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 |
|---|---|---|---|---|
| Colpopexy intraperitoneal CPT 57283 | not published | not published | $678.69 – $1,427.45 | 8 |
| Colpopexy, min/inv, ex-perit HCPCS C9778 | not published | not published | $22,711.13 – $22,711.13 | 1 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | $296.90 | $296.90 | $115.79 – $282.06 | 9 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | not published | not published | $116.98 – $345.65 | 9 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | not published | not published | $177.14 – $676.51 | 9 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | not published | not published | $87.51 – $246.06 | 9 |
| Colposcopy vulva 56820 CPT 56820 | not published | not published | $81.56 – $243.50 | 9 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | not published | not published | $109.38 – $326.37 | 9 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | not published | not published | $104.86 – $314.17 | 9 |
| Colpotomy drng of abscess 57010 CPT 57010 | not published | not published | $443.90 – $936.05 | 8 |
| Colpotomy w/exploration 57000 CPT 57000 | not published | not published | $196.03 – $412.78 | 8 |
| Combination bilateral ho HCPCS L1690 | not published | not published | $1,796.29 – $4,765.15 | 3 |
| Combo ankle/foot prosthesis HCPCS L5975 | not published | not published | $431.47 – $1,144.59 | 3 |
| Comm hlth intg svs sdoh 60mn HCPCS G0019 | not published | not published | $90.38 – $425.58 | 5 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $155.75 | $155.75 | $44.59 – $146.41 | 9 |
| Compatibility test each unit electronic CPT 86923 | $54.55 | $54.55 | $21.27 – $51.28 | 9 |
| Compatibility test each unit immediate spin technique CPT 86920 | $513.65 | $513.65 | $41.70 – $482.83 | 9 |
| Compatibility test incubate CPT 86921 | not published | not published | $37.57 – $48.09 | 3 |
| Comp cystometrogram/void presssure 51728 CPT 51728 | not published | not published | $100.36 – $207.41 | 8 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | not published | not published | $121.39 – $252.81 | 8 |
| Complement antigen each component c3 CPT 86160 | $75.05 | $75.05 | $12.00 – $70.55 | 9 |
| Complement fixation each CPT 86171 | not published | not published | $10.01 – $20.98 | 7 |
| Complete removal of vulva CPT 56625 | not published | not published | $645.28 – $1,369.16 | 8 |
| Completion pneumonectomy 32488 CPT 32488 | not published | not published | $2,246.56 – $4,792.72 | 8 |
| Complex body section x-ray CPT 76101 | not published | not published | $68.58 – $68.58 | 1 |
| Complex body section x-rays CPT 76102 | not published | not published | $67.63 – $67.63 | 1 |
| Complex cystometrogram 51726 CPT 51726 | not published | not published | $82.01 – $169.46 | 8 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | not published | not published | $222.63 – $684.87 | 9 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | not published | not published | $237.50 – $765.17 | 9 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | not published | not published | $8.20 – $16.06 | 8 |
| Compl oph exam general anes CPT 92018 | not published | not published | $134.96 – $283.32 | 8 |
| Compl rpr tof w/pulm atresia CPT 33697 | not published | not published | $1,928.08 – $4,108.14 | 8 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | not published | not published | $267.58 – $815.29 | 9 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $310.20 | $310.20 | $120.98 – $294.69 | 9 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | not published | not published | $131.35 – $355.93 | 9 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $228.65 | $228.65 | $89.17 – $217.22 | 9 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $556.30 | $556.30 | $115.25 – $280.73 | 9 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $161.05 | $161.05 | $34.44 – $83.89 | 9 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $348.15 | $348.15 | $71.96 – $171.95 | 9 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | not published | not published | $192.73 – $657.25 | 9 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | not published | not published | $68.72 – $224.22 | 9 |
| Component ankle afo plastic jt mold to pt mdl foot cup HCPCS L1970 | not published | not published | $844.30 – $2,239.73 | 3 |
| Composite byp grft 2 veins CPT 35682 | not published | not published | $328.75 – $696.10 | 8 |
| Composite byp grft 3/> segmt CPT 35683 | not published | not published | $381.95 – $811.33 | 8 |
| Composite byp grft pros&vein CPT 35681 | not published | not published | $74.49 – $157.24 | 8 |
| Composite drsg >16<=48 sq in HCPCS A6204 | not published | not published | $6.92 – $18.21 | 3 |
| Composite drsg <= 16 sq in HCPCS A6203 | not published | not published | $3.74 – $9.87 | 3 |
| Composite graft/pri close/don area 15760 CPT 15760 | not published | not published | $673.46 – $1,637.00 | 9 |
| Comprehensive hearing test CPT 92557 | not published | not published | $31.20 – $70.03 | 9 |
