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 |
|---|---|---|---|---|
| Vaginal hysterectomy CPT 58260 | not published | not published | $814.39 – $1,712.12 | 8 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $1,669.50 – $3,544.89 | 8 |
| Vag inser rectal control sys HCPCS A4563 | not published | not published | $120.61 – $3,369.75 | 3 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $1,669.50 – $3,544.89 | 8 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $877.40 – $1,840.90 | 8 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $106.76 – $227.73 | 8 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $1,148.16 – $2,469.22 | 8 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $1,135.36 – $2,442.10 | 8 |
| Valproic acid total therapeutic drug level CPT 80164 | $70.50 | $70.50 | $13.54 – $66.27 | 9 |
| Valrubicin injection HCPCS J9357 | not published | not published | $1,363.85 – $2,752.77 | 8 |
| Valvuloplasty aortic CPT 92986 | not published | not published | $1,239.74 – $2,649.51 | 8 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $1,810.04 – $3,851.93 | 8 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $2,145.06 – $4,564.99 | 8 |
| Valvuloplasty mitral CPT 92987 | not published | not published | $1,282.14 – $2,731.53 | 8 |
| Valvuloplasty pulmonary CPT 92990 | not published | not published | $1,022.54 – $2,187.95 | 8 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $2,891.44 – $6,136.80 | 8 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $2,289.63 – $4,870.67 | 8 |
| Vancomycin hcl injection HCPCS J3370 | $515.29 | $515.29 | $2.00 – $39.71 | 9 |
| Vancomycin peak therapeutic drug level CPT 80202 | $270.20 | $270.20 | $13.54 – $253.99 | 9 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $35.09 – $73.19 | 7 |
| Vantas implant HCPCS J9225 | not published | not published | $4,754.87 – $9,556.99 | 5 |
| Variable concentration mask HCPCS A4620 | not published | not published | $0.67 – $1.76 | 3 |
| Varicella zoster antibody igg CPT 86787 | $115.35 | $115.35 | $12.88 – $108.43 | 9 |
| Varicella-zoster immue globin im CPT 90396 | not published | not published | $208.77 – $6,829.83 | 4 |
| Varus/valgus strap padded/li HCPCS L2270 | not published | not published | $55.88 – $148.25 | 3 |
| Vasc emb/occ w/prs cath HCPCS C9797 | not published | not published | $82,613.52 – $82,613.52 | 1 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $705.99 – $1,527.09 | 8 |
| Vasectomy CPT 55250 | not published | not published | $220.27 – $648.25 | 9 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $127.48 | $127.48 | $1.82 – $119.83 | 9 |
| Vbac delivery 59610 CPT 59610 | not published | not published | $2,380.64 – $5,170.26 | 8 |
| Vbac/include postpartum care 59614 CPT 59614 | not published | not published | $1,086.14 – $2,381.80 | 8 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | not published | not published | $22.06 – $42.83 | 8 |
| Veeg cont 2-12 hrs CPT 95713 | not published | not published | $1,044.11 – $1,348.58 | 5 |
| Veeg ea 12-26hr cont mntr CPT 95716 | not published | not published | $1,856.87 – $3,231.10 | 5 |
| Veeg intrmnt 2-12 hrs CPT 95712 | not published | not published | $769.29 – $1,348.58 | 5 |
| Veeg unmon 12-26 hrs CPT 95714 | not published | not published | $377.47 – $984.78 | 5 |
| Veeg unmon 2-12 hrs CPT 95711 | not published | not published | $257.32 – $1,348.58 | 5 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | not published | not published | $1,348.72 – $2,862.34 | 8 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | not published | not published | $1,559.95 – $3,313.76 | 8 |
| Vein byp pop-tibl peroneal CPT 35587 | not published | not published | $1,276.06 – $2,652.90 | 8 |
| Vein gft fem a/p tib/pero/dis art 35566 CPT 35566 | not published | not published | $1,553.86 – $3,294.78 | 8 |
| Vein x-ray adrenal gland CPT 75840 | not published | not published | $53.90 – $109.13 | 8 |
| Vein x-ray adrenal glands CPT 75842 | not published | not published | $70.50 – $143.01 | 8 |
| Vein x-ray eye socket CPT 75880 | not published | not published | $33.23 – $67.79 | 8 |
| Vein x-ray kidney CPT 75831 | not published | not published | $51.04 – $103.03 | 8 |
| Vein x-ray liver CPT 75891 | not published | not published | $51.31 – $104.37 | 8 |
| Vein x-ray liver w/hemodynam CPT 75885 | not published | not published | $63.91 – $131.49 | 8 |
| Vein x-ray liver w/hemodynam CPT 75889 | not published | not published | $50.90 – $103.70 | 8 |
| Vein x-ray liver without hemodyn CPT 75887 | not published | not published | $64.85 – $132.85 | 8 |
| Vein x-ray skull CPT 75870 | not published | not published | $56.91 – $121.33 | 8 |
| Vein x-ray skull epidural CPT 75872 | not published | not published | $53.90 – $109.13 | 8 |
