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 |
|---|---|---|---|---|
| Release of foot tendon 28225 CPT 28225 | not published | not published | $255.40 – $797.30 | 9 |
| Release of foot tendons CPT 28222 | not published | not published | $353.53 – $1,038.23 | 9 |
| Release of foot tendons CPT 28226 | not published | not published | $384.34 – $1,196.27 | 9 |
| Release of lower leg tendon CPT 27680 | not published | not published | $404.96 – $867.58 | 8 |
| Release of lower leg tendons CPT 27681 | not published | not published | $488.57 – $1,046.53 | 8 |
| Release of lung 32220 CPT 32220 | not published | not published | $1,475.21 – $3,214.12 | 8 |
| Release of midfoot joint CPT 28260 | not published | not published | $515.91 – $1,410.22 | 9 |
| Release of midfoot joint CPT 28264 | not published | not published | $652.61 – $1,681.97 | 9 |
| Release of shoulder ligament CPT 23415 | not published | not published | $673.48 – $1,441.00 | 8 |
| Release of skull seams CPT 61550 | not published | not published | $1,129.57 – $2,488.89 | 8 |
| Release of skull seams CPT 61552 | not published | not published | $1,391.44 – $3,080.61 | 8 |
| Release of ureter CPT 50715 | not published | not published | $1,139.58 – $2,450.93 | 8 |
| Release of ureter CPT 50722 | not published | not published | $961.48 – $2,076.11 | 8 |
| Release of ureter CPT 50940 | not published | not published | $844.09 – $1,794.14 | 8 |
| Release palm contracture CPT 26040 | not published | not published | $307.30 – $661.54 | 8 |
| Release palm contracture CPT 26121 | not published | not published | $580.72 – $1,242.41 | 8 |
| Release palm contracture CPT 26123 | not published | not published | $809.19 – $1,731.10 | 8 |
| Release palm contracture CPT 26125 | not published | not published | $252.27 – $542.24 | 8 |
| Release palm contracture 26045 CPT 26045 | not published | not published | $457.96 – $983.48 | 8 |
| Release palm & finger tendon CPT 26442 | not published | not published | $956.79 – $2,038.15 | 8 |
| Release palm/finger tendon CPT 26440 | not published | not published | $629.74 – $1,331.21 | 8 |
| Release/revise ureter CPT 50725 | not published | not published | $1,043.44 – $2,221.15 | 8 |
| Release spinal cord lumbar CPT 63200 | not published | not published | $1,441.95 – $3,170.08 | 8 |
| Release thumb contracture CPT 26508 | not published | not published | $655.38 – $1,386.78 | 8 |
| Release wrist/forearm tendon CPT 25295 | not published | not published | $511.28 – $1,093.97 | 8 |
| Relieve bladder contracture CPT 52640 | not published | not published | $309.68 – $660.18 | 8 |
| Relieve cranial pressure 61345 CPT 61345 | not published | not published | $1,896.04 – $4,217.28 | 8 |
| Relocation of testis(es) CPT 54680 | not published | not published | $750.02 – $1,594.18 | 8 |
| Relocation skin pocket aicd CPT 33223 | $2,188.55 | $2,188.55 | $377.83 – $1,838.38 | 9 |
| Relocation skin pocket pm CPT 33222 | $3,425.80 | $3,425.80 | $319.88 – $1,838.38 | 9 |
| Rem/biv cast full arm/leg CPT 29705 | $507.00 | $507.00 | $42.73 – $81.85 | 9 |
| Rem/biv cast shldr/hip spica CPT 29710 | not published | not published | $77.76 – $240.27 | 9 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $2,672.75 | $2,672.75 | $0.02 – $0.05 | 9 |
| Rem endovas vena cava filter CPT 37193 | $12,415.55 | $12,415.55 | $317.31 – $2,826.85 | 9 |
| Rem interrog dev eval icpms CPT 93297 | not published | not published | $23.46 – $49.47 | 8 |
| Rem interrog dev eval scrms CPT 93298 | $54.65 | $54.65 | $23.46 – $47.65 | 9 |
| Rem interrog evl pm/ids CPT 93296 | $54.65 | $54.65 | $19.53 – $45.91 | 9 |
| Rem interrog evl pm/ldls pm CPT 93294 | not published | not published | $27.79 – $58.97 | 8 |
| Rem mntr physiol 1st dev supply ea 30 days CPT 99454 | not published | not published | $36.09 – $91.23 | 8 |
| Rem mntr physiol 1st set up pt educaj eqp CPT 99453 | not published | not published | $17.66 – $40.66 | 8 |
| Rem mntr wrls p-art prs snr CPT 93264 | not published | not published | $33.29 – $98.94 | 9 |
| Remote 30 day ecg rev/report CPT 93228 | $104.65 | $104.65 | $24.02 – $52.33 | 9 |
| Remote 30 day ecg tech supp CPT 93229 | $498.45 | $498.45 | $169.47 – $468.54 | 9 |
| Remot img sub by pt, non e/m HCPCS G2250 | not published | not published | $8.65 – $23.78 | 8 |
| Removable insert each HCPCS L6691 | not published | not published | $436.35 – $1,098.45 | 7 |
| Removable soft interface le HCPCS K0672 | not published | not published | $79.31 – $198.26 | 7 |
| Removal abdomen lymph nodes 38564 CPT 38564 | not published | not published | $663.31 – $1,427.44 | 8 |
| Removal allograft pancreas CPT 48556 | not published | not published | $1,218.53 – $2,633.93 | 8 |
| Removal anal seton other marker 46030 CPT 46030 | not published | not published | $82.43 – $488.92 | 9 |
| Removal biliary drg cath CPT 47537 | $2,375.20 | $2,375.20 | $89.85 – $915.05 | 9 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $1,362.50 | $1,362.50 | $128.10 – $315.44 | 9 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $2,451.65 | $2,451.65 | $177.64 – $426.60 | 9 |
