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 |
|---|---|---|---|---|
| Rpr intst excl anrect fist HCPCS C9796 | not published | not published | $12,616.93 – $12,616.93 | 1 |
| Rpr nsl vlv collapse w/implt CPT 30468 | not published | not published | $163.65 – $4,817.85 | 9 |
| Rpr nsl vlv collapse w/rmdlg CPT 30469 | not published | not published | $145.07 – $4,708.62 | 9 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | not published | not published | $710.89 – $1,534.53 | 8 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | not published | not published | $877.68 – $1,908.69 | 8 |
| Rpr pul art unifocal without cpb CPT 33925 | not published | not published | $1,611.28 – $3,433.06 | 8 |
| Rpr&refitg spect xcp aphakia CPT 92370 | not published | not published | $15.27 – $58.46 | 8 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $10.86 – $24.39 | 7 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $552.98 – $1,194.29 | 8 |
| Rpr tga aortic pulm art rcns CPT 33778 | not published | not published | $2,206.66 – $4,702.58 | 8 |
| Rpr tga atr bfl clsr vsd CPT 33776 | not published | not published | $1,842.51 – $3,937.34 | 8 |
| Rpr tga atr bfl rmvl plm bnd CPT 33775 | not published | not published | $1,743.36 – $3,722.48 | 8 |
| Rpr tga atrial baffle px CPT 33774 | not published | not published | $1,693.15 – $3,618.77 | 8 |
| Rpr tga bfl rpr sbpulm obstr CPT 33777 | not published | not published | $1,776.86 – $3,787.54 | 8 |
| Rpr tga rcnstj clsr vsd CPT 33780 | not published | not published | $2,220.17 – $4,724.26 | 8 |
| Rpr tga rcnstj rmvl plm bnd CPT 33779 | not published | not published | $2,179.03 – $4,633.45 | 8 |
| Rpr tga rcnstj rpr sbpl obst CPT 33781 | not published | not published | $2,167.07 – $4,604.97 | 8 |
| Rpr tga without surg enlgmnt vsd CPT 33770 | not published | not published | $1,984.89 – $4,224.04 | 8 |
| Rpr tga w/surg enlgmnt vsd CPT 33771 | not published | not published | $2,041.34 – $4,339.27 | 8 |
| Rpr umbil hern block < 5 yr CPT 49582 | not published | not published | $884.57 – $884.57 | 1 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | not published | not published | $351.48 – $742.87 | 8 |
| Rp therapy unlisted px CPT 79999 | not published | not published | $496.70 – $1,031.14 | 2 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $908.22 – $1,920.89 | 8 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $1,962.44 – $4,201.68 | 8 |
| Rsv assay w/optic CPT 87807 | not published | not published | $13.10 – $27.11 | 7 |
| Rsv vacc mrna lipid nano im CPT 90683 | not published | not published | $607.68 – $607.68 | 1 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | not published | not published | $17.66 – $41.34 | 8 |
| Rtm dev sply cbt 16-30 d CPT 98978 | not published | not published | $97.61 – $171.56 | 2 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | not published | not published | $46.21 – $91.23 | 8 |
| Rtm dev sply resp sys 16-30d CPT 98976 | not published | not published | $46.21 – $91.23 | 8 |
| Rtm tx mgmt 1st 20 min CPT 98980 | not published | not published | $30.15 – $97.65 | 9 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | not published | not published | $29.49 – $77.10 | 9 |
| Rubella antibody igg CPT 86762 | $139.55 | $139.55 | $14.39 – $131.18 | 9 |
| Rubeola ag if CPT 87283 | not published | not published | $25.08 – $127.40 | 7 |
| Rubeola antibody igg CPT 86765 | $119.75 | $119.75 | $12.88 – $112.57 | 9 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $329.51 – $690.47 | 7 |
| Russell viper venom diluted CPT 85613 | $167.65 | $167.65 | $9.58 – $157.59 | 9 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $917.08 – $1,921.56 | 3 |
| Sach foot, replacement HCPCS L5971 | not published | not published | $256.73 – $681.04 | 3 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | not published | not published | $33.20 – $70.05 | 8 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $638.80 | $638.80 | $10.68 – $595.36 | 9 |
| Safety plan interven HCPCS G0560 | not published | not published | $86.08 – $86.08 | 1 |
| Salivary gland function exam CPT 78232 | not published | not published | $18.97 – $37.95 | 8 |
| Salivary gland imaging CPT 78230 | not published | not published | $21.01 – $42.70 | 8 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $21.01 – $42.01 | 8 |
| Salmonella antibody CPT 86768 | not published | not published | $13.19 – $27.64 | 7 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $837.57 – $1,756.18 | 8 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $106.22 – $217.57 | 8 |
| Saquinavir, 200 mg HCPCS S0140 | not published | not published | $1.24 – $2.70 | 2 |
