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 |
|---|---|---|---|---|
| Esrd svc pr day pt 20+ CPT 90970 | not published | not published | $9.26 – $19.66 | 8 |
| Esrd svc pr day pt 2-11 CPT 90968 | not published | not published | $16.89 – $34.57 | 8 |
| Essure 58565 CPT 58565 | not published | not published | $444.08 – $3,193.70 | 9 |
| Establish access to aorta CPT 36160 | not published | not published | $117.81 – $1,045.93 | 9 |
| Establish access to artery CPT 36100 | not published | not published | $144.97 – $1,028.69 | 9 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $982.17 – $2,141.18 | 8 |
| Establish brain cavity shunt CPT 62180 | not published | not published | $1,506.66 – $3,325.29 | 8 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $879.53 – $1,946.64 | 8 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $923.38 – $2,069.33 | 8 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $1,297.95 – $2,864.38 | 8 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $916.95 – $2,021.89 | 8 |
| Established Patient Office Visit (level 1) CPT 99211 | $224.65 | $224.65 | $8.64 – $44.97 | 9 |
| Established Patient Office Visit (level 2) CPT 99212 | $271.45 | $271.45 | $34.62 – $109.21 | 9 |
| Established Patient Office Visit (level 3) CPT 99213 | $335.60 | $335.60 | $64.39 – $175.39 | 9 |
| Established Patient Office Visit (level 4) CPT 99214 | $466.65 | $466.65 | $95.17 – $247.35 | 9 |
| Established Patient Office Visit (level 5) CPT 99215 | $464.00 | $464.00 | $139.76 – $348.21 | 9 |
| Estim aid bone healg invasiv CPT 20975 | not published | not published | $166.12 – $366.01 | 8 |
| Estradiol total CPT 82670 | $479.50 | $479.50 | $27.94 – $450.73 | 9 |
| Estradiol valerate 10 mg inj HCPCS J1380 | not published | not published | $8.32 – $15.69 | 8 |
| Estrogens total-sendout CPT 82672 | $138.25 | $138.25 | $21.70 – $129.96 | 9 |
| Etanercept injection HCPCS J1438 | not published | not published | $294.85 – $2,398.04 | 4 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $468.15 – $971.90 | 8 |
| Eth estr and eton monthly HCPCS J7295 | not published | not published | $125.17 – $289.67 | 3 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $908.80 – $1,906.66 | 8 |
| Ethylene glycol -sendout CPT 82693 | $294.10 | $294.10 | $14.90 – $276.45 | 9 |
| Etonogestrel implant system HCPCS J7307 | not published | not published | $1,114.33 – $2,422.91 | 3 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $35.20 | $35.20 | $0.79 – $33.09 | 9 |
| Etoposide 50 mg cap HCPCS J8560 | not published | not published | $75.76 – $151.27 | 8 |
| Euflexxa inj per dose HCPCS J7323 | not published | not published | $121.98 – $238.57 | 8 |
| Euglobulin lysis CPT 85360 | not published | not published | $8.41 – $17.62 | 7 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $512.60 – $1,097.36 | 8 |
| Eval aud funcj ea addl 15 CPT 92627 | not published | not published | $17.26 – $39.20 | 9 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $73.38 – $165.76 | 9 |
| Eval/fit voice prosthesis iii, st CPT 92607 | not published | not published | $121.16 – $253.51 | 8 |
| Evaluation cervical mucus CPT 89330 | not published | not published | $10.38 – $21.69 | 7 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $215.55 | $215.55 | $84.06 – $204.77 | 9 |
| Evaluation heart device CPT 93640 | not published | not published | $166.93 – $348.39 | 8 |
| Evaluation of speech fluency 92521 CPT 92521 | not published | not published | $130.70 – $273.83 | 8 |
| Evaluation psychiatric diagnostic CPT 90791 | not published | not published | $150.93 – $332.16 | 9 |
| Evasc prlng admn rx agnt 1st CPT 61650 | not published | not published | $539.84 – $1,193.60 | 8 |
| Evasc prlng admn rx agnt add CPT 61651 | not published | not published | $231.66 – $509.71 | 8 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | not published | not published | $1,155.19 – $2,452.29 | 8 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | not published | not published | $1,158.03 – $2,457.02 | 8 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | not published | not published | $1,727.37 – $3,562.51 | 8 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | not published | not published | $2,127.77 – $4,517.53 | 8 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | not published | not published | $414.02 – $874.36 | 8 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | not published | not published | $1,286.78 – $2,722.72 | 8 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | not published | not published | $2,142.72 – $4,523.65 | 8 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | not published | not published | $1,091.60 – $2,308.58 | 8 |
