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 |
|---|---|---|---|---|
| Cholesterol (Lipid) Test CPT 80061 | $139.65 | $139.65 | $13.39 – $131.27 | 9 |
| Choline c-11 HCPCS A9515 | not published | not published | $5,100.00 – $12,572.61 | 3 |
| Cholinesterase CPT 82480 | not published | not published | $7.87 – $16.26 | 7 |
| Cholinesterase challenge CPT 95857 | not published | not published | $27.66 – $122.70 | 9 |
| Chorion biopsy CPT 59015 | not published | not published | $123.74 – $307.10 | 9 |
| Chorionic gonadotropin/1000u HCPCS J0725 | not published | not published | $21.82 – $38.89 | 8 |
| Chrnc care mgmt phys 1st 30 CPT 99491 | not published | not published | $73.81 – $163.19 | 9 |
| Chrom analysis CPT 88273 | not published | not published | $35.51 – $72.94 | 7 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $39.00 – $81.72 | 7 |
| Chromatography CPT 83021 | $93.75 | $93.75 | $18.06 – $88.13 | 9 |
| Chromogenic substrate assay CPT 85130 | not published | not published | $11.89 – $24.91 | 7 |
| Chromo high res and frag x - sendout CPT 81243 | $99.60 | $99.60 | $38.84 – $94.62 | 9 |
| Chromosome analys amniotic CPT 88269 | $451.50 | $451.50 | $176.09 – $424.41 | 9 |
| Chromosome analysis 100 CPT 88249 | not published | not published | $176.63 – $362.62 | 7 |
| Chromosome analysis 15-20 cell count CPT 88262 | $431.25 | $431.25 | $128.00 – $405.38 | 9 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $176.63 – $362.62 | 7 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $153.30 – $314.92 | 7 |
| Chromosome analysis 5 CPT 88261 | not published | not published | $269.63 – $553.76 | 7 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $176.63 – $362.62 | 7 |
| Chromosome analys placenta CPT 88267 | $490.25 | $490.25 | $191.20 – $460.84 | 9 |
| Chromosome banding study CPT 88283 | not published | not published | $69.97 – $143.68 | 7 |
| Chromosome count additional CPT 88285 | not published | not published | $27.45 – $56.26 | 7 |
| Chromosome karyotype study CPT 88280 | $42.20 | $42.20 | $16.46 – $40.09 | 9 |
| Chromosome study additional CPT 88289 | not published | not published | $35.12 – $71.85 | 7 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $12.46 – $26.11 | 7 |
| Chylomicron screen, bf - sendout CPT 82664 | not published | not published | $61.50 – $128.79 | 7 |
| Cid ext controller repl HCPCS L8628 | not published | not published | $1,151.40 – $3,054.37 | 3 |
| Cid ext speech process repl HCPCS L8627 | not published | not published | $6,641.17 – $17,617.41 | 3 |
| Cidofovir injection HCPCS J0740 | not published | not published | $544.73 – $671.42 | 8 |
| Cid transmit coil and cable HCPCS L8629 | not published | not published | $166.65 – $442.05 | 3 |
| Cilastatin sodium injection HCPCS J0743 | not published | not published | $6.91 – $14.23 | 8 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $373.28 – $848.70 | 9 |
| Ciltacabtagene car-pos t HCPCS Q2056 | not published | not published | $506,965.14 – $1,089,860.32 | 6 |
| Cinacalcet 30 mg tablet HCPCS J0604 | not published | not published | $0.02 – $0.04 | 3 |
| Cine/video x-rays CPT 76120 | not published | not published | $18.73 – $37.95 | 8 |
| Cine/video x-rays add-on CPT 76125 | not published | not published | $12.69 – $27.11 | 8 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | not published | not published | $1.37 – $2.24 | 8 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | not published | not published | $28.88 – $91.04 | 5 |
| Circum 28 days or older CPT 54161 | not published | not published | $190.08 – $404.65 | 8 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $140.18 – $427.88 | 9 |
| Circumcision (newborn) CPT 54150 | $384.80 | $384.80 | $93.20 – $286.53 | 9 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $124.29 | $124.29 | $1.72 – $116.83 | 9 |
| C-kit mutation liquid tumor - sendout CPT 81272 | not published | not published | $329.51 – $690.47 | 7 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $1,960.42 | $1,960.42 | $13.28 – $1,842.79 | 9 |
| C-laminoplasty w/graft/plate CPT 63051 | not published | not published | $1,609.14 – $3,484.56 | 8 |
| Clamp neck artery CPT 61703 | not published | not published | $1,282.46 – $2,833.20 | 8 |
| Claviculectomy partial CPT 23120 | not published | not published | $567.46 – $1,228.18 | 8 |
| Claviculectomy total CPT 23125 | not published | not published | $684.98 – $1,478.29 | 8 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $131.57 – $419.52 | 9 |
