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 |
|---|---|---|---|---|
| Echo guide for amniocentesis CPT 76946 | not published | not published | $18.05 – $34.70 | 8 |
| Echo guide for artery repair CPT 76936 | not published | not published | $90.94 – $188.42 | 8 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $34.48 – $71.16 | 8 |
| Echo guide for transfusion CPT 76941 | not published | not published | $63.48 – $123.55 | 8 |
| Echo guide ova aspiration CPT 76948 | not published | not published | $31.52 – $63.72 | 8 |
| Echo guide villus sampling CPT 76945 | not published | not published | $31.52 – $63.72 | 8 |
| Echo stress CPT 93350 | not published | not published | $67.32 – $136.92 | 8 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $25.08 – $50.84 | 8 |
| Echo tee guidance CPT 93355 | not published | not published | $218.10 – $447.35 | 8 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,370.75 | $1,370.75 | $104.45 – $292.75 | 9 |
| Echo transesophageal CPT 93313 | not published | not published | $11.01 – $22.36 | 8 |
| Echo transesophageal CPT 93314 | not published | not published | $86.76 – $177.59 | 8 |
| Echo transesophageal CPT 93315 | not published | not published | $123.70 – $249.44 | 8 |
| Echo transesophageal CPT 93317 | not published | not published | $85.87 – $175.56 | 8 |
| Echo transesophageal intraop CPT 93318 | not published | not published | $99.54 – $203.34 | 8 |
| Echo transthoracic CPT 93303 | not published | not published | $60.22 – $122.00 | 8 |
| Echo transthoracic CPT 93304 | not published | not published | $35.27 – $70.49 | 8 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | not published | not published | $42.71 – $86.75 | 8 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | not published | not published | $219.67 – $465.65 | 8 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | not published | not published | $226.32 – $477.17 | 8 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | not published | not published | $322.70 – $683.91 | 8 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | not published | not published | $291.91 – $616.79 | 8 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $774.59 – $1,636.89 | 8 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | not published | not published | $782.88 – $1,657.91 | 8 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $442.66 – $936.72 | 8 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | $396.84 – $839.79 | 8 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | not published | not published | $445.84 – $947.56 | 8 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | not published | not published | $401.44 – $847.92 | 8 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $480.78 – $1,014.67 | 8 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | not published | not published | $490.76 – $1,044.49 | 8 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | not published | not published | $255.15 – $538.17 | 8 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | not published | not published | $172.57 – $366.01 | 8 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | not published | not published | $266.02 – $564.62 | 8 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | not published | not published | $221.79 – $471.07 | 8 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | not published | not published | $461.60 – $974.67 | 8 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | not published | not published | $437.24 – $924.53 | 8 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | not published | not published | $218.61 – $464.29 | 8 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | not published | not published | $172.57 – $366.01 | 8 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | not published | not published | $218.61 – $464.29 | 8 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | not published | not published | $172.57 – $366.01 | 8 |
| Ecog impltd brn npgt <30 d CPT 95836 | not published | not published | $102.52 – $213.50 | 8 |
| E coli 0157 ag ia CPT 87335 | not published | not published | $12.66 – $26.44 | 7 |
| Ecp ciliary body destruction CPT 66711 | not published | not published | $481.08 – $1,021.44 | 8 |
| Eculizumab injection HCPCS J1300 | not published | not published | $225.47 – $443.12 | 8 |
| Edetate calcium disodium inj HCPCS J0600 | not published | not published | $5,708.59 – $12,027.21 | 8 |
| Edetate disodium per 150 mg HCPCS J3520 | not published | not published | $0.67 – $1.27 | 3 |
| Ed svc ckd grp per session HCPCS G0421 | not published | not published | $25.69 – $52.87 | 8 |
| Ed svc ckd ind per session HCPCS G0420 | not published | not published | $106.95 – $219.60 | 8 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | not published | not published | $27.04 – $63.72 | 7 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | not published | not published | $54.80 – $112.52 | 8 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | not published | not published | $37.74 – $76.59 | 8 |
