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 |
|---|---|---|---|---|
| Thoracoscopy w w resect diag 32668 CPT 32668 | not published | not published | $146.80 – $311.11 | 8 |
| Thoracostomy w/flap drng 32036 CPT 32036 | not published | not published | $748.61 – $1,594.19 | 8 |
| Thoracostomy w/rib resection 32035 CPT 32035 | not published | not published | $693.96 – $1,492.52 | 8 |
| Thoracotomy opn free adhesions 32124 CPT 32124 | not published | not published | $870.77 – $1,868.69 | 8 |
| Thoracotomy w/expl CPT 32100 | not published | not published | $763.26 – $1,644.35 | 8 |
| Thoracotomy with cardiac massage CPT 32160 | not published | not published | $754.34 – $1,625.37 | 8 |
| Thorax spine fusion CPT 22610 | not published | not published | $1,214.64 – $2,666.46 | 8 |
| Thorax stereo rad targetw/tx CPT 32701 | not published | not published | $200.02 – $416.84 | 8 |
| Thorcscpy w/biop pleura CPT 32609 | not published | not published | $241.44 – $511.75 | 8 |
| Thor rib belt custom fabrica HCPCS L0220 | not published | not published | $118.37 – $314.02 | 3 |
| Thrcspy w/diag bp lng inf uni CPT 32607 | not published | not published | $289.42 – $618.15 | 8 |
| Thrcspy w/diag bp lng nod uni CPT 32608 | not published | not published | $355.46 – $759.80 | 8 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $2,537.80 | $2,537.80 | $47.10 – $2,365.23 | 9 |
| Throat x-ray & fluoroscopy CPT 70370 | not published | not published | $14.64 – $30.51 | 8 |
| Thrombectmy crnry perq mechanical CPT 92973 | not published | not published | $164.61 – $349.06 | 8 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | not published | not published | $350.80 – $3,415.35 | 9 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | not published | not published | $422.45 – $4,294.89 | 9 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | not published | not published | $486.38 – $10,181.79 | 9 |
| Thromb/endar/neck inc/car/vert/subc35301 CPT 35301 | not published | not published | $1,056.33 – $2,244.88 | 8 |
| Thrombin time CPT 85670 | $113.05 | $113.05 | $5.77 – $106.27 | 9 |
| Thrombin time titer CPT 85675 | not published | not published | $6.85 – $14.23 | 7 |
| Thromboendarterectomy common femoral CPT 35371 | not published | not published | $762.59 – $1,619.27 | 8 |
| Thromboendarterectomy including patch graft if preformed; CPT 35321 | not published | not published | $838.93 – $1,809.05 | 8 |
| Thromboendarterectomy including patch graft; iliac 35351 CPT 35351 | not published | not published | $1,201.25 – $2,558.69 | 8 |
| Thromboendarterectomy sfa CPT 35302 | not published | not published | $1,047.16 – $2,217.08 | 8 |
| Thrombomodulin CPT 85337 | not published | not published | $17.27 – $35.92 | 7 |
| Thromboplastin inhibition CPT 85705 | not published | not published | $9.63 – $20.18 | 7 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $54.10 | $54.10 | $6.47 – $50.85 | 9 |
| Thromboxane urine CPT 84431 | not published | not published | $35.11 – $73.57 | 7 |
| Thumb fusion with graft CPT 26820 | not published | not published | $802.44 – $1,706.69 | 8 |
| Thumb fusion with graft CPT 26842 | not published | not published | $804.90 – $1,711.45 | 8 |
| Thumb tendon transfer CPT 26510 | not published | not published | $622.51 – $1,316.96 | 8 |
| Th/wght bear nar m-l brim cu HCPCS L2526 | not published | not published | $786.02 – $2,085.10 | 3 |
| Th/wght bear nar m-l brim mo HCPCS L2525 | not published | not published | $1,446.38 – $3,836.89 | 3 |
| Th/wght bear quad-lat brim c HCPCS L2520 | not published | not published | $530.27 – $1,406.67 | 3 |
| Th/wght bear quad-lat brim m HCPCS L2510 | not published | not published | $719.86 – $1,909.63 | 3 |
| Thymectomy prtl/tot rad medstnl dsj 60522 CPT 60522 | not published | not published | $1,288.53 – $2,756.61 | 8 |
| Thymectomy prtl/tot transcervical appr 60520 CPT 60520 | not published | not published | $1,001.67 – $2,147.28 | 8 |
| Thymectomy prtl/tot without rad medstnl dsj 60521 CPT 60521 | not published | not published | $1,063.53 – $2,279.44 | 8 |
| Thyroglobulin antibody CPT 86800 | $189.05 | $189.05 | $15.91 – $177.71 | 9 |
| Thyroidectomy inc substrnl split/trans approch 60270 CPT 60270 | not published | not published | $1,309.36 – $2,775.59 | 8 |
| Thyroid imaging CPT 78013 | not published | not published | $17.31 – $34.57 | 8 |
| Thyroid met imaging CPT 78015 | not published | not published | $31.88 – $64.39 | 8 |
| Thyroid met imaging/studies CPT 78016 | not published | not published | $32.95 – $65.75 | 8 |
| Thyroid mets imag whole body CPT 78018 | not published | not published | $38.76 – $77.95 | 8 |
| Thyroid met uptake CPT 78020 | not published | not published | $26.19 – $52.87 | 8 |
| Thyroid (TSH) Test CPT 84443 | $276.85 | $276.85 | $16.80 – $260.24 | 9 |
| Thyroid Ultrasound CPT 76536 | $706.65 | $706.65 | $26.83 – $658.60 | 9 |
| Thyroid uptake measurement CPT 78012 | not published | not published | $8.67 – $17.62 | 8 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | not published | not published | $1,891.21 – $4,087.90 | 8 |
