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 |
|---|---|---|---|---|
| Repl alkaline battery HCPCS L8622 | not published | not published | $0.29 – $0.75 | 7 |
| Replantation arm complete CPT 20802 | not published | not published | $2,592.84 – $5,571.51 | 8 |
| Replantation digit complete CPT 20822 | not published | not published | $1,548.94 – $3,608.61 | 8 |
| Replantation digit complete CPT 20816 | not published | not published | $1,941.09 – $4,171.18 | 8 |
| Replantation foot complete CPT 20838 | not published | not published | $2,631.75 – $5,654.20 | 8 |
| Replantation hand complete CPT 20808 | not published | not published | $3,703.61 – $7,973.64 | 8 |
| Replantation of penis CPT 54438 | not published | not published | $1,284.44 – $2,739.11 | 7 |
| Replantation thumb complete CPT 20827 | not published | not published | $1,727.31 – $3,704.17 | 8 |
| Replantation thumb complete CPT 20824 | not published | not published | $1,945.34 – $4,179.32 | 8 |
| Replant forearm complete CPT 20805 | not published | not published | $3,075.06 – $6,613.29 | 8 |
| Replc sockt above elbow disa HCPCS L6884 | not published | not published | $2,134.88 – $5,374.22 | 7 |
| Replc sockt below e/w disa HCPCS L6883 | not published | not published | $1,504.49 – $3,787.33 | 7 |
| Replc sockt shldr dis/interc HCPCS L6885 | not published | not published | $3,019.80 – $7,601.91 | 7 |
| Repl cushions for jaw motion HCPCS E1701 | not published | not published | $11.53 – $28.81 | 7 |
| Repl girdle milwaukee orth HCPCS L4000 | not published | not published | $1,360.09 – $3,423.81 | 7 |
| Repl leath cuff kafo-afo cal HCPCS L4110 | not published | not published | $90.29 – $227.30 | 7 |
| Repl leath cuff kafo prox th HCPCS L4100 | not published | not published | $105.05 – $264.44 | 7 |
| Repl met band kafo-afo calf/ HCPCS L4090 | not published | not published | $93.49 – $235.36 | 7 |
| Repl met band kafo-afo prox HCPCS L4080 | not published | not published | $120.01 – $302.13 | 7 |
| Repl trach puncture dilator HCPCS L8514 | not published | not published | $87.76 – $220.91 | 7 |
| Repl zinc air battery HCPCS L8621 | not published | not published | $0.58 – $1.47 | 7 |
| Reposg phrnc nrv stim trnsvn CPT 33281 | not published | not published | $346.80 – $737.45 | 8 |
| Reposition intraocular lens CPT 66825 | not published | not published | $791.64 – $1,663.31 | 8 |
| Reposition pm/icd lead CPT 33215 | $3,732.45 | $3,732.45 | $286.68 – $3,115.10 | 9 |
| Reposition vad w/image rt/lt sep session CPT 33993 | $1,418.30 | $1,418.30 | $150.63 – $1,191.37 | 9 |
| Repos lv lead pm/icd CPT 33226 | $5,682.50 | $5,682.50 | $445.21 – $4,773.30 | 9 |
| Repos sq defib eltrd CPT 33273 | $4,423.30 | $4,423.30 | $370.09 – $3,715.57 | 9 |
| Rep perf anoper fistu CPT 46715 | not published | not published | $529.44 – $1,137.34 | 8 |
| Rep perf anoper/vestib fistu CPT 46716 | not published | not published | $1,173.08 – $2,525.48 | 8 |
| Repr elbow lat ligmnt w/tiss CPT 24343 | not published | not published | $690.08 – $1,478.28 | 8 |
| Repr elbw med ligmnt w/tissu CPT 24345 | not published | not published | $686.24 – $1,471.50 | 8 |
| Repriza, 1cm HCPCS Q4143 | not published | not published | $29.68 – $56.00 | 6 |
| Repr of anal fistula w/glue CPT 46706 | not published | not published | $171.03 – $369.41 | 8 |
| Reprogram cochlear implt <7 CPT 92602 | not published | not published | $66.58 – $191.45 | 9 |
