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 |
|---|---|---|---|---|
| Below elbow prosth tiss shap HCPCS L6400 | not published | not published | $2,199.92 – $5,835.87 | 3 |
| Below knee acrylic socket HCPCS L5629 | not published | not published | $401.73 – $1,065.68 | 3 |
| Below knee cuff suspension HCPCS L5666 | not published | not published | $81.01 – $214.89 | 3 |
| Below knee cushion socket HCPCS L5646 | not published | not published | $692.62 – $1,837.34 | 3 |
| Below knee flex cover system HCPCS L5962 | not published | not published | $557.27 – $1,478.31 | 3 |
| Below knee leather socket HCPCS L5638 | not published | not published | $461.40 – $1,223.96 | 3 |
| Below knee suction socket HCPCS L5647 | not published | not published | $1,005.55 – $2,667.49 | 3 |
| Below knee sus/seal sleeve HCPCS L5685 | not published | not published | $119.22 – $316.24 | 3 |
| Below knee total contact HCPCS L5637 | not published | not published | $315.34 – $836.52 | 3 |
| Below knee wood socket HCPCS L5639 | not published | not published | $1,417.29 – $3,759.73 | 3 |
| Belt ostomy lg 34-65in HCPCS A4367 | not published | not published | $7.35 – $21.54 | 3 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $3,644.32 | $3,644.32 | $3.56 – $856.42 | 9 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | not published | not published | $3.59 – $33.86 | 8 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $3,033.63 | $3,033.63 | $13.61 – $2,851.61 | 9 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | not published | not published | $29.67 – $56.64 | 8 |
| Benign lesion paring 2-4 CPT 11056 | $310.20 | $310.20 | $21.62 – $159.33 | 9 |
| Benign lesion paring 4+ CPT 11057 | $335.60 | $335.60 | $28.06 – $174.11 | 9 |
| #_benzodiazconfur CPT 80346 | $179.35 | $179.35 | $16.11 – $168.59 | 9 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | not published | not published | $16.19 – $33.38 | 8 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $53.25 | $53.25 | $20.77 – $50.59 | 9 |
| Beta-2 microglobulin CPT 82232 | $172.30 | $172.30 | $16.18 – $161.96 | 9 |
| Beta-amyloid 1-42 CPT 82234 | $95.80 | $95.80 | $37.36 – $91.01 | 9 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $63.78 | $63.78 | $6.53 – $59.95 | 9 |
| Bethanechol chloride inject HCPCS J0520 | not published | not published | $4.49 – $4.49 | 2 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $3,909.16 | $3,909.16 | $72.46 – $918.65 | 9 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $3,422.48 | $3,422.48 | $25.62 – $804.29 | 9 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | not published | not published | $20.97 – $45.47 | 8 |
| Bevacizumab injection HCPCS C9257 | not published | not published | $2.03 – $5.49 | 3 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | not published | not published | $42.01 – $155.47 | 9 |
| Bfb train ea addl 15 min 90913 CPT 90913 | not published | not published | $23.82 – $61.68 | 9 |
| B-hexosaminidase ea assay CPT 83080 | not published | not published | $16.87 – $35.25 | 7 |
| Bhv id assmt by phys/qhp CPT 97151 | not published | not published | $38.27 – $99.64 | 3 |
| Bhv id suprt assmt by 1 tech CPT 97152 | not published | not published | $25.47 – $85.41 | 3 |
| Bilateral laminotomy addl lumbar 63044 CPT 63044 | not published | not published | $733.17 – $1,113.40 | 5 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | not published | not published | $52.91 – $189.53 | 9 |
| Bilateral n block inj occipital 64405 CPT 64405 | $127.05 | $127.05 | $24.49 – $59.66 | 9 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $123.60 | $123.60 | $25.55 – $62.23 | 9 |
| Bile acids cholylglycine CPT 82240 | not published | not published | $26.58 – $55.57 | 7 |
| Bile duct endoscopy add-on 47550 CPT 47550 | not published | not published | $155.62 – $328.73 | 8 |
| Bile duct revision CPT 47701 | not published | not published | $1,653.38 – $3,539.46 | 8 |
| Biliary endo perq dx w/speci CPT 47552 | not published | not published | $267.71 – $558.52 | 8 |
| Biliary endoscopy thru skin CPT 47553 | not published | not published | $269.31 – $559.86 | 8 |
| Biliary endoscopy thru skin CPT 47554 | not published | not published | $430.53 – $898.08 | 8 |
| Biliary endoscopy thru skin CPT 47555 | not published | not published | $320.55 – $664.25 | 8 |
| Biliary endoscopy thru skin CPT 47556 | not published | not published | $363.13 – $752.37 | 8 |
| Bilicheck CPT 88720 | $34.65 | $34.65 | $5.12 – $32.57 | 9 |
| Bilirubin direct CPT 82248 | $95.80 | $95.80 | $5.02 – $90.05 | 9 |
| Bilirubin total CPT 82247 | $92.90 | $92.90 | $5.02 – $87.33 | 9 |
| Bilobectomy 32482 CPT 32482 | not published | not published | $1,488.56 – $3,186.34 | 8 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | not published | not published | $51.16 – $87.32 | 3 |
