Supplies, drugs & other prices at MaineHealth Memorial Hospital

North Conway, NH · every code in this section with a posted price and a Medicare benchmark.

15 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2d tte w or w/o fol w/con,fu (C8924) $795.50 $795.50 2.1×
Catheterize for urine spec (P9612) $58.90 $58.90 6.3×
Chemo extend iv infus w/pump (G0498) $685.30 $685.30 1.9×
Diab manage trn ind/group (G0109) $43.10 $43.10 2.7×
Direct refer hospital observ (G0379) $392.45 $392.45 0.6×
Hepb screen high risk indiv (G0499) $253.45 $253.45 9.0×
Ig paraprotein qual bld/ur (0077U) $135.50 $135.50 3.1×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $1,070.05 $1,070.05 8.8×
Liver Dis 10 Assays W/Nash (0003M) $902.10 $902.10 1.8×
Nfct ds bact&fng org id bld cul rrna fish 6+trgt (0086U) $1,755.50 $1,755.50 8.8×
Oth resp proc, group (G0239) $140 $140 3.5×
Pemivibart infusion (M0224) $1,173.85 $1,173.85 2.5×
Prolonged iv inf, req pump (C8957) $497.55 $497.55 2.2×
Tpmt nudt15 gene analysis common variants (0034U) $1,342.15 $1,342.15 2.9×
Tte w or wo fol wcon,doppler (C8929) $1,593.60 $1,593.60 1.9×