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 |
|---|---|---|---|---|
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | not published | not published | $89.34 – $224.92 | 7 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $368.40 | $368.40 | $228.97 – $346.30 | 9 |
| Orthopantogram CPT 70355 | $534.95 | $534.95 | $8.72 – $449.36 | 9 |
| Orthopedic shoe add rub insl HCPCS L3510 | not published | not published | $27.17 – $68.40 | 7 |
| Orthop traing pfrmd phys/qhp CPT 92065 | not published | not published | $23.30 – $65.75 | 8 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $24.00 – $53.55 | 8 |
| Ortho shoe add full sole HCPCS L3540 | not published | not published | $47.27 – $119.00 | 7 |
| Ortho shoe add half sole HCPCS L3530 | not published | not published | $29.51 – $74.28 | 7 |
| Ortho shoe add leather insol HCPCS L3500 | not published | not published | $27.17 – $68.40 | 7 |
| Ortho shoe add march bar HCPCS L3595 | not published | not published | $38.97 – $98.10 | 7 |
| Ortho sidebar disconnect HCPCS L2768 | not published | not published | $121.02 – $304.64 | 7 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | not published | not published | $428.89 – $1,079.65 | 7 |
| Orthovisc inj per dose HCPCS J7324 | not published | not published | $97.70 – $182.14 | 8 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $573.20 | $573.20 | $194.89 – $523.91 | 9 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | not published | not published | $838.38 – $2,110.54 | 7 |
| Oscillation chest wall mechanical per session CPT 94669 | $230.85 | $230.85 | $16.63 – $42.03 | 9 |
| O shoe add felt w leath insl HCPCS L3520 | not published | not published | $29.51 – $74.28 | 7 |
| O shoe add horseshoe toe tap HCPCS L3560 | not published | not published | $21.29 – $53.57 | 7 |
| O shoe add instep extension HCPCS L3570 | not published | not published | $79.18 – $199.34 | 7 |
| O shoe add instep velcro clo HCPCS L3580 | not published | not published | $60.25 – $151.68 | 7 |
| O shoe add standard toe tap HCPCS L3550 | not published | not published | $8.25 – $20.77 | 7 |
| O shoe convert to sof counte HCPCS L3590 | not published | not published | $49.62 – $124.90 | 7 |
| Osmolality blood CPT 83930 | $83.70 | $83.70 | $3.26 – $66.46 | 9 |
| Osmolality urine CPT 83935 | $86.35 | $86.35 | $3.37 – $66.46 | 9 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $309.87 – $915.51 | 9 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $556.20 – $1,192.26 | 8 |
| Osteoart algrft w/surf & b1 CPT 20932 | not published | not published | $702.81 – $1,520.31 | 8 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $1,311.81 – $2,806.09 | 8 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $940.65 – $2,009.67 | 8 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $1,171.79 – $2,506.50 | 8 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | $127.60 | $127.60 | $24.49 – $34.55 | 9 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | $160.25 | $160.25 | $24.49 – $138.12 | 9 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | $190.75 | $190.75 | $24.49 – $162.54 | 9 |
| Osteoplasty humerus CPT 24420 | not published | not published | $1,021.39 – $2,183.19 | 8 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $1,537.07 – $3,325.97 | 8 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $331.71 – $725.25 | 8 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $1,504.31 – $3,242.59 | 8 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $1,652.70 – $3,646.57 | 8 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $797.43 – $1,703.30 | 8 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $1,056.20 – $2,258.43 | 8 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $649.30 – $1,382.72 | 8 |
| Ostomy clamp, replacement HCPCS A4363 | not published | not published | $2.63 – $5.60 | 7 |
| Ostomy irrigation set HCPCS A4400 | not published | not published | $54.33 – $135.77 | 7 |
| Ost pch drain 2 piece system HCPCS A4426 | not published | not published | $3.04 – $7.57 | 7 |
| Ost pch drain for barrier fl HCPCS A4425 | not published | not published | $3.98 – $9.94 | 7 |
| Ost pch drain w bar & filter HCPCS A4424 | not published | not published | $5.29 – $13.21 | 7 |
| Ost pch for bar w flange/flt HCPCS A4419 | not published | not published | $1.92 – $4.79 | 7 |
| Ost skn barr extnd >4 sq HCPCS A4410 | not published | not published | $10.05 – $25.11 | 7 |
| Ost urine pch w b/bltin conv HCPCS A4430 | not published | not published | $9.46 – $23.66 | 7 |
