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 |
|---|---|---|---|---|
| Repair sciatic nerve CPT 64858 | not published | not published | $1,116.41 – $2,395.34 | 8 |
| Repair septal defect CPT 33813 | not published | not published | $1,168.97 – $2,653.94 | 7 |
| Repair shoulder capsule CPT 23450 | not published | not published | $906.62 – $1,939.20 | 8 |
| Repair shoulder capsule CPT 23455 | not published | not published | $930.93 – $2,004.93 | 8 |
| Repair shoulder capsule CPT 23460 | not published | not published | $1,043.46 – $2,233.34 | 8 |
| Repair shoulder capsule CPT 23462 | not published | not published | $1,020.27 – $2,185.23 | 8 |
| Repair shoulder capsule CPT 23465 | not published | not published | $1,069.40 – $2,289.61 | 8 |
| Repair shoulder capsule CPT 23466 | not published | not published | $1,074.29 – $2,302.49 | 8 |
| Repair single ventricle CPT 33617 | not published | not published | $1,968.02 – $4,323.69 | 8 |
| Repair single ventricle CPT 33619 | not published | not published | $2,501.86 – $5,491.53 | 8 |
| Repair skull cavity lesion CPT 62120 | not published | not published | $1,941.98 – $4,282.34 | 8 |
| Repair spigelian hernia 49590 CPT 49590 | not published | not published | $1,164.76 – $1,164.76 | 1 |
| Repair spinal fluid leakage 63707 CPT 63707 | not published | not published | $892.79 – $1,937.83 | 8 |
| Repair stern/nuss without scope CPT 21742 | not published | not published | $1,542.18 – $3,234.47 | 7 |
| Repair sternum/nuss w/scope CPT 21743 | not published | not published | $1,738.70 – $3,239.88 | 7 |
| Repair stomach-bowel fistula 43880 CPT 43880 | not published | not published | $1,495.10 – $3,264.97 | 8 |
| Repair stomach opening CPT 43870 | $5,968.50 | $5,968.50 | $666.53 – $5,013.54 | 9 |
| Repair tear ducts CPT 68700 | not published | not published | $573.94 – $1,213.27 | 8 |
| Repair tendon extensor foot 1/2 each tendon CPT 28208 | not published | not published | $311.53 – $936.08 | 9 |
| Repair tendon/muscle forearm/wrist prime sngl ea CPT 25260 | $6,596.95 | $6,596.95 | $614.82 – $1,314.94 | 9 |
| Repair testis injury CPT 54670 | not published | not published | $394.00 – $835.05 | 8 |
| Repair throat esophagus 42953 CPT 42953 | not published | not published | $919.01 – $1,946.65 | 8 |
| Repair throat wound CPT 42900 | not published | not published | $317.41 – $677.81 | 8 |
| Repair toe dislocation CPT 28645 | not published | not published | $469.78 – $1,261.81 | 9 |
| Repair tongue lac <2.5cm past 1/3 tongue 41251 CPT 41251 | not published | not published | $175.67 – $605.84 | 9 |
| Repair/transpose mp nerve 64856 CPT 64856 | not published | not published | $959.12 – $2,053.73 | 8 |
| Repair umbil hern incar > 5 yr 49587 CPT 49587 | not published | not published | $965.58 – $965.58 | 1 |
| Repair umbil hern reduc < 5 yr 49580 CPT 49580 | not published | not published | $665.78 – $665.78 | 1 |
| Repair umbil hern reduc > 5 yr 49585 CPT 49585 | not published | not published | $904.35 – $904.35 | 1 |
| Repair umbilical lesion CPT 49600 | not published | not published | $692.63 – $1,503.37 | 8 |
| Repair umbilical lesion CPT 49606 | not published | not published | $1,060.23 – $2,311.29 | 8 |
| Repair umbilical lesion CPT 49605 | not published | not published | $4,533.14 – $9,940.61 | 8 |
| Repair umbilical lesion CPT 49610 | not published | not published | $655.11 – $1,420.68 | 8 |