| Removal cerclage w/anes CPT 59871 | not published | not published | $123.07 – $271.80 | 8 |
| Removal cerclage without anes CPT 59899 | not published | not published | $194.70 – $1,108.88 | 6 |
| Removal cerumen impacted (both sides) CPT 69210 | $174.00 | $174.00 | $30.38 – $75.95 | 9 |
| Removal clot in graft oth/thn 35875 CPT 35875 | not published | not published | $533.94 – $1,176.67 | 8 |
| Removal clot in graft xcp 35876 CPT 35876 | not published | not published | $848.45 – $1,871.41 | 8 |
| Removal deep drug delivery device CPT 20701 | not published | not published | $59.67 – $129.46 | 8 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $368.40 | $368.40 | $37.11 – $198.08 | 9 |
| Removal duct glbldr calculi CPT 47544 | $10,705.05 | $10,705.05 | $144.29 – $1,577.89 | 9 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $401.35 | $401.35 | $106.99 – $136.72 | 9 |
| Removal foreign body extrn auditory canal with anes CPT 69205 | not published | not published | $91.64 – $194.52 | 8 |
| Removal foreign body foot cmplx CPT 28193 | $837.50 | $837.50 | $355.19 – $1,002.89 | 9 |
| Removal foreign body foot subcutaneous right CPT 28190 | $1,583.00 | $1,583.00 | $127.87 – $463.85 | 9 |
| Removal foreign body gum 41805 CPT 41805 | not published | not published | $188.35 – $592.35 | 9 |
| Removal foreign body jawbone CPT 41806 | not published | not published | $265.75 – $786.38 | 9 |
| Removal foreign body mouth CPT 40805 | not published | not published | $190.81 – $549.31 | 9 |
| Removal implant from finger/hand 26320 CPT 26320 | not published | not published | $339.39 – $727.96 | 8 |
| Removal implant superficial separate procedure CPT 20670 | $3,344.80 | $3,344.80 | $138.95 – $686.16 | 9 |
| Removal kidney open complex CPT 50225 | not published | not published | $1,122.42 – $2,404.83 | 8 |
| Removal kidney open radical CPT 50230 | not published | not published | $1,206.14 – $2,576.99 | 8 |
| Removal mamma implant mat 19330 CPT 19330 | not published | not published | $620.17 – $1,318.99 | 8 |
| Removal neck/armpit lesion CPT 38550 | not published | not published | $498.30 – $1,072.96 | 8 |
| Removal neck/armpit lesion 38555 CPT 38555 | not published | not published | $966.49 – $2,095.09 | 8 |
| Removal of adenoids CPT 42830 | not published | not published | $205.65 – $439.90 | 8 |
| Removal of adenoids CPT 42831 | not published | not published | $223.75 – $477.86 | 8 |
| Removal of adenoids CPT 42836 | not published | not published | $237.83 – $506.32 | 8 |
| Removal of adenoids <12yrs 42835 CPT 42835 | not published | not published | $191.80 – $410.74 | 8 |
| Removal of anal fissure CPT 46200 | not published | not published | $324.02 – $920.66 | 9 |
| Removal of anal tags CPT 46230 | not published | not published | $166.51 – $605.84 | 9 |
| Removal of ankle bone CPT 28130 | not published | not published | $588.09 – $1,268.17 | 8 |
| Removal of ankle/heel lesion CPT 28100 | not published | not published | $403.95 – $1,182.14 | 9 |
| Removal of ankle implant CPT 27704 | not published | not published | $547.40 – $1,167.17 | 8 |
| Removal of arm artery clot 34111 CPT 34111 | not published | not published | $538.85 – $1,184.80 | 8 |
| Removal of artery clot CPT 34051 | not published | not published | $913.20 – $1,985.95 | 8 |
| Removal of artery clot 34101 CPT 34101 | not published | not published | $540.16 – $1,186.15 | 8 |
| Removal of artery clot 34151 CPT 34151 | not published | not published | $1,251.72 – $2,763.39 | 8 |
| Removal of artery clot; neck incision 34001 CPT 34001 | not published | not published | $823.28 – $1,818.53 | 8 |
| Removal of bladder CPT 51570 | not published | not published | $1,387.76 – $2,963.34 | 8 |
| Removal of bladder lesion CPT 51520 | not published | not published | $570.65 – $1,210.54 | 8 |
| Removal of bladder lesion CPT 51525 | not published | not published | $815.05 – $1,733.80 | 8 |
| Removal of bladder lesion CPT 51530 | not published | not published | $733.49 – $1,558.94 | 8 |
| Removal of bladder & nodes CPT 51575 | not published | not published | $1,711.10 – $3,647.91 | 8 |
| Removal of bladder & nodes CPT 51585 | not published | not published | $1,987.60 – $4,235.58 | 8 |
| Removal of bladder stone CPT 51050 | not published | not published | $453.73 – $961.13 | 8 |
| Removal of bone for graft CPT 20900 | not published | not published | $170.50 – $742.69 | 9 |
| Removal of bone for graft CPT 20902 | not published | not published | $258.19 – $557.15 | 8 |
| Removal of bone lesion CPT 23140 | not published | not published | $536.89 – $1,152.27 | 8 |
| Removal of bone lesion CPT 23145 | not published | not published | $671.72 – $1,436.95 | 8 |
| Removal of bone lesion CPT 23146 | not published | not published | $602.27 – $1,292.56 | 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.