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 |
|---|---|---|---|---|
| Flex-walk sys low ext prosth HCPCS L5981 | not published | not published | $3,073.23 – $8,152.54 | 3 |
| Floor of mouth biopsy 41108 CPT 41108 | $4,016.40 | $4,016.40 | $88.14 – $325.73 | 9 |
| Florbetaben f18 diagnostic HCPCS Q9983 | not published | not published | $3,468.00 – $5,867.22 | 3 |
| Flortaucipir inj 1 millicuri HCPCS A9601 | not published | not published | $357.00 – $11,250.58 | 4 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | not published | not published | $608.81 – $1,976.19 | 3 |
| Flow cytometry interp 16 or more CPT 88189 | not published | not published | $81.83 – $166.06 | 8 |
| Flow cytometry marker each additional CPT 88185 | $76.20 | $76.20 | $22.21 – $71.02 | 9 |
| Flow cytometry one marker technical component CPT 88184 | $427.00 | $427.00 | $69.27 – $397.96 | 9 |
| Floweramnioflo, 0.1 cc HCPCS Q4177 | not published | not published | $153.00 – $377.18 | 3 |
| Floweramniopatch, per sq cm HCPCS Q4178 | not published | not published | $79.54 – $172.33 | 8 |
| #flow interp 9 - 15 markers CPT 88188 | not published | not published | $60.34 – $122.00 | 8 |
| Floxuridine injection HCPCS J9200 | not published | not published | $89.68 – $7,886.82 | 8 |
| Flt3 gene CPT 81245 | $192.40 | $192.40 | $75.04 – $182.78 | 9 |
| Flt3 gene analysis CPT 81246 | $96.70 | $96.70 | $37.71 – $91.87 | 9 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $89.24 | $89.24 | $2.36 – $59.56 | 9 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | not published | not published | $125.85 – $610.52 | 8 |
| Fluidotherapy charges pt CPT 97022 | not published | not published | $16.42 – $32.77 | 8 |
| Fluid pressure muscle 20950 CPT 20950 | not published | not published | $83.85 – $511.40 | 9 |
| Flulaval vacc, 3 yrs & >, im HCPCS Q2036 | not published | not published | $8.57 – $8.58 | 2 |
| Fluocinol acet intravit imp HCPCS J7313 | not published | not published | $488.70 – $975.93 | 8 |
| Fluocinolone acetonide implt HCPCS J7311 | not published | not published | $299.05 – $658.74 | 8 |
| Fluorescein angioscopy i&r CPT 92230 | not published | not published | $33.53 – $264.05 | 9 |
| Fluorescein angrph mltiframe CPT 92235 | not published | not published | $41.17 – $84.72 | 8 |
| Fluorescein&icg angiography CPT 92242 | not published | not published | $52.82 – $108.44 | 8 |
| Fluorescent antibody titer dna CPT 86256 | $224.65 | $224.65 | $12.05 – $209.37 | 9 |
| Fluorodopa f-18 diag per mci HCPCS A9602 | not published | not published | $508.84 – $1,355.16 | 4 |
| Fluoroestradiol f 18 HCPCS A9591 | not published | not published | $713.54 – $9,670.43 | 3 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | not published | not published | $28.21 – $56.93 | 8 |
| Fluoroguide needle placement CPT 77002 | $932.85 | $932.85 | $26.45 – $869.42 | 9 |
| Fluoro polarize fetal lung CPT 83663 | not published | not published | $18.91 – $39.31 | 7 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $722.60 | $722.60 | $15.02 – $673.46 | 9 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $344.19 | $344.19 | $2.42 – $22.64 | 9 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | not published | not published | $8.92 – $18.61 | 8 |
| Flutamide 125 mg HCPCS S0175 | not published | not published | $3.39 – $30.55 | 2 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | not published | not published | $3,264.00 – $6,914.94 | 3 |
| Fluvirin vacc, 3 yrs & >, im HCPCS Q2037 | not published | not published | $17.52 – $25.08 | 3 |
| Fluzone vacc, 3 yrs & >, im HCPCS Q2038 | not published | not published | $11.97 – $21.02 | 3 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $118.02 – $239.26 | 8 |
| Fmri brain by tech CPT 70554 | not published | not published | $99.41 – $204.01 | 8 |
| Fna bx w/ct gdn 1st les CPT 10009 | $66.80 | $66.80 | $26.05 – $63.46 | 9 |
| Fna bx w/ct gdn ea addl CPT 10010 | $66.80 | $66.80 | $26.05 – $63.46 | 9 |
| Fna bx w/mr gdn 1st les CPT 10011 | $66.80 | $66.80 | $26.05 – $63.46 | 9 |
| Fna bx w/mr gdn ea addl CPT 10012 | $66.80 | $66.80 | $26.05 – $63.46 | 9 |
| Foam drg >16<=48 sq in w/bdr HCPCS A6213 | not published | not published | $9.53 – $29.15 | 2 |
| Foam drg >16<=48 sq in without b HCPCS A6210 | not published | not published | $22.15 – $58.34 | 3 |
| Foam drg <=16 sq in w/border HCPCS A6212 | not published | not published | $10.80 – $28.44 | 3 |
| Foam drg > 48 sq in w/border HCPCS A6214 | not published | not published | $11.44 – $30.15 | 3 |
| Foam drg > 48 sq in without brdr HCPCS A6211 | not published | not published | $32.65 – $86.00 | 3 |
| Foam drsg <=16 sq in without bdr HCPCS A6209 | not published | not published | $8.31 – $21.88 | 3 |
| Foam/fabric leg strap HCPCS A5114 | not published | not published | $8.46 – $22.27 | 3 |
