet mlt rst&strs CPT 78492 | not published | not published | $79.58 – $167.43 | 8 |
| Myocrd img pet rst&strs CT CPT 78431 | not published | not published | $83.47 – $174.87 | 8 |
| Myocrd img pet rst/strs w/ct CPT 78430 | not published | not published | $71.23 – $149.80 | 8 |
| Myomectomy abdom complex CPT 58146 | not published | not published | $1,088.29 – $2,351.29 | 8 |
| Myomectomy abdom method CPT 58140 | not published | not published | $870.43 – $1,878.18 | 8 |
| Myomectomy vag method CPT 58145 | not published | not published | $534.12 – $1,148.86 | 8 |
| Myown harv prep proc sq cm HCPCS Q4226 | not published | not published | $289.70 – $1,224.00 | 6 |
| Myringoplasty CPT 69620 | not published | not published | $478.87 – $1,438.48 | 9 |
| Nabilone oral HCPCS J8650 | not published | not published | $31.85 – $66.19 | 4 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $1,135.01 | $1,135.01 | $0.48 – $59.25 | 9 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $50.87 | $50.87 | $0.85 – $12.54 | 9 |
| Naltrexone, depot form HCPCS J2315 | $6,065.80 | $6,065.80 | $3.80 – $4,518.25 | 9 |
| Nandrolone decanoate 50 mg HCPCS J2320 | not published | not published | $3.75 – $8.12 | 4 |
| Narcosynthesis CPT 90865 | not published | not published | $115.67 – $311.60 | 9 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $355.10 | $355.10 | $60.91 – $298.28 | 9 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | $312.50 | $312.50 | $224.75 – $287.22 | 9 |
| Nasal function studies CPT 92512 | not published | not published | $25.84 – $124.00 | 9 |
| Nasal septal prosthesis HCPCS L8047 | not published | not published | $1,383.19 – $1,803.60 | 7 |
| Nasal/sinus endoscopy surg CPT 31287 | not published | not published | $190.27 – $406.69 | 8 |
| Nasal/sinus endoscopy surg CPT 31290 | not published | not published | $1,085.94 – $2,320.78 | 8 |
| Nasal/sinus endoscopy surg CPT 31291 | not published | not published | $1,156.94 – $2,489.56 | 8 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | not published | not published | $152.61 – $497.26 | 9 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | not published | not published | $220.97 – $473.11 | 8 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | not published | not published | $151.29 – $322.64 | 8 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | not published | not published | $229.63 – $843.56 | 9 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | not published | not published | $304.54 – $652.72 | 8 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | not published | not published | $356.00 – $763.88 | 8 |
| Nasal/sinus maxillary endoscopy dx 31233 CPT 31233 | not published | not published | $128.60 – $530.03 | 9 |
| Nasal/sinus sphenoid endoscopy dx 31235 CPT 31235 | not published | not published | $152.59 – $602.63 | 9 |
| Nasal sinus therapy CPT 30210 | not published | not published | $99.20 – $293.61 | 9 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $285.55 | $285.55 | $36.62 – $187.61 | 9 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $30,637.60 | $30,637.60 | $24.07 – $11,732.83 | 9 |
| Natriuretic peptide CPT 83880 | $427.80 | $427.80 | $25.14 – $307.52 | 9 |
| Natural killer cells total count CPT 86357 | $258.25 | $258.25 | $18.63 – $86.86 | 9 |
| Navigational bronchoscopy 31627 CPT 31627 | not published | not published | $89.23 – $2,043.67 | 9 |
| Nav srv peer sup 60 min pr m HCPCS G0140 | not published | not published | $47.04 – $155.47 | 8 |
| N block inj common digit CPT 64632 | not published | not published | $65.10 – $175.39 | 9 |
| N block inj hypogas plxs CPT 64517 | $1,683.90 | $1,683.90 | $121.23 – $375.19 | 9 |
| Nctrnl pen tmscn&/rgdity tst CPT 54250 | not published | not published | $14.29 – $204.95 | 8 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | $186.25 | $186.25 | $18.61 – $156.45 | 9 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $220.25 | $220.25 | $14.38 – $49.46 | 9 |
| Ndl insj without njx 3+ musc CPT 20561 | $220.25 | $220.25 | $21.73 – $71.31 | 9 |
| Ndl oculoelectromyography 1+ CPT 92265 | not published | not published | $41.13 – $86.09 | 8 |
| Ndl round specialty proguide HCPCS C1715 | $64.60 | $64.60 | $47.52 – $60.72 | 6 |
| Ndsc dcmprn 1 ntrspc lumbar CPT 62380 | not published | not published | $970.53 – $3,124.82 | 8 |
| Ndsc hrv uxtr art 1 sgm cab CPT 33509 | not published | not published | $156.11 – $342.29 | 8 |
| Nebulizer Breathing Treatment CPT 94640 | $116.65 | $116.65 | $7.70 – $16.26 | 9 |
| Neck Airway (Soft Tissue) X-ray CPT 70360 | $327.20 | $327.20 | $8.33 – $186.21 | 9 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $2,858.85 | $2,858.85 | $57.08 – $1,620.11 | 9 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $2,222.70 | $2,222.70 | $54.93 – $1,462.48 | 9 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $2,107.70 | $2,107.70 | $44.98 – $854.32 | 9 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $8,730.55 | $8,730.55 | $104.00 – $2,519.33 | 9 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $4,713.95 | $4,713.95 | $81.30 – $2,085.05 | 9 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $3,932.90 | $3,932.90 | $67.03 – $1,552.82 | 9 |
| Neck (Cervical Spine) X-ray (2 to 3 views) CPT 72040 | $534.95 | $534.95 | $10.27 – $271.00 | 9 |
| Neck (Cervical Spine) X-ray (4 to 5 views) CPT 72050 | $607.60 | $607.60 | $12.55 – $400.96 | 9 |
| Neck (Cervical Spine) X-ray (6 or more views) CPT 72052 | $710.60 | $710.60 | $13.73 – $492.11 | 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.