| Compre oph exam est pt 1/> CPT 92014 | not published | not published | $74.38 – $242.20 | 9 |
| Compre oph exam new pt 1/> CPT 92004 | not published | not published | $92.27 – $286.53 | 9 |
| Compression stocking bk18-30 HCPCS A6530 | not published | not published | $39.38 – $79.71 | 2 |
| Comp rpr tof wo pulm atresia CPT 33692 | not published | not published | $1,833.89 – $3,902.77 | 8 |
| Concentration infection agents any type CPT 87015 | $207.60 | $207.60 | $6.68 – $195.14 | 9 |
| Conditioning play audiometry 92582 CPT 92582 | not published | not published | $76.55 – $181.65 | 8 |
| Conduit wrap neuomend 3mmx2.5cm HCPCS C9361 | not published | not published | $177.26 – $177.26 | 1 |
| Condylomata destruction 56420 CPT 56420 | $209.40 | $209.40 | $43.27 – $105.40 | 9 |
| Conform band n/s w>=3"<5"/yd HCPCS A6443 | not published | not published | $0.30 – $0.82 | 3 |
| Conform band s w>=3" <5"/yd HCPCS A6446 | not published | not published | $0.44 – $1.13 | 3 |
| Conform band s w >=5"/yd HCPCS A6447 | not published | not published | $0.77 – $1.99 | 3 |
| Congo red blood test HCPCS P2029 | not published | not published | $4.95 – $10.16 | 7 |
| Conivaptan hcl HCPCS C9488 | not published | not published | $45.46 – $143.26 | 3 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | not published | not published | $246.80 – $590.43 | 9 |
| Conization of cervix CPT 57520 | not published | not published | $286.64 – $688.72 | 9 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $1,698.49 | $1,698.49 | $362.90 – $1,596.58 | 9 |
| Connect omega .5mm HCPCS L8613 | not published | not published | $296.22 – $785.79 | 3 |
| Connector tis 2x10mm HCPCS C9352 | not published | not published | $1,027.91 – $1,027.91 | 1 |
| Constj trachesophgl fstl CPT 31611 | not published | not published | $517.97 – $1,095.33 | 8 |
| Construct bladder opening CPT 51980 | not published | not published | $687.43 – $1,455.91 | 8 |
| Construct bowel bladder CPT 50820 | not published | not published | $1,261.45 – $2,663.07 | 8 |
| Construct bowel bladder CPT 50825 | not published | not published | $1,580.84 – $3,332.06 | 8 |
| Construction of absent anus CPT 46730 | not published | not published | $1,892.71 – $4,081.72 | 8 |
| Construction of absent anus CPT 46735 | not published | not published | $2,176.80 – $4,690.38 | 8 |
| Construction of absent anus CPT 46740 | not published | not published | $2,064.26 – $4,449.76 | 8 |
| Construction of vagina CPT 57291 | not published | not published | $533.15 – $1,124.47 | 8 |
| Construct thumb replacement CPT 26550 | not published | not published | $1,591.12 – $3,375.45 | 8 |
| Construct vagina with graft CPT 57292 | not published | not published | $804.23 – $1,688.40 | 8 |
| Consultation pathology during surgery CPT 88329 | not published | not published | $34.38 – $106.01 | 9 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | not published | not published | $55.27 – $114.36 | 8 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $135.65 | $135.65 | $29.69 – $126.43 | 9 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $191.65 | $191.65 | $60.04 – $178.62 | 9 |
| Consultation/report referred material w/preparation of slides CPT 88323 | not published | not published | $51.22 – $164.47 | 8 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $318.70 | $318.70 | $81.29 – $185.68 | 9 |
| Consultation with family CPT 90887 | not published | not published | $71.24 – $164.47 | 8 |
| Consult comp w/report rfrd material CPT 88325 | not published | not published | $130.93 – $297.46 | 9 |
| Contact layer >16<= 48 sq in HCPCS A6207 | not published | not published | $8.16 – $21.50 | 3 |
| Contact lens fitg aphakia 1 CPT 92311 | not published | not published | $51.32 – $198.53 | 9 |
| Contact lens fitg aphakia ou CPT 92312 | not published | not published | $59.42 – $237.07 | 9 |
| Contact lens fitting for tx CPT 92071 | not published | not published | $31.55 – $69.38 | 9 |
| Contact lens fitting ou CPT 92310 | not published | not published | $56.09 – $192.10 | 8 |
| Contact lens gas permeable HCPCS V2531 | not published | not published | $533.19 – $1,404.38 | 3 |
| Cont gluc mntr analysis i&r 95251 CPT 95251 | not published | not published | $33.85 – $69.82 | 8 |
| Cont intraop neuro monitor HCPCS G0453 | not published | not published | $31.03 – $63.72 | 8 |
| Contour cranial bone lesion CPT 21181 | not published | not published | $712.81 – $1,527.09 | 8 |
| Contour of face bone lesion CPT 21029 | not published | not published | $599.43 – $1,497.59 | 9 |
| Contrast baths charges CPT 97034 | not published | not published | $14.06 – $28.48 | 8 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | not published | not published | $64.99 – $127.86 | 8 |
| Contrast exam thoracic aorta CPT 75600 | not published | not published | $22.81 – $46.77 | 8 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | not published | not published | $51.89 – $107.10 | 8 |
| Contrast x-ray gallbladder CPT 74290 | $677.35 | $677.35 | $15.27 – $631.29 | 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.