| Foam stability fetal lung CPT 83662 | not published | not published | $18.91 – $39.31 | 7 |
| Folic acid CPT 82746 | $266.20 | $266.20 | $14.70 – $250.23 | 9 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $5.00 | $5.00 | $1.95 – $4.75 | 9 |
| Follow-up angiography CPT 75898 | $805.15 | $805.15 | $77.12 – $750.40 | 9 |
| Followup eval of foot pt lop HCPCS G0246 | not published | not published | $19.76 – $75.17 | 8 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $530.25 – $1,441.70 | 9 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $1,209.14 | $1,209.14 | $12.89 – $1,136.59 | 9 |
| Fondaparinux sodium HCPCS J1652 | $158.44 | $158.44 | $1.04 – $56.19 | 9 |
| Fo nontorsion joint cf HCPCS L3935 | not published | not published | $186.75 – $495.40 | 3 |
| Foot arch support remov prem HCPCS L3030 | not published | not published | $70.90 – $188.07 | 3 |
| Foot arch supp premold metat HCPCS L3050 | not published | not published | $43.71 – $115.96 | 3 |
| Foot drp splt w/exp heel lg HCPCS L4398 | not published | not published | $74.97 – $198.88 | 3 |
| Foot external keel sach foot HCPCS L5970 | not published | not published | $256.73 – $681.04 | 3 |
| Foot insert plastazote or eq HCPCS L3002 | not published | not published | $150.02 – $397.99 | 3 |
| Foot insert remov molded spe HCPCS L3001 | not published | not published | $122.86 – $325.94 | 3 |
| Foot insert silicone gel eac HCPCS L3003 | not published | not published | $161.89 – $429.44 | 3 |
| Foot lamin/prepreg composite HCPCS L3031 | not published | not published | $113.78 – $301.83 | 3 |
| Foot longitudinal arch suppo HCPCS L3010 | not published | not published | $161.89 – $429.44 | 3 |
| Foot longitud/metatarsal sup HCPCS L3020 | not published | not published | $184.29 – $488.87 | 3 |
| Foot plas heel stabi pre ots HCPCS L3170 | not published | not published | $47.27 – $125.39 | 3 |
| Foot plate molded stirrup at HCPCS L2250 | not published | not published | $316.21 – $838.82 | 3 |
| Foot single axis ankle/foot HCPCS L5974 | not published | not published | $288.03 – $764.08 | 3 |
| Foot X-ray CPT 73630 | $384.60 | $384.60 | $7.98 – $358.45 | 9 |
| Foot X-ray (2 views, both feet) CPT 73620 | $294.10 | $294.10 | $7.32 – $274.10 | 9 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | not published | not published | $1,046.65 – $2,776.54 | 3 |
| Forearm/arm cuffs free motio HCPCS L3720 | not published | not published | $569.57 – $1,510.96 | 3 |
| Forearm X-ray (both sides) CPT 73090 | $381.90 | $381.90 | $7.63 – $355.93 | 9 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $959.76 – $2,169.60 | 9 |
| Forensic autopsy (necropsy) CPT 88040 | not published | not published | $1,110.87 – $1,182.77 | 3 |
| Forensic cytopathology CPT 88125 | not published | not published | $13.28 – $27.11 | 8 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $338.80 | $338.80 | $55.00 – $132.99 | 9 |
| Formoterol comp unit HCPCS J7640 | not published | not published | $1.73 – $1.73 | 2 |
| Formoterol fumarate, inh HCPCS J7606 | not published | not published | $3.15 – $5.96 | 8 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $1,508.08 | $1,508.08 | $0.12 – $1,417.60 | 9 |
| Foscarnet sodium injection HCPCS J1455 | not published | not published | $61.20 – $148.65 | 4 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $474.73 | $474.73 | $2.55 – $220.21 | 9 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $28.50 – $59.64 | 7 |
| Fracture assessment via dxa CPT 77086 | not published | not published | $7.98 – $16.26 | 8 |
| _fragile x methylation-sendout CPT 81244 | not published | not published | $42.87 – $94.06 | 7 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $549.70 – $1,430.14 | 9 |
| Frame typ sock above elb/dis HCPCS L6688 | not published | not published | $530.77 – $1,408.03 | 3 |
| Frame typ socket bel elbow/w HCPCS L6687 | not published | not published | $546.87 – $1,450.69 | 3 |
| Frame typ socket shoulder di HCPCS L6689 | not published | not published | $652.77 – $1,731.63 | 3 |
| Frame typ sock interscap-tho HCPCS L6690 | not published | not published | $684.59 – $1,816.05 | 3 |
| Free fascial flap microvasc CPT 15758 | not published | not published | $2,183.45 – $4,591.41 | 8 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $1,040.32 – $2,229.29 | 8 |
| Free jejunum flap microvasc CPT 43496 | not published | not published | $3,892.89 – $5,530.33 | 5 |
| Free myo/skin flap microvasc CPT 15756 | not published | not published | $2,201.42 – $4,640.22 | 8 |
| Free omental flap microvasc CPT 49906 | not published | not published | $3,767.22 – $4,893.02 | 2 |
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $1,513.67 – $3,236.50 | 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.