| Thyrotropin releasing hormone CPT 80438 | not published | not published | $50.41 – $105.63 | 7 |
| Thyroxine binding globulin (tbg) CPT 84442 | $425.35 | $425.35 | $14.78 – $399.83 | 9 |
| Tibial arthroscopy/surgery CPT 29855 | not published | not published | $751.78 – $1,619.27 | 8 |
| Tibial arthroscopy/surgery CPT 29856 | not published | not published | $953.25 – $2,053.07 | 8 |
| Tibial length sock fx or equ HCPCS L2840 | not published | not published | $39.01 – $103.47 | 3 |
| Tibial tubercle hgt with toe f HCPCS L5020 | not published | not published | $1,975.40 – $5,240.26 | 3 |
| Tib/per revasc stent & ather 37231 CPT 37231 | not published | not published | $692.79 – $22,191.40 | 9 |
| Tib/per revasc stnt & ather CPT 37235 | not published | not published | $353.52 – $7,444.90 | 9 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | not published | not published | $303.56 – $1,992.28 | 9 |
| Tic-brn enceph vac 0.25ml im CPT 90626 | not published | not published | $324.16 – $606.48 | 3 |
| Tic-brn enceph vac 0.5ml im CPT 90627 | not published | not published | $324.16 – $606.48 | 3 |
| Tigecycline injection HCPCS J3243 | not published | not published | $0.58 – $1.24 | 8 |
| Tilt table locking hip sing HCPCS L5270 | not published | not published | $5,671.24 – $15,044.47 | 3 |
| Tilt table study CPT 93660 | not published | not published | $89.52 – $171.53 | 8 |
| Tinzaparin sodium injection HCPCS J1655 | not published | not published | $3.49 – $7.46 | 3 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | $1,077.11 | $1,077.11 | $3.96 – $1,012.48 | 9 |
| Tisagenlecleucel car-pos t HCPCS Q2042 | not published | not published | $494,315.96 – $1,118,139.80 | 6 |
| Tis cgen car anomal 1st shnt CPT 33745 | not published | not published | $1,006.12 – $2,132.36 | 8 |
| Tis cgen car anomal ea addl CPT 33746 | not published | not published | $402.20 – $852.00 | 8 |
| Tis clt agrft f/s/n/h/f/g ad CPT 15156 | not published | not published | $142.18 – $306.45 | 9 |
| Tis clt agrft f/s/n/h/f/g ea CPT 15157 | not published | not published | $155.30 – $340.51 | 9 |
| Tis cltr skn agrft t/a/l add CPT 15151 | not published | not published | $103.75 – $227.44 | 9 |
| Tis cltr skn agrft t/a/l ea CPT 15152 | not published | not published | $134.80 – $293.49 | 9 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | not published | not published | $165.20 – $359.53 | 8 |
| Tiss ex molecul study add-on CPT 88388 | not published | not published | $22.66 – $43.69 | 7 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | not published | not published | $21.28 – $62.86 | 3 |
| Tissue culture placenta CPT 88235 | $390.80 | $390.80 | $152.41 – $367.35 | 9 |
| Tissue culture skin/biopsy CPT 88233 | $175.50 | $175.50 | $68.45 – $166.73 | 9 |
| Tissue culture tumor CPT 88239 | not published | not published | $150.47 – $309.08 | 7 |
| Tissue exam koh skin/hair/nails CPT 87220 | not published | not published | $4.27 – $8.82 | 7 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | not published | not published | $102.85 – $230.50 | 3 |
| Tissue transglutaminase iga CPT 86364 | $15.25 | $15.25 | $5.95 – $14.49 | 9 |
| Tixagev and cilgav inj HCPCS M0220 | not published | not published | $144.61 – $315.36 | 7 |
| Tl-201 thallium diag per mci HCPCS A9505 | not published | not published | $33.31 – $75.27 | 5 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $782.24 – $1,651.79 | 8 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $1,005.19 – $2,126.26 | 8 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $878.42 – $1,855.82 | 8 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $1,177.28 – $2,486.17 | 8 |
| Tlso 2mod symphis-xipho pre HCPCS L0458 | not published | not published | $828.44 – $2,197.63 | 3 |
| Tlso 2 piece rigid shell HCPCS L0491 | not published | not published | $713.41 – $1,892.51 | 3 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | not published | not published | $932.46 – $2,473.60 | 3 |
| Tlso 3mod sacro-scap pre HCPCS L0462 | not published | not published | $1,159.84 – $3,076.77 | 3 |
| Tlso 3 piece rigid shell HCPCS L0492 | not published | not published | $469.46 – $1,245.38 | 3 |
| Tlso corset front HCPCS L0970 | not published | not published | $101.71 – $269.81 | 3 |
| Tlso flex trnk sj-t9 pre ots HCPCS L0455 | not published | not published | $322.16 – $549.59 | 3 |
| Tlso full corset HCPCS L0974 | not published | not published | $200.75 – $532.55 | 3 |
| Tlso r fram soft ant pre cst HCPCS L0466 | not published | not published | $383.58 – $1,017.54 | 3 |
| Tlso r fram soft pre ots HCPCS L0467 | not published | not published | $383.58 – $616.39 | 3 |
| Tlso rig fram pelvic pre cst HCPCS L0468 | not published | not published | $495.64 – $1,314.82 | 3 |
| Tlso rig fram pelvic pre ots HCPCS L0469 | not published | not published | $495.64 – $785.39 | 3 |
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.