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 |
|---|---|---|---|---|
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $253.25 | $253.25 | $26.66 – $236.03 | 9 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $814.28 – $1,731.77 | 8 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $642.09 – $1,413.20 | 8 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $730.79 – $1,551.48 | 8 |
| Hand X-ray CPT 73130 | $384.60 | $384.60 | $8.29 – $358.45 | 9 |
| Hand X-ray (2 views, both hands) CPT 73120 | $294.10 | $294.10 | $7.95 – $274.10 | 9 |
| Haptoglobin quantitative CPT 83010 | $107.70 | $107.70 | $12.58 – $101.24 | 9 |
| Harness chest/shlder saddle HCPCS L6672 | not published | not published | $159.86 – $424.07 | 3 |
| Harness figure of 8 dual con HCPCS L6676 | not published | not published | $120.27 – $319.05 | 3 |
| Harness figure of 8 sing con HCPCS L6675 | not published | not published | $151.81 – $402.72 | 3 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $81.62 – $168.10 | 8 |
| Harvest auto stem cells CPT 38206 | not published | not published | $81.00 – $165.39 | 8 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $118.43 – $503.69 | 9 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $392.19 – $830.30 | 8 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $320.73 – $679.84 | 8 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $46.00 – $95.57 | 7 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $296.58 – $629.68 | 8 |
| Hast w/i&r phys/qhp CPT 94452 | not published | not published | $13.76 – $28.48 | 8 |
| Hast w/oxygen titrate CPT 94453 | not published | not published | $18.03 – $36.61 | 8 |
| Hba1/hba2 full gene sequence CPT 81259 | not published | not published | $600.00 – $1,257.26 | 7 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $506.00 | $506.00 | $197.34 – $475.64 | 9 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $375.25 – $786.25 | 7 |
| Hbb full gene sequence CPT 81364 | not published | not published | $324.58 – $679.84 | 7 |
| Hbb gene com variants CPT 81361 | $410.10 | $410.10 | $159.94 – $385.49 | 9 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $202.40 – $424.12 | 7 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $375.25 – $786.25 | 7 |
| Hb glycosylated a1c home dev CPT 83037 | not published | not published | $9.71 – $20.33 | 7 |
| Hbot, full body chamber, 30m HCPCS G0277 | not published | not published | $85.89 – $356.52 | 8 |
| Hc ea ha check monaural CPT 92594 | not published | not published | $40.60 – $44.74 | 3 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | not published | not published | $55.24 – $111.16 | 8 |
| Hcg free betachain test CPT 84704 | not published | not published | $15.29 – $31.85 | 7 |
| Hcg qualitative CPT 84703 | $183.60 | $183.60 | $7.52 – $172.58 | 9 |
| Hcg quantitative CPT 84702 | $284.85 | $284.85 | $15.05 – $267.76 | 9 |
| Hc hearing aid chck binaurl CPT 92593 | not published | not published | $68.82 – $75.92 | 3 |
| Hc hearing aid chck monarl CPT 92592 | not published | not published | $41.44 – $46.77 | 3 |
| Hc hearing aid exam both ears CPT 92591 | not published | not published | $132.65 – $148.44 | 3 |
| Hc hearing aid exam one ear CPT 92590 | not published | not published | $105.27 – $116.59 | 3 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | not published | not published | $36.41 – $106,089.99 | 4 |
| Hc metata joint dislocation anes CPT 28635 | $123.05 | $123.05 | $47.99 – $116.90 | 9 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $343.41 – $1,313.84 | 9 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $182.94 – $797.30 | 9 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $307.84 – $1,234.81 | 9 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $48.59 – $154.20 | 9 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | not published | not published | $169.14 – $763.89 | 9 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $45.41 – $90.82 | 8 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $1,848.71 – $1,848.71 | 1 |
| Hc nm kidney imaging with flow CPT 78701 | not published | not published | $23.02 – $46.77 | 8 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $42.40 – $86.75 | 8 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | not published | not published | $71.88 – $147.08 | 8 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | not published | not published | $125.92 – $266.37 | 8 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | not published | not published | $100.80 – $210.11 | 8 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | not published | not published | $197.10 – $410.08 | 8 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | not published | not published | $277.62 – $578.17 | 8 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $54.40 – $113.20 | 8 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $72.57 – $150.47 | 8 |
