Visits & medical services prices at MaineHealth Memorial Hospital
North Conway, NH · every code in this section with a posted price and a Medicare benchmark.
128 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Actinotherapy Ultraviolet Light (96900) | $53.65 | $53.65 | 1.3× |
| Airway Inhalation Treatment (94640) | $116.65 | $116.65 | 0.5× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $44.50 | $44.50 | 3.1× |
| Application on-body injector (96377) | $130.85 | $130.85 | 2.6× |
| Assessment of aphasia per hr (96105) | $522 | $522 | 5.4× |
| Behavral qualit analys voice (92524) | $680.25 | $680.25 | 6.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $323.20 | $323.20 | 0.8× |
| Canalith repositioning proc (95992) | $117.75 | $117.75 | 2.9× |
| Car seat/bed test 60 min (94780) | $170.15 | $170.15 | 4.3× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,044.05 | $1,044.05 | 4.5× |
| Cardiopulmonary resuscitation (92950) | $323.20 | $323.20 | 1.4× |
| Cardioversion (92960) | $727.40 | $727.40 | 1.0× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $37.85 | $37.85 | 1.5× |
| Cbt 1st hour (94644) | $455.25 | $455.25 | 3.2× |
| Chemo Anti-Neopl Sq/Im (96401) | $126.95 | $126.95 | 1.7× |
| Chemo Hormon Antineopl Sq/Im (96402) | $126.95 | $126.95 | 1.7× |
| Chemo IV infusion addl hr (96415) | $188.45 | $188.45 | 2.5× |
| Chemo IV push addl drug (96411) | $228.95 | $228.95 | 3.0× |
| Chemother Prolong Infuse W/Pump (96416) | $1,342.40 | $1,342.40 | 3.8× |
| Chemotherapy Unspecified (96549) | $98.10 | $98.10 | 2.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $268.20 | $268.20 | 3.5× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $575.70 | $575.70 | 1.6× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $393.80 | $393.80 | 1.1× |
| Chest Wall Manipulation (94668) | $189.85 | $189.85 | 1.3× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $119.05 | $119.05 | 3.7× |
| Continuous Pulse Ox (94762) | $92.90 | $92.90 | 0.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $298.25 | $298.25 | 1.3× |
| Cpt initial (94667) | $115.15 | $115.15 | 0.8× |
| Critical care first hour (99291) | $2,095.90 | $2,095.90 | 2.4× |
| Debridement Open Wound 20 Sq Cm< (97597) | $226.30 | $226.30 | 1.1× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,244.20 | $1,244.20 | 4.9× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $522 | $522 | 4.7× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,244.20 | $1,244.20 | 4.9× |
| Dup-scan xtr veins unilateral/limited study (93971) | $987.50 | $987.50 | 8.8× |
| Duplex up extrem art bilat (93930) | $2,050.20 | $2,050.20 | 8.0× |
| Duplex up extrem art unilat/ltd (93931) | $522 | $522 | 4.7× |
| ECG/monitoring and analysis (93271) | $792.85 | $792.85 | 7.8× |
| Echo Heart Xthoracic,Limited (93308) | $795.50 | $795.50 | 3.1× |
| Echo transesophageal (93312) | $1,370.75 | $1,370.75 | 2.3× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $1,499 | $1,499 | 2.6× |
| Electrocardiogram Tracing (93005) | $331 | $331 | 5.3× |
| Emergency Dept Visit Level 2 (99282) | $261.65 | $261.65 | 1.6× |
| Emergency Dept Visit Level 3 (99283) | $523.35 | $523.35 | 1.8× |
| Emergency Dept Visit Level 4 (99284) | $948.55 | $948.55 | 2.1× |
| Er level 1 (99281) | $196.25 | $196.25 | 2.2× |
| Er level v (99285) | $1,570.05 | $1,570.05 | 2.5× |
| Evaluate pt use of inhaler (94664) | $247.30 | $247.30 | 1.1× |
| Evaluate Speech Production (92522) | $680.25 | $680.25 | 6.1× |
| Evaluate Swallowing Function (92610) | $757.55 | $757.55 | 8.9× |
| Evaluation of speech fluency (92521) | $680.25 | $680.25 | 5.1× |
| External ECG rec>48hr<7d recording (93242) | $392.45 | $392.45 | 9.8× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $588.75 | $588.75 | 4.1× |
| External ECG rec>7d<15d recording (93246) | $392.45 | $392.45 | 9.8× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $588.75 | $588.75 | 4.1× |
| External Ecg Scanning Analysis Report (93226) | $760.15 | $760.15 | 12.1× |
| Extracranial Bilat Study (93880) | $1,536.10 | $1,536.10 | 6.0× |
| Holter monitor recording (93225) | $553.45 | $553.45 | 3.9× |
| Iontophoresis 15 min (97033) | $78.50 | $78.50 | 4.1× |
| Irrig Drug Delivery Device (96523) | $102.10 | $102.10 | 1.6× |
| IV infusion hydration each additional hour (96361) | $98.10 | $98.10 | 2.0× |
| IV infusion hydration initial 31 min-1 hour (96360) | $298.25 | $298.25 | 1.3× |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$112.55–$120.45 | $112.55–$120.45 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $98.10 | $98.10 | 2.0× |
