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 |
|---|---|---|---|---|
| Ascenda two piece catheter HCPCS C1772 | $11,200.00 | $11,200.00 | $8,238.72 – $10,528.00 | 6 |
| Ascvd rsk mng clin stf pr mo HCPCS G0538 | not published | not published | $8.65 – $18.29 | 6 |
| Asd repair/cp bypass w without patch 33641 CPT 33641 | not published | not published | $1,490.70 – $3,273.78 | 8 |
| Ashkenazi jewish assoc dis CPT 81412 | $4,466.00 | $4,466.00 | $239.51 – $1,486.29 | 9 |
| Aspa gene CPT 81200 | $381.30 | $381.30 | $18.90 – $48.67 | 9 |
| Asp core fat pad CPT 17999 | $3,560.70 | $3,560.70 | $43.75 – $137.05 | 9 |
| Asp & inj bone cyst CPT 20615 | not published | not published | $154.19 – $492.76 | 9 |
| Asp & inj w/heparin pleurx cath CPT 32999 | $6,289.75 | $6,289.75 | $438.68 – $616.33 | 9 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $5,375.95 | $5,375.95 | $133.43 – $460.01 | 9 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $872.80 | $872.80 | $39.17 – $125.93 | 9 |
| Aspirate pleura without imaging 32554 CPT 32554 | $1,118.65 | $1,118.65 | $82.31 – $450.36 | 9 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $1,962.60 | $1,962.60 | $68.63 – $258.92 | 9 |
| Aspiration orbital contents CPT 67415 | not published | not published | $97.43 – $205.37 | 8 |
| Aspiration peritonsillar abscess CPT 42999 | $3,218.70 | $3,218.70 | $100.60 – $248.96 | 9 |
| Aspir/inj thyroid cyst 60300 CPT 60300 | not published | not published | $45.61 – $206.23 | 9 |
| Asp pq spinal cord cyst/syrinx CPT 62268 | not published | not published | $247.54 – $675.08 | 8 |
| Assay acid phosphatase CPT 84060 | not published | not published | $3.65 – $15.56 | 7 |
| Assay alkaline phosphatase CPT 84078 | not published | not published | $3.60 – $16.82 | 7 |
| Assay blood catecholamines CPT 82383 | not published | not published | $12.37 – $59.21 | 7 |
| Assay chondroitin sulfate CPT 82485 | not published | not published | $10.20 – $42.05 | 7 |
| Assay dir meas fr estradiol CPT 82681 | not published | not published | $11.18 – $56.89 | 7 |
| Assay duodenal fluid trypsin CPT 84485 | not published | not published | $3.56 – $14.66 | 7 |
| Assay free hydroxyproline CPT 83500 | not published | not published | $11.18 – $46.12 | 7 |
| Assay malate dehydrogenase CPT 83775 | not published | not published | $3.64 – $15.01 | 7 |
| Assay myeloperoxidase CPT 83876 | not published | not published | $20.34 – $103.56 | 7 |
| Assay neurflmnt light chain CPT 83884 | $342.95 | $342.95 | $51.53 – $142.46 | 9 |
| Assay of adp & amp CPT 82030 | not published | not published | $12.74 – $52.53 | 7 |
| Assay of androsterone CPT 82160 | not published | not published | $12.35 – $52.02 | 7 |
| Assay of blood lipoprotein CPT 83719 | not published | not published | $5.74 – $25.96 | 7 |
| Assay of bradykinin CPT 82286 | not published | not published | $2.55 – $10.51 | 7 |
| Assay of breath ethanol CPT 82075 | not published | not published | $12.00 – $61.09 | 7 |
| Assay of cathepsin-d CPT 82387 | not published | not published | $8.92 – $36.77 | 7 |
| Assay of chloramphenicol CPT 82415 | not published | not published | $6.26 – $25.80 | 7 |
| Assay of corticosterone CPT 82528 | not published | not published | $11.12 – $45.86 | 7 |
| Assay of digoxin free CPT 80163 | not published | not published | $6.56 – $27.04 | 7 |
| Assay of endocrine hormone CPT 84235 | not published | not published | $28.49 – $145.04 | 7 |
| Assay of estrogen CPT 84233 | not published | not published | $35.15 – $184.15 | 7 |
| Assay of etiocholanolone CPT 82696 | not published | not published | $11.65 – $53.43 | 7 |
| Assay of feces for trypsin CPT 84490 | not published | not published | $3.97 – $20.22 | 7 |
| Assay of feces porphyrins CPT 84126 | not published | not published | $15.64 – $79.64 | 7 |
| Assay of feces/urobilinogen CPT 84577 | not published | not published | $8.30 – $34.21 | 7 |
| Assay of fluoride CPT 82735 | not published | not published | $9.16 – $37.75 | 7 |
| Assay of galactose CPT 82760 | not published | not published | $5.53 – $22.81 | 7 |
| Assay of gdh enzyme CPT 82965 | not published | not published | $5.26 – $26.78 | 7 |
| Assay of glucosidase CPT 82963 | not published | not published | $10.61 – $43.74 | 7 |
| Assay of glutathione CPT 82978 | $177.85 | $177.85 | $7.04 – $167.18 | 9 |
| Assay of haptoglobins CPT 83012 | not published | not published | $10.76 – $54.75 | 7 |
| Assay of idh enzyme CPT 83570 | not published | not published | $4.37 – $18.02 | 7 |
| Assay of interleukin-6 (il-6) CPT 83529 | $360.30 | $360.30 | $6.91 – $128.17 | 9 |
