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 |
|---|---|---|---|---|
| Opn ax/subcla art expos CPT 34715 | not published | not published | $265.86 – $590.36 | 8 |
| Opn exc/dst ntra-abd CPT 49189 | not published | not published | $2,180.13 – $4,756.11 | 6 |
| Opn exc/dst ntra-abd 10.1-20 CPT 49188 | not published | not published | $1,875.45 – $4,088.49 | 6 |
| Opn exc/dstr ntra-abd >30 cm CPT 49190 | not published | not published | $2,688.23 – $5,862.97 | 6 |
| Opn exc/dstr ntra-abd 5.1-10 CPT 49187 | not published | not published | $1,569.01 – $3,421.53 | 6 |
| Opn exc/dstr ntra-abd 5 cm/< CPT 49186 | not published | not published | $1,233.81 – $2,677.32 | 6 |
| Opn fem art expos cndt crtj 34714 CPT 34714 | not published | not published | $241.73 – $533.42 | 8 |
| Opn ilac art expos cndt crtj CPT 34833 | not published | not published | $349.60 – $776.75 | 8 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $575.31 – $1,235.63 | 8 |
| Opn impltj nea neuromuscular CPT 64580 | not published | not published | $300.30 – $646.62 | 8 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | $294.56 – $642.56 | 8 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $621.45 – $1,329.84 | 8 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | not published | not published | $796.87 – $1,703.30 | 8 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $1,038.65 – $2,196.08 | 8 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $1,217.40 – $2,594.63 | 8 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | not published | $1,044.63 – $2,220.48 | 8 |
| Opn tx dprsd zygomatic arch CPT 21356 | not published | not published | $387.44 – $1,059.42 | 9 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $998.74 – $2,114.74 | 8 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | $970.05 – $2,057.13 | 8 |
| Opn tx nasomax fx w/graft CPT 21348 | not published | not published | $1,043.88 – $2,232.67 | 8 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | $734.31 – $1,560.30 | 8 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $665.10 – $1,413.20 | 8 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $703.50 – $1,495.22 | 8 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $863.50 – $1,838.20 | 8 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $624.68 – $1,309.50 | 8 |
| Opn tx orbit fx without impl 21406 CPT 21406 | not published | not published | $560.83 – $1,194.96 | 8 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $768.83 – $1,635.53 | 8 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $958.89 – $2,048.99 | 8 |
| Opps service,sched team conf HCPCS G0175 | not published | not published | $412.13 – $424.49 | 5 |
| Oprelvekin injection HCPCS J2355 | not published | not published | $426.92 – $866.95 | 4 |
| Opscpy extnd on/mac draw CPT 92202 | not published | not published | $13.86 – $29.55 | 9 |
| Opscpy extnd rta draw uni/bi CPT 92201 | not published | not published | $21.55 – $47.54 | 9 |
| Optical endomicroscpy interp CPT 88375 | not published | not published | $44.69 – $94.21 | 8 |
| Optokinetic nystagmus test CPT 92534 | not published | not published | $21.20 – $39.98 | 4 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $626.47 – $1,341.37 | 8 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $553.98 – $1,184.11 | 8 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $567.45 – $1,211.91 | 8 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $695.56 – $1,485.06 | 8 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $695.42 – $1,486.41 | 8 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $1,118.60 – $2,370.95 | 8 |
| Optx cranfcl sep comp mlt CPT 21433 | not published | not published | $1,647.30 – $3,515.07 | 8 |
| Optx cranfcl sep w/wiring CPT 21432 | not published | not published | $686.41 – $1,451.85 | 8 |
| Optx crnfcl sep comp mlt int CPT 21436 | not published | not published | $1,938.38 – $4,133.89 | 8 |
| Optx crnfc sep comp int&/xtr CPT 21435 | not published | not published | $1,344.24 – $2,861.68 | 8 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $553.30 – $1,185.48 | 8 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $752.59 – $1,610.45 | 8 |
| Optx lunate dislocation CPT 25695 | not published | not published | $613.21 – $1,312.90 | 8 |