| Clearance of airways CPT 31720 | $141.65 | $141.65 | $47.51 – $132.02 | 9 |
| Clearance of airways CPT 31725 | not published | not published | $76.51 – $157.93 | 8 |
| Clearance of tear duct CPT 68530 | not published | not published | $242.65 – $832.64 | 9 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $42.66 – $188.88 | 9 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $20.79 – $157.40 | 9 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $31.23 – $194.67 | 9 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $20.79 – $166.40 | 9 |
| C-lens fitg tech ou CPT 92314 | not published | not published | $33.19 – $167.03 | 8 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $92.42 | $92.42 | $1.90 – $28.23 | 9 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $1,131.32 – $2,372.31 | 8 |
| Cllr miami j sm HCPCS L0174 | not published | not published | $325.95 – $864.66 | 3 |
| Cl mult vsd w/rem pul band CPT 33677 | not published | not published | $1,971.34 – $4,200.32 | 8 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | not published | not published | $9.19 – $28.42 | 8 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $181.60 | $181.60 | $17.37 – $170.70 | 9 |
| Close bladder-uterus fistula CPT 51920 | not published | not published | $735.06 – $1,558.27 | 8 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $2,639.85 – $5,616.25 | 8 |
| Close chest after drainage CPT 32810 | not published | not published | $849.65 – $1,823.95 | 8 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $479.35 | $479.35 | $118.87 – $289.56 | 9 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | not published | not published | $385.55 – $867.97 | 9 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $700.10 – $1,506.74 | 8 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $399.33 – $862.84 | 9 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $564.60 | $564.60 | $113.24 – $275.83 | 9 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $175.25 | $175.25 | $68.35 – $166.49 | 9 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $761.90 | $761.90 | $157.48 – $383.61 | 9 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $189.25 | $189.25 | $39.12 – $95.29 | 9 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $620.05 – $1,563.13 | 9 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $160.61 – $425.31 | 9 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $315.66 – $988.75 | 9 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $895.60 | $895.60 | $185.62 – $452.15 | 9 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $289.75 – $810.79 | 9 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $97.78 – $232.57 | 9 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | not published | not published | $205.36 – $479.27 | 9 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $740.08 – $1,757.78 | 9 |
| Close kidney-skin fistula CPT 50520 | not published | not published | $1,105.53 – $2,377.73 | 8 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $305.30 | $305.30 | $63.61 – $154.95 | 9 |
| Close mastoid fistula CPT 69700 | not published | not published | $646.41 – $1,355.60 | 8 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $642.61 – $1,375.93 | 8 |
| Close mult vsd CPT 33675 | not published | not published | $1,849.31 – $3,940.05 | 8 |
| Close mult vsd w/resection CPT 33676 | not published | not published | $1,898.71 – $4,044.44 | 8 |
| Close nephrovisceral fistula CPT 50525 | not published | not published | $1,400.63 – $3,010.78 | 8 |
| Close nephrovisceral fistula CPT 50526 | not published | not published | $1,500.32 – $3,222.95 | 8 |
| Close tear duct opening CPT 68760 | not published | not published | $138.81 – $421.45 | 9 |
| Close tear duct opening CPT 68761 | not published | not published | $112.16 – $280.11 | 9 |
| Close tear system fistula CPT 68770 | not published | not published | $598.34 – $1,263.42 | 8 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $16.00 – $33.21 | 7 |
| Clos txnose fx without stablz 21315 CPT 21315 | $1,726.80 | $1,726.80 | $57.97 – $295.53 | 9 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $826.59 – $1,760.92 | 8 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $1,517.48 – $3,224.98 | 8 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $966.27 – $2,053.07 | 8 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $1,329.76 – $2,835.23 | 8 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $408.65 | $408.65 | $84.47 – $205.77 | 9 |
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.