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 |
|---|---|---|---|---|
| Drainable plastic pch w fcpl HCPCS A4375 | not published | not published | $19.08 – $50.27 | 3 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $227.05 | $227.05 | $46.94 – $114.33 | 9 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $252.30 | $252.30 | $52.67 – $128.30 | 9 |
| Drainage external ear complex 69005 CPT 69005 | $164.40 | $164.40 | $64.12 – $156.18 | 9 |
| Drainage external ear simple 69000 CPT 69000 | $211.90 | $211.90 | $43.78 – $106.64 | 9 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $199.01 – $654.68 | 9 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $471.48 – $1,024.84 | 8 |
| Drainage mouth roof lesion CPT 42000 | $290.15 | $290.15 | $53.14 – $129.44 | 9 |
| Drainage of abdomen CPT 48000 | not published | not published | $1,790.41 – $3,837.71 | 8 |
| Drainage of arm bursa 23931 CPT 23931 | $275.00 | $275.00 | $56.86 – $138.51 | 9 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $394.23 – $841.15 | 8 |
| Drainage of bone lesion CPT 26992 | not published | not published | $968.12 – $2,070.00 | 8 |
| Drainage of bone lesion CPT 27303 | not published | not published | $614.43 – $1,335.94 | 8 |
| Drainage of eye CPT 65800 | not published | not published | $85.62 – $228.71 | 9 |
| Drainage of eye CPT 65810 | not published | not published | $442.24 – $935.36 | 8 |
| Drainage of eye CPT 65815 | not published | not published | $454.09 – $1,231.61 | 9 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $356.88 – $777.43 | 8 |
| Drainage of kidney lesion CPT 50390 | not published | not published | $91.41 – $188.42 | 8 |
| Drainage of mouth lesion CPT 41005 | $230.90 | $230.90 | $47.99 – $116.90 | 9 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $223.51 – $654.03 | 9 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $213.39 – $634.11 | 9 |
| Drainage of mouth lesion CPT 41008 | $366.40 | $366.40 | $73.01 – $177.84 | 9 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $274.47 – $819.15 | 9 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $288.55 – $770.32 | 9 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $332.71 – $898.16 | 9 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $331.47 – $897.52 | 9 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $386.35 – $1,011.89 | 9 |
| Drainage of nose lesion int 30000 CPT 30000 | $213.20 | $213.20 | $44.30 – $107.92 | 9 |
| Drainage of nose lesion sept 30020 CPT 30020 | $112.25 | $112.25 | $43.78 – $106.64 | 9 |
| Drainage of pelvis bursa CPT 26991 | $1,671.30 | $1,671.30 | $326.10 – $794.34 | 9 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $654.76 – $1,403.73 | 8 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $426.48 – $906.90 | 8 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $435.62 – $925.20 | 8 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $573.95 – $1,221.39 | 8 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $158.88 – $609.06 | 9 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $552.42 – $1,181.41 | 8 |
| Drainage of salivary gland CPT 42305 | not published | not published | $411.15 – $891.98 | 8 |
| Drainage of salivary gland CPT 42320 | not published | not published | $173.73 – $506.91 | 9 |
| Drainage of spinal cyst CPT 63172 | not published | not published | $1,332.55 – $2,944.36 | 8 |
| Drainage of spinal cyst CPT 63173 | not published | not published | $1,625.78 – $3,587.59 | 8 |
| Drainage of throat abscess CPT 42725 | not published | not published | $771.41 – $1,640.29 | 8 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $378.46 – $805.90 | 8 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $160.41 – $367.49 | 9 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $405.29 – $863.51 | 8 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $624.47 – $1,325.09 | 8 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $48.91 – $296.82 | 9 |
| Drain blood from under nail 11740 CPT 11740 | $56.85 | $56.85 | $12.01 – $29.26 | 9 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | not published | not published | $198.41 – $1,431.41 | 9 |
| Drain cath image guided visceral pq CPT 49405 | $794.15 | $794.15 | $187.48 – $740.15 | 9 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $147.05 | $147.05 | $28.68 – $69.87 | 9 |
