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 |
|---|---|---|---|---|
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $3,579.65 | $3,579.65 | $47.24 – $1,115.65 | 9 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,957.30 | $1,957.30 | $22.16 – $523.03 | 9 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $626.95 | $626.95 | $50.51 – $526.64 | 9 |
| No knee/ankle joints with ft b HCPCS L5210 | not published | not published | $2,500.88 – $6,295.60 | 7 |
| No knee joint with artic ali HCPCS L5220 | not published | not published | $2,684.13 – $6,756.89 | 7 |
| Non-blind interatrial shunt HCPCS C9760 | not published | not published | $26,616.08 – $27,414.57 | 5 |
| Non-card vasc flow imaging CPT 78445 | $522.30 | $522.30 | $22.38 – $438.73 | 9 |
| Non-corrosive finish HCPCS L2780 | not published | not published | $80.30 – $202.15 | 7 |
| Non-cov proc, clinical trial HCPCS G0294 | not published | not published | $37.99 – $39.13 | 5 |
| Non-cov surg proc,clin trial HCPCS G0293 | not published | not published | $37.99 – $39.13 | 5 |
| Non-imaging heart function CPT 78414 | not published | not published | $20.01 – $42.01 | 8 |
| Noninv pace analysis CPT 93724 | $560.30 | $560.30 | $45.39 – $470.65 | 9 |
| Non-molded lacer HCPCS L2320 | $348.80 | $348.80 | $224.45 – $327.87 | 9 |
| Non-ophthalmic fva HCPCS C9733 | $523.15 | $523.15 | $345.64 – $491.76 | 9 |
| Non-sterile gauze<=16 sq in HCPCS A6216 | not published | not published | $0.05 – $0.10 | 7 |
| Noonan spectrum disorders CPT 81442 | not published | not published | $857.44 – $4,364.80 | 7 |
| No pt prsnt train add 15 HCPCS G0542 | not published | not published | $23.90 – $50.16 | 6 |
| No pt prsnt train initial 30 HCPCS G0541 | not published | not published | $44.44 – $93.54 | 6 |
| Nose (Nasal Bone) X-ray (complete) CPT 70160 | $465.15 | $465.15 | $8.00 – $226.92 | 9 |
| Novachor 1 sq cm HCPCS Q4194 | not published | not published | $850.00 – $1,697.93 | 4 |
| Npm1 gene CPT 81310 | not published | not published | $57.96 – $501.96 | 7 |
| Nps surg dilat eust tube bi CPT 69706 | not published | not published | $229.72 – $5,346.59 | 9 |
| Nps surg dilat eust tube uni CPT 69705 | not published | not published | $164.64 – $5,175.06 | 9 |
| Npsy fam hlth interv ea addl 15 min CPT 96168 | $65.25 | $65.25 | $21.43 – $48.00 | 9 |
| Npsy grp hlth intrv ea addl 15 min CPT 96165 | $9.00 | $9.00 | $4.08 – $7.85 | 9 |
| Npsy indiv hlth intrv ea addl 15 min CPT 96159 | $42.30 | $42.30 | $19.70 – $43.69 | 9 |
| Npsy tst eval phsy/qhp 1st hr CPT 96132 | $288.15 | $288.15 | $101.95 – $233.77 | 9 |
| Npsy tst eval phsy/qhp ea l hr CPT 96133 | $177.95 | $177.95 | $57.01 – $83.29 | 9 |
| Nqhp ol dig assmt&mgmt 11-20 CPT 98971 | not published | not published | $19.81 – $42.03 | 9 |
| Nqhp ol dig assmt&mgmt 21+ CPT 98972 | not published | not published | $30.56 – $61.68 | 9 |
| Nqhp ol dig assmt&mgmt 5-10 CPT 98970 | not published | not published | $11.24 – $23.72 | 8 |
| Nras gene variants exon 2&3 CPT 81311 | $974.30 | $974.30 | $118.32 – $903.86 | 9 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $5,190.40 | $5,190.40 | $938.60 – $4,359.94 | 9 |
| Nrv grf 1strnd arm/leg >4 cm CPT 64893 | not published | not published | $1,064.85 – $2,283.52 | 8 |
