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 |
|---|---|---|---|---|
| D&c after delivery 59160 CPT 59160 | not published | not published | $180.16 – $531.96 | 9 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $225.89 – $579.51 | 9 |
| Dch glucoscan CPT 82948 | $10.65 | $10.65 | $4.15 – $10.12 | 9 |
| Dch pulmonary stress test CPT 94621 | not published | not published | $66.21 – $135.55 | 8 |
| Dch validity tests CPT 81002 | $18.35 | $18.35 | $3.48 – $17.25 | 9 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $546.96 – $1,229.54 | 8 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $1,688.62 – $3,725.18 | 8 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $262.81 – $559.19 | 8 |
| D&c of cervical stump CPT 57558 | not published | not published | $124.64 – $308.38 | 9 |
| Deamidated gliadin antibody iga CPT 86258 | $15.25 | $15.25 | $5.95 – $14.49 | 9 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $666.79 – $1,416.60 | 8 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $95.85 | $95.85 | $20.34 – $49.54 | 9 |
| Debridement (>20 cm) charge pt CPT 97598 | $582.95 | $582.95 | $23.95 – $86.73 | 9 |
| Debridement bone <= 20 sq cm CPT 11044 | $2,347.90 | $2,347.90 | $216.40 – $600.70 | 9 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | not published | not published | $52.39 – $140.71 | 9 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $2,347.90 | $2,347.90 | $92.62 – $232.57 | 9 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $744.75 | $744.75 | $28.16 – $68.59 | 9 |
| Debride nail1-5 11720 CPT 11720 | $215.30 | $215.30 | $14.15 – $63.61 | 9 |
| Debride nail6 or more 11721 CPT 11721 | $239.30 | $239.30 | $23.32 – $86.09 | 9 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $282.85 – $964.34 | 9 |
| Debride skin bone at fx site CPT 11012 | $1,040.25 | $1,040.25 | $397.38 – $969.51 | 9 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $543.08 – $1,146.16 | 8 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $733.73 – $1,560.30 | 8 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $744.75 | $744.75 | $24.40 – $77.10 | 9 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $49.53 – $151.62 | 9 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $262.10 | $262.10 | $102.22 – $249.00 | 9 |
| Debr inf skin add-on 11001 CPT 11001 | not published | not published | $14.40 – $52.69 | 9 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $819.60 | $819.60 | $147.69 – $449.09 | 9 |
| Decalcification CPT 88311 | $81.15 | $81.15 | $11.96 – $75.63 | 9 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $892.33 | $892.33 | $1.17 – $838.79 | 9 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $534.80 | $534.80 | $13.57 – $33.06 | 9 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $454.92 – $971.30 | 8 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $714.74 – $1,506.07 | 8 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $1,177.52 – $2,530.91 | 8 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $543.28 – $1,175.31 | 8 |
| Decompress fingers/hand CPT 26035 | not published | not published | $828.97 – $1,791.43 | 8 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $1,255.46 – $2,677.32 | 8 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $746.48 – $1,613.84 | 8 |
| Decompression fasct forearm CPT 24495 | not published | not published | $889.28 – $1,877.51 | 8 |
| Decompression of leg CPT 27892 | not published | not published | $514.66 – $1,119.05 | 8 |
| Decompression of leg CPT 27893 | not published | not published | $592.25 – $1,282.41 | 8 |
| Decompression of leg CPT 27894 | not published | not published | $780.51 – $1,687.04 | 8 |
| Decompression of lower leg CPT 27600 | not published | not published | $385.80 – $826.23 | 8 |
| Decompression of lower leg CPT 27601 | not published | not published | $424.70 – $906.90 | 8 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $529.77 – $1,151.59 | 8 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $560.56 – $1,211.92 | 8 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $634.09 – $1,373.22 | 8 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $677.36 – $1,462.01 | 8 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $347.12 – $1,019.59 | 9 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $351.15 – $772.69 | 8 |
| Decompressive craniotomy CPT 61322 | not published | not published | $2,238.28 – $4,930.31 | 8 |
