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 |
|---|---|---|---|---|
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $7,666.90 | $7,666.90 | $81.20 – $2,519.33 | 9 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $2,482.20 | $2,482.20 | $67.68 – $1,903.52 | 9 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $3,932.90 | $3,932.90 | $54.28 – $1,552.82 | 9 |
| Neck Soft Tissue CT Scan (with and without contrast) CPT 70492 | $2,858.85 | $2,858.85 | $72.87 – $1,620.11 | 9 |
| Neck Soft Tissue CT Scan (with contrast) CPT 70491 | $1,987.35 | $1,987.35 | $62.28 – $1,462.48 | 9 |
| Neck Soft Tissue CT Scan (without contrast) CPT 70490 | $1,728.30 | $1,728.30 | $58.06 – $854.32 | 9 |
| Neck spine disk surgery CPT 63020 | not published | not published | $1,041.20 – $2,263.85 | 8 |
| Neck spine disk surgery 63075 CPT 63075 | not published | not published | $1,270.50 – $2,781.69 | 8 |
| Neck spine disk surgery 63076 CPT 63076 | not published | not published | $223.87 – $489.38 | 8 |
| Needle emg guid w/chemodenervation add-on CPT 95874 | not published | not published | $18.40 – $38.63 | 8 |
| Neg press ventilation cnp CPT 94662 | not published | not published | $32.52 – $69.13 | 8 |
| Neg pres wound ther drsg set HCPCS A6550 | not published | not published | $24.04 – $60.96 | 7 |
| Neisseria meningitidis CPT 86741 | not published | not published | $6.51 – $26.86 | 7 |
| Nelarabine injection HCPCS J9261 | $4,500.18 | $4,500.18 | $63.38 – $4,230.17 | 9 |
| Neopatch or therion, 1 sq cm HCPCS Q4176 | not published | not published | $65.92 – $161.50 | 5 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | not published | not published | $0.67 – $1.31 | 4 |
| Neox 100 or clarix 100 HCPCS Q4156 | not published | not published | $68.43 – $253.24 | 4 |
| Nephrectomy open 50220 CPT 50220 | not published | not published | $997.87 – $2,128.97 | 8 |
| Nephrectomy partial CPT 50240 | not published | not published | $1,257.01 – $2,679.33 | 8 |
| Nephrotomy w/exploration CPT 50045 | not published | not published | $886.22 – $1,883.61 | 8 |
| Nerobehav stas exam by psy/md f2f 1st hr CPT 96116 | $663.95 | $663.95 | $75.73 – $177.32 | 9 |
| Nerobehav stas exam phys/qhp f2f ea l hr CPT 96121 | $168.90 | $168.90 | $63.36 – $144.55 | 9 |
| Nerve conduction 7-8 studies CPT 95910 | $502.50 | $502.50 | $68.63 – $422.10 | 9 |
| Nerve conduction studies 11-12 CPT 95912 | $772.25 | $772.25 | $86.19 – $648.69 | 9 |
| Nerve conduction studies 1-2 CPT 95907 | $294.45 | $294.45 | $35.89 – $247.34 | 9 |
| Nerve conduction studies 13+ CPT 95913 | not published | not published | $98.63 – $350.14 | 8 |
| Nerve conduction studies 3-4 CPT 95908 | $502.45 | $502.45 | $44.73 – $422.06 | 9 |
| Nerve conduction studies 5-6 CPT 95909 | $502.50 | $502.50 | $53.90 – $422.10 | 9 |
| Nerve conduction studies 9-10 CPT 95911 | $772.25 | $772.25 | $77.47 – $648.69 | 9 |
| Nerve graft add-on CPT 64901 | not published | not published | $551.26 – $1,191.56 | 8 |
| Nerve graft add-on CPT 64902 | not published | not published | $638.07 – $1,378.65 | 8 |
| Nerve graft head/neck <4 cm CPT 64885 | not published | not published | $1,022.44 – $2,185.90 | 8 |
| Nerve graft head/neck >4 cm CPT 64886 | not published | not published | $1,224.23 – $2,616.31 | 8 |