| Nrv grf 1strnd arm/leg <4cm CPT 64892 | not published | not published | $998.99 – $2,142.53 | 8 |
| Nrv grf 1strnd hnd/foot <4cm CPT 64890 | not published | not published | $1,026.33 – $2,200.83 | 8 |
| Nrv grf 1strnd hnd/foot >4cm CPT 64891 | not published | not published | $1,090.69 – $2,339.76 | 8 |
| Nrv grf mltst arm/leg <4 cm CPT 64897 | not published | not published | $1,200.83 – $2,576.32 | 8 |
| Nrv grf mltst arm/leg >4 cm CPT 64898 | not published | not published | $1,300.51 – $2,789.82 | 8 |
| Nrv grf mltst hnd/foot <4 cm CPT 64895 | not published | not published | $1,255.20 – $2,693.59 | 8 |
| Nrv grf mltst hnd/foot >4 cm CPT 64896 | not published | not published | $1,353.79 – $2,905.74 | 8 |
| Nrv rpr w/nrv algrft 1st CPT 64912 | not published | not published | $855.66 – $1,827.35 | 8 |
| Nrv rpr w/nrv algrft ea addl CPT 64913 | not published | not published | $160.01 – $346.35 | 8 |
| Nsl/sins ndsc med&inf dcmprn CPT 31293 | not published | not published | $1,017.39 – $2,180.49 | 8 |
| Nsl/sins ndsc med/inf dcmprn CPT 31292 | not published | not published | $939.74 – $2,011.03 | 8 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | not published | not published | $443.66 – $950.95 | 8 |
| Nsl/sins ndsc surg frnt sins CPT 31296 | not published | not published | $170.48 – $3,215.53 | 9 |
| Nsl/sins ndsc surg frnt&sphn CPT 31298 | not published | not published | $240.98 – $5,954.37 | 9 |
| Nsl/sins ndsc surg max sins CPT 31295 | not published | not published | $149.62 – $3,166.71 | 9 |
| Nsl/sins ndsc surg on dcmprn CPT 31294 | not published | not published | $1,162.03 – $2,492.27 | 8 |
| Nsl/sins ndsc surg sphn sins CPT 31297 | not published | not published | $136.32 – $3,139.09 | 9 |
| Nsl/sins ndsc total CPT 31253 | not published | not published | $469.94 – $1,008.57 | 8 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | not published | not published | $419.35 – $900.12 | 8 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | not published | not published | $583.48 – $1,232.25 | 8 |
| Nsl/sinus ndsc cryoabltj pnn CPT 31243 | not published | not published | $149.30 – $4,682.30 | 8 |
| Nsl/sinus ndsc rf abltj pnn CPT 31242 | not published | not published | $149.30 – $4,823.63 | 8 |
| Nsl/sns ndsc lig sphnptn art CPT 31241 | not published | not published | $417.60 – $898.75 | 8 |
| Ntraop hipec px ea add 30min CPT 96548 | not published | not published | $154.04 – $336.86 | 6 |
| Ntrk1 translocation analysis CPT 81191 | not published | not published | $82.92 – $422.12 | 7 |
| Ntrk2 translocation analysis CPT 81192 | not published | not published | $82.92 – $422.12 | 7 |
| Ntrk3 translocation analysis CPT 81193 | not published | not published | $82.92 – $422.12 | 7 |
| Ntrk translocation analysis CPT 81194 | not published | not published | $207.31 – $1,055.32 | 7 |
| Ntrprof ph1/ntrnet/ehr 11-20 CPT 99447 | $64.10 | $64.10 | $32.05 – $72.52 | 9 |
| Ntrprof ph1/ntrnet/ehr 21-30 CPT 99448 | $101.25 | $101.25 | $50.63 – $107.77 | 9 |
| Ntrprof ph1/ntrnet/ehr 31/> CPT 99449 | $119.95 | $119.95 | $59.98 – $144.37 | 9 |
| Ntrprof ph1/ntrnet/ehr 5/> CPT 99451 | $69.25 | $69.25 | $32.66 – $69.13 | 9 |
| Ntrprof ph1/ntrnet/ehr 5-10 CPT 99446 | $35.90 | $35.90 | $16.87 – $35.92 | 9 |
