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 |
|---|---|---|---|---|
| Splint finger 4 prong foam sm HCPCS A4570 | not published | not published | $12.69 – $23.72 | 2 |
| Splint finger fold over sm HCPCS L3924 | $155.75 | $155.75 | $60.74 – $147.96 | 9 |
| Splint finger frog med HCPCS L3927 | not published | not published | $29.54 – $78.37 | 3 |
| Splint fing stax assort 1-7in HCPCS Q4049 | not published | not published | $2.09 – $5.51 | 3 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | not published | not published | $100.99 – $267.92 | 3 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $662.16 – $1,635.71 | 9 |
| Split blood or products CPT 86985 | $235.50 | $235.50 | $30.55 – $186.40 | 9 |
| Split flat caliper stirr & p HCPCS L2230 | not published | not published | $68.29 – $181.13 | 3 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $127.24 – $398.33 | 9 |
| Spontaneous nystagmus study CPT 92531 | not published | not published | $29.55 – $62.19 | 3 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $172.14 – $1,526.01 | 6 |
| Spring-ass rot wrst with latch HCPCS L6623 | not published | not published | $668.75 – $1,774.04 | 3 |
| Sputum specimen collection CPT 89220 | not published | not published | $16.80 – $38.64 | 8 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $1,786.82 – $12,573.78 | 6 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $1,300.33 – $2,866.41 | 8 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $960.98 – $2,125.59 | 8 |
| Srs cran les complex addl CPT 61799 | not published | not published | $281.95 – $618.15 | 8 |
| Srs cran les simple addl CPT 61797 | not published | not published | $203.81 – $448.03 | 8 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $112.26 – $367.37 | 7 |
| Srs linear based CPT 77372 | not published | not published | $903.61 – $1,894.44 | 8 |
| Srs multisource CPT 77371 | not published | not published | $1,980.73 – $2,840.84 | 5 |
| Srs spinal lesion CPT 63620 | not published | not published | $1,061.80 – $2,346.55 | 8 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $234.87 – $515.12 | 8 |
| Staggered spondaic word test CPT 92572 | not published | not published | $29.02 – $115.90 | 8 |
| Stainless steel any wrist HCPCS L6630 | not published | not published | $272.44 – $722.72 | 3 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $475.25 | $475.25 | $107.98 – $442.93 | 9 |
| Stance phase only HCPCS L5858 | not published | not published | $17,297.78 – $45,886.89 | 3 |
| Standard control cable extra HCPCS L6655 | not published | not published | $77.94 – $206.74 | 3 |
| Staph a dna amp probe CPT 87640 | not published | not published | $35.09 – $73.19 | 7 |
| Static or dynami afo pre ots HCPCS L4397 | not published | not published | $162.85 – $431.99 | 3 |
| Stationary o2 contents, gas HCPCS E0441 | not published | not published | $82.56 – $135.01 | 2 |
| Stationary o2 contents, liq HCPCS E0442 | not published | not published | $82.56 – $135.01 | 2 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $265.00 | $265.00 | $100.46 – $246.98 | 9 |
| Stem cells total count CPT 86367 | not published | not published | $25.08 – $162.67 | 7 |
| Stenger test pure tone CPT 92565 | not published | not published | $18.68 – $44.74 | 8 |
| Stenger test speech CPT 92577 | not published | not published | $18.99 – $46.77 | 8 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | not published | not published | $672.50 – $21,060.65 | 9 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $108.37 | $108.37 | $33.88 – $82.53 | 9 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $1,000.00 | $1,000.00 | $10.53 – $25.65 | 9 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | not published | not published | $461.40 – $5,808.53 | 9 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | not published | not published | $197.99 – $2,395.75 | 9 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $1,012.57 – $2,155.41 | 8 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | not published | not published | $648.95 – $16,808.18 | 9 |
| Stereoscopic x-ray guidance HCPCS G6002 | not published | not published | $20.19 – $42.01 | 8 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $1,326.56 – $2,930.80 | 8 |
| Stereotactic radiation trmt CPT 77432 | not published | not published | $416.13 – $873.00 | 8 |
| Sterile gauze <= 16 sq in HCPCS A6402 | not published | not published | $0.12 – $0.31 | 3 |
| Sterile needle HCPCS A4215 | not published | not published | $0.22 – $0.27 | 2 |
| Sterile water/saline, 10 ml HCPCS A4216 | not published | not published | $0.49 – $1.30 | 3 |