| Bio-connekt per square cm HCPCS Q4161 | not published | not published | $129.67 – $3,889.21 | 8 |
| Biodfence dryflex, 1cm HCPCS Q4138 | not published | not published | $184.96 – $240.04 | 3 |
| Biofeedback, pt CPT 90901 | not published | not published | $18.78 – $79.03 | 9 |
| Biopsy abdominal mass CPT 49180 | $1,910.10 | $1,910.10 | $80.74 – $333.45 | 9 |
| Biopsy arm/elbow soft tissue CPT 24066 | not published | not published | $405.32 – $1,219.39 | 9 |
| Biopsy, bone open deep CPT 20245 | not published | not published | $330.66 – $696.77 | 8 |
| Biopsy bone trocar/needle superficial CPT 20220 | not published | not published | $84.95 – $445.23 | 9 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | not published | not published | $72.03 – $297.46 | 9 |
| Biopsy conjunctiva CPT 68100 | not published | not published | $91.06 – $345.01 | 9 |
| Biopsy/excision of lymph node(s); open deep 38530 CPT 38530 | not published | not published | $540.89 – $1,173.28 | 8 |
| Biopsy external ear 69100 CPT 69100 | not published | not published | $45.27 – $184.38 | 9 |
| Biopsy eyelid & lid margin CPT 67810 | not published | not published | $65.78 – $354.00 | 9 |
| Biopsy eye muscle CPT 67346 | not published | not published | $183.29 – $389.06 | 8 |
| Biopsy finger joint lining CPT 26105 | not published | not published | $331.77 – $723.22 | 8 |
| Biopsy finger joint lining CPT 26110 | not published | not published | $316.41 – $687.28 | 8 |
| Biopsy forearm soft tissues CPT 25066 | not published | not published | $355.61 – $780.82 | 8 |
| Biopsy hand joint lining CPT 26100 | not published | not published | $329.31 – $718.46 | 8 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | not published | not published | $73.43 – $337.94 | 9 |
| Biopsy knee joint lining CPT 27330 | not published | not published | $408.76 – $888.59 | 8 |
| Biopsy lower leg soft tissue CPT 27613 | not published | not published | $154.81 – $492.13 | 9 |
| Biopsy lower leg soft tissue 27610 CPT 27610 | not published | not published | $622.83 – $1,337.98 | 8 |
| Biopsy muscle percutaneous needle CPT 20206 | $1,065.90 | $1,065.90 | $55.24 – $420.82 | 9 |
| Biopsy needle liver percutaneous CPT 47000 | $1,910.10 | $1,910.10 | $84.95 – $573.72 | 9 |
| Biopsy needle lymph node superficial CPT 38505 | $1,069.65 | $1,069.65 | $83.18 – $334.72 | 9 |
| Biopsy of cornea CPT 65410 | not published | not published | $97.39 – $274.97 | 9 |
| Biopsy of epididymis CPT 54800 | not published | not published | $119.77 – $254.18 | 8 |
| Biopsy of foot joint lining CPT 28050 | not published | not published | $270.67 – $801.80 | 9 |
| Biopsy of foot joint lining CPT 28052 | not published | not published | $247.81 – $751.04 | 9 |
| Biopsy of heart lining CPT 93505 | not published | not published | $213.40 – $450.73 | 8 |
| Biopsy of hip joint CPT 27052 | not published | not published | $558.61 – $1,212.59 | 8 |
| Biopsy of inestine 44100 CPT 44100 | not published | not published | $102.49 – $212.83 | 8 |
| Biopsy of lip 40490 CPT 40490 | not published | not published | $67.08 – $236.43 | 9 |
| Biopsy of nail unit 11755 CPT 11755 | not published | not published | $59.22 – $235.78 | 9 |
| Biopsy of nerve CPT 64795 | not published | not published | $183.66 – $405.32 | 8 |
| Biopsy of ovary(s) 58900 CPT 58900 | not published | not published | $424.59 – $893.35 | 8 |
| Biopsy of pancreas open CPT 48100 | not published | not published | $847.49 – $1,819.22 | 8 |
| Biopsy of penis CPT 54105 | not published | not published | $204.69 – $535.82 | 9 |
| Biopsy of penis 54100 CPT 54100 | not published | not published | $116.47 – $391.91 | 9 |
| Biopsy of prostate CPT 55700 | not published | not published | $124.76 – $464.51 | 9 |
| Biopsy of prostate CPT 55705 | not published | not published | $255.24 – $540.89 | 8 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | not published | not published | $290.80 – $626.28 | 8 |
| Biopsy of sacroiliac joint CPT 27050 | not published | not published | $391.99 – $855.38 | 8 |
| Biopsy of salivary gland 42400 CPT 42400 | not published | not published | $50.97 – $184.38 | 9 |
| Biopsy of salivary glnd;incisional 42405 CPT 42405 | not published | not published | $219.95 – $591.71 | 9 |
| Biopsy of stomach CPT 43605 | not published | not published | $794.90 – $1,733.81 | 8 |
| Biopsy of tear gland CPT 68510 | not published | not published | $275.10 – $864.12 | 9 |
| Biopsy of tear sac CPT 68525 | not published | not published | $247.75 – $516.48 | 8 |
| Biopsy of testis CPT 54500 | not published | not published | $71.62 – $151.84 | 8 |
| Biopsy of testis CPT 54505 | not published | not published | $202.06 – $429.73 | 8 |
| Biopsy of toe joint lining CPT 28054 | not published | not published | $226.76 – $706.07 | 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.