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FRANKLIN MEMORIAL HOSPITAL

Hospital

111 FRANKLIN HEALTH COMMONS

FARMINGTON, ME, 4938

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Procedure Prices at FRANKLIN MEMORIAL HOSPITAL

Blood Draw From Vein Using Needle

CPT 36415

$3.11

Lab Test - Complete Blood Cell Count

CPT 85025

$8.29

Lab Test - Comprehensive Metabolic Panel

CPT 80053

$10.93

EKG

CPT 93000

$21.08

EKG Tracing

CPT 93005

$21.08

Chest X-Ray (1 view)

CPT 71045

$50.06

Chest X-Ray (2 views)

CPT 71046

$50.06

Individual Psychotherapy Session

CPT 90837

$60.1

Echocardiogram w/ Doppler

CPT 93306

$60.81

Therapeutic Exercises

CPT 97110

$63.63

Therapeutic Activities

CPT 97530

$63.63

Diagnostic Mammogram (unilateral)

CPT 77065

$85.76

Outpatient Clinic Visit

CPT 99213

$90.11

Screening Mammogram (bilateral)

CPT 77067

$94.38

Laparoscopic Cholecystectomy

CPT 47562

$110.99

Diagnostic Mammogram (bilateral)

CPT 77066

$113.44

Abdominal Ultrasound

CPT 76700

$113.97

Abdominal Ultrasound — Limited

CPT 76705

$113.97

CT Chest

CPT 71250

$114.57

Retroperitoneal Ultrasound

CPT 76770

$114.87

Colonoscopy w/ Biopsy

CPT 45380

$204.96

MRI Joint of Lower Extremity

CPT 73721

$236.98

MRI Brain w/o Contrast

CPT 70551

$243.84

OB Ultrasound

CPT 76805

$287.65

ER Visit — Low-Moderate Complexity

CPT 99283

$300.61

ER Visit — Moderate Complexity

CPT 99284

$300.61

ER Visit — High Complexity

CPT 99285

$300.61

CT Abdomen & Pelvis

CPT 74177

$366.91

MRI Brain w/ Contrast

CPT 70553

$404.3

Colonoscopy

CPT 45378

$477.72

Upper GI Endoscopy w/ Biopsy

CPT 43239

$532.14

Knee Arthroscopy

CPT 29881

$1,098.38

Cataract Surgery

CPT 66984

$1,972.65

Knee Replacement

CPT 27447

$13,953.77

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Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.