| Optx medial ankle fx CPT 27766 | not published | not published | $585.99 – $1,248.52 | 8 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $774.50 – $1,621.98 | 8 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $1,005.14 – $3,534.20 | 9 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $473.25 – $997.05 | 8 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $605.07 – $1,497.59 | 9 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $608.04 – $1,270.87 | 8 |
| Optx palatal/max fx comp CPT 21423 | not published | not published | $761.24 – $1,623.34 | 8 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $1,041.41 – $2,229.96 | 8 |
| Optx post ankle fx CPT 27769 | not published | not published | $700.79 – $1,494.55 | 8 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $850.28 – $1,815.82 | 8 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $1,178.06 – $2,527.51 | 8 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $647.51 – $1,388.81 | 8 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $610.37 – $1,306.79 | 8 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $588.67 – $1,258.01 | 8 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $763.42 – $1,632.14 | 8 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $920.50 – $1,969.01 | 8 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $871.21 – $1,862.59 | 8 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $653.27 – $1,397.63 | 8 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $935.67 – $1,999.51 | 8 |
| Optx sho dislc fx CPT 23670 | not published | not published | $838.68 – $1,794.14 | 8 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $894.40 – $1,891.06 | 8 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $605.44 – $1,297.30 | 8 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $557.07 – $1,192.93 | 8 |
| Optx thigh fx CPT 27269 | not published | not published | $1,180.02 – $2,528.19 | 8 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $762.94 – $1,598.93 | 8 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $709.44 – $1,517.60 | 8 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $604.71 – $1,295.96 | 8 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $603.14 – $1,291.89 | 8 |
| Oral aprepitant HCPCS J8501 | $842.40 | $842.40 | $3.05 – $235.08 | 7 |
| Oral busulfan HCPCS J8510 | not published | not published | $4.74 – $140.11 | 8 |
| Oral everolimus HCPCS J7527 | not published | not published | $2.75 – $4.59 | 5 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | not published | not published | $5.92 – $25.08 | 7 |
| Oral methotrexate (jylamvo) HCPCS J8611 | not published | not published | $18.53 – $40.57 | 6 |
| Oral methotrexate (xatmep) HCPCS J8612 | $3,861.62 | $3,861.62 | $22.66 – $3,629.92 | 9 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $393.86 – $785.75 | 8 |
| Orbitocranial approach/skull CPT 61584 | not published | not published | $2,675.72 – $5,912.45 | 8 |
| Orbitocranial approach/skull CPT 61585 | not published | not published | $3,028.91 – $6,723.10 | 8 |
| Orbitocranial approach/skull CPT 61592 | not published | not published | $2,930.04 – $6,489.94 | 8 |
| Orchiectomy partial CPT 54522 | not published | not published | $561.69 – $1,192.93 | 8 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $680.73 – $1,446.44 | 8 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $413.00 – $875.71 | 8 |
| Organic acids total quant ea spec CPT 83918 | not published | not published | $9.44 – $48.05 | 7 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | $4,165.60 | $4,165.60 | $40.92 – $3,915.66 | 9 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | not published | not published | $27.20 – $51.68 | 8 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $112.46 – $308.38 | 9 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | not published | not published | $5.47 – $17.51 | 6 |
| Ortho dvc repair per 15 min HCPCS L4205 | not published | not published | $22.71 – $58.30 | 7 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $502.95 | $502.95 | $144.74 – $400.16 | 9 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | not published | not published | $422.77 – $1,064.24 | 7 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | not published | not published | $1,084.01 – $2,728.81 | 7 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | not published | not published | $615.13 – $1,548.49 | 7 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $600.60 | $600.60 | $204.20 – $339.90 | 9 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | not published | not published | $271.55 – $683.59 | 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.