Stephens Memorial Hospital
181 Main St, Norway, ME · MaineHealth · · NPI 1346299815
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 |
|---|---|---|---|---|
| Revise two eye muscles CPT 67316 | not published | not published | $681.64 – $1,428.12 | 8 |
| Revise ulnar nerve at wrist CPT 64719 | not published | not published | $393.45 – $852.00 | 8 |
| Revise ureter CPT 50727 | not published | not published | $491.17 – $1,045.85 | 8 |
| Revise ureter CPT 50728 | not published | not published | $673.85 – $1,430.16 | 8 |
| Revise urethra stage 1 CPT 53400 | not published | not published | $770.25 – $1,634.17 | 8 |
| Revise urethra stage 2 CPT 53405 | not published | not published | $840.50 – $1,777.87 | 8 |
| Revise urine flow CPT 50830 | not published | not published | $1,729.12 – $3,641.82 | 8 |
| Revise vag graft open abd CPT 57296 | not published | not published | $930.28 – $1,953.43 | 8 |
| Revise vag graft via vagina CPT 57295 | not published | not published | $486.72 – $1,026.20 | 8 |
| Revise windpipe scar CPT 31830 | not published | not published | $356.29 – $963.70 | 9 |
| Revise wrist/forearm tendon CPT 25280 | not published | not published | $548.35 – $1,185.47 | 8 |
| Revise wrist joint CPT 25332 | not published | not published | $815.74 – $1,756.85 | 8 |
| Revision gastrojejunal anastomosis w/reconstruct-43865 CPT 43865 | not published | not published | $1,626.51 – $3,488.63 | 8 |
| Revision of amputation CPT 24935 | not published | not published | $1,174.86 – $2,513.29 | 8 |
| Revision of ankle joint CPT 27700 | not published | not published | $593.82 – $1,479.63 | 8 |
| Revision of aqueous shunt CPT 66184 | not published | not published | $754.52 – $1,593.52 | 8 |
| Revision of arm nerve(s) CPT 64713 | not published | not published | $762.20 – $1,654.51 | 8 |
| Revision of big toe CPT 28310 | not published | not published | $350.24 – $1,055.56 | 9 |
| Revision of bladder & bowel CPT 51960 | not published | not published | $1,329.72 – $2,805.41 | 8 |
| Revision of bladder neck CPT 52500 | not published | not published | $473.98 – $1,011.95 | 8 |
| Revision of bladder/urethra CPT 51800 | not published | not published | $998.14 – $2,107.97 | 8 |
| Revision of calf tendon CPT 27687 | not published | not published | $439.43 – $944.18 | 8 |
| Revision of cervix CPT 57720 | not published | not published | $324.18 – $685.25 | 8 |
| Revision of cervix CPT 59320 | not published | not published | $143.03 – $310.44 | 8 |
| Revision of circulation CPT 37140 | not published | not published | $2,202.01 – $4,718.17 | 8 |
| Revision of circulation CPT 37145 | not published | not published | $2,043.37 – $4,379.27 | 8 |
| Revision of circulation CPT 37160 | not published | not published | $2,098.48 – $4,496.53 | 8 |
| Revision of circulation CPT 37180 | not published | not published | $2,016.50 – $4,323.01 | 8 |
| Revision of collar bone CPT 23480 | not published | not published | $790.08 – $1,701.95 | 8 |
| Revision of collar bone CPT 23485 | not published | not published | $917.52 – $1,969.02 | 8 |
| Revision of colostomy CPT 44340 | not published | not published | $600.51 – $1,288.50 | 8 |
| Revision of colostomy comp in-depth 44345 CPT 44345 | not published | not published | $1,004.14 – $2,146.58 | 8 |
| Revision of colostomy paraclt hernia 44346 CPT 44346 | not published | not published | $1,129.00 – $2,413.65 | 8 |
| Revision of cornea CPT 65600 | not published | not published | $323.97 – $840.34 | 9 |
| Revision of cranial nerve CPT 64716 | not published | not published | $494.14 – $1,052.62 | 8 |
| Revision of eyelid CPT 67880 | not published | not published | $350.64 – $898.81 | 9 |
| Revision of eyelid CPT 67882 | not published | not published | $448.89 – $1,097.33 | 9 |
| Revision of eyelid CPT 67950 | not published | not published | $440.75 – $1,123.67 | 9 |
| Revision of eyelid CPT 67961 | not published | not published | $432.50 – $1,130.73 | 9 |
| Revision of eyelid CPT 67966 | not published | not published | $623.95 – $1,491.16 | 9 |
| Revision of femur epiphysis CPT 27185 | not published | not published | $693.03 – $1,495.22 | 8 |
| Revision of foot CPT 28116 | not published | not published | $571.58 – $1,485.37 | 9 |
| Revision of foot and ankle CPT 28262 | not published | not published | $1,083.37 – $2,654.66 | 9 |
| Revision of foot bones CPT 28737 | not published | not published | $665.23 – $1,414.57 | 8 |
| Revision of foot fascia 28250 CPT 28250 | not published | not published | $397.15 – $1,137.16 | 9 |
| Revision of foot tendon CPT 28238 | not published | not published | $476.91 – $1,295.85 | 9 |
| Revision of foot tendon CPT 28261 | not published | not published | $900.75 – $2,161.36 | 9 |
| Revision of heart chamber CPT 33476 | not published | not published | $1,433.71 – $3,067.72 | 8 |
| Revision of heart chamber CPT 33735 | not published | not published | $1,221.58 – $2,616.30 | 8 |