| Repair umbilical lesion CPT 49611 | not published | not published | $578.49 – $1,253.26 | 8 |
| Repair upper arm/elbow tendon/muscle ea CPT 24341 | not published | not published | $721.29 – $1,550.81 | 8 |
| Repair upper jaw fistula CPT 30580 | not published | not published | $446.79 – $1,175.72 | 9 |
| Repair urethrovaginal lesion CPT 57311 | not published | not published | $533.51 – $1,135.32 | 8 |
| Repair urethrovaginal lesion 57310 CPT 57310 | not published | not published | $474.30 – $1,008.57 | 8 |
| Repair uro sphincter CPT 53449 | not published | not published | $586.75 – $1,244.44 | 8 |
| Repair vagina CPT 57335 | not published | not published | $1,111.15 – $2,396.70 | 8 |
| Repair vagina/perineum CPT 57210 | $7,462.40 | $7,462.40 | $375.42 – $6,268.42 | 9 |
| Repair valve femoral vein CPT 34501 | not published | not published | $810.85 – $1,784.65 | 8 |
| Repair venous anomaly CPT 33724 | not published | not published | $1,399.88 – $3,071.12 | 8 |
| Repair ventral hern init incar 49561 CPT 49561 | not published | not published | $1,893.86 – $1,893.86 | 1 |
| Repair ventral hern init reduc 49560 CPT 49560 | not published | not published | $1,501.85 – $1,501.85 | 1 |
| Repair vessel defect 33802 CPT 33802 | not published | not published | $1,001.00 – $2,185.23 | 8 |
| Repair vessel graft defect CPT 35870 | not published | not published | $1,121.32 – $2,479.40 | 8 |
| Repair webbed toe(s) CPT 28345 | not published | not published | $352.24 – $988.75 | 9 |
| Repair windpipe opening CPT 31614 | not published | not published | $682.09 – $1,450.50 | 8 |
| Repeat thyroid surgery CPT 60260 | not published | not published | $1,027.00 – $2,215.73 | 8 |
| Replac av w/bypas/other pros valve 33405 CPT 33405 | not published | not published | $2,063.91 – $4,524.99 | 8 |
| Replace afo soft interface HCPCS L4392 | not published | not published | $22.82 – $57.46 | 7 |
| Replace aortic valve allograft freehand 33406 CPT 33406 | not published | not published | $2,614.43 – $5,748.42 | 8 |
| Replace aortic valve annulus enlgment 33411 CPT 33411 | not published | not published | $3,038.43 – $6,669.55 | 8 |
| Replace aortic valve open axillry 33363 CPT 33363 | not published | not published | $1,235.58 – $2,715.27 | 8 |
| Replace aortic valve open femoral 33362 CPT 33362 | not published | not published | $1,193.07 – $2,616.31 | 8 |
| Replace aortic valve open iliac 33364 CPT 33364 | not published | not published | $1,231.89 – $2,703.08 | 8 |
| Replace aortic valve open transaortic 33365 CPT 33365 | not published | not published | $1,287.17 – $2,828.47 | 8 |
| Replace aortic valve w/byp cntrl aprch 33369 CPT 33369 | not published | not published | $877.11 – $1,929.01 | 8 |
| Replace aortic valve w/byp open aprch 33368 CPT 33368 | not published | not published | $664.58 – $1,461.34 | 8 |
| Replace aortic valve w/byp prq aprch 33367 CPT 33367 | not published | not published | $548.92 – $1,205.80 | 8 |
| Replace brain cavity shunt CPT 62258 | not published | not published | $1,040.16 – $2,306.55 | 8 |
| Replace duod/jej tube perc CPT 49451 | $1,918.15 | $1,918.15 | $82.09 – $897.29 | 9 |
| Replace elbow joint CPT 24363 | not published | not published | $1,380.63 – $2,955.89 | 8 |
| Replace eye fluid CPT 67025 | not published | not published | $601.90 – $1,418.56 | 9 |
| Replace foot drop spint HCPCS L4394 | not published | not published | $16.66 – $41.97 | 7 |
