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 |
|---|---|---|---|---|
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $688.87 – $1,667.20 | 9 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $43.74 – $85.77 | 8 |
| In-111 autologous plt stdy dx HCPCS A9571 | not published | not published | $3,647.78 – $8,953.06 | 3 |
| In-111 autol wbc diag per dose HCPCS A9570 | not published | not published | $3,647.78 – $8,953.06 | 3 |
| In-111 capromab pendet HCPCS A9507 | not published | not published | $3,119.34 – $106,089.99 | 6 |
| In-111 ibritumomab tiux dx HCPCS A9542 | not published | not published | $3,425.35 – $106,089.99 | 6 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | not published | not published | $1,823.89 – $4,655.89 | 5 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $2,745.05 | $2,745.05 | $796.48 – $2,014.55 | 9 |
| In-111 pentetreotide HCPCS A9572 | not published | not published | $5,789.52 – $106,089.99 | 5 |
| In-111 satumomab pend HCPCS A4642 | not published | not published | $1,396.92 – $3,401.88 | 2 |
| Inactivated je vacc im CPT 90738 | not published | not published | $115.23 – $456.45 | 3 |
| Inc deep opng b1 crtx thorax CPT 21510 | not published | not published | $431.37 – $931.30 | 8 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $567.32 – $1,232.91 | 8 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $496.75 – $1,075.67 | 8 |
| Incis 1 vertebral seg cerv CPT 22210 | not published | not published | $1,693.88 – $3,693.33 | 8 |
| Incis 1 vertebral seg lumbar CPT 22214 | not published | not published | $1,438.31 – $3,135.50 | 8 |
| Incis 1 vertebral seg thorac CPT 22212 | not published | not published | $1,438.08 – $3,140.24 | 8 |
| Incis addl spine segment CPT 22216 | not published | not published | $341.82 – $738.81 | 8 |
| Incise bile duct sphincter CPT 47460 | not published | not published | $1,209.61 – $2,595.30 | 8 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $410.35 – $883.16 | 8 |
| Incise/drain eyelid lining CPT 68020 | not published | not published | $105.45 – $233.21 | 9 |
| Incise flexor carpi radialis CPT 25001 | not published | not published | $336.09 – $738.81 | 8 |
| Incise hand/finger tendon CPT 26460 | not published | not published | $435.22 – $930.62 | 8 |
| Incise hip/thigh nerve CPT 64763 | not published | not published | $492.92 – $1,065.51 | 8 |
| Incise hip/thigh nerve CPT 64766 | not published | not published | $607.99 – $1,312.22 | 8 |
| Incise inner ear CPT 69801 | not published | not published | $120.27 – $441.37 | 9 |
| Incise inner ear nerve CPT 69915 | not published | not published | $1,459.61 – $3,052.13 | 8 |
| Incise inner ear nerve CPT 69950 | not published | not published | $1,694.33 – $3,549.65 | 8 |
| Incise inner eye adhesions CPT 65860 | not published | not published | $237.46 – $589.78 | 9 |
| Incise inner eye adhesions CPT 65865 | not published | not published | $456.46 – $961.11 | 8 |
| Incise inner eye adhesions CPT 65870 | not published | not published | $567.71 – $1,197.00 | 8 |
| Incise inner eye adhesions CPT 65875 | not published | not published | $605.42 – $1,274.95 | 8 |
| Incise inner eye adhesions CPT 65880 | not published | not published | $636.42 – $1,338.65 | 8 |
| Incise inner eye strands CPT 67030 | not published | not published | $531.54 – $1,121.08 | 8 |
| Incise nerve back of head CPT 64744 | not published | not published | $479.21 – $1,062.11 | 8 |
| Incise perq finger tendon 26060 CPT 26060 | not published | not published | $248.26 – $534.78 | 8 |
| Incise skull/brain surgery CPT 61720 | not published | not published | $1,199.90 – $2,648.84 | 8 |
| Incise skull/brain surgery CPT 61735 | not published | not published | $1,504.19 – $3,318.50 | 8 |
| Incise skull for treatment CPT 61770 | not published | not published | $1,526.89 – $3,367.30 | 8 |
| Incise skull repair CPT 62121 | not published | not published | $1,494.95 – $3,176.18 | 8 |
| Incise skull/sutures CPT 61556 | not published | not published | $1,609.58 – $3,550.32 | 8 |
| Incise skull/sutures CPT 61557 | not published | not published | $1,590.49 – $3,510.34 | 8 |
| Incise sperm duct pouch CPT 55600 | not published | not published | $407.06 – $866.23 | 8 |
| Incise spinal cord tract(s) CPT 63170 | not published | not published | $1,502.47 – $3,317.83 | 8 |
| Incise spine accessory nerve CPT 63191 | not published | not published | $1,304.08 – $2,881.33 | 8 |
| Incise spine nrv >2 segmnts CPT 63190 | not published | not published | $1,189.06 – $2,552.60 | 8 |
| Incise spine nrv half segmnt CPT 63185 | not published | not published | $1,089.30 – $2,567.52 | 8 |
| Incise tear duct opening 68440 CPT 68440 | not published | not published | $94.83 – $202.67 | 9 |
| Incise tendon(s) & muscle(s) CPT 23406 | not published | not published | $723.02 – $1,525.73 | 8 |
| Incise thigh tendon & fascia CPT 27305 | not published | not published | $467.95 – $1,011.95 | 8 |
| Incise & treat bladder CPT 51030 | not published | not published | $455.91 – $916.16 | 7 |
| Incise wrist/forearm tendon CPT 25290 | not published | not published | $423.08 – $918.43 | 8 |
| Incision anal septum infant CPT 46070 | not published | not published | $259.12 – $565.29 | 8 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $214.50 | $214.50 | $44.30 – $107.92 | 9 |
| Incision & drainage open of deep abscess (subfascial) pos CPT 22010 | not published | not published | $919.77 – $2,023.23 | 8 |
| Incision/fixation of femur CPT 27165 | not published | not published | $1,317.98 – $2,816.94 | 8 |
| Incision of achilles tendon CPT 27605 | not published | not published | $178.01 – $635.40 | 9 |
| Incision of achilles tendon CPT 27606 | not published | not published | $261.79 – $559.86 | 8 |
| Incision of anal sphincter CPT 46080 | not published | not published | $152.15 – $555.73 | 9 |
| Incision of ankle bone CPT 28302 | not published | not published | $690.14 – $1,489.12 | 8 |
| Incision of bile duct CPT 47425 | not published | not published | $1,302.56 – $2,791.18 | 8 |
| Incision of bile duct 47420 CPT 47420 | not published | not published | $1,270.18 – $2,726.12 | 8 |
| Incision of brain tissue CPT 61541 | not published | not published | $2,022.60 – $4,457.22 | 8 |
| Incision of brain tissue CPT 61567 | not published | not published | $2,398.18 – $5,284.12 | 8 |
| Incision of breast lesion CPT 19020 | not published | not published | $299.