| Reprogram cochlear implt 7/> CPT 92604 | not published | not published | $63.66 – $172.19 | 9 |
| Repr per/vag pouch dbl proc CPT 46712 | not published | not published | $2,059.33 – $4,495.18 | 8 |
| Repr per/vag pouch sngl proc CPT 46710 | not published | not published | $1,043.89 – $2,262.50 | 8 |
| Repr pul art unifocal w/cpb CPT 33926 | not published | not published | $2,185.17 – $4,811.03 | 8 |
| Reptilase test CPT 85635 | $340.55 | $340.55 | $4.86 – $90.15 | 9 |
| Reremove wrist tendon lesion CPT 25112 | not published | not published | $378.92 – $816.07 | 8 |
| Rerepair fem hernia blocked CPT 49557 | not published | not published | $679.35 – $1,477.61 | 8 |
| Rerepair ing hernia blocked CPT 49521 | not published | not published | $676.11 – $1,465.41 | 8 |
| Rerepair ing hernia reduce CPT 49520 | $7,042.75 | $7,042.75 | $597.59 – $5,915.91 | 9 |
| Rerevise eye muscles add-on CPT 67332 | not published | not published | $192.48 – $406.00 | 8 |
| Rescj external cardiac tumor CPT 33130 | not published | not published | $1,249.42 – $2,723.40 | 8 |
| Resc recr ovr tbl pp utr mal CPT 58958 | not published | not published | $1,560.13 – $3,370.70 | 8 |
| Resect apical lung tum/chest with rcnstj 32504 CPT 32504 | not published | not published | $1,863.10 – $4,090.52 | 8 |
| Resect apical lung tumor without rcnstj 32503 CPT 32503 | not published | not published | $1,638.82 – $3,592.35 | 8 |
| Resect back tum < 5 cm CPT 21935 | not published | not published | $961.08 – $2,086.27 | 8 |
| Resect back tum 5 cm/> CPT 21936 | not published | not published | $1,326.31 – $2,883.36 | 8 |
| Resect condyle distal phalanx ea toe 28153 CPT 28153 | $3,046.65 | $3,046.65 | $255.28 – $780.59 | 9 |
| Resect/debrid pancreas 48105 CPT 48105 | not published | not published | $2,630.18 – $5,701.65 | 8 |
| Resect diaphragm complex CPT 39561 | not published | not published | $1,175.32 – $2,543.78 | 8 |
| Resect diaphragm simple 39560 CPT 39560 | not published | not published | $754.04 – $1,630.10 | 8 |
| Resect distal finger tumor CPT 26262 | not published | not published | $608.15 – $1,304.76 | 8 |
| Resect enlarged toe CPT 28341 | not published | not published | $471.51 – $1,268.87 | 9 |
| Resect enlarged toe tissue CPT 28340 | not published | not published | $397.01 – $1,093.48 | 9 |
| Resect/excise cranial lesion CPT 61600 | not published | not published | $1,995.56 – $4,310.12 | 8 |
| Resect/excise cranial lesion CPT 61601 | not published | not published | $2,250.06 – $4,965.55 | 8 |
| Resect/excise cranial lesion CPT 61605 | not published | not published | $2,059.21 – $4,409.76 | 8 |
| Resect/excise cranial lesion CPT 61606 | not published | not published | $2,702.44 – $5,953.12 | 8 |
| Resect/excise cranial lesion CPT 61607 | not published | not published | $2,547.35 – $6,244.58 | 8 |
| Resect/excise cranial lesion CPT 61608 | not published | not published | $3,023.22 – $6,729.20 | 8 |
| Resect/excise lesion skull CPT 61615 | not published | not published | $2,609.65 – $5,782.98 | 8 |
| Resect/excise lesion skull CPT 61616 | not published | not published | $3,081.31 – $6,817.31 | 8 |
| Resect extraplural rib(s) 32900 CPT 32900 | not published | not published | $1,349.12 – $2,730.18 | 8 |
| Resect face/scalp tum < 2 cm CPT 21015 | not published | not published | $672.74 – $1,426.09 | 8 |
