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 |
|---|---|---|---|---|
| Hydrocortisone acetate inj HCPCS J1700 | not published | not published | $0.65 – $0.65 | 2 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $146.09 | $146.09 | $17.85 – $137.32 | 9 |
| Hydrocortisone sodium ph inj HCPCS J1710 | not published | not published | $4.68 – $4.68 | 2 |
| Hydrogel drg <= 16 in w/bdr HCPCS A6245 | not published | not published | $8.08 – $21.29 | 3 |
| Hydrogel drg >48 in without bdr HCPCS A6244 | not published | not published | $43.67 – $115.02 | 3 |
| Hydrogel drg > 48 sq in w/b HCPCS A6247 | not published | not published | $26.44 – $69.63 | 3 |
| Hydrogel drsg gel filler HCPCS A6248 | not published | not published | $18.06 – $47.57 | 3 |
| Hydrogel dsg>16<=48 sq in HCPCS A6232 | not published | not published | $7.62 – $20.10 | 3 |
| Hydrogel dsg<=16 sq in HCPCS A6231 | not published | not published | $5.20 – $13.68 | 3 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $18.31 | $18.31 | $0.17 – $17.21 | 9 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $101.98 | $101.98 | $39.77 – $96.88 | 9 |
| Hydromorphone 250 mg HCPCS S0092 | not published | not published | $85.09 – $156.57 | 2 |
| Hydromorphone injection HCPCS J1170 | not published | not published | $2.70 – $6.60 | 8 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | not published | not published | $0.02 – $0.02 | 1 |
| Hydroxyurea 500 mg HCPCS S0176 | not published | not published | $0.57 – $2.03 | 2 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | not published | not published | $9.91 – $24.33 | 8 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | not published | not published | $0.08 – $4.07 | 3 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | not published | not published | $17.90 – $37.28 | 7 |
| Hymenotomy CPT 56442 | not published | not published | $45.59 – $98.28 | 8 |
| Hymovis injection 1 mg HCPCS J7322 | not published | not published | $16.99 – $34.43 | 8 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $953.31 – $2,008.33 | 8 |
| Hyoscyamine sulfate inj HCPCS J1980 | not published | not published | $18.98 – $55.08 | 8 |
| Hyperbaric oxygen therapy CPT 99183 | not published | not published | $102.87 – $214.17 | 8 |
| #hypersens-actinomyces ab CPT 86602 | not published | not published | $10.18 – $21.02 | 7 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $96.28 – $201.98 | 8 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $69.78 – $145.05 | 8 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $79.71 – $168.77 | 8 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $67.77 – $140.98 | 8 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $95.12 – $198.61 | 8 |
| Hypnotherapy CPT 90880 | not published | not published | $87.37 – $197.87 | 9 |
| Hypothermia ill neonate CPT 99184 | not published | not published | $210.15 – $429.73 | 8 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $16.19 – $34.97 | 8 |
| Hysterectomy/bladder repair CPT 51925 | not published | not published | $1,043.92 – $2,189.98 | 8 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $960.11 – $2,023.92 | 8 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $1,028.96 – $2,158.80 | 8 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $889.89 – $1,870.05 | 8 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $264.03 – $565.29 | 8 |
| Hysterosalpingography s&i CPT 74740 | $2,041.40 | $2,041.40 | $17.96 – $1,902.58 | 9 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $237.48 – $4,026.32 | 9 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $223.17 – $2,540.95 | 9 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $145.92 – $696.43 | 9 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $274.02 – $575.45 | 8 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $213.79 – $832.64 | 9 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $345.16 – $725.25 | 8 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $301.54 – $633.74 | 8 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $815.70 – $1,754.15 | 8 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | not published | not published | $221.65 – $414.69 | 3 |
| I-123 iobenguane diag HCPCS A9582 | not published | not published | $4,540.58 – $4,962.45 | 3 |
| I-123 ioflupane diag HCPCS A9584 | not published | not published | $2,517.36 – $5,171.53 | 3 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | not published | not published | $91.12 – $197.73 | 5 |
