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 |
|---|---|---|---|---|
| Calcium 24 hour urine CPT 82340 | $163.65 | $163.65 | $6.03 – $153.83 | 9 |
| Calcium acetate(phosphate binders) 667 mg tablet HCPCS J0615 | not published | not published | $0.02 – $0.02 | 1 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | not published | not published | $0.04 – $0.06 | 8 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $228.88 | $228.88 | $0.08 – $118.34 | 9 |
| Calcium glycer & lact/10 ml HCPCS J0620 | not published | not published | $8.95 – $23.05 | 3 |
| Calcium infusion test CPT 82331 | not published | not published | $11.31 – $27.79 | 7 |
| Calcium ionized CPT 82330 | $308.70 | $308.70 | $13.68 – $290.18 | 9 |
| Calcium total CPT 82310 | $94.75 | $94.75 | $5.16 – $89.07 | 9 |
| Calculi urinary-sendout CPT 82360 | not published | not published | $12.87 – $26.97 | 7 |
| Calculus analysis qual CPT 82355 | not published | not published | $11.58 – $24.27 | 7 |
| Caloric vestibular test CPT 92533 | not published | not published | $49.46 – $89.53 | 3 |
| Caloric vstblr test w/rec CPT 92538 | not published | not published | $11.38 – $30.20 | 8 |
| Calprotectin fecal CPT 83993 | $421.90 | $421.90 | $19.63 – $396.59 | 9 |
| Cam cervix uteri drg colp CPT 57465 | not published | not published | $41.47 – $106.01 | 9 |
| Camisole mastectomy wht/l post-surg gental touch HCPCS L8015 | not published | not published | $55.79 – $148.02 | 3 |
| Campylobacter antibody CPT 86625 | not published | not published | $13.12 – $27.49 | 7 |
| Canakinumab injection HCPCS J0638 | not published | not published | $117.58 – $268.61 | 8 |
| Candida dna CPT 87480 | not published | not published | $20.05 – $42.01 | 7 |
| Candida dna quant CPT 87482 | not published | not published | $55.74 – $116.59 | 7 |
| Candida skin test CPT 86485 | not published | not published | $23.54 – $38.46 | 5 |
| Cannabinoids synthetic 1-3 CPT 80350 | not published | not published | $12.80 – $50.16 | 3 |
| Cannabinoids synthetic 4-6 CPT 80351 | not published | not published | $16.50 – $16.50 | 1 |
| Cannabinoid synthetic 7/more CPT 80352 | not published | not published | $16.10 – $16.10 | 1 |
| Cannula declotting 36861 CPT 36861 | not published | not published | $131.13 – $277.90 | 8 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $800.00 | $800.00 | $186.58 – $454.48 | 9 |
| Cannula nasal HCPCS A4615 | not published | not published | $0.81 – $2.14 | 3 |
| Cantharidin top, applicator HCPCS J7354 | not published | not published | $1,407.02 – $2,182.13 | 2 |
| Canthotomy 67715 CPT 67715 | $205.60 | $205.60 | $42.74 – $104.12 | 9 |
| Capecitabine, oral, 50 mg HCPCS J8522 | not published | not published | $0.08 – $0.08 | 1 |
| Cap nerve 2x15mm HCPCS C1763 | $1,998.00 | $1,998.00 | $779.22 – $1,898.10 | 9 |
| Capsaicin 8% patch HCPCS J7336 | not published | not published | $3.27 – $6.58 | 8 |
| Capsular contracture release CPT 23020 | not published | not published | $666.08 – $1,438.29 | 8 |
| Capsulectomy/capsulotomy hip CPT 27036 | not published | not published | $977.26 – $2,105.93 | 8 |
| Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 | not published | not published | $243.28 – $737.55 | 9 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | not published | not published | $323.45 – $938.65 | 9 |
| Carbamazepine free CPT 80157 | not published | not published | $13.25 – $27.76 | 7 |
| Carbamazepine free -sendout CPT 80161 | not published | not published | $11.94 – $39.06 | 7 |
| Carbamazepine total therapeutic drug level CPT 80156 | $304.70 | $304.70 | $14.57 – $286.42 | 9 |
| Carbidopa levodopa ent 100ml HCPCS J7340 | not published | not published | $224.16 – $466.42 | 8 |
| Carbohydrate deficient transf - sendout CPT 82373 | not published | not published | $18.06 – $37.84 | 7 |
| Carbohydrate urine - sendout CPT 84377 | not published | not published | $5.50 – $11.52 | 7 |
| Carbon dioxide CPT 82374 | $95.80 | $95.80 | $4.88 – $90.05 | 9 |
| Carbon graphite lamination HCPCS L2755 | not published | not published | $121.33 – $321.88 | 3 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $290.65 | $290.65 | $2.42 – $273.21 | 9 |
| Carboxyhemoglobin quantitative CPT 82375 | $197.00 | $197.00 | $12.32 – $185.18 | 9 |
| Car-car bp grft/endovas taa CPT 33891 | not published | not published | $898.97 – $1,907.33 | 8 |
| Carcinoembryonic ag (cea) CPT 82378 | $346.05 | $346.05 | $18.96 – $325.29 | 9 |
| Cardiac drug stress test CPT 93024 | not published | not published | $53.86 – $109.80 | 8 |
| Cardiac MRI seg dys strain HCPCS C9762 | not published | not published | $2,522.57 – $2,522.57 | 1 |
| Cardiac MRI seg dys stress HCPCS C9763 | not published | not published | $2,522.57 – $2,522.57 | 1 |
| Cardiac MRI w/stress img CPT 75559 | not published | not published | $135.50 – $274.50 | 8 |