| Eeg during surgery CPT 95955 | not published | not published | $51.45 – $105.74 | 8 |
| Eeg monitoring/function test CPT 95958 | not published | not published | $217.15 – $445.99 | 8 |
| Eeg monitoring/giving drugs CPT 95954 | not published | not published | $106.55 – $222.33 | 8 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | not published | not published | $54.80 – $112.52 | 8 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | not published | not published | $82.94 – $170.13 | 8 |
| Eeg phy/qhp>36<60 hr without vid CPT 95721 | not published | not published | $197.82 – $412.11 | 9 |
| Eeg phy/qhp>36<60 hr w/veeg CPT 95722 | not published | not published | $240.85 – $501.56 | 9 |
| Eeg phy/qhp>60<84 hr without vid CPT 95723 | not published | not published | $242.13 – $506.32 | 9 |
| Eeg phy/qhp>60<84 hr w/veeg CPT 95724 | not published | not published | $305.50 – $636.45 | 9 |
| Eeg phy/qhp>84 hr without vid CPT 95725 | not published | not published | $276.27 – $580.21 | 9 |
| Eeg phy/qhp>84 hr w/veeg CPT 95726 | not published | not published | $387.66 – $808.61 | 9 |
| Eeg phy/qhp ea incr w/veeg CPT 95720 | not published | not published | $198.67 – $413.45 | 9 |
| Eeg phys/qhp 2-12 hr without vid CPT 95717 | not published | not published | $98.42 – $214.17 | 9 |
| Eeg phys/qhp 2-12 hr w/veeg CPT 95718 | not published | not published | $128.54 – $269.10 | 9 |
| Eeg phys/qhp ea incr without vid CPT 95719 | not published | not published | $151.82 – $321.96 | 9 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | not published | not published | $55.12 – $112.52 | 8 |
| Eeg recording awake and asleep CPT 95819 | not published | not published | $54.80 – $112.52 | 8 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | not published | not published | $770.79 – $1,348.58 | 5 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | not published | not published | $199.14 – $1,348.58 | 5 |
| Eeg without vid ea 12-26hr cont CPT 95710 | not published | not published | $648.41 – $1,854.79 | 5 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | not published | not published | $1,154.92 – $1,471.88 | 5 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | not published | not published | $609.41 – $1,348.58 | 5 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | not published | not published | $294.29 – $1,348.58 | 5 |
| E equine encephalitis igg CPT 86652 | $63.25 | $63.25 | $13.19 – $59.46 | 9 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | not published | not published | $32.08 – $64.14 | 8 |
| Egd balloon dil esoph30 mm/> CPT 43233 | not published | not published | $218.09 – $460.22 | 8 |
| Egd control bleeding any CPT 43255 | not published | not published | $191.71 – $1,200.13 | 9 |
| Egd dilate stricture CPT 43245 | not published | not published | $167.75 – $1,138.45 | 9 |
| Egd endo mucosal resection CPT 43254 | not published | not published | $258.51 – $540.89 | 8 |
| Egd endoscopic stent place CPT 43266 | not published | not published | $207.97 – $436.50 | 8 |
| Egd esophagogastrc fndoplsty CPT 43210 | not published | not published | $409.88 – $865.54 | 8 |
| Egd flx trnsorl dplmnt balo CPT 43290 | not published | not published | $171.69 – $5,011.23 | 9 |
| Egd flx trnsorl rmvl balo CPT 43291 | not published | not published | $153.37 – $884.03 | 9 |
| Egd guide wire insertion CPT 43248 | not published | not published | $158.82 – $795.37 | 9 |
| Egd injection varices CPT 43243 | not published | not published | $227.00 – $477.17 | 8 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | $131.05 | $131.05 | $51.11 – $124.50 | 9 |
| Egd lesion ablation CPT 43270 | not published | not published | $214.65 – $1,398.64 | 9 |
| Egd optical endomicroscopy CPT 43252 | not published | not published | $160.86 – $654.03 | 9 |
| Egd remove foreign body CPT 43247 | not published | not published | $169.05 – $738.19 | 9 |
| Egd remove lesion snare CPT 43251 | not published | not published | $187.58 – $950.21 | 9 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | not published | not published | $162.38 – $864.12 | 9 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | not published | not published | $215.86 – $453.45 | 8 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | not published | not published | $222.25 – $466.32 | 8 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | not published | not published | $251.88 – $525.30 | 8 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | not published | not published | $251.57 – $525.98 | 8 |
| Egd varices ligation CPT 43244 | not published | not published | $234.66 – $490.06 | 8 |
| Egd w/thrml txmnt gerd CPT 43257 | not published | not published | $221.82 – $465.65 | 8 |
| Egd w/transmural drain cyst CPT 43240 | not published | not published | $374.76 – $782.18 | 8 |
| Egfr gene com variants CPT 81235 | not published | not published | $324.58 – $679.84 | 7 |
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.