| Other bone graft microvasc CPT 20962 | not published | not published | $2,537.71 – $5,431.22 | 8 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $11.04 – $35.25 | 8 |
| Oth resp proc, group HCPCS G0239 | $171.25 | $171.25 | $11.80 – $117.88 | 9 |
| Oth resp proc, indiv HCPCS G0238 | not published | not published | $9.61 – $21.01 | 8 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $124.35 | $124.35 | $42.28 – $99.90 | 9 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | not published | not published | $8.98 – $55.89 | 9 |
| Otoplasty 69300 CPT 69300 | not published | not published | $453.29 – $1,263.08 | 9 |
| Ot re-evaluation patient/family CPT 97168 | $405.05 | $405.05 | $55.08 – $136.40 | 9 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $72.25 | $72.25 | $20.65 – $39.73 | 9 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $74.80 | $74.80 | $21.30 – $41.72 | 9 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $1,441.71 – $3,155.15 | 8 |
| Out of office emerg med serv CPT 99060 | not published | not published | $31.27 – $48.80 | 4 |
| Outrigger HCPCS L1080 | not published | not published | $52.43 – $131.99 | 7 |
| Outrigger bil with vert extens HCPCS L1085 | not published | not published | $136.98 – $344.83 | 7 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $728.44 – $1,569.79 | 8 |
| Ovine, 1000 usp units HCPCS J3472 | not published | not published | $137.80 – $545.75 | 4 |
| Ovulation tests CPT 84830 | not published | not published | $7.62 – $25.86 | 7 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $1,188.96 | $1,188.96 | $0.94 – $223.53 | 7 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $977.23 | $977.23 | $0.07 – $112.36 | 9 |
| Oxymorphone hcl injection HCPCS J2410 | not published | not published | $2.85 – $6.15 | 4 |
| Oxytetracycline injection HCPCS J2460 | not published | not published | $0.94 – $1.54 | 3 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $10.42 | $10.42 | $1.43 – $8.30 | 6 |
| P-32 chromic phos ther per mci HCPCS A9564 | not published | not published | $130.26 – $718.27 | 9 |
| P-32 sod phosphate ther per mci HCPCS A9563 | not published | not published | $179.12 – $753.92 | 9 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $54.80 – $278.96 | 7 |
| Packing strips, non-impreg HCPCS A6407 | not published | not published | $2.09 – $5.19 | 7 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $725.80 | $725.80 | $0.09 – $328.58 | 9 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $5,670.05 | $5,670.05 | $12.02 – $4,979.42 | 9 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $113.15 – $1,377.49 | 7 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $120.54 – $613.61 | 7 |
| Palifermin injection HCPCS J2425 | not published | not published | $21.01 – $36.99 | 8 |
| Palingen or palingen xplus HCPCS Q4173 | not published | not published | $383.25 – $719.82 | 6 |
| Palingen or promatrx HCPCS Q4174 | not published | not published | $291.27 – $2,718.33 | 4 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $12,807.90 | $12,807.90 | $13.92 – $2,649.90 | 9 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $1,502.20 | $1,502.20 | $668.97 – $1,412.07 | 9 |
| Palonosetron hcl HCPCS J2469 | $183.23 | $183.23 | $0.85 – $134.51 | 9 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $576.44 | $576.44 | $8.87 – $107.91 | 9 |
| Pancreas removal/transplant CPT 48160 | not published | not published | $3,843.79 – $6,332.68 | 4 |
| Pancreatectomy CPT 48146 | not published | not published | $1,754.03 – $3,827.55 | 8 |
| Pancreatectomy CPT 48152 | not published | not published | $2,671.30 – $5,847.38 | 8 |
| Pancreatectomy CPT 48154 | not published | not published | $2,682.96 – $5,873.13 | 8 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | $2,872.71 – $6,290.66 | 8 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | $1,460.80 – $3,184.31 | 8 |
| Pancreatorrhaphy CPT 48545 | not published | not published | $1,256.86 – $2,740.34 | 8 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $26,004.45 | $26,004.45 | $145.27 – $5,204.21 | 9 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $40.35 | $40.35 | $9.53 – $28.43 | 9 |
| Papaverin hcl injection HCPCS J2440 | $274.76 | $274.76 | $1.28 – $258.27 | 6 |
| Parathormone (pth) intact CPT 83970 | $740.90 | $740.90 | $20.38 – $201.82 | 9 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | not published | not published | $1,328.66 – $2,848.79 | 8 |
| Parathyrd planar w/spect&ct CPT 78072 | $1,228.40 | $1,228.40 | $69.72 – $1,031.86 | 9 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | not published | $223.39 – $487.34 | 8 |
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.