| Sargramostim injection HCPCS J2820 | not published | not published | $58.22 – $118.64 | 8 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $9.60 – $107.77 | 4 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $145.60 – $319.32 | 8 |
| Sarscov coronavirus ag ia CPT 87426 | not published | not published | $22.61 – $73.89 | 7 |
| Sarscov & inf vir a&b ag ia CPT 87428 | not published | not published | $30.95 – $147.08 | 7 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $391.14 – $817.43 | 8 |
| Sbrt management CPT 77435 | not published | not published | $628.15 – $1,318.99 | 8 |
| Sbsq ic vlbw inf<1,500 gm CPT 99478 | not published | not published | $130.61 – $265.70 | 8 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | not published | not published | $149.23 – $311.11 | 8 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | not published | not published | $72.21 – $150.47 | 8 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | not published | not published | $103.78 – $218.26 | 8 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | not published | not published | $38.55 – $80.65 | 8 |
| Sbsq psyc collab care mgmt CPT 99493 | not published | not published | $99.21 – $269.84 | 9 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | not published | not published | $36.78 – $77.28 | 8 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | not published | not published | $22.56 – $46.77 | 8 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | not published | not published | $23.24 – $46.77 | 8 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $982.80 | $982.80 | $20.84 – $148.68 | 9 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $419.20 | $419.20 | $22.25 – $390.69 | 9 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $509.40 | $509.40 | $22.56 – $474.76 | 9 |
| Scan proc cranial extra CPT 61782 | not published | not published | $167.19 – $350.42 | 8 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $219.90 – $481.91 | 8 |
| Scan proc spinal CPT 61783 | not published | not published | $216.88 – $472.44 | 8 |
| Scap thorac prosth tiss shap HCPCS L6570 | not published | not published | $5,270.32 – $13,980.93 | 3 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | not published | not published | $114.38 – $2,384.19 | 9 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $422.44 – $1,286.22 | 9 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $17.66 – $37.28 | 7 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $22.04 – $50.84 | 8 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $32.58 – $66.93 | 7 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $44.85 – $92.14 | 7 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $27.02 – $55.51 | 7 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $27.59 – $56.68 | 7 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $20.67 – $42.45 | 7 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $22.04 – $50.84 | 8 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $88.51 – $655.32 | 8 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $88.28 – $654.68 | 8 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | not published | not published | $18.41 – $37.82 | 7 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $702.70 | $702.70 | $28.84 – $660.54 | 9 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $23.83 – $96.93 | 7 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $24.56 – $50.16 | 7 |
| Screening Mammogram CPT 77067 | $259.55 | $259.55 | $35.92 – $241.90 | 9 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $22.04 – $50.84 | 8 |
| Screening prostate cancer PSA HCPCS G0103 | not published | not published | $19.70 – $40.46 | 7 |
| Screen pap by tech w md supv HCPCS P3000 | not published | not published | $17.66 – $37.28 | 7 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | not published | not published | $2.72 – $6.77 | 7 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $3,418.85 | $3,418.85 | $0.55 – $1.34 | 9 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $803.80 | $803.80 | $30.21 – $749.14 | 9 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $52.55 – $116.59 | 8 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | not published | not published | $784.22 – $1,698.56 | 8 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | not published | not published | $228.89 – $2,237.71 | 9 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $18.70 | $18.70 | $5.16 – $17.43 | 9 |
| Sedimentation rate erythrocyte automated CPT 85652 | $101.15 | $101.15 | $2.70 – $95.08 | 9 |
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.