| Evasc rpr ilio-iliac rpt CPT 34708 | not published | not published | $1,698.41 – $3,609.95 | 8 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | not published | not published | $919.32 – $1,948.00 | 8 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | not published | not published | $731.31 – $1,549.45 | 8 |
| Event monitor CPT 93270 | $306.20 | $306.20 | $7.73 – $285.38 | 9 |
| Evoked auditory tst complete CPT 92588 | not published | not published | $8.49 – $53.96 | 8 |
| Evoked oa emissions ltd CPT 92587 | not published | not published | $6.19 – $34.04 | 8 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $141.65 | $141.65 | $26.61 – $133.15 | 9 |
| Evoked potentials upper limbs CPT 95925 | not published | not published | $27.39 – $54.90 | 8 |
| Evoked potential visual not glaucoma CPT 95930 | not published | not published | $17.95 – $36.61 | 8 |
| Evok oa screening qual CPT 92558 | not published | not published | $8.29 – $17.99 | 8 |
| Ewhfo w/joint(s) cf HCPCS L3766 | not published | not published | $1,147.88 – $3,045.04 | 3 |
| Ewho w/joint(s) cf HCPCS L3764 | not published | not published | $803.82 – $2,132.34 | 3 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $86.27 – $258.28 | 9 |
| Exam pelvic add-on CPT 99459 | not published | not published | $39.27 – $46.39 | 5 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $101.60 – $216.23 | 8 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $527.27 – $1,138.70 | 8 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $665.32 – $1,435.58 | 8 |
| Exc 1st&/crv rib w/sympth CPT 21616 | not published | not published | $675.83 – $1,451.17 | 8 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $421.72 – $912.31 | 8 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $542.02 – $1,172.58 | 8 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $637.31 – $1,376.62 | 8 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | $1,142.91 – $2,303.24 | 7 |
| Exc abd tum over 10 cm 49205 CPT 49205 | not published | not published | $1,670.95 – $3,365.87 | 7 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $389.11 – $842.51 | 8 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $317.67 – $1,029.24 | 9 |
| Exc aurl glomus tum extended CPT 69554 | not published | not published | $2,455.55 – $5,149.93 | 8 |
| Exc aurl glomus tum trnscanl CPT 69550 | not published | not published | $1,029.60 – $2,164.21 | 8 |
| Exc aurl glomus tum trnsmstd CPT 69552 | not published | not published | $1,538.98 – $3,228.35 | 8 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | $349.76 – $978.48 | 9 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $707.04 – $1,520.99 | 8 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $305.37 – $641.87 | 8 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | not published | not published | $216.82 – $548.67 | 9 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | not published | not published | $304.41 – $743.34 | 9 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | not published | not published | $171.48 – $461.29 | 9 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | not published | not published | $80.42 – $248.63 | 9 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | not published | not published | $101.64 – $278.19 | 9 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $375.50 | $375.50 | $140.80 – $375.19 | 9 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | not published | not published | $171.69 – $442.02 | 9 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $790.80 | $790.80 | $105.54 – $309.67 | 9 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $373.65 | $373.65 | $77.22 – $188.10 | 9 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | not published | not published | $259.22 – $635.40 | 9 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $998.80 | $998.80 | $101.79 – $302.61 | 9 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | not published | not published | $142.87 – $384.19 | 9 |
| Exc breast duct fistula 19112 CPT 19112 | not published | not published | $307.29 – $894.95 | 9 |
| Exc carotid body tumor without exc art 60600 CPT 60600 | not published | not published | $1,298.91 – $2,734.92 | 8 |
| Exc cervix repair bowel 57556 CPT 57556 | not published | not published | $570.80 – $1,201.06 | 8 |
| Exc cervix/repair pelvis 57545 CPT 57545 | not published | not published | $809.44 – $1,699.92 | 8 |
| Exc cervix/repair vagina 57555 CPT 57555 | not published | not published | $601.24 – $1,264.78 | 8 |
| Exc chest wall tumor w/ribs 21601 CPT 21601 | not published | not published | $1,086.38 – $2,336.37 | 8 |
| Exc ch wal tum without lymphadec CPT 21602 | not published | not published | $1,462.85 – $3,149.06 | 8 |
| Exc ch wal tum w/lymphadec CPT 21603 | not published | not published | $1,595.38 – $3,414.76 | 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.