| Nerve palsy fascial graft CPT 15840 | not published | not published | $962.85 – $2,059.15 | 8 |
| Nerve palsy microsurg graft CPT 15842 | not published | not published | $1,770.40 – $5,463.76 | 8 |
| Nerve palsy muscle graft CPT 15841 | not published | not published | $1,695.03 – $3,611.99 | 8 |
| Nerve pedicle transfer CPT 64905 | not published | not published | $945.00 – $2,040.85 | 8 |
| Nerve pedicle transfer CPT 64907 | not published | not published | $1,231.27 – $2,643.42 | 8 |
| Nerve repair w/allograft CPT 64910 | not published | not published | $731.68 – $1,557.59 | 8 |
| Nerve surgery CPT 64859 | not published | not published | $229.37 – $496.14 | 8 |
| Nerve teasing preparations CPT 88362 | not published | not published | $103.99 – $218.26 | 8 |
| Nesiritide injection HCPCS J2325 | not published | not published | $60.25 – $115.67 | 4 |
| Neurectomy foot CPT 28055 | not published | not published | $373.25 – $797.76 | 8 |
| Neurectomy hamstring CPT 27325 | not published | not published | $545.82 – $1,170.57 | 8 |
| Neurectomy popliteal CPT 27326 | not published | not published | $505.33 – $1,085.15 | 8 |
| Neuroeltrd stim post tibial CPT 64566 | not published | not published | $28.09 – $224.87 | 9 |
| Neuroendoscopy add-on CPT 62160 | not published | not published | $170.60 – $382.95 | 8 |
| Neurolysis celiac plexus CPT 64680 | $1,528.30 | $1,528.30 | $154.62 – $491.02 | 9 |
| Neurolysis trigeminal nerve CPT 64600 | $4,090.35 | $4,090.35 | $221.29 – $923.87 | 9 |
| Neuromatrix nerve cuff, cm HCPCS C9355 | not published | not published | $182.24 – $182.24 | 1 |
| Neuromuscular junction testing ea nerve any 1 method CPT 95937 | $269.35 | $269.35 | $32.46 – $226.25 | 9 |
| Neuroplasty digital 1/both same digit CPT 64702 | not published | not published | $495.44 – $1,062.12 | 8 |
| Neuroplasty nerve of hand or foot 64704 CPT 64704 | not published | not published | $314.40 – $666.96 | 8 |
| Neurorraphy w/vein autograft CPT 64911 | not published | not published | $978.37 – $2,089.65 | 8 |
| Neurovascular pedicle flap CPT 15750 | not published | not published | $885.79 – $1,904.62 | 8 |
| Neutrlzg antb sarscov2 scr CPT 86408 | not published | not published | $21.28 – $85.79 | 7 |
| Neutrlzg antb sarscov2 titer CPT 86409 | not published | not published | $9.05 – $162.10 | 7 |
| Neutron beam tx complex CPT 77423 | not published | not published | $122.09 – $576.66 | 7 |
| New Patient Office Visit (level 2) CPT 99202 | $297.70 | $297.70 | $18.68 – $51.65 | 9 |
| New Patient Office Visit (level 3) CPT 99203 | $341.20 | $341.20 | $26.69 – $73.79 | 9 |
| New Patient Office Visit (level 4) CPT 99204 | $410.50 | $410.50 | $40.95 – $113.22 | 9 |
| New Patient Office Visit (level 5) CPT 99205 | $556.00 | $556.00 | $51.17 – $141.47 | 9 |
| Nfct agt gntyp alys sarscov2 CPT 87913 | not published | not published | $257.45 – $524.22 | 7 |
| Nfct ds bv&vaginitis dna alg CPT 81514 | not published | not published | $105.20 – $535.50 | 7 |
| Nfros nfrot w/drg CPT 50040 | not published | not published | $879.63 – $1,870.05 | 8 |
| N. gonorrhoeae assay w/optic CPT 87850 | not published | not published | $9.82 – $50.01 | 7 |