| Sterile water/saline, 500 ml HCPCS A4217 | not published | not published | $2.95 – $7.80 | 3 |
| Sternal debridement CPT 21627 | not published | not published | $520.79 – $1,129.90 | 8 |
| Sternal pad HCPCS L1050 | not published | not published | $74.09 – $196.55 | 3 |
| St evaluate speech sound production CPT 92522 | $475.25 | $475.25 | $109.23 – $442.93 | 9 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $545.70 | $545.70 | $89.10 – $508.59 | 9 |
| Stimulants synthetic CPT 80371 | not published | not published | $14.06 – $50.16 | 3 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $541.62 – $1,194.29 | 8 |
| Stocking sup grips 4 pre ots HCPCS L0982 | not published | not published | $19.32 – $51.25 | 3 |
| Stoma absorptive cover HCPCS A5083 | not published | not published | $0.72 – $1.89 | 3 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $2,043.10 | $2,043.10 | $36.65 – $1,904.17 | 9 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $788.40 – $788.40 | 1 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $788.40 – $788.40 | 1 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $788.40 – $788.40 | 1 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $788.40 – $788.40 | 1 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $455.13 – $976.70 | 8 |
| Straight knee joint heavy du HCPCS L2385 | not published | not published | $151.94 – $403.06 | 3 |
| Strap chin dlx f/cpap HCPCS A7036 | not published | not published | $12.37 – $25.08 | 2 |
| Strap montgmry ns 8 hl sht 7.25 x 11.25in HCPCS A4461 | not published | not published | $3.66 – $9.66 | 3 |
| Strapping of ankle and/or ft 29540 CPT 29540 | not published | not published | $17.20 – $53.96 | 9 |
| Strapping of chest CPT 29200 | not published | not published | $18.31 – $61.68 | 9 |
| Strapping of elbow or wrist 29260 CPT 29260 | not published | not published | $18.76 – $55.89 | 9 |
| Strapping of hand or finger CPT 29280 | not published | not published | $19.39 – $57.82 | 9 |
| Strapping of hip CPT 29520 | not published | not published | $17.99 – $66.81 | 9 |
| Strapping of knee CPT 29530 | not published | not published | $17.99 – $56.54 | 9 |
| Strapping of toes 29550 CPT 29550 | not published | not published | $10.96 – $37.27 | 9 |
| Strep a ag ia CPT 87430 | $150.40 | $150.40 | $16.81 – $141.38 | 9 |
| Strep a dna dir probe CPT 87650 | not published | not published | $20.05 – $42.01 | 7 |
| Strep a dna quant CPT 87652 | not published | not published | $41.76 – $87.44 | 7 |
| Strep b assay w/optic CPT 87802 | not published | not published | $12.73 – $26.44 | 7 |
| Strep b dna amp probe CPT 87653 | not published | not published | $35.09 – $73.19 | 7 |
| Streptokinase 1.5 m-units inj HCPCS J2995 | not published | not published | $79.50 – $149.11 | 3 |
| Streptokinase antibody CPT 86590 | not published | not published | $12.66 – $26.44 | 7 |
| Streptomycin injection HCPCS J3000 | not published | not published | $31.98 – $55.86 | 8 |
| Streptozocin injection HCPCS J9320 | not published | not published | $355.85 – $1,122.57 | 5 |
| Stress test pulmonary CPT 94618 | $592.35 | $592.35 | $21.20 – $552.07 | 9 |
| Stress tte complete CPT 93351 | not published | not published | $80.92 – $164.03 | 8 |
| Str markers spec anal addl CPT 81266 | not published | not published | $304.81 – $638.48 | 7 |
| Str markers specimen anal CPT 81265 | not published | not published | $233.07 – $488.38 | 7 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $106.15 – $235.19 | 8 |
| Subq i/p critical care pr day age 28 days/less than 99469 CPT 99469 | not published | not published | $379.04 – $773.36 | 8 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $50.06 – $158.04 | 9 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $98.01 – $280.76 | 9 |
| Subsequent intensive care infant 1500-2500 grams 99479 CPT 99479 | not published | not published | $118.93 – $241.29 | 8 |
| Subsequent intensive care infant 2501-5000 grams 99480 CPT 99480 | not published | not published | $114.54 – $232.49 | 8 |
| Subsequent repair of nerve CPT 64872 | not published | not published | $110.01 – $233.85 | 8 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $623.03 – $1,379.32 | 8 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $501.48 – $1,059.41 | 8 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $615.92 – $1,335.27 | 8 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $843.38 – $1,818.54 | 8 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $1,357.41 – $2,996.56 | 8 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $56.67 | $56.67 | $0.82 – $53.27 | 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.