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 |
|---|---|---|---|---|
| Transfer of iliopsoas muscle CPT 27110 | not published | not published | $933.37 – $2,007.64 | 8 |
| Transfer of iliopsoas muscle CPT 27111 | not published | not published | $868.76 – $1,871.41 | 8 |
| Transfer of spinal muscle CPT 27105 | not published | not published | $837.86 – $1,804.99 | 8 |
| Transferrin CPT 84466 | $93.15 | $93.15 | $12.76 – $87.56 | 9 |
| Transfer skin pedicle flap CPT 15650 | not published | not published | $385.76 – $1,051.07 | 9 |
| Transfer tendon to pelvis CPT 27098 | not published | not published | $671.01 – $1,449.81 | 8 |
| Transorl lwr esophgl myotomy CPT 43497 | not published | not published | $762.16 – $1,597.58 | 8 |
| Transparent film >16<=48 in HCPCS A6258 | not published | not published | $4.78 – $12.61 | 3 |
| Transparent film <= 16 sq in HCPCS A6257 | not published | not published | $1.72 – $4.48 | 3 |
| Transperi needle place pros CPT 55875 | not published | not published | $752.09 – $1,598.92 | 8 |
| Transpetrosal approach/skull CPT 61598 | not published | not published | $2,689.28 – $5,860.26 | 8 |
| Transpl allograft pancreas CPT 48554 | not published | not published | $2,484.48 – $5,414.94 | 8 |
| Transplantation heart/lung CPT 33935 | not published | not published | $4,624.40 – $9,807.10 | 8 |
| Transplantation of heart CPT 33945 | not published | not published | $4,566.41 – $9,706.77 | 8 |
| Transplantation of liver CPT 47135 | not published | not published | $5,119.04 – $11,021.70 | 8 |
| Transplant femur ridge CPT 27140 | not published | not published | $861.89 – $1,857.16 | 8 |
| Transplant forearm tendon CPT 25310 | not published | not published | $601.76 – $1,487.78 | 8 |
| Transplant forearm tendon CPT 25312 | not published | not published | $693.87 – $1,496.58 | 8 |
| Transplant/graft hand tendon CPT 26483 | not published | not published | $842.16 – $1,784.64 | 8 |
| Transplant/graft palm tendon CPT 26489 | not published | not published | $931.76 – $1,973.75 | 8 |
| Transplant hand tendon CPT 26480 | not published | not published | $759.84 – $1,533.56 | 8 |
| Transplant of thigh tendon CPT 27396 | not published | not published | $597.24 – $1,291.88 | 8 |
| Transplant palm tendon CPT 26485 | not published | not published | $808.66 – $1,714.84 | 8 |
| Transplants of thigh tendons CPT 27397 | not published | not published | $879.73 – $1,899.87 | 8 |
| Transplant ureter to skin CPT 50860 | not published | not published | $908.82 – $1,922.92 | 8 |
| Transplj hematopoietic boost CPT 38243 | not published | not published | $119.00 – $250.78 | 8 |
| Transplt allo hct/donor CPT 38240 | not published | not published | $232.01 – $488.70 | 8 |
| Transplt allo lymphocytes CPT 38242 | not published | not published | $121.44 – $254.85 | 8 |
| Transplt autol hct/donor CPT 38241 | not published | not published | $171.47 – $360.58 | 8 |
| Transposition of vein valve CPT 34510 | not published | not published | $955.87 – $2,038.15 | 8 |
| Transposition ovary(s) CPT 58825 | not published | not published | $688.88 – $1,447.78 | 8 |
| Trans shoe caliper plate new HCPCS L3610 | not published | not published | $93.33 – $247.58 | 3 |
| Trans shoe calip plate exist HCPCS L3600 | not published | not published | $70.90 – $188.07 | 3 |
| Trans shoe solid stirrup exi HCPCS L3620 | not published | not published | $70.90 – $188.07 | 3 |
| Trans shoe solid stirrup new HCPCS L3630 | not published | not published | $93.33 – $247.58 | 3 |
| Transtemporal approach/skull CPT 61595 | not published | not published | $2,282.52 – $4,886.26 | 8 |
| Transthor cath for stent CPT 33621 | not published | not published | $873.99 – $1,870.05 | 8 |
| Transthor diaphrag hern repair 43334 CPT 43334 | not published | not published | $1,171.80 – $2,496.33 | 8 |
| Transthor diaphrag hern rpr CPT 43335 | not published | not published | $1,256.56 – $2,678.66 | 8 |
| Transurethral rf treatment CPT 53860 | not published | not published | $214.12 – $4,554.44 | 9 |
| Transvaginal Pelvic Ultrasound (not pregnancy) CPT 76830 | $757.20 | $757.20 | $32.88 – $705.71 | 9 |
| Transvaginal Pregnancy Ultrasound CPT 76817 | $573.50 | $573.50 | $35.58 – $534.50 | 9 |
| Transvrs a-arch grf hypthrm CPT 33871 | not published | not published | $3,053.80 – $6,482.48 | 8 |
| Trapezius sling HCPCS L1070 | not published | not published | $80.08 – $212.44 | 3 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $288,956.88 | $288,956.88 | $78.08 – $269,463.76 | 9 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $1,681.20 | $1,681.20 | $13.45 – $1,567.79 | 9 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | not published | not published | $12.64 – $37.51 | 8 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | not published | not published | $6,087.51 – $6,087.51 | 1 |