| Vein x-ray spleen/liver CPT 75810 | not published | not published | $47.59 – $97.61 | 8 |
| Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 | not published | not published | $364.50 – $739.37 | 8 |
| Vemp test i&r cervical CPT 92517 | not published | not published | $41.38 – $148.41 | 9 |
| Vemp test i&r ocular CPT 92518 | not published | not published | $41.69 – $150.34 | 9 |
| Vemp tst i&r cervical&ocular CPT 92519 | not published | not published | $62.71 – $245.43 | 9 |
| Ven-artl shunt det mbubb njx CPT 93898 | not published | not published | $87.44 – $87.44 | 1 |
| Ven blood coll snf/hha HCPCS G0471 | not published | not published | $6.82 – $22.36 | 7 |
| Vendaje, per square centimet HCPCS Q4252 | not published | not published | $124.14 – $295.98 | 8 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $2,313.15 | $2,313.15 | $7.82 – $18.69 | 9 |
| Venipuncture <3 yrs other vein CPT 36406 | $21.85 | $21.85 | $8.33 – $19.90 | 9 |
| Venogram ext bil s&i CPT 75822 | $1,537.00 | $1,537.00 | $66.99 – $1,432.48 | 9 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $1,016.70 | $1,016.70 | $48.42 – $947.56 | 9 |
| Venous mech thrombectomy CPT 37187 | not published | not published | $372.47 – $3,191.12 | 9 |
| Venous m-thrombectomy add-on CPT 37188 | not published | not published | $265.82 – $2,733.69 | 9 |
| Venous sampling s&i CPT 75893 | not published | not published | $24.57 – $50.84 | 8 |
| Venous thrombosis imaging CPT 78457 | not published | not published | $34.77 – $72.52 | 8 |
| Ven thrombosis images bilat CPT 78458 | not published | not published | $42.33 – $86.08 | 8 |
| Ventilator each subsequent day CPT 94003 | $744.75 | $744.75 | $62.66 – $694.11 | 9 |
| Ventilator Management (first day) CPT 94002 | $1,032.25 | $1,032.25 | $89.50 – $962.06 | 9 |
| Vent mgmt nf per day CPT 94004 | not published | not published | $46.38 – $94.90 | 8 |
| Ventricular puncture prev burr hole without inj 61020 CPT 61020 | not published | not published | $99.60 – $218.26 | 8 |
| Ventriculomyotomy/ihss 33416 CPT 33416 | not published | not published | $1,901.39 – $4,050.54 | 8 |
| Version cephalic external CPT 59412 | $1,171.30 | $1,171.30 | $97.18 – $1,091.65 | 9 |
| Vertebral corpectomy partial/complete 63082 CPT 63082 | not published | not published | $249.19 – $541.57 | 8 |
| Verteporfin injection HCPCS J3396 | not published | not published | $11.46 – $22.74 | 8 |
| Very long chain fatty acids CPT 82726 | $157.00 | $157.00 | $19.75 – $147.58 | 9 |
| Vesiculotomy complicated CPT 55605 | not published | not published | $505.26 – $1,073.64 | 8 |
| Vest large holster HCPCS Q0498 | not published | not published | $481.50 – $1,268.26 | 3 |
| Vest wrp airway ther disp lg slot 1use HCPCS A7025 | not published | not published | $127.34 – $483.57 | 2 |
| V-exc/lip/w/pri linear closure 40520 CPT 40520 | not published | not published | $345.68 – $975.91 | 9 |
| Video Swallow Study (Modified Barium Swallow) CPT 74230 | $543.00 | $543.00 | $25.16 – $506.08 | 9 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $311.51 | $311.51 | $3.88 – $292.82 | 9 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | not published | not published | $4.95 – $16.47 | 8 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | $521.49 | $521.49 | $7.42 – $490.20 | 9 |
| Viper venom prothrombin time CPT 85612 | not published | not published | $13.13 – $36.61 | 7 |
| Virus isolation addl studies ea CPT 87253 | not published | not published | $20.20 – $42.01 | 7 |
| Visc & infraren abd 1 prosth CPT 34845 | not published | not published | $3,549.62 – $5,625.68 | 4 |
| Visc & infraren abd 2 prosth CPT 34846 | not published | not published | $3,993.57 – $6,418.40 | 4 |
| Visc & infraren abd 3 prosth CPT 34847 | not published | not published | $4,253.76 – $7,213.37 | 4 |
| Visc & infraren abd 4+ prost CPT 34848 | not published | not published | $4,566.64 – $8,008.36 | 4 |
| Visit esketamine, > 56m HCPCS G2083 | not published | not published | $34.22 – $2,338.58 | 8 |
| Visit esketamine 56m or less HCPCS G2082 | not published | not published | $34.22 – $1,647.29 | 8 |
| Visual audiometry (vra) CPT 92579 | not published | not published | $36.54 – $84.80 | 9 |
| Vital capacity test CPT 94150 | $64.15 | $64.15 | $3.58 – $60.30 | 9 |
| Vitamin b-12 CPT 82607 | $326.05 | $326.05 | $15.08 – $306.49 | 9 |
| Vitamin D Test CPT 82306 | $220.30 | $220.30 | $29.60 – $207.08 | 9 |
| Vit for macular hole CPT 67042 | not published | not published | $1,091.10 – $2,289.60 | 8 |
| Vit for macular pucker CPT 67041 | not published | not published | $1,091.42 – $2,289.60 | 8 |
| Vit for membrane dissect CPT 67043 | not published | not published | $1,150.71 – $2,416.35 | 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.