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 |
|---|---|---|---|---|
| Place duod/jej tube perc CPT 49441 | $2,754.00 | $2,754.00 | $225.03 – $1,820.11 | 9 |
| Place endorectal app HCPCS C9725 | not published | not published | $882.39 – $908.86 | 5 |
| Place gastrostomy tube open 43832 CPT 43832 | not published | not published | $979.61 – $2,132.35 | 8 |
| Place gastrostomy tube perc CPT 49440 | $3,103.00 | $3,103.00 | $190.37 – $1,572.76 | 9 |
| Placement bile duct support CPT 47801 | not published | not published | $1,037.64 – $2,265.21 | 8 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $532.65 | $532.65 | $92.20 – $214.70 | 9 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $267.05 | $267.05 | $46.16 – $90.02 | 9 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $1,185.40 | $1,185.40 | $76.94 – $190.54 | 9 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $7,407.70 | $7,407.70 | $190.58 – $1,717.31 | 9 |
| Placement of drain pancreas CPT 48001 | not published | not published | $2,134.82 – $4,672.75 | 8 |
| Placement of seton CPT 46020 | not published | not published | $110.80 – $237.24 | 8 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $49,264.05 | $49,264.05 | $396.12 – $5,184.05 | 9 |
| Place ndl musc/tis for right CPT 20555 | not published | not published | $325.92 – $677.81 | 8 |
| Place needles h&n for right CPT 41019 | not published | not published | $473.52 – $986.89 | 8 |
| Place needles pelvic for right CPT 55920 | not published | not published | $445.48 – $929.93 | 8 |
| Place non-slctv cath thoracic arta CPT 36221 | $8,386.85 | $8,386.85 | $180.61 – $1,870.85 | 9 |
| Placental lactogen CPT 83632 | not published | not published | $9.99 – $41.17 | 7 |
| Place po breast cath for rad CPT 19296 | $13,939.30 | $13,939.30 | $195.23 – $6,922.57 | 9 |
| Place right device/marker pros CPT 55876 | not published | not published | $97.86 – $292.32 | 9 |
| Place slctv cath carotd art uni CPT 36224 | $13,839.95 | $13,839.95 | $336.74 – $3,937.66 | 9 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $8,223.65 | $8,223.65 | $259.59 – $2,346.28 | 9 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $8,223.65 | $8,223.65 | $300.55 – $3,189.21 | 9 |
| Place slctv cath subclavian art CPT 36225 | $8,224.45 | $8,224.45 | $298.36 – $3,028.58 | 9 |
| Place slctv cath vertebral art uni CPT 36226 | $13,839.95 | $13,839.95 | $334.47 – $3,091.16 | 9 |
| Plaelet rich plasma unit HCPCS P9020 | not published | not published | $57.70 – $574.04 | 6 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | not published | not published | $40.28 – $151.72 | 6 |
| Plasma cryo redu path each HCPCS P9025 | not published | not published | $135.15 – $630.53 | 6 |
| Plasmaprotein fract,5%,250ml HCPCS P9048 | not published | not published | $53.95 – $75.93 | 8 |
| Plasma protein fract,5%,50ml HCPCS P9043 | not published | not published | $8.07 – $28.47 | 8 |
| Plasma volume multiple CPT 78111 | not published | not published | $9.08 – $17.61 | 8 |
| Plasma volume single CPT 78110 | $1,704.65 | $1,704.65 | $7.34 – $1,431.91 | 9 |
| Plas shoe insert w ank joint HCPCS L2180 | not published | not published | $122.93 – $309.46 | 7 |
| Plastic mod low ext pad/line HCPCS L2275 | not published | not published | $117.16 – $294.94 | 7 |
| Plastic mold recipro hip & c HCPCS L2627 | not published | not published | $2,034.07 – $5,120.49 | 7 |
| Plastic surgery neck CPT 15819 | not published | not published | $766.90 – $1,632.14 | 7 |
| Plast socket jts/thgh lacer HCPCS L5105 | not published | not published | $4,034.01 – $10,155.04 | 7 |
| Platelet aggregation each agent teg CPT 85576 | $273.25 | $273.25 | $10.61 – $220.58 | 9 |
| Platelet automated CPT 85049 | $119.60 | $119.60 | $2.21 – $55.37 | 9 |
| Platelet deplete of harvest CPT 38213 | not published | not published | $11.56 – $435.81 | 7 |
| Platelet pheresis each unit HCPCS P9034 | not published | not published | $397.13 – $440.40 | 6 |
| Platelet pheresis irr ea HCPCS P9036 | not published | not published | $477.97 – $605.28 | 6 |
| Platelets each unit HCPCS P9019 | not published | not published | $44.64 – $78.24 | 6 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | not published | not published | $777.49 – $800.81 | 5 |
| Platelets irradiated ea unit HCPCS P9032 | not published | not published | $80.57 – $139.85 | 6 |
| Platelets leukocytes reduced each unit HCPCS P9031 | not published | not published | $53.35 – $129.54 | 6 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | not published | not published | $128.48 – $211.55 | 6 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | not published | not published | $227.25 – $234.07 | 5 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $2,959.80 | $2,959.80 | $459.23 – $1,284.28 | 9 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $2,762.45 | $2,762.45 | $440.40 – $1,479.75 | 9 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $2,996.15 | $2,996.15 | $437.68 – $1,533.42 | 9 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $3,153.40 | $3,153.40 | $587.28 – $1,811.38 | 9 |