| Replace g/c tube perc CPT 49450 | $1,162.30 | $1,162.30 | $61.13 – $652.47 | 9 |
| Replace g-j tube perc CPT 49452 | $1,664.60 | $1,664.60 | $126.49 – $1,000.36 | 9 |
| Replace high roll cuff HCPCS L4060 | not published | not published | $296.20 – $745.64 | 7 |
| Replace/irrigate catheter CPT 62194 | not published | not published | $468.82 – $1,030.93 | 8 |
| Replace/irrigate catheter CPT 62225 | not published | not published | $507.67 – $1,118.36 | 8 |
| Replacement aortic valve opn CPT 33410 | not published | not published | $2,312.31 – $5,061.81 | 8 |
| Replacement of aortic valve CPT 33412 | not published | not published | $2,843.05 – $6,231.69 | 8 |
| Replacement of aortic valve CPT 33413 | not published | not published | $2,916.58 – $6,387.58 | 8 |
| Replacement of contact lens CPT 92326 | not published | not published | $36.20 – $77.95 | 8 |
| Replacement pulmonary valve 33475 CPT 33475 | not published | not published | $2,109.54 – $4,623.27 | 8 |
| Replacement tricuspid valve 33465 CPT 33465 | not published | not published | $2,499.18 – $5,482.73 | 8 |
| Replacemnt lithium ionbatter HCPCS L7367 | not published | not published | $362.36 – $912.18 | 7 |
| Replace molded calf lacer HCPCS L4050 | not published | not published | $447.47 – $1,126.43 | 7 |
| Replace molded thigh lacer HCPCS L4040 | not published | not published | $397.71 – $1,001.18 | 7 |
| Replace non-molded calf lace HCPCS L4055 | not published | not published | $317.20 – $798.50 | 7 |
| Replace non-molded thigh lac HCPCS L4045 | not published | not published | $389.22 – $979.80 | 7 |
| Replace picvad cath CPT 36585 | not published | not published | $268.09 – $2,154.83 | 9 |
| Replace pretibial shell HCPCS L4130 | not published | not published | $441.51 – $1,111.44 | 7 |
| Replace prox & dist upright HCPCS L4070 | not published | not published | $280.37 – $705.79 | 7 |
| Replace quadlat socket brim HCPCS L4020 | not published | not published | $774.25 – $1,949.07 | 7 |
| Replace/revise brain shunt CPT 62230 | not published | not published | $789.78 – $1,743.29 | 8 |
| Replace skull plate/flap CPT 62143 | not published | not published | $982.40 – $2,163.54 | 8 |
| Replace socket above knee HCPCS L5701 | not published | not published | $3,427.27 – $8,627.64 | 7 |
| Replace socket below knee HCPCS L5700 | not published | not published | $2,762.62 – $6,954.50 | 7 |
| Replace socket brim cust fit HCPCS L4030 | not published | not published | $449.29 – $1,131.05 | 7 |
| Replace socket hip HCPCS L5702 | not published | not published | $4,319.56 – $10,873.86 | 7 |
| Replace tissue expander w/perm prost 11970 CPT 11970 | not published | not published | $539.29 – $1,148.86 | 8 |
| Replace trilateral socket br HCPCS L4010 | not published | not published | $597.23 – $1,503.43 | 7 |
| Replace tunneled cv cath CPT 36578 | $5,826.15 | $5,826.15 | $187.55 – $818.49 | 9 |
| Replace ureter by bowel CPT 50840 | not published | not published | $1,167.57 – $2,482.78 | 8 |
| Replace vad intra w/bp CPT 33983 | not published | not published | $2,056.30 – $4,524.31 | 8 |
| Replace vad intra without bp CPT 33982 | not published | not published | $1,748.07 – $3,844.49 | 8 |
| Replace vad pump ext CPT 33981 | not published | not published | $743.55 – $1,634.84 | 8 |
| Replacment pt electronic sys HCPCS G0555 | not published | not published | $984.67 – $1,014.21 | 5 |
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.