| IV push initial (96374) | $138.65 | $138.65 | 0.6× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $1,041.40 | $1,041.40 | 4.5× |
| Mechanical chest wall oscillation per session (94669) | $111.20 | $111.20 | 0.5× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $57.60 | $57.60 | 1.8× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $65.40 | $65.40 | 1.8× |
| Motion Fluoroscopy/Swallow (92611) | $771.95 | $771.95 | 8.4× |
| Multiple Sleep Latency Test (95805) | $2,693.85 | $2,693.85 | 2.9× |
| Nasopharyngoscopy (92511) | $281.25 | $281.25 | 1.3× |
| Neuromuscular Reeducation (97112) | $106 | $106 | 3.2× |
| Oral Function Therapy (92526) | $358.45 | $358.45 | 4.3× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $124.35 | $124.35 | 2.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $116.45 | $116.45 | 2.5× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $64.25 | $64.25 | 2.8× |
| Ot eval high complexity (97167) | $342.85 | $342.85 | 3.4× |
| Ot Eval Low Complex (97165) | $342.85 | $342.85 | 3.4× |
| Ot Eval Moderate Complexity (97166) | $342.85 | $342.85 | 3.4× |
| Ot manual therapy 15 min (97140) | $96.80 | $96.80 | 3.5× |
| Ot paraffin bath (97018) | $79.80 | $79.80 | 13.3× |
| Ot Re-Eval Est Plan Care (97168) | $162 | $162 | 2.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $286.50 | $286.50 | 2.1× |
| Peripheral arterial disease rehab per session (93668) | $140 | $140 | 2.2× |
| Phlebotomy therapeutic (99195) | $448.75 | $448.75 | 3.2× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $140 | $140 | 2.2× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $140 | $140 | 2.2× |
| Physical Performance Test (97750) | $108.60 | $108.60 | 3.2× |
| Plethysmography (94726) | $194.90 | $194.90 | 0.5× |
| Pm device eval in person (93288) | $120.95 | $120.95 | 3.0× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $5,055.40 | $5,055.40 | 5.5× |
| Pt Eval High Complex (97163) | $320.55 | $320.55 | 3.3× |
| Pt eval low complex 20 min (97161) | $320.55 | $320.55 | 3.3× |
| Pt Eval Mod Complex (97162) | $320.55 | $320.55 | 3.3× |
| Pt gait training 15 min (97116) | $129.55 | $129.55 | 4.5× |
| Pt group caregiver training (97552) | $16.50 | $16.50 | 0.7× |
| Pt mechanical traction (97012) | $53.65 | $53.65 | 3.7× |
| Pt Re-Eval Est Plan Care (97164) | $143.90 | $143.90 | 2.1× |
| Pulm function test by gas (94727) | $242.05 | $242.05 | 1.0× |
| Pulmonary service/procedure (94799) | $147.85 | $147.85 | 1.1× |
| Pulmonary Stress Testing (94618) | $170.15 | $170.15 | 1.2× |
| Refill/Maint Pump/Resvr Syst (96522) | $403.20 | $403.20 | 1.8× |
| Remote 30 Day Ecg Rev/Report (93270) | $409.50 | $409.50 | 10.3× |
| Remote 30 Day Ecg Tech Supp (93229) | $498.45 | $498.45 | 1.3× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $353.30 | $353.30 | 2.9× |
| Self Care Mngment Training (97535) | $109.90 | $109.90 | 3.4× |
| Slp caregiver training 1st 30 min (97550) | $70.30 | $70.30 | 1.3× |
| Speech sound lang comprehen (92523) | $680.25 | $680.25 | 3.0× |
| Spirometry (94010) | $202.75 | $202.75 | 0.9× |
| Standardized Cognitive Performance Testing (96125) | $478.85 | $478.85 | 4.7× |
| Stress Tte Only (93350) | $1,593.60 | $1,593.60 | 2.7× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $74.80 | $74.80 | 3.3× |
| Ther Ivntj Ea Addl 15 Min (97130) | $72.25 | $72.25 | 3.4× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $448.75 | $448.75 | 4.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $45.80 | $45.80 | 0.6× |
| Ther/Proph/Diag Iv Inf Init (96365) | $298.25 | $298.25 | 1.3× |
| Therapeutic Activities (97530) | $108.60 | $108.60 | 3.1× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $45.80 | $45.80 | 1.1× |
| Tte w/doppler, complete (93306) | $1,593.60 | $1,593.60 | 2.7× |
| Tte W/O Doppler Complete (93307) | $1,593.70 | $1,593.70 | 6.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $329.75 | $329.75 | 4.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $138.65 | $138.65 | 2.8× |
| Upr/L Xtremity Art 2 Levels (93922) | $348 | $348 | 2.4× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $643.70 | $643.70 | 2.8× |
| Vasopneumatic device (97016) | $53.65 | $53.65 | 4.5× |
| Vent Mgmt Inpat Init Day (94002) | $989.15 | $989.15 | 1.5× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $791.60 | $791.60 | 1.2× |
| Vital capacity, total (94150) | $163.55 | $163.55 | 1.2× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.