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 |
|---|---|---|---|---|
| Closure of eyelid by suture CPT 67875 | not published | not published | $90.96 – $349.50 | 9 |
| Closure of salivary fistula CPT 42600 | not published | not published | $345.64 – $1,060.71 | 9 |
| Closure of valve CPT 33600 | not published | not published | $1,616.49 – $3,454.07 | 8 |
| Closure of valve CPT 33602 | not published | not published | $1,569.33 – $3,355.11 | 8 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $321.19 – $864.12 | 9 |
| Closure paravalvlr leak pq CPT 33999 | not published | not published | $2,844.44 – $2,844.44 | 1 |
| Closure ureter/bowel fistula CPT 50930 | not published | not published | $1,058.65 – $2,233.36 | 8 |
| Closure ureter/skin fistula CPT 50920 | not published | not published | $848.10 – $1,794.82 | 8 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $18.93 – $39.67 | 7 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $20.42 – $42.70 | 7 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $18.93 – $39.67 | 7 |
| Clot factor xii hageman CPT 85280 | $397.95 | $397.95 | $19.35 – $374.07 | 9 |
| Clot factor xiii fibrin scrn CPT 85291 | $342.00 | $342.00 | $9.11 – $321.48 | 9 |
| Clot factor xiii fibrin stab CPT 85290 | not published | not published | $16.34 – $34.24 | 7 |
| Clotting assay whole blood CPT 85396 | not published | not published | $18.87 – $38.64 | 8 |
| Clozapine, 25 mg HCPCS S0136 | not published | not published | $0.66 – $2.03 | 2 |
| Clsd ostomy pouch w/flange HCPCS A5054 | not published | not published | $2.00 – $5.26 | 3 |
| Clsd ostomy pouch without barr HCPCS A5052 | not published | not published | $1.65 – $4.36 | 3 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $379.65 | $379.65 | $78.74 – $191.81 | 9 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | not published | not published | $299.07 – $675.87 | 9 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $420.45 | $420.45 | $86.91 – $211.71 | 9 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | not published | not published | $233.26 – $516.48 | 9 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | not published | not published | $232.06 – $507.68 | 9 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $1,770.50 | $1,770.50 | $326.00 – $722.13 | 9 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $129.75 | $129.75 | $50.60 – $123.26 | 9 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $271.20 | $271.20 | $56.32 – $137.18 | 9 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | not published | not published | $186.15 – $413.45 | 9 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $580.20 | $580.20 | $119.94 – $292.17 | 9 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | not published | not published | $299.02 – $653.40 | 9 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $174.05 | $174.05 | $35.98 – $87.64 | 9 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $3,981.45 | $3,981.45 | $728.85 – $1,560.97 | 9 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | not published | not published | $527.11 – $1,119.72 | 8 |
| Clsd tx fracture of radius 25500 CPT 25500 | not published | not published | $252.61 – $575.65 | 9 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | not published | not published | $121.22 – $282.69 | 9 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $176.60 | $176.60 | $36.50 – $88.92 | 9 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | not published | not published | $316.88 – $700.17 | 9 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $639.50 | $639.50 | $132.44 – $322.62 | 9 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | not published | not published | $254.05 – $586.57 | 9 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $639.50 | $639.50 | $132.44 – $322.62 | 9 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | not published | not published | $254.86 – $559.19 | 9 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $972.55 | $972.55 | $201.28 – $490.30 | 9 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | not published | not published | $343.94 – $770.96 | 9 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $250.05 | $250.05 | $97.52 – $237.55 | 9 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $413.75 | $413.75 | $85.55 – $208.38 | 9 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | not published | not published | $461.44 – $1,138.45 | 9 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | not published | not published | $216.26 – $477.84 | 9 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | not published | not published | $280.77 – $620.19 | 9 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $412.45 | $412.45 | $85.00 – $207.05 | 9 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | not published | not published | $493.11 – $1,056.69 | 8 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $536.50 | $536.50 | $166.78 – $406.27 | 9 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | not published | not published | $199.18 – $435.83 | 9 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | not published | not published | $91.73 – $418.89 | 9 |