| Head CT scan (with and without contrast) CPT 70470 | $1,140.65 | $1,140.65 | $59.86 – $1,063.09 | 9 |
| Head CT scan (with contrast) CPT 70460 | $1,013.90 | $1,013.90 | $53.23 – $944.95 | 9 |
| Head CT scan (without contrast) CPT 70450 | $1,140.65 | $1,140.65 | $39.97 – $1,063.09 | 9 |
| Hearing loss dup/del analys CPT 81431 | not published | not published | $679.57 – $1,424.00 | 7 |
| Hearing loss sequence analys CPT 81430 | not published | not published | $1,625.00 – $3,405.08 | 7 |
| Heart first pass add-on CPT 78496 | not published | not published | $23.05 – $44.33 | 8 |
| Heart first pass multiple CPT 78483 | not published | not published | $67.67 – $136.92 | 8 |
| Heart image spect CPT 78494 | not published | not published | $54.86 – $111.16 | 8 |
| Heart infarct image CPT 78466 | $1,583.10 | $1,583.10 | $32.57 – $1,475.45 | 9 |
| Heart infarct image (ef) CPT 78468 | $442.55 | $442.55 | $36.55 – $412.46 | 9 |
| Heart revascularize (tmr) CPT 33140 | not published | not published | $1,462.99 – $3,109.06 | 8 |
| Heart tmr w/other procedure 33141 CPT 33141 | not published | not published | $123.50 – $262.98 | 8 |
| Heavy duty control cable HCPCS L6660 | not published | not published | $110.39 – $292.86 | 3 |
| Heavy metal qual any number CPT 83015 | not published | not published | $20.94 – $43.88 | 7 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $377.95 | $377.95 | $7.63 – $352.25 | 9 |
| Heel leather reinforced HCPCS L3440 | not published | not published | $70.90 – $188.07 | 3 |
| Heinz bodies direct CPT 85441 | not published | not published | $4.20 – $8.80 | 7 |
| Heinz bodies induced CPT 85445 | not published | not published | $6.82 – $14.23 | 7 |
| Helicobacter pylori antibody igm CPT 86677 | $179.70 | $179.70 | $16.85 – $168.92 | 9 |
| Helicoll, per square cm HCPCS Q4164 | not published | not published | $1,335.38 – $3,426.29 | 8 |
| Hemagglutination inhibition CPT 86280 | not published | not published | $8.19 – $16.95 | 7 |
| Hematocrit CPT 85014 | $59.90 | $59.90 | $2.37 – $56.31 | 9 |
| Hematopoietic nuclear tx CPT 79403 | not published | not published | $105.22 – $208.16 | 8 |
| Hemicrt intrclry algrft prtl CPT 20933 | not published | not published | $660.88 – $1,402.37 | 8 |
| Hemiepiphyseal arrest CPT 24470 | not published | not published | $648.93 – $1,402.37 | 8 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | not published | not published | $29.61 – $65.48 | 8 |
| Hemipelvect canad sing axis HCPCS L5280 | not published | not published | $5,680.89 – $15,070.04 | 3 |
| Hemipelvectomy canadian sach HCPCS L5341 | not published | not published | $4,791.56 – $12,710.87 | 3 |
| Hemodialysis access study CPT 90940 | not published | not published | $52.22 – $129.13 | 3 |
| Hemodialysis one evaluation CPT 90935 | not published | not published | $69.98 – $142.34 | 8 |
| Hemodialysis repeated eval CPT 90937 | not published | not published | $99.72 – $206.04 | 8 |
| Hemoglobin CPT 85018 | $59.05 | $59.05 | $2.37 – $55.51 | 9 |
| Hemoglobin copper sulfate CPT 83026 | not published | not published | $4.01 – $8.13 | 7 |
| Hemoglobin fetal qualitative CPT 83033 | not published | not published | $8.00 – $16.76 | 7 |
| Hemoglobin f (fetal) chemical CPT 83030 | not published | not published | $10.74 – $22.36 | 7 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $79.85 | $79.85 | $8.20 – $75.06 | 9 |
| Hemoglobin-oxygen affinity CPT 82820 | $183.60 | $183.60 | $13.34 – $172.58 | 9 |
| Hemoglobin plasma CPT 83051 | not published | not published | $7.31 – $15.32 | 7 |
| Hemoglobin thermolabile CPT 83065 | not published | not published | $9.00 – $18.86 | 7 |
| Hemoglobin urine CPT 83069 | not published | not published | $3.95 – $8.13 | 7 |
| Hemolysin acid CPT 85475 | not published | not published | $8.87 – $18.29 | 7 |
| Hemolysins/agglutinins auto CPT 86940 | not published | not published | $8.77 – $18.29 | 7 |
| Hemolysins and agglutinins incubated CPT 86941 | not published | not published | $12.11 – $25.08 | 7 |
| Hemoperfusion CPT 90997 | not published | not published | $86.10 – $177.59 | 8 |
| Hemophilus influenza antibdy CPT 86684 | $57.75 | $57.75 | $15.84 – $54.29 | 9 |
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.