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 |
|---|---|---|---|---|
| Hla class ii semiquant panel CPT 86835 | not published | not published | $322.96 – $676.45 | 7 |
| Hla class i phenotype qual CPT 86830 | not published | not published | $95.52 – $199.95 | 7 |
| Hla class i semiquant panel CPT 86834 | not published | not published | $357.56 – $748.97 | 7 |
| Hla i & ii type verify lr CPT 81371 | not published | not published | $334.15 – $847.65 | 7 |
| Hla i & ii typing hr CPT 81378 | not published | not published | $345.57 – $723.89 | 7 |
| Hla i & ii typing lr CPT 81370 | not published | not published | $334.15 – $842.51 | 7 |
| Hla ii typing 1 loc hr CPT 81382 | not published | not published | $123.68 – $258.91 | 7 |
| Hla ii typing ag equiv lr CPT 81375 | not published | not published | $220.74 – $462.25 | 7 |
| Hla i low res one antigen equiv ea CPT 81374 | not published | not published | $74.33 – $155.75 | 7 |
| Hla i typing 1 locus hr CPT 81380 | not published | not published | $177.25 – $371.42 | 7 |
| Hla i typing complete hr CPT 81379 | not published | not published | $335.38 – $702.77 | 7 |
| Hla i typing complete lr CPT 81372 | not published | not published | $403.59 – $845.70 | 7 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $169.90 | $169.90 | $66.26 – $161.41 | 9 |
| Hla i typing low res one locus ea CPT 81373 | not published | not published | $127.43 – $267.02 | 7 |
| Hla typing a b or c CPT 86813 | $625.45 | $625.45 | $58.00 – $587.92 | 9 |
| Hla typing dr/dq CPT 86816 | not published | not published | $30.17 – $63.03 | 7 |
| Hla x-match noncytotoxc addl CPT 86826 | not published | not published | $36.53 – $76.55 | 7 |
| Hla x-math non-cytotoxic CPT 86825 | not published | not published | $109.49 – $229.09 | 7 |
| Hldr trach tb tie ad HCPCS A7526 | not published | not published | $3.76 – $9.93 | 3 |
| Hlth bhv assmt/reassessment CPT 96156 | not published | not published | $84.26 – $190.81 | 9 |
| Hlth bhv ivntj fam 1st 30 CPT 96167 | not published | not published | $60.73 – $136.20 | 9 |
| Hlth bhv ivntj fam without pt ea CPT 96171 | not published | not published | $26.13 – $53.32 | 8 |
| Hlth bhv ivntj fam wo pt 1st CPT 96170 | not published | not published | $72.24 – $149.05 | 8 |
| Hlth bhv ivntj grp 1st 30 CPT 96164 | not published | not published | $8.73 – $19.92 | 9 |
| Hlth bhv ivntj indiv 1st 30 CPT 96158 | not published | not published | $57.27 – $129.13 | 9 |
| Hmes or trach valve housing HCPCS A7505 | not published | not published | $5.21 – $13.73 | 3 |
| Ho abduction hip adjustable HCPCS L1650 | not published | not published | $272.53 – $722.95 | 3 |
| Ho abduction static plastic HCPCS L1660 | not published | not published | $187.24 – $496.70 | 3 |
| Ho bi thighcuffs w sprdr bar HCPCS L1652 | not published | not published | $331.12 – $878.36 | 3 |
| Hocm 200-249mg/ml iodine,1ml HCPCS Q9960 | not published | not published | $0.27 – $106,089.99 | 3 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | not published | not published | $0.20 – $0.57 | 8 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $72.54 | $72.54 | $0.21 – $68.19 | 9 |
| Ho flex frejka w/cov pre cst HCPCS L1600 | not published | not published | $137.80 – $365.55 | 3 |
| Ho flex pavlik harns pre cst HCPCS L1620 | not published | not published | $140.27 – $372.11 | 3 |
| Ho frejka cov only pre cst HCPCS L1610 | not published | not published | $42.23 – $112.00 | 3 |
| Holder tube cath-secure nonstrl lf disp HCPCS A4333 | not published | not published | $2.45 – $6.50 | 3 |
| Home health care supervision CPT 99374 | not published | not published | $53.05 – $131.06 | 8 |
| Home health care supervision CPT 99375 | not published | not published | $83.01 – $194.67 | 8 |
| Home health care supervision HCPCS G0181 | not published | not published | $101.06 – $214.17 | 8 |
| Home health re-certification physician g0179 HCPCS G0179 | not published | not published | $39.61 – $86.08 | 8 |
| Home/res vst est high mdm 60 CPT 99350 | not published | not published | $181.67 – $372.80 | 8 |
| Home/res vst est mod mdm 40 CPT 99349 | not published | not published | $124.45 – $256.88 | 8 |
| Home/res vst est sf mdm 20 CPT 99347 | not published | not published | $43.89 – $91.51 | 8 |
| Home/res vst new high mdm 75 CPT 99345 | not published | not published | $197.60 – $406.01 | 8 |
| Home/res vst new low mdm 30 CPT 99342 | not published | not published | $76.66 – $158.60 | 8 |
| Home/res vst new mod mdm 60 CPT 99344 | not published | not published | $140.79 – $286.72 | 8 |
| Home/res vst new sf mdm 15 CPT 99341 | not published | not published | $47.98 – $99.64 | 8 |
| Home sleep test/type 2 porta HCPCS G0398 | not published | not published | $74.53 – $719.81 | 5 |
| Home sleep test/type 3 porta HCPCS G0399 | not published | not published | $82.35 – $719.81 | 5 |