| Cardiac perf planar mult/ef/wm CPT 78454 | not published | not published | $62.90 – $127.42 | 8 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | not published | not published | $45.79 – $92.85 | 8 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $1,625.90 | $1,625.90 | $63.30 – $1,515.34 | 9 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | not published | not published | $13.26 – $49.46 | 9 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | not published | not published | $8.64 – $32.77 | 9 |
| Cardiac shunt imaging CPT 78428 | not published | not published | $35.68 – $72.52 | 8 |
| Cardiac Stress Test CPT 93015 | not published | not published | $67.80 – $148.44 | 8 |
| Cardioassist external CPT 92971 | not published | not published | $93.95 – $199.28 | 8 |
| Cardioassist internal CPT 92970 | not published | not published | $176.33 – $374.83 | 8 |
| Cardiokymography HCPCS Q0035 | not published | not published | $7.98 – $16.95 | 8 |
| Cardiolipin antibody iga CPT 86147 | $304.70 | $304.70 | $25.45 – $286.42 | 9 |
| Cardiology hrt trnspl mrna CPT 81595 | not published | not published | $1,280.15 – $6,789.21 | 7 |
| Cardioversion/elective/internal 92961 CPT 92961 | not published | not published | $230.23 – $485.30 | 8 |
| Cardioversion (Scheduled Heart Rhythm Shock) CPT 92960 | $328.00 | $328.00 | $67.80 – $165.16 | 9 |
| Card MRI veloc flow mapping CPT 75565 | not published | not published | $11.68 – $23.72 | 8 |
| Caregiver health risk assmt CPT 96161 | not published | not published | $2.50 – $6.10 | 8 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $114.30 | $114.30 | $44.58 – $106.53 | 9 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | $61.50 | $61.50 | $23.99 – $57.32 | 9 |
| Care manage beh svs 20mins HCPCS G0323 | not published | not published | $28.55 – $106.01 | 8 |
| Care mgmt svc bhvl hlth cond CPT 99484 | not published | not published | $28.87 – $106.01 | 9 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $4,337.66 | $4,337.66 | $45.66 – $2,038.71 | 9 |
| Carinal reconstruction CPT 31766 | not published | not published | $1,669.97 – $3,564.55 | 8 |
| Car ion chnnlpath inc 10 gns CPT 81413 | not published | not published | $584.90 – $1,225.45 | 7 |
| Car ion chnnlpath inc 2 gns CPT 81414 | not published | not published | $584.90 – $1,225.45 | 7 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | not published | not published | $271.47 – $504.73 | 8 |
| Carotene CPT 82380 | $172.30 | $172.30 | $9.22 – $161.96 | 9 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,877.25 | $1,877.25 | $37.36 – $1,749.60 | 9 |
| Car outp meas drg cath chd CPT 93598 | not published | not published | $68.19 – $130.82 | 8 |
| Carpal Tunnel Release Surgery CPT 64721 | not published | not published | $420.72 – $914.34 | 9 |
| Car seat/bed test 60 minutes CPT 94780 | $169.85 | $169.85 | $23.12 – $102.79 | 9 |
| Car seat/bed test additional 30 minutes CPT 94781 | $86.90 | $86.90 | $7.98 – $41.12 | 9 |
| Car-t admn autologous CPT 38228 | not published | not published | $357.21 – $1,526.01 | 2 |
| Car-t therapy hrvg bld-drv t lymphcyt pr day CPT 38225 | not published | not published | $196.55 – $196.55 | 1 |
| Car-t therapy prepj bld-drv t lymphcyt f/trns CPT 38226 | not published | not published | $79.31 – $79.31 | 1 |
| Car-t therapy receipt & prepj car-t cells f/admn CPT 38227 | not published | not published | $79.98 – $79.98 | 1 |
| Ca screen;flexi sigmoidscope HCPCS G0104 | not published | not published | $53.41 – $359.14 | 8 |
| Casiri and imdev repeat HCPCS M0240 | not published | not published | $432.38 – $942.95 | 7 |
| Casirivimab and imdevimab HCPCS Q0243 | not published | not published | $0.02 – $0.03 | 2 |
| Caspofungin acetate HCPCS J0637 | not published | not published | $4.99 – $10.00 | 8 |
| Cassette provox xtraflow hme HCPCS A7507 | not published | not published | $2.77 – $7.31 | 3 |
| Cast sup lng arm splint fbrg HCPCS Q4018 | not published | not published | $14.41 – $37.97 | 3 |
| Cast sup lng arm splint plst HCPCS Q4017 | not published | not published | $9.04 – $23.83 | 3 |
| Cast sup lng arm splnt ped f HCPCS Q4020 | not published | not published | $7.24 – $19.07 | 3 |
| Cast sup lng arm splnt ped p HCPCS Q4019 | not published | not published | $4.53 – $11.92 | 3 |
| Cast sup lng leg ped fbrgls HCPCS Q4032 | not published | not published | $37.79 – $99.55 | 3 |
| Cast sup lng leg ped plaster HCPCS Q4031 | not published | not published | $14.34 – $37.78 | 3 |
| Cast sup lng leg splnt fbrgl HCPCS Q4042 | not published | not published | $33.91 – $89.35 | 3 |
| Cast sup lng leg splnt ped f HCPCS Q4044 | not published | not published | $16.97 – $44.74 | 3 |
| Cast sup lng leg splnt ped p HCPCS Q4043 | not published | not published | $9.94 – $26.17 | 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.