| I125 iothalamate, dx HCPCS A9554 | not published | not published | $38.25 – $81.34 | 3 |
| I125 serum albumin, dx HCPCS A9532 | not published | not published | $176.46 – $106,089.99 | 3 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | not published | not published | $753.92 – $106,089.99 | 6 |
| I131 iodide cap, rx HCPCS A9517 | not published | not published | $36.41 – $450.62 | 6 |
| I131 iodide sol, rx HCPCS A9530 | not published | not published | $9.46 – $61.86 | 4 |
| I131 max 100uci HCPCS A9531 | not published | not published | $3.62 – $106,089.99 | 3 |
| I131 serum albumin, dx HCPCS A9524 | not published | not published | $80.75 – $755.07 | 5 |
| I-131 sod iodide sol diag per mci HCPCS A9529 | not published | not published | $106,089.99 – $106,089.99 | 1 |
| Iaadi respiratory synctial virus CPT 87280 | not published | not published | $13.42 – $27.79 | 7 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | not published | not published | $35.09 – $73.19 | 7 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $18.09 – $37.91 | 7 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $28.98 – $94.88 | 7 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $1,104.15 | $1,104.15 | $25.40 – $1,037.90 | 9 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $1,567.23 – $5,130.80 | 7 |
| Ibuprofen injection HCPCS J1741 | not published | not published | $2.93 – $5.87 | 3 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $686.52 | $686.52 | $205.06 – $645.33 | 9 |
| Icatibant injection HCPCS J1744 | not published | not published | $95.06 – $470.37 | 4 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $45.41 – $94.21 | 8 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $11.80 – $25.08 | 8 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $0.89 – $15.42 | 9 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $4.64 – $9.63 | 8 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $906.06 – $1,971.05 | 8 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $374.16 – $866.68 | 9 |
| Idarubicin hcl injection HCPCS J9211 | not published | not published | $37.08 – $92.51 | 8 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $94.14 – $329.59 | 9 |
| Idecabtagene vicleucel car HCPCS Q2055 | not published | not published | $493,122.73 – $1,044,381.64 | 6 |
| Identify sperm tissue CPT 89264 | not published | not published | $245.82 – $245.82 | 1 |
| Idet 1 or more levels CPT 22527 | not published | not published | $147.77 – $3,090.26 | 8 |
| Idet single level CPT 22526 | not published | not published | $317.86 – $3,764.84 | 8 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $665.30 – $1,408.47 | 8 |
| Idh1 common variants CPT 81120 | not published | not published | $193.25 – $404.65 | 7 |
| Idh2 common variants CPT 81121 | not published | not published | $295.79 – $619.52 | 7 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $421.64 – $908.25 | 8 |
| I&d lacrimal gland CPT 68400 | not published | not published | $125.23 – $570.52 | 9 |
| I&d lacrimal sac CPT 68420 | not published | not published | $159.02 – $636.68 | 9 |
| Iduc valve sply repl HCPCS A4342 | not published | not published | $949.25 – $1,803.83 | 2 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $206.91 – $696.43 | 9 |
| Idursulfase injection HCPCS J1743 | not published | not published | $542.92 – $1,071.88 | 8 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $310.16 – $653.40 | 8 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $175.90 – $371.44 | 8 |
| Ifnl3 gene CPT 81283 | not published | not published | $73.37 – $153.74 | 7 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | not published | not published | $25.72 – $49.56 | 8 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $132.69 – $434.40 | 7 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $68.55 – $143.64 | 7 |
| Igh gene rearrange amp meth CPT 81261 | not published | not published | $197.99 – $414.81 | 7 |
| Igh@ var region somatic mutation analy CPT 81263 | $1,261.45 | $1,261.45 | $294.52 – $1,185.76 | 9 |
| Igk rearrangeabn clonal pop CPT 81264 | not published | not published | $172.73 – $361.94 | 7 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $350.05 | $350.05 | $27.40 – $326.25 | 9 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $539.00 | $539.00 | $37.16 – $502.35 | 9 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $361.95 | $361.95 | $33.80 – $337.34 | 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.