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 |
|---|---|---|---|---|
| Iiv3 vacc no prsv 0.25 ml im CPT 90655 | not published | not published | $13.99 – $26.44 | 3 |
| Ikbkap gene CPT 81260 | $92.55 | $92.55 | $36.09 – $87.00 | 9 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $993.26 – $2,118.80 | 8 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $2,522.08 – $5,394.61 | 8 |
| Iliac/fem angio cath insert HCPCS G0278 | not published | not published | $12.81 – $26.44 | 8 |
| Iliac revasc add-on 37222 CPT 37222 | not published | not published | $173.83 – $1,168.00 | 9 |
| Iloprost non-comp unit dose HCPCS Q4074 | not published | not published | $142.57 – $293.05 | 8 |
| Imatinib 100 mg tab HCPCS S0088 | not published | not published | $3.03 – $4.82 | 2 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $847.11 – $1,819.89 | 8 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | not published | not published | $110.16 – $110.16 | 1 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $15.56 – $35.92 | 8 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $16.29 – $31.48 | 8 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $42.15 – $91.51 | 8 |
| Immntx 1 sting insect CPT 95130 | not published | not published | $41.12 – $55.56 | 3 |
| Immntx 4 sting insects CPT 95133 | not published | not published | $76.46 – $103.62 | 3 |
| Immntx 5 sting insects CPT 95134 | not published | not published | $91.87 – $124.35 | 3 |
| Immob elbow child sm HCPCS L3762 | not published | not published | $90.90 – $241.14 | 3 |
| Immobilizer shldr cntor adlt HCPCS L3670 | not published | not published | $98.47 – $261.22 | 3 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | not published | not published | $77.85 – $152.59 | 3 |
| Immobilizer shldr sling med HCPCS L3660 | not published | not published | $119.34 – $316.58 | 3 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $728.82 – $1,565.04 | 8 |
| Immune complex assay CPT 86332 | not published | not published | $24.37 – $50.84 | 7 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $6,423.73 | $6,423.73 | $44.15 – $1,006.39 | 9 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | not published | not published | $74.63 – $160.97 | 8 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | not published | not published | $42.66 – $97.46 | 8 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $106.49 – $218.01 | 3 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $276.85 | $276.85 | $20.81 – $260.24 | 9 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $139.70 | $139.70 | $20.81 – $131.32 | 9 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $25.57 – $53.54 | 7 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $137.30 | $137.30 | $11.98 – $129.06 | 9 |
| Immunodiffusion nes CPT 86329 | not published | not published | $14.05 – $29.15 | 7 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $21.31 – $62.70 | 8 |
| Immunofixation electrophoresis serum CPT 86334 | $118.40 | $118.40 | $17.39 – $110.35 | 9 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | not published | not published | $28.12 – $56.93 | 8 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $288.25 | $288.25 | $34.87 – $268.65 | 9 |
| Immunoglobulin assay CPT 86023 | $273.00 | $273.00 | $12.46 – $256.62 | 9 |
| Immunotherapy 2/> injections CPT 95125 | not published | not published | $29.55 – $40.60 | 3 |
| Impedence cardiogram CPT 93701 | not published | not published | $14.23 – $52.03 | 8 |
| Imp extar knee shck absrb HCPCS C8003 | not published | not published | $84,607.12 – $84,607.12 | 1 |
| Impl absrb msh/prsth dly cls CPT 15778 | not published | not published | $367.31 – $797.08 | 8 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | $1,045.00 | $1,045.00 | $234.00 – $570.00 | 9 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | not published | not published | $800.66 – $2,108.87 | 3 |
| Implantation iris prosthesis CPT 66683 | not published | not published | $1,569.10 – $75,527.15 | 2 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $1,482.60 – $3,130.75 | 8 |
| Implant brain electrodes CPT 61531 | not published | not published | $1,157.69 – $2,562.09 | 8 |
| Implant brain electrodes CPT 61533 | not published | not published | $1,439.06 – $3,175.49 | 8 |
| Implant brain electrodes CPT 61760 | not published | not published | $1,494.77 – $3,295.47 | 8 |
| Implant cochlear device CPT 69930 | not published | not published | $1,180.99 – $2,465.85 | 8 |
| Implant cochlear osia osi300 HCPCS L8690 | not published | not published | $4,427.66 – $11,745.48 | 3 |