| Decompress optic nerve CPT 67570 | not published | not published | $1,222.79 – $2,539.04 | 8 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $1,535.75 – $3,361.20 | 8 |
| Decompress small bowel CPT 44021 | not published | not published | $927.68 – $1,993.41 | 8 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $1,413.98 – $3,072.47 | 8 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $1,683.58 – $3,642.50 | 8 |
| Decompress spine cord add-on CPT 63066 | not published | not published | $191.49 – $420.24 | 8 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $301.63 – $656.79 | 8 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $146.22 – $587.85 | 9 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | not published | not published | $6.90 – $17.66 | 8 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $2,201.30 | $2,201.30 | $4.14 – $878.49 | 9 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $731.17 – $1,569.10 | 8 |
| Delay flap arms/legs CPT 15610 | not published | not published | $233.48 – $714.41 | 9 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $329.51 – $897.52 | 9 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $312.84 – $867.97 | 9 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $201.77 – $656.59 | 9 |
| Delivery of placenta 59414 CPT 59414 | not published | not published | $85.94 – $185.05 | 8 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $889.13 – $1,908.00 | 8 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | not published | not published | $1,283.97 – $2,826.43 | 8 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | not published | not published | $614.48 – $1,303.40 | 8 |
| Demonstrate use home inr mon HCPCS G0248 | not published | not published | $80.55 – $202.67 | 8 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $54.80 | $54.80 | $15.86 – $51.07 | 9 |
| Denervation of hip joint CPT 27035 | not published | not published | $1,097.29 – $2,312.65 | 8 |
| Dengue vacc quad 3 dose subq CPT 90587 | not published | not published | $73.92 – $160.27 | 3 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $4,230.42 | $4,230.42 | $23.48 – $2,161.85 | 9 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $93.60 | $93.60 | $36.50 – $88.92 | 9 |
| Deodorant ostmy adapt lube 8ml HCPCS A4394 | not published | not published | $2.88 – $7.59 | 3 |
| Depo-estradiol cypionate inj HCPCS J1000 | not published | not published | $29.84 – $76.42 | 8 |
| Dermabrasion other than face CPT 15782 | not published | not published | $354.18 – $940.58 | 9 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $410.57 – $1,036.30 | 9 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $340.32 – $872.47 | 9 |
| Dermabrasion total face CPT 15780 | not published | not published | $637.32 – $1,638.29 | 9 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $646.23 – $1,386.78 | 8 |
| Derma-gide, 1 sq cm HCPCS Q4203 | not published | not published | $206.74 – $593.41 | 8 |
| Dermagraft HCPCS Q4106 | not published | not published | $16.58 – $58.30 | 8 |
| Dermal filler injection(s) HCPCS G0429 | not published | not published | $65.73 – $192.10 | 8 |
| Dermapure 1 square cm HCPCS Q4152 | not published | not published | $43.45 – $102.89 | 8 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $730.48 – $1,684.54 | 9 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $571.02 – $1,391.58 | 9 |
| Dermavest, plurivest sq cm HCPCS Q4153 | not published | not published | $44.23 – $460.03 | 8 |
| Derm-maxx, per sq cm HCPCS Q4238 | not published | not published | $883.62 – $3,079.87 | 3 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | not published | not published | $1,676.39 – $3,543.55 | 8 |
| Description not available HCPCS S0013 | not published | not published | $13.40 – $28.90 | 3 |
| Design custom breast implant CPT 19396 | not published | not published | $136.42 – $524.90 | 9 |
| Design mlc device for imrt CPT 77338 | not published | not published | $222.09 – $461.58 | 8 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | not published | not published | $5.56 – $9.79 | 8 |
| Desoxycorticosterone CPT 82633 | not published | not published | $30.98 – $64.92 | 7 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $368.57 – $782.18 | 8 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | not published | not published | $1,436.62 – $3,044.00 | 8 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $1,041.89 – $2,204.21 | 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.