| Home sleep test/type 4 porta HCPCS G0400 | not published | not published | $77.10 – $1,432.64 | 5 |
| Home vent mgmt supervision CPT 94005 | not published | not published | $87.57 – $183.69 | 7 |
| Home visit est patient 99348 CPT 99348 | not published | not published | $74.60 – $155.21 | 8 |
| Home visit new patient CPT 99343 | not published | not published | $266.13 – $266.13 | 1 |
| Homocysteine CPT 83090 | $580.20 | $580.20 | $17.92 – $545.39 | 9 |
| Homogenization tissue CPT 87176 | not published | not published | $5.88 – $12.20 | 7 |
| Homovanillic acid (hva) CPT 83150 | $84.35 | $84.35 | $22.41 – $79.29 | 9 |
| Hook to hand cable adapter HCPCS L6670 | not published | not published | $48.55 – $128.79 | 3 |
| Hopd covid-19 spec collect HCPCS C9803 | not published | not published | $52.30 – $52.30 | 1 |
| Hopd mntl hlt, 15-29 min HCPCS C7900 | not published | not published | $137.06 – $137.06 | 1 |
| Hopd mntl hlt, 30-60 min HCPCS C7901 | not published | not published | $425.58 – $425.58 | 1 |
| Hopd mntl hlt, grp HCPCS C7903 | not published | not published | $137.06 – $137.06 | 1 |
| Ho post-op hip abduction HCPCS L1686 | not published | not published | $894.98 – $2,374.13 | 3 |
| Hospice care supervision CPT 99377 | not published | not published | $53.05 – $131.06 | 8 |
| Hospice care supervision CPT 99378 | not published | not published | $83.01 – $194.67 | 8 |
| Hpa-15 genotyping CPT 81112 | not published | not published | $122.22 – $256.10 | 7 |
| Hpa-1 genotyping CPT 81105 | not published | not published | $122.22 – $256.10 | 7 |
| Hpa-2 genotyping CPT 81106 | not published | not published | $122.22 – $256.10 | 7 |
| Hpa-3 genotyping CPT 81107 | not published | not published | $122.22 – $256.10 | 7 |
| Hpa-4 genotyping CPT 81108 | not published | not published | $122.22 – $256.10 | 7 |
| Hpa-5 genotyping CPT 81109 | not published | not published | $122.22 – $256.10 | 7 |
| Hpa-6 genotyping CPT 81110 | not published | not published | $122.22 – $256.10 | 7 |
| Hpa-9 genotyping CPT 81111 | not published | not published | $122.22 – $256.10 | 7 |
| Hpv combo assay ca screen HCPCS G0476 | not published | not published | $35.79 – $73.19 | 7 |
| Hpv low-risk types CPT 87623 | not published | not published | $35.09 – $73.19 | 7 |
| Hpv types 16 & 18 only CPT 87625 | not published | not published | $40.55 – $84.72 | 7 |
| H pylori ag ia CPT 87339 | not published | not published | $16.00 – $33.21 | 7 |
| H pylori (c-13) blood CPT 83009 | not published | not published | $67.36 – $140.98 | 7 |
| H pylori (c-13) breath CPT 83013 | not published | not published | $67.36 – $140.98 | 7 |
| H pylori drug admin CPT 83014 | not published | not published | $7.86 – $16.26 | 7 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | not published | not published | $679.05 – $1,422.70 | 7 |
| Hrdtry brst ca-rlatd dsordrs CPT 81433 | not published | not published | $438.93 – $919.75 | 7 |
| Hrdtry cardmypy gene panel CPT 81439 | not published | not published | $584.90 – $1,225.45 | 7 |
| Hrdtry perph neurphy panel CPT 81448 | not published | not published | $584.90 – $1,225.45 | 7 |
| Hrv skn cll ssp agrft 1st 25 CPT 15011 | not published | not published | $8,415.75 – $8,415.75 | 1 |
| Hsv dna dir probe CPT 87528 | not published | not published | $20.05 – $42.01 | 7 |
| Htt gene charac alleles CPT 81274 | not published | not published | $274.83 – $575.89 | 7 |
| Htt gene detc abnor alleles CPT 81271 | not published | not published | $137.00 – $287.07 | 7 |
| Human epididymis protein 4 (he4) CPT 86305 | $46.60 | $46.60 | $18.17 – $43.80 | 9 |
| Human ig IV CPT 90283 | not published | not published | $59.29 – $148.52 | 3 |
| Human ig sc CPT 90284 | not published | not published | $15.88 – $29.71 | 3 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $1,931.43 | $1,931.43 | $4.19 – $1,815.54 | 9 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | not published | not published | $21.20 – $59.43 | 3 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | not published | not published | $0.48 – $0.67 | 8 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $323.33 | $323.33 | $0.36 – $303.93 | 9 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $24.64 | $24.64 | $4.11 – $23.16 | 9 |
| Hydrocolld drg >16<=48 w/bdr HCPCS A6238 | not published | not published | $25.34 – $66.76 | 3 |
| Hydrocolld drg >16<=48 without b HCPCS A6235 | not published | not published | $18.70 – $49.24 | 3 |
| Hydrocolld drg <=16 in w/bdr HCPCS A6237 | not published | not published | $8.79 – $23.15 | 3 |
| Hydrocolld drg <=16 without bdr HCPCS A6234 | not published | not published | $7.27 – $19.17 | 3 |
| Hydrocolld drg filler paste HCPCS A6240 | not published | not published | $13.61 – $35.85 | 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.