| Resect face/scalp tum 2 cm/> CPT 21016 | not published | not published | $956.72 – $2,053.73 | 8 |
| Resect femur/knee tumor CPT 27365 | not published | not published | $1,941.47 – $4,168.47 | 8 |
| Resect fibula tumor CPT 27646 | not published | not published | $1,458.78 – $3,126.01 | 8 |
| Resect foot/toe tumor 3 cm/> CPT 28047 | not published | not published | $991.93 – $2,109.32 | 8 |
| Resect forarm/wrist tum 3cm> CPT 25078 | not published | not published | $1,108.22 – $2,383.15 | 8 |
| Resect forearm/wrist tum<3cm CPT 25077 | not published | not published | $812.78 – $1,759.56 | 8 |
| Resect heart sac lesion 33050 CPT 33050 | not published | not published | $927.66 – $2,024.59 | 8 |
| Resect hip/pelv tum < 5 cm CPT 27049 | not published | not published | $1,280.38 – $2,906.41 | 8 |
| Resect hip/pelv tum 5 cm/> CPT 27059 | not published | not published | $1,711.96 – $3,684.52 | 8 |
| Resect hip tum incl acetabul CPT 27076 | not published | not published | $2,372.12 – $5,103.84 | 8 |
| Resect hip tumor CPT 27075 | not published | not published | $1,967.64 – $4,228.11 | 8 |
| Resect hip tum w/innom bone CPT 27077 | not published | not published | $2,642.67 – $5,689.45 | 8 |
| Resect/incis/subva tissue/subva as 33415 CPT 33415 | not published | not published | $1,844.19 – $4,041.04 | 8 |
| Resect inferior turbinate CPT 30140 | not published | not published | $169.55 – $572.43 | 9 |
| Resection of elbow joint CPT 24155 | not published | not published | $819.18 – $1,750.77 | 8 |
| Resection palate/lesion 42120 CPT 42120 | not published | not published | $962.19 – $2,038.15 | 8 |
| Resect leg/ankle tum < 5 cm CPT 27615 | not published | not published | $960.41 – $2,070.00 | 8 |
| Resect leg/ankle tum 5 cm/> CPT 27616 | not published | not published | $1,182.00 – $2,560.73 | 8 |
| Resect mediastinal cyst 39200 CPT 39200 | not published | not published | $799.59 – $1,748.73 | 8 |
| Resect mediastinal tumor 39220 CPT 39220 | not published | not published | $1,053.09 – $2,284.86 | 8 |
| Resect metatarsal tumor CPT 28173 | not published | not published | $697.84 – $1,474.21 | 8 |
| Resect nasopharynx skull CPT 61586 | not published | not published | $2,359.04 – $5,176.35 | 8 |
| Resect neck tumor 5 cm/> CPT 21558 | not published | not published | $1,263.23 – $2,728.14 | 8 |
| Resect ovarian malignancy CPT 58952 | not published | not published | $1,560.06 – $3,362.57 | 8 |
| Resect ovarian malignancy w/bso 58950 CPT 58950 | not published | not published | $1,095.13 – $2,353.99 | 8 |
| Resect ovarian malignancy w/bso+omntc tah 58951 CPT 58951 | not published | not published | $1,367.77 – $2,946.40 | 8 |
| Resect part/compl phalangeal base ea 28126 CPT 28126 | not published | not published | $240.50 – $755.54 | 9 |
| Resect phalanx of toe tumor CPT 28175 | not published | not published | $455.55 – $958.42 | 8 |
| Resect prox finger tumor CPT 26260 | not published | not published | $766.93 – $1,638.92 | 8 |
| Resect radius/ulnar tumor CPT 25170 | not published | not published | $1,395.58 – $2,991.81 | 8 |
| Resect recurrent gyn mal CPT 58957 | not published | not published | $1,532.31 – $3,250.06 | 7 |
| Resect talus/calcaneus tum CPT 27647 | not published | not published | $954.88 – $2,018.49 | 8 |
| Resect tarsal tumor CPT 28171 | not published | not published | $1,056.58 – $2,262.50 | 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.