| Ntrprof ph1/ntrnet/ehr rfrl CPT 99452 | not published | not published | $32.60 – $68.46 | 8 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $2,342.65 | $2,342.65 | $333.39 – $2,202.09 | 9 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $1,951.65 | $1,951.65 | $332.39 – $1,834.55 | 9 |
| Nuclear exam of tear flow CPT 78660 | not published | not published | $20.30 – $42.03 | 8 |
| Nuclear matrix protein 22 CPT 86386 | not published | not published | $8.71 – $44.35 | 7 |
| Nuclear rx intra-arterial CPT 79445 | $675.80 | $675.80 | $103.94 – $567.67 | 9 |
| Nuclear rx intra-articular CPT 79440 | not published | not published | $38.72 – $149.05 | 8 |
| Nuclear rx intracav admin CPT 79200 | $721.05 | $721.05 | $51.38 – $605.68 | 9 |
| Nuclear rx IV admin CPT 79101 | $721.05 | $721.05 | $52.47 – $605.68 | 9 |
| Nuclear Stress Test (Heart) CPT 78452 | $3,786.05 | $3,786.05 | $71.79 – $2,225.32 | 9 |
| Nuclr rx interstit colloid CPT 79300 | $1,007.45 | $1,007.45 | $60.69 – $846.26 | 9 |
| Nudge control elbow lock HCPCS L6637 | not published | not published | $464.17 – $1,168.49 | 7 |
| Nudt15 gene common variants CPT 81306 | not published | not published | $116.54 – $593.27 | 7 |
| Nursing fac care supervision CPT 99379 | not published | not published | $53.05 – $131.06 | 7 |
| Nursing fac care supervision CPT 99380 | not published | not published | $83.01 – $194.67 | 7 |
| Nursing facility discharge management > 30 min 99316 CPT 99316 | $240.70 | $240.70 | $120.35 – $263.67 | 9 |
| Nursing facility discharge management 30 min/less than 99315 CPT 99315 | $185.75 | $185.75 | $77.81 – $164.70 | 9 |
| Nushield 1 square cm HCPCS Q4160 | $734.08 | $734.08 | $97.64 – $200.18 | 7 |
| Nusinersen (pf) 12 mg/5 ml intrathecal solution HCPCS J2326 | $154,733.99 | $154,733.99 | $1,172.16 – $145,449.95 | 9 |
| Obecbtge autol up to 400 mil HCPCS Q2058 | not published | not published | $270,375.00 – $278,486.25 | 5 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $30,906.75 | $30,906.75 | $68.25 – $11,805.63 | 9 |
| Obltrj a-pulm sep def w/byp CPT 33814 | not published | not published | $1,397.39 – $3,058.23 | 8 |
| Observation care discharge CPT 99217 | not published | not published | $144.98 – $144.98 | 1 |
| Observation direct referral from physician office for admission HCPCS G0379 | $392.45 | $392.45 | $74.81 – $138.77 | 9 |
| Observation/inpatient hospital care hi severity 99236 CPT 99236 | $706.95 | $706.95 | $196.50 – $418.21 | 9 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | $434.70 | $434.70 | $92.31 – $196.55 | 9 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | $569.70 | $569.70 | $150.49 – $319.93 | 9 |
| Observation per hour HCPCS G0378 | $126.85 | $126.85 | $30.63 – $84.69 | 9 |
| Obstetrical care 59410 CPT 59410 | not published | not published | $997.31 – $2,202.18 | 8 |
| Obstetric panel inc HIV tstg CPT 80081 | not published | not published | $36.97 – $152.43 | 7 |
| Obstetrics panel CPT 80055 | not published | not published | $23.61 – $97.35 | 7 |
| Obtaining screen pap smear HCPCS Q0091 | $66.75 | $66.75 | $16.90 – $49.10 | 9 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $565.25 | $565.25 | $53.54 – $268.34 | 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.