| N.gonorrhoeae dna quant CPT 87592 | not published | not published | $21.15 – $87.23 | 7 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $684.55 | $684.55 | $0.09 – $47.79 | 9 |
| Nikaidoh proc CPT 33782 | not published | not published | $2,914.60 – $6,419.45 | 8 |
| Nikaidoh proc w/ostia implt CPT 33783 | not published | not published | $3,148.35 – $6,937.29 | 8 |
| N-invas est c ffr sw aly cta CPT 75580 | $1,218.75 | $1,218.75 | $33.41 – $1,023.75 | 9 |
| Nipple/areola reconst 19350 CPT 19350 | not published | not published | $646.60 – $1,609.37 | 9 |
| Nipple exploration CPT 19110 | not published | not published | $336.19 – $945.07 | 9 |
| Nitroblue tetrazolium dye CPT 86384 | not published | not published | $5.62 – $27.71 | 7 |
| Nitrogen n-13 ammonia HCPCS A9526 | not published | not published | $234.39 – $99,999.99 | 5 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $249.40 | $249.40 | $0.91 – $63.24 | 9 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $27,944.85 | $27,944.85 | $30.51 – $4,378.05 | 9 |
| Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 | not published | not published | $183.95 – $359.23 | 8 |
| Njx aa&/strd lmbr plex nfs CPT 64449 | not published | not published | $60.36 – $128.10 | 8 |
| Njx aa&/strd nrv nrvtg si jt CPT 64451 | not published | not published | $78.21 – $439.44 | 9 |
| Njx aa&/strd sc nrv nfs img CPT 64446 | $2,482.80 | $2,482.80 | $71.13 – $2,085.55 | 9 |
| Njx aa&/strd vagus nrv CPT 64408 | not published | not published | $42.85 – $157.40 | 9 |
| Njx cath slct p angrph mapca CPT 93575 | $8,000.00 | $8,000.00 | $86.47 – $6,720.00 | 9 |
| Njx cath slct p-art angrp bi CPT 93573 | $1,551.75 | $1,551.75 | $58.48 – $1,303.47 | 9 |
| Njx cath slct pulm vn angrph CPT 93574 | not published | not published | $65.07 – $138.28 | 8 |
| Njx chemonucleolysis lmbr CPT 62292 | not published | not published | $557.85 – $1,183.44 | 8 |
| Njx cth slct p-art angrp uni CPT 93569 | $775.90 | $775.90 | $35.13 – $651.76 | 9 |
| Njx interlaminar crv/thrc CPT 62324 | $1,523.65 | $1,523.65 | $84.83 – $264.05 | 9 |
| Njx interlaminar crv/thrc CPT 62325 | $1,523.65 | $1,523.65 | $103.46 – $481.86 | 9 |
| Njx interlaminar lmbr/sac CPT 62326 | $1,523.65 | $1,523.65 | $80.94 – $264.69 | 9 |
| Njx interlaminar lmbr/sac CPT 62327 | $1,523.65 | $1,523.65 | $101.38 – $526.19 | 9 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $2,579.30 | $2,579.30 | $144.04 – $926.77 | 9 |
| Njx px peyronie ds exps plaq CPT 54205 | not published | not published | $510.45 – $1,083.81 | 8 |
| Nl comp cgen kdn abnormality CPT 50070 | not published | not published | $1,121.12 – $2,386.53 | 8 |
| Nl removal calculus CPT 50060 | not published | not published | $1,078.23 – $2,296.39 | 8 |
| Nl rmvl lg staghorn calculus CPT 50075 | not published | not published | $1,375.79 – $2,931.48 | 8 |
| Nl sec surg operj calculus CPT 50065 | not published | not published | $1,142.52 – $2,432.63 | 8 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $3,624.15 | $3,624.15 | $43.35 – $1,267.43 | 9 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $2,020.10 | $2,020.10 | $44.00 – $1,121.06 | 9 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $2,931.95 | $2,931.95 | $53.29 – $1,300.53 | 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.