MaineHealth - Memorial Hospital — Infusion prices
← Hospital overviewVerified from MaineHealth - Memorial Hospital’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
2 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC IV INFUSION ADD-ON EA ADDL HOUR Outpatient | 96366 CPT | $98.10 | $98.10 | $33.35 – $156 | — | |
| HC THER/PROPH/DIAG IV INF INIT TO 1 HR Outpatient | 96365 CPT | $298 | $298 | $101 – $714 | $486 |