| Implant eye drug system CPT 67027 | not published | not published | $808.85 – $1,699.25 | 8 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $54.05 – $181.82 | 9 |
| Implant nerve end CPT 64787 | not published | not published | $226.42 – $476.50 | 8 |
| Implant neuroelectrde addl CPT 61864 | not published | not published | $263.27 – $578.17 | 8 |
| Implant neuroelectrde addl CPT 61868 | not published | not published | $464.38 – $1,018.74 | 8 |
| Implant neuroelectrode CPT 61863 | not published | not published | $1,418.84 – $3,133.47 | 8 |
| Implant neuroelectrode CPT 61867 | not published | not published | $2,143.46 – $4,722.23 | 8 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $795.15 – $1,749.40 | 8 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $321.65 – $7,456.46 | 9 |
| Implant neuroelectrodes CPT 64555 | not published | not published | $294.33 – $4,090.57 | 9 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $292.44 – $1,413.42 | 9 |
| Implant neuroelectrodes CPT 61850 | not published | not published | $931.79 – $2,058.47 | 8 |
| Implant neuroelectrodes CPT 61860 | not published | not published | $1,472.66 – $3,246.67 | 8 |
| Implant neurostim arrays CPT 61886 | not published | not published | $830.28 – $1,843.61 | 8 |
| Implant open hernia repair w/mesh 49568 CPT 49568 | not published | not published | $529.75 – $529.75 | 1 |
| Implant power module patient cable cable 14 volt HCPCS Q0477 | not published | not published | $727.23 – $1,915.46 | 3 |
| Implant/replace hearing aid CPT 69710 | not published | not published | $1,220.05 – $1,220.05 | 1 |
| Implant single ventricular device 33975 CPT 33975 | not published | not published | $1,217.25 – $2,598.00 | 8 |
| Implant spinal canal cath CPT 62351 | not published | not published | $856.32 – $1,900.56 | 8 |
| Implant spine infusion pump CPT 62361 | not published | not published | $410.66 – $912.31 | 8 |
| Implant spine infusion pump CPT 62362 | not published | not published | $368.45 – $795.74 | 8 |
| Implant tcat pulm vlv perq CPT 33477 | not published | not published | $1,267.65 – $2,586.48 | 8 |
| Implant ureter in bowel CPT 50800 | not published | not published | $890.32 – $1,876.82 | 8 |
| Implant ureth bulk agent HCPCS L8606 | not published | not published | $204.03 – $541.25 | 3 |
| Impl ear abutment ba300 9mm HCPCS L8693 | not published | not published | $1,411.29 – $3,743.81 | 3 |
| Impl eye bio-eye 16mm HCPCS L8042 | not published | not published | $3,373.63 – $5,318.54 | 3 |
| Impl neurostim electr perc CPT 63650 | not published | not published | $400.36 – $4,388.04 | 9 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $205.19 – $435.14 | 8 |
| Implnt spinl canal catheter 62350 CPT 62350 | not published | not published | $381.84 – $822.86 | 8 |
| Impl oi implt sk tc esp<100 CPT 69716 | not published | not published | $601.19 – $1,266.82 | 8 |
| Impl oi implt sk tc esp>=100 CPT 69729 | not published | not published | $651.04 – $1,371.86 | 8 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $477.81 – $1,011.95 | 8 |
| Impl/rplcmt gstr nstim eltrd CPT 43881 | not published | not published | $1,371.02 – $1,599.19 | 3 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $81.04 – $178.93 | 8 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $422.32 – $4,082.87 | 9 |
| Impltj tot rplcmt hrt sys CPT 33927 | not published | not published | $2,386.90 – $5,061.13 | 8 |
| Implt neurostim elctr each HCPCS L8680 | not published | not published | $195.00 – $469.71 | 2 |
| Imp neurosti pls gn any type HCPCS L8679 | not published | not published | $7,766.02 – $20,601.40 | 3 |
| Imported lipodox inj HCPCS Q2049 | not published | not published | $508.43 – $820.20 | 4 |
| Impreg gauze no h20/sal/yard HCPCS A6266 | not published | not published | $2.13 – $5.59 | 3 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $1,251.95 – $3,027.94 | 9 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $1,293.39 – $3,191.12 | 9 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $6,612.26 – $14,920.39 | 3 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $1,139.43 – $2,797.30 | 9 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $1,183.76 – $2,952.77 | 9 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $1,251.95 – $3,027.94 | 9 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $471.00 – $1,311.91 | 9 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $1,697.48 – $4,077.73 | 9 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $1,082.48 – $2,758.10 | 9 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $1,004.36 – $2,620.62 | 9 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $1,162.42 – $2,990.04 | 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.