| Drain chest lesion CPT 21502 | not published | not published | $484.38 – $1,044.49 | 8 |
| Drain chst dry seal exp thorastat HCPCS A7041 | not published | not published | $82.46 – $217.21 | 3 |
| Drain finger abscess;simple 26010 CPT 26010 | $223.25 | $223.25 | $46.41 – $113.05 | 9 |
| Drain lower leg bursa CPT 27604 | not published | not published | $311.51 – $871.83 | 9 |
| Drain lower leg lesion 27603 CPT 27603 | not published | not published | $376.84 – $1,017.66 | 9 |
| Drain neck/chest lesion 21501 CPT 21501 | not published | not published | $321.76 – $948.92 | 9 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $1,074.45 – $2,308.58 | 8 |
| Drain ostomy pouch w/flange HCPCS A5063 | not published | not published | $3.01 – $7.92 | 3 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $415.62 – $874.36 | 8 |
| Drain ovary abscess open CPT 58820 | not published | not published | $328.91 – $694.74 | 8 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $1,046.19 – $2,246.91 | 8 |
| Drain penis lesion CPT 54015 | not published | not published | $293.42 – $620.86 | 8 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $657.70 – $1,415.24 | 8 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $213.52 – $837.77 | 9 |
| Drain shoulder lesion CPT 23030 | not published | not published | $244.64 – $851.92 | 9 |
| Drain thigh/knee lesion 27301 CPT 27301 | $453.25 | $453.25 | $176.77 – $430.59 | 9 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $151.70 – $363.00 | 9 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $733.36 – $1,580.63 | 8 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $271.20 | $271.20 | $56.32 – $137.18 | 9 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $582.95 | $582.95 | $20.88 – $50.87 | 9 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $301.50 | $301.50 | $62.56 – $152.38 | 9 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $44.19 – $90.15 | 8 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | not published | not published | $42.86 – $88.64 | 8 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $857.58 – $1,892.41 | 8 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | not published | not published | $291.57 – $639.84 | 8 |
| Driver pneumatic vad, rep HCPCS Q0480 | not published | not published | $84,425.73 – $209,543.35 | 3 |
| Drm agrft f/s/n/h/f/g/m ea CPT 15136 | not published | not published | $85.76 – $184.38 | 9 |
| Drm agrft t/a/l ea addl CPT 15131 | not published | not published | $85.76 – $186.95 | 9 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $748.86 – $1,609.11 | 8 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $538.32 – $1,165.15 | 8 |
| Drng of eyelid abscess 67700 CPT 67700 | $203.10 | $203.10 | $42.24 – $102.89 | 9 |
| Drng of finger abscess comp 26011 CPT 26011 | $252.30 | $252.30 | $52.67 – $128.30 | 9 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $81.01 – $232.57 | 9 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $190.60 – $563.44 | 9 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $306.07 – $705.42 | 9 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $475.72 – $1,030.26 | 8 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $406.15 – $876.39 | 8 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $411.98 – $881.82 | 8 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $224.22 – $767.75 | 9 |
| Drng of scrotum abscess 55100 CPT 55100 | $309.05 | $309.05 | $64.66 – $157.51 | 9 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $1,046.13 – $2,257.08 | 8 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $959.10 – $2,058.47 | 8 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $693.99 – $1,458.63 | 8 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $1,519.26 – $3,254.13 | 8 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $151.29 – $418.25 | 9 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $130.71 – $330.86 | 9 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $0.63 – $3.65 | 8 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $67.76 | $67.76 | $6.10 – $63.69 | 9 |
| Drop lock knee HCPCS L2182 | not published | not published | $108.71 – $288.39 | 3 |
| Drop lock retainer each HCPCS L2785 | not published | not published | $30.51 – $80.95 | 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.