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 |
|---|---|---|---|---|
| Brain aneurysm repr complx CPT 61698 | not published | not published | $4,327.42 – $9,518.35 | 8 |
| Brain aneurysm repr simple CPT 61700 | not published | not published | $3,182.05 – $7,030.81 | 8 |
| Brain biopsy w/ct/mr guide CPT 61751 | not published | not published | $1,308.97 – $2,890.82 | 8 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $1,149.66 – $2,534.30 | 8 |
| Brain flow imaging only CPT 78610 | not published | not published | $14.04 – $27.79 | 8 |
| Brain image < 4 views CPT 78600 | not published | not published | $20.35 – $41.34 | 8 |
| Brain image 4+ views CPT 78605 | not published | not published | $25.16 – $50.84 | 8 |
| Brain image w/flow < 4 views CPT 78601 | not published | not published | $23.40 – $47.44 | 8 |
| Brain image w/flow 4 + views CPT 78606 | not published | not published | $29.59 – $60.33 | 8 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | not published | not published | $69.53 – $140.98 | 8 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | not published | not published | $56.28 – $113.87 | 8 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $2,139.80 | $2,139.80 | $56.59 – $1,994.29 | 9 |
| Brain MRI (with and without contrast) CPT 70553 | $3,301.70 | $3,301.70 | $107.81 – $3,077.18 | 9 |
| Brain MRI (with contrast) CPT 70552 | $3,105.85 | $3,105.85 | $84.11 – $2,894.65 | 9 |
| Brain MRI (without contrast) CPT 70551 | $1,492.10 | $1,492.10 | $69.85 – $1,390.64 | 9 |
| Bra surgical elizabeth pink sm HCPCS L8000 | not published | not published | $35.25 – $93.52 | 3 |
| Brca1&2 gene full seq alys CPT 81163 | not published | not published | $468.00 – $980.66 | 7 |
| Brca1&2 gen ful dup/del alys CPT 81164 | not published | not published | $584.23 – $1,224.11 | 7 |
| Brca1 dna gene analy known fam var CPT 81215 | not published | not published | $375.25 – $786.25 | 7 |
| Brca1 gene full dup/del alys CPT 81166 | not published | not published | $301.35 – $631.46 | 7 |
| Brca1 gene full seq alys CPT 81165 | not published | not published | $282.88 – $592.76 | 7 |
| Brca2 dna gene analy full seq analy CPT 81216 | not published | not published | $185.12 – $387.70 | 7 |
| Brca2 dna gene analy known fam var CPT 81217 | not published | not published | $375.25 – $786.25 | 7 |
| Brca2 gene full dup/del alys CPT 81167 | not published | not published | $282.88 – $592.76 | 7 |
| Brcassure ashkenazi panel-sendout CPT 81212 | not published | not published | $440.00 – $921.80 | 7 |
| Brcassure comprehensive panel-sendout CPT 81162 | $4,562.20 | $4,562.20 | $1,779.26 – $4,288.47 | 9 |
| Breast augmentation 19325 CPT 19325 | not published | not published | $590.50 – $1,270.88 | 8 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $1,093.85 | $1,093.85 | $149.16 – $950.85 | 9 |
| Breastbone (Sternum) X-ray CPT 71120 | $725.30 | $725.30 | $9.32 – $675.98 | 9 |
| Breast prosthesis bra & form HCPCS L8001 | not published | not published | $116.76 – $309.73 | 3 |
| Breast prosthesis w adhesive HCPCS L8031 | not published | not published | $398.80 – $1,057.92 | 3 |
| Breast prosthes without adhesive HCPCS L8030 | not published | not published | $398.80 – $1,057.92 | 3 |
| Breast punct aspir cyst, bil CPT 19000 | $871.80 | $871.80 | $41.21 – $193.38 | 9 |
| Breast reconstruction 19357 CPT 19357 | not published | not published | $1,110.59 – $2,389.93 | 8 |
| Breast reconstruction tram flap 19367 CPT 19367 | not published | not published | $1,699.22 – $3,624.87 | 8 |
| Breast reconstr w/lat flap 19361 CPT 19361 | not published | not published | $1,495.23 – $3,193.11 | 8 |
| Breast reduction CPT 19318 | not published | not published | $1,049.72 – $2,246.91 | 8 |
| Breath hydrogen test 91065 CPT 91065 | not published | not published | $9.64 – $18.98 | 8 |
| Breathing response hypoxia CPT 94450 | not published | not published | $19.28 – $39.98 | 8 |
| Breath recording infant CPT 94772 | not published | not published | $242.86 – $2,441.13 | 3 |
| Breath test analysis c-14 CPT 78268 | not published | not published | $96.30 – $197.83 | 7 |
| Breath tst attain/anal c-14 CPT 78267 | not published | not published | $11.28 – $23.05 | 7 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | not published | not published | $218.08 – $492.09 | 8 |
| Brexucabtagene car pos t HCPCS Q2053 | not published | not published | $457,727.45 – $964,792.82 | 6 |
| Brief alcohol misuse counsel HCPCS G0443 | not published | not published | $22.40 – $61.00 | 8 |
| Brief chkin, 5-10, non-e/m HCPCS G2251 | not published | not published | $12.22 – $26.98 | 8 |
| Brief chkin by md/qhp, 11-20 HCPCS G2252 | not published | not published | $24.76 – $50.84 | 8 |
| Brompheniramine maleate inj HCPCS J0945 | not published | not published | $0.67 – $0.80 | 3 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | not published | not published | $136.04 – $284.69 | 8 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | not published | not published | $64.23 – $231.28 | 9 |