| Revision of heart chamber CPT 33736 | not published | not published | $1,325.02 – $2,836.59 | 8 |
| Revision of heart chamber CPT 33737 | not published | not published | $1,222.89 – $2,471.57 | 7 |
| Revision of heart veins dir/ptch 33645 CPT 33645 | not published | not published | $1,625.67 – $3,466.94 | 8 |
| Revision of hip bone CPT 27147 | not published | not published | $1,400.26 – $3,005.36 | 8 |
| Revision of hip bones CPT 27156 | not published | not published | $1,630.75 – $3,495.42 | 8 |
| Revision of hip tendon CPT 27097 | not published | not published | $659.58 – $1,423.39 | 8 |
| Revision of horseshoe kidney CPT 50540 | not published | not published | $1,101.82 – $2,325.54 | 8 |
| Revision of ileostomy complicated 44314 CPT 44314 | not published | not published | $962.20 – $2,044.91 | 8 |
| Revision of ileostomy; simple 44312 CPT 44312 | not published | not published | $571.31 – $1,223.42 | 8 |
| Revision of infusion pump CPT 36261 | not published | not published | $391.67 – $852.00 | 8 |
| Revision of iris CPT 66761 | not published | not published | $225.24 – $573.72 | 9 |
| Revision of iris CPT 66762 | not published | not published | $404.77 – $915.51 | 9 |
| Revision of jaw muscle/bone CPT 21295 | not published | not published | $189.06 – $410.08 | 8 |
| Revision of jaw muscle/bone CPT 21296 | not published | not published | $393.94 – $836.41 | 8 |
| Revision of kidney/ureter CPT 50400 | not published | not published | $1,110.04 – $2,342.49 | 8 |
| Revision of kidney/ureter CPT 50405 | not published | not published | $1,340.32 – $2,825.76 | 8 |
| Revision of knee joint CPT 27440 | not published | not published | $768.44 – $1,657.22 | 8 |
| Revision of knee joint CPT 27441 | not published | not published | $793.53 – $1,710.08 | 8 |
| Revision of knee joint CPT 27442 | not published | not published | $838.73 – $1,806.33 | 8 |
| Revision of knee joint CPT 27443 | not published | not published | $785.94 – $1,694.49 | 8 |
| Revision of knee joint CPT 27446 | not published | not published | $1,100.19 – $2,363.48 | 8 |
| Revision of knee joint CPT 27445 | not published | not published | $1,202.34 – $2,581.74 | 8 |
| Revision of larynx CPT 31400 | not published | not published | $978.54 – $2,075.42 | 8 |
| Revision of leg vein 37780 CPT 37780 | not published | not published | $221.66 – $477.17 | 8 |
| Revision of lung CPT 32940 | not published | not published | $1,161.09 – $2,484.81 | 8 |
| Revision of mitral valve CPT 33420 | not published | not published | $1,364.07 – $2,904.38 | 8 |
| Revision of mitral valve CPT 33422 | not published | not published | $1,564.08 – $3,330.02 | 8 |
| Revision of neck muscle CPT 21700 | not published | not published | $337.53 – $723.22 | 8 |
| Revision of neck muscle CPT 21720 | not published | not published | $502.98 – $1,118.38 | 8 |
| Revision of neck muscle CPT 21725 | not published | not published | $522.95 – $1,131.24 | 8 |
| Revision of neck muscle/rib CPT 21705 | not published | not published | $504.41 – $1,078.37 | 8 |
| Revision of nose CPT 30120 | not published | not published | $404.68 – $990.68 | 9 |
| Revision of nose CPT 30430 | not published | not published | $1,035.22 – $2,179.13 | 8 |
| Revision of nose CPT 30435 | not published | not published | $1,291.09 – $2,722.05 | 8 |
| Revision of nose CPT 30450 | not published | not published | $1,687.54 – $3,561.84 | 8 |
| Revision of nose CPT 30460 | not published | not published | $800.13 – $1,695.19 | 8 |
| Revision of nose CPT 30462 | not published | not published | $1,538.24 – $3,251.40 | 8 |
| Revision of pelvis CPT 27158 | not published | not published | $1,340.22 – $2,875.90 | 8 |
| Revision of penis CPT 54300 | not published | not published | $621.23 – $1,318.32 | 8 |
| Revision of penis CPT 54304 | not published | not published | $719.89 – $1,523.70 | 8 |
| Revision of penis CPT 54420 | not published | not published | $676.78 – $1,433.55 | 8 |
| Revision of penis CPT 54430 | not published | not published | $615.41 – $1,306.80 | 8 |
| Revision of penis CPT 54435 | not published | not published | $399.47 – $851.31 | 8 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $1,799.74 – $3,774.68 | 8 |
| Revision of pharyngeal walls CPT 42894 | not published | not published | $2,285.62 – $4,788.66 | 8 |
| Revision of pulmonary artery CPT 33788 | not published | not published | $1,441.09 – $3,073.82 | 8 |
| Revision of pulmonary valve CPT 33474 | not published | not published | $2,047.04 – $4,365.71 | 8 |
| Revision of radius CPT 25350 | not published | not published | $653.15 – $1,406.44 | 8 |
| Revision of radius CPT 25355 | not published | not published | $737.49 – $1,591.48 | 8 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $571.50 – $1,231.57 | 8 |
| Revision of scrotum CPT 55175 | not published | not published | $352.27 – $751.67 | 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.