| Assay of intrinsic factor CPT 83528 | not published | not published | $7.93 – $40.36 | 7 |
| Assay of lap enzyme CPT 83670 | not published | not published | $4.52 – $19.98 | 7 |
| Assay of leflunomide CPT 80193 | not published | not published | $15.43 – $78.54 | 7 |
| Assay of lrh hormone CPT 83727 | not published | not published | $8.49 – $35.00 | 7 |
| Assay of methemalbumin CPT 83857 | not published | not published | $5.30 – $21.87 | 7 |
| Assay of neonatal thyroxine CPT 84437 | not published | not published | $3.19 – $13.17 | 7 |
| Assay of osteocalcin CPT 83937 | $480.50 | $480.50 | $14.74 – $113.65 | 9 |
| Assay of phenylketones CPT 84035 | $61.45 | $61.45 | $1.81 – $20.40 | 9 |
| Assay of pregnanediol CPT 84135 | not published | not published | $9.45 – $43.31 | 7 |
| Assay of pregnanetriol CPT 84138 | not published | not published | $9.35 – $42.86 | 7 |
| Assay of procainamide CPT 80190 | not published | not published | $24.00 – $122.17 | 7 |
| Assay of procainamide w/metab CPT 80192 | not published | not published | $8.27 – $34.11 | 7 |
| Assay of progesterone CPT 84234 | not published | not published | $32.04 – $132.11 | 7 |
| Assay of prostaglandin CPT 84150 | $104.05 | $104.05 | $16.71 – $94.61 | 9 |
| Assay of PSA complexed CPT 84152 | not published | not published | $9.08 – $37.45 | 7 |
| Assay of quinine CPT 84228 | not published | not published | $5.74 – $23.68 | 7 |
| Assay of rbc pg6d enzyme CPT 84085 | not published | not published | $4.66 – $19.22 | 7 |
| Assay of salicylate CPT 80179 | $247.40 | $247.40 | $7.46 – $108.24 | 9 |
| Assay of semen fructose CPT 82757 | $132.90 | $132.90 | $8.56 – $120.84 | 9 |
| Assay of sialic acid CPT 84275 | not published | not published | $6.64 – $27.37 | 7 |
| Assay of silica CPT 84285 | $261.65 | $261.65 | $11.62 – $53.72 | 9 |
| Assay of somatostatin CPT 84307 | not published | not published | $9.02 – $37.22 | 7 |
| Assay of thiocyanate CPT 84430 | $217.25 | $217.25 | $5.74 – $47.28 | 9 |
| Assay of troponin qual CPT 84512 | not published | not published | $4.04 – $20.55 | 7 |
| Assay of tyrosine CPT 84510 | not published | not published | $5.14 – $21.64 | 7 |
| Assay of urine sulfate CPT 84392 | $98.15 | $98.15 | $2.34 – $42.91 | 9 |
| Assay of urine urobilinogen CPT 84580 | not published | not published | $4.03 – $19.45 | 7 |
| Assay of urine urobilinogen CPT 84583 | not published | not published | $2.48 – $12.32 | 7 |
| Assay phosphatidylglycerol CPT 84081 | not published | not published | $8.16 – $33.64 | 7 |
| Assay phosphohexose enzymes CPT 84087 | $22.45 | $22.45 | $5.10 – $21.10 | 9 |
| Assay rbc glutathione CPT 82979 | not published | not published | $4.66 – $19.22 | 7 |
| Assay toxin or antitoxin CPT 87230 | not published | not published | $9.75 – $40.19 | 7 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $576.40 | $576.40 | $93.56 – $218.15 | 9 |
| Assess care plan pt w/cog impair 99483 CPT 99483 | $388.75 | $388.75 | $89.53 – $152.75 | 9 |
| Assess cyst contrast inject CPT 49424 | $596.35 | $596.35 | $34.58 – $268.34 | 9 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $69.05 | $69.05 | $2.11 – $23.03 | 9 |
| Asses tinnit/pitch/loud/match/mask 92625 CPT 92625 | not published | not published | $58.34 – $129.13 | 9 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | not published | not published | $213.52 – $473.11 | 8 |
| Assistive tech assessment, ot CPT 97755 | $110.15 | $110.15 | $37.50 – $92.53 | 9 |
| Assist oocyte fertilization CPT 89280 | not published | not published | $790.63 – $814.35 | 5 |
| Assist oocyte fertilization CPT 89281 | not published | not published | $165.85 – $170.82 | 5 |
| Ast/sgot CPT 84450 | $103.80 | $103.80 | $3.83 – $40.89 | 9 |
| Asxl1 full gene sequence CPT 81175 | not published | not published | $676.50 – $1,377.49 | 7 |
| Asxl1 gene target seq alys CPT 81176 | not published | not published | $241.90 – $492.56 | 7 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $40,377.20 | $40,377.20 | $82.68 – $14,367.25 | 9 |
| Athletic trn eval high cmplx CPT 97171 | not published | not published | $56.00 – $107.08 | 4 |
| Athletic trn eval low cmplx CPT 97169 | not published | not published | $56.00 – $107.08 | 4 |
| Athletic trn eval mod cmplx CPT 97170 | not published | not published | $56.00 – $107.08 | 4 |
| Athletic trn re-eval plan cr CPT 97172 | not published | not published | $28.37 – $54.22 | 4 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | $47,284.90 | $47,284.90 | $536.14 – $4,021.79 | 9 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | $47,284.90 | $47,284.90 | $623.89 – $4,709.25 | 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.