| Clsd tx nose fx without manip 21310 CPT 21310 | not published | not published | $57.22 – $57.22 | 1 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $643.10 | $643.10 | $250.81 – $610.95 | 9 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $425.05 | $425.05 | $88.14 – $214.70 | 9 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $171.15 | $171.15 | $66.75 – $162.59 | 9 |
| Clsd tx pelvic ring fx CPT 27197 | not published | not published | $128.14 – $273.16 | 8 |
| Clsd tx pelvic ring fx CPT 27198 | not published | not published | $303.60 – $650.70 | 8 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $534.55 | $534.55 | $110.72 – $269.71 | 9 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | not published | not published | $185.16 – $410.08 | 9 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | not published | not published | $240.83 – $533.89 | 9 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $528.60 | $528.60 | $109.28 – $266.19 | 9 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $136.35 | $136.35 | $53.18 – $129.53 | 9 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $635.70 | $635.70 | $131.41 – $320.10 | 9 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $1,793.40 | $1,793.40 | $370.70 – $902.98 | 9 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $2,442.10 | $2,442.10 | $396.38 – $1,206.33 | 9 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | not published | not published | $329.61 – $755.54 | 9 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $88.30 | $88.30 | $19.29 – $46.98 | 9 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $148.90 | $148.90 | $31.30 – $76.24 | 9 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $228.65 | $228.65 | $89.17 – $217.22 | 9 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $715.25 | $715.25 | $148.08 – $360.72 | 9 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | not published | not published | $237.87 – $535.82 | 9 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | not published | not published | $285.97 – $622.22 | 9 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | not published | not published | $279.19 – $616.12 | 9 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | not published | not published | $278.85 – $621.26 | 9 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | not published | not published | $514.90 – $1,121.75 | 8 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | not published | not published | $300.91 – $664.31 | 9 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | not published | not published | $262.56 – $590.43 | 9 |
| Clsr 1 vsd w/wo patch w/vlvt CPT 33684 | not published | not published | $1,772.21 – $3,776.71 | 8 |
| Clsr 1vsd w/wo ptch rmvl bnd CPT 33688 | not published | not published | $1,766.18 – $3,757.05 | 8 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | not published | not published | $394.17 – $899.45 | 9 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | not published | not published | $433.91 – $984.25 | 9 |
| Cltx craniofacial separation CPT 21431 | not published | not published | $669.78 – $1,419.32 | 8 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | not published | not published | $347.54 – $774.82 | 9 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | not published | not published | $289.35 – $670.08 | 9 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $1,381.75 | $1,381.75 | $347.41 – $846.26 | 9 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | not published | not published | $306.73 – $710.57 | 9 |
| Cltx lunate dislc w/mnpj CPT 25690 | not published | not published | $477.68 – $1,039.76 | 8 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | not published | not published | $891.11 – $2,108.58 | 9 |
| Cltx mndblr fx w/mnpj CPT 21451 | not published | not published | $617.54 – $1,480.88 | 9 |
| Cltx mndblr/max alv ridge fx CPT 21440 | not published | not published | $528.26 – $1,466.11 | 9 |
| Cltx palatal/max fx wire fix CPT 21421 | not published | not published | $525.04 – $1,243.81 | 9 |
| Cltx post ankle fx CPT 27767 | not published | not published | $283.40 – $626.28 | 9 |
| Cltx post ankle fx w/mnpj CPT 27768 | not published | not published | $435.14 – $949.59 | 8 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | not published | not published | $370.00 – $822.99 | 9 |
| Cltx strnclav dislc w/mnpj CPT 23525 | not published | not published | $354.34 – $797.30 | 9 |
| Cltx thigh fx CPT 27267 | not published | not published | $427.30 – $922.49 | 8 |
| Cltx thigh fx w/mnpj CPT 27268 | not published | not published | $526.56 – $1,140.06 | 8 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $757.91 – $1,845.80 | 9 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $755.89 – $1,588.76 | 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.