| Bronch ebus samplng 1/2 node CPT 31652 | not published | not published | $212.10 – $2,383.55 | 9 |
| Bronch ebus samplng 3/> node CPT 31653 | not published | not published | $235.19 – $2,474.14 | 9 |
| Bronchial allergy tests CPT 95070 | not published | not published | $32.05 – $71.85 | 8 |
| Bronchial brush biopsy CPT 31717 | not published | not published | $102.66 – $549.31 | 9 |
| Bronchial challenge CPT 94070 | $445.30 | $445.30 | $27.13 – $415.02 | 9 |
| Bronchial valve addl insert CPT 31651 | not published | not published | $73.77 – $150.47 | 8 |
| Bronchial valve init insert CPT 31647 | not published | not published | $197.44 – $408.71 | 8 |
| Bronchial valve remov addl CPT 31649 | not published | not published | $64.76 – $137.59 | 8 |
| Bronchial valve remov init CPT 31648 | not published | not published | $188.97 – $391.76 | 8 |
| Bronchoscopy bronch stents CPT 31636 | not published | not published | $207.64 – $433.80 | 8 |
| Bronchoscopy clear airways 31645 CPT 31645 | not published | not published | $140.97 – $527.46 | 9 |
| Bronchoscopy dilate/fx repr CPT 31630 | not published | not published | $189.90 – $396.52 | 8 |
| Bronchoscopy dilate w/stent CPT 31631 | not published | not published | $216.66 – $452.09 | 8 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | not published | not published | $47.55 – $124.00 | 9 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | not published | not published | $169.19 – $713.78 | 9 |
| Bronchoscopy/needle bx addl 31633 CPT 31633 | not published | not published | $60.53 – $154.20 | 9 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | not published | not published | $179.10 – $868.61 | 9 |
| Bronchoscopy revise stent CPT 31638 | not published | not published | $237.09 – $490.73 | 8 |
| Bronchoscopy stent add-on CPT 31637 | not published | not published | $74.08 – $151.14 | 8 |
| Bronchoscopy treat blockage CPT 31641 | not published | not published | $244.25 – $502.93 | 8 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | not published | not published | $149.68 – $670.08 | 9 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | $986.65 | $986.65 | $167.61 – $563.44 | 9 |
| Bronchoscopy w/markers CPT 31626 | not published | not published | $188.22 – $1,505.94 | 9 |
| Bronchoscopy w/tumor excise CPT 31640 | not published | not published | $238.50 – $490.73 | 8 |
| Bronch thermoplsty 1 lobe CPT 31660 | not published | not published | $190.46 – $374.83 | 8 |
| Bronch thermoplsty 2/> lobes CPT 31661 | not published | not published | $193.66 – $397.19 | 8 |
| Bronch w/balloon occlusion CPT 31634 | not published | not published | $181.43 – $2,815.29 | 9 |
| Bronch w/debrdmt subgltc & uppr trach CPT 31899 | not published | not published | $893.17 – $893.17 | 1 |
| Br punct aspir ea add, l CPT 19001 | $871.80 | $871.80 | $20.11 – $50.76 | 9 |
| Brst prsth bra & bilat form HCPCS L8002 | not published | not published | $153.54 – $407.31 | 3 |
| Brst rcnstj 1pdcl tram anast CPT 19368 | not published | not published | $2,082.91 – $4,428.74 | 8 |
| Brst rcnstj 2 pdcl tram flap CPT 19369 | not published | not published | $1,935.17 – $4,115.60 | 8 |
| Brst rcnstj free flap CPT 19364 | not published | not published | $2,609.99 – $5,549.15 | 8 |
| Brush provox 4-10mm HCPCS L8513 | not published | not published | $4.84 – $12.82 | 3 |
| Bso omentectomy w/tah 58956 CPT 58956 | not published | not published | $1,313.26 – $2,783.05 | 8 |
| Btk gene common variants CPT 81233 | not published | not published | $175.40 – $367.37 | 7 |
| Budesonide comp unit HCPCS J7627 | not published | not published | $0.31 – $9.49 | 2 |
| Budesonide non-comp con HCPCS J7633 | not published | not published | $4.82 – $4.82 | 1 |
| Budesonide non-comp unit HCPCS J7626 | not published | not published | $0.92 – $2.79 | 8 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $131.30 | $131.30 | $0.67 – $19.98 | 9 |
| Bundled special stain group 1 microorganisms CPT 88312 | $214.25 | $214.25 | $25.78 – $199.68 | 9 |
| Bundled special stain group 2 CPT 88313 | $167.45 | $167.45 | $11.65 – $156.06 | 9 |
| Bundle his recording CPT 93600 | not published | not published | $111.06 – $217.15 | 8 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $18.52 | $18.52 | $0.02 – $16.08 | 9 |
| Bupivacaine implant, 1 mg HCPCS C9089 | not published | not published | $0.85 – $1.74 | 2 |
| Bupren/nal 3.1 to 6mg bupren HCPCS J0573 | not published | not published | $7.91 – $8.36 | 2 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | not published | not published | $2.79 – $4.00 | 2 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | not published | not published | $5.03 – $7.91 | 2 |
| Buprenorphine and metabolite - sendout CPT 80348 | $188.65 | $188.65 | $16.36 – $179.22 | 9 |
| Buprenorphine hydrochloride HCPCS J0592 | not published | not published | $3.79 – $8.51 | 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.