| Platelet survival CPT 78191 | not published | not published | $23.22 – $48.80 | 8 |
| Plating chrome/nickel pr bar HCPCS L2750 | not published | not published | $99.18 – $249.66 | 7 |
| Plcg2 gene common variants CPT 81320 | not published | not published | $116.54 – $593.27 | 7 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $10,704.30 | $10,704.30 | $243.96 – $2,200.44 | 9 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $4,108.10 | $4,108.10 | $188.87 – $2,668.15 | 9 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $11,030.70 | $11,030.70 | $189.61 – $1,880.50 | 9 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $11,030.70 | $11,030.70 | $317.32 – $2,532.60 | 9 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | not published | not published | $716.75 – $1,579.28 | 8 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $2,364.90 | $2,364.90 | $78.68 – $695.15 | 9 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $1,294.65 | $1,294.65 | $39.76 – $299.79 | 9 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | not published | not published | $287.22 – $636.46 | 8 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $444.35 | $444.35 | $59.34 – $373.25 | 9 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | not published | not published | $46.25 – $363.00 | 9 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $332.30 | $332.30 | $39.34 – $224.32 | 9 |
| Plerixafor injection HCPCS J2562 | not published | not published | $73.30 – $172.88 | 8 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $528.90 | $528.90 | $11.24 – $23.72 | 9 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | not published | not published | $848.91 – $1,849.72 | 8 |
| Plmt access bil tree sm bwl CPT 47541 | not published | not published | $310.31 – $2,202.37 | 9 |
| Plmt biliary drainage cath CPT 47534 | $10,704.30 | $10,704.30 | $341.49 – $2,416.96 | 9 |
| Plmt nephroureteral catheter CPT 50433 | $7,407.70 | $7,407.70 | $236.69 – $2,138.12 | 9 |
| Plmt ureteral stent prq CPT 50694 | $11,030.70 | $11,030.70 | $247.63 – $2,108.58 | 9 |
| Plug insert indwelling 16f HCPCS L8511 | not published | not published | $67.70 – $170.41 | 7 |
| Pm device progr eval dual CPT 93280 | $73.75 | $73.75 | $34.82 – $68.10 | 9 |
| Pm device progr eval multi CPT 93281 | $73.75 | $73.75 | $36.09 – $69.33 | 9 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $102.38 – $422.12 | 7 |
| Pmp22 gene dup/delet CPT 81324 | not published | not published | $303.34 – $1,544.17 | 7 |
| Pmp22 gene full sequence CPT 81325 | not published | not published | $123.03 – $1,567.02 | 7 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $21.14 – $97.61 | 7 |
| Pm phone r-strip device eval CPT 93293 | not published | not published | $13.19 – $27.79 | 8 |
| Pms2 gene dup/delet variants CPT 81319 | not published | not published | $81.40 – $414.37 | 7 |
| Pms2 gene full seq analysis CPT 81317 | not published | not published | $282.81 – $1,377.49 | 7 |
| Pms2 known familial variants CPT 81318 | not published | not published | $98.97 – $673.98 | 7 |
| Pne flu hepb cov home admin HCPCS M0201 | not published | not published | $25.74 – $72.29 | 7 |
| Pneum full leg splnt pre ots HCPCS L4370 | not published | not published | $224.00 – $563.88 | 7 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $85.50 – $243.50 | 9 |
| #pnh-flow cytometry interp CPT 88187 | not published | not published | $34.07 – $71.17 | 8 |
| Pn soln nos 10 grams lipids HCPCS B4185 | not published | not published | $16.29 – $32.40 | 6 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $320.80 | $320.80 | $10.43 – $180.43 | 9 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $66,787.05 | $66,787.05 | $120.47 – $62,779.83 | 9 |
| Polycentric hinge pair HCPCS L6600 | not published | not published | $177.84 – $447.68 | 7 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | not published | not published | $126.63 – $266.37 | 8 |
| Polysom any age 1-3> param CPT 95808 | not published | not published | $77.52 – $163.36 | 8 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $5,190.30 | $5,190.30 | $116.34 – $4,256.65 | 9 |
| Polyvalent mult org ea ag ia CPT 87451 | not published | not published | $4.74 – $21.40 | 7 |
| Porfimer sodium injection HCPCS J9600 | not published | not published | $4,609.71 – $24,955.27 | 8 |
| Portable 02 contents, gas HCPCS E0443 | not published | not published | $59.57 – $117.77 | 6 |
| Portable 02 contents, liquid HCPCS E0444 | not published | not published | $59.57 – $117.77 | 6 |
| Positional change of finger CPT 26555 | not published | not published | $1,323.13 – $2,836.59 | 8 |
| Positional nystagmus test CPT 92532 | not published | not published | $19.71 – $36.61 | 4 |
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.