| Tray trach basic clean/care ster HCPCS A4626 | not published | not published | $3.54 – $9.32 | 3 |
| Trb@ gene rearrange dirprobe CPT 81341 | not published | not published | $49.59 – $103.70 | 7 |
| Treat ankle dislocation CPT 27842 | $442.55 | $442.55 | $172.59 – $420.42 | 9 |
| Treat ankle dislocation CPT 27846 | not published | not published | $694.17 – $1,499.98 | 8 |
| Treat ankle dislocation CPT 27848 | not published | not published | $758.15 – $1,645.02 | 8 |
| Treat ankle fracture CPT 28445 | not published | not published | $1,002.45 – $2,156.08 | 8 |
| Treat big toe fracture CPT 28505 | $887.80 | $887.80 | $173.12 – $421.71 | 9 |
| Treat cheek bone fracturemalar 21360 CPT 21360 | not published | not published | $508.28 – $1,082.44 | 8 |
| Treat chest lining CPT 32215 | not published | not published | $757.19 – $1,627.40 | 8 |
| Treat clavicle dislocation 23545 CPT 23545 | not published | not published | $315.57 – $725.99 | 9 |
| Treat each add spine fx CPT 22328 | not published | not published | $265.20 – $575.45 | 8 |
| Treat ectopic pregnancy CPT 59150 | not published | not published | $755.53 – $1,623.33 | 8 |
| Treat ectopic pregnancy CPT 59151 | not published | not published | $739.38 – $1,586.73 | 8 |
| Treat ectopic pregnancy CPT 59140 | not published | not published | $398.51 – $856.74 | 8 |
| Treat elbow dislocation CPT 24605 | $429.20 | $429.20 | $167.39 – $407.74 | 9 |
| Treat elbow dislocation CPT 24615 | not published | not published | $689.53 – $1,484.39 | 8 |
| Treat elbow fracture CPT 24586 | not published | not published | $1,044.46 – $2,236.06 | 8 |
| Treat elbow fracture CPT 24620 | $732.80 | $732.80 | $151.48 – $368.98 | 9 |
| Treat elbow fracture CPT 24635 | not published | not published | $653.19 – $1,415.93 | 8 |
| Treat eyelid by injection CPT 68200 | not published | not published | $32.54 – $79.67 | 9 |
| Treat eyelid lesion 67850 CPT 67850 | not published | not published | $125.91 – $415.68 | 9 |
| Treat finger fracture each CPT 26727 | not published | not published | $460.95 – $999.75 | 8 |
| Treat finger fracture each CPT 26742 | $528.55 | $528.55 | $110.02 – $268.00 | 9 |
| Treat foot bone lesion CPT 28005 | not published | not published | $555.37 – $1,176.67 | 8 |
| Treat foot dislocation CPT 28540 | not published | not published | $171.08 – $388.68 | 9 |
| Treat foot dislocation CPT 28545 | not published | not published | $263.21 – $618.69 | 9 |
| Treat foot dislocation CPT 28546 | not published | not published | $339.06 – $1,142.95 | 9 |
| Treat foot dislocation CPT 28570 | not published | not published | $191.02 – $472.85 | 9 |
| Treat foot dislocation CPT 28576 | not published | not published | $373.73 – $823.53 | 8 |
| Treat foot dislocation CPT 28600 | not published | not published | $181.09 – $403.09 | 9 |
| Treat foot dislocation CPT 28605 | not published | not published | $295.94 – $684.23 | 9 |
| Treat foot dislocation CPT 28606 | not published | not published | $372.91 – $833.69 | 8 |
| Treat fracture of radius CPT 25505 | $630.70 | $630.70 | $130.36 – $317.54 | 9 |
| Treat fracture of radius CPT 25520 | not published | not published | $529.51 – $1,153.62 | 9 |
| Treat fracture of ulna CPT 25535 | $600.65 | $600.65 | $124.16 – $302.43 | 9 |
| Treat/graft heel fracture CPT 28420 | not published | not published | $1,245.97 – $2,671.89 | 8 |
| Treat hand bone lesion CPT 26034 | not published | not published | $533.19 – $1,157.69 | 8 |
| Treat hand dislocation CPT 26675 | not published | not published | $411.81 – $925.16 | 9 |
| Treat hand dislocation CPT 26685 | not published | not published | $556.95 – $1,211.92 | 8 |
| Treat hand dislocation CPT 26686 | not published | not published | $601.99 – $1,300.03 | 8 |
| Treat heel fracture CPT 28415 | not published | not published | $1,085.33 – $2,307.91 | 8 |
| Treat hip dislocation CPT 27252 | $680.60 | $680.60 | $265.43 – $646.57 | 9 |
| Treat hip dislocation CPT 27257 | $299.50 | $299.50 | $116.81 – $284.53 | 9 |
| Treat hip dislocation CPT 27258 | not published | not published | $1,066.89 – $2,292.32 | 8 |
| Treat hip dislocation CPT 27253 | not published | not published | $903.56 – $1,940.54 | 8 |
| Treat hip dislocation CPT 27254 | not published | not published | $1,219.18 – $2,615.63 | 8 |
| Treat hip dislocation CPT 27259 | not published | not published | $1,477.45 – $3,172.11 | 8 |
| Treat hip fracture(s) CPT 27227 | not published | not published | $1,579.17 – $3,388.32 | 8 |
| Treat hip fracture(s) CPT 27228 | not published | not published | $1,796.40 – $3,845.17 | 8 |
| Treat hip socket fracture CPT 27222 | not published | not published | $947.46 – $2,027.29 | 8 |
| Treat hip wall fracture CPT 27226 | not published | not published | $1,013.52 – $2,170.31 | 8 |
| Treat humerus fracture CPT 24515 | not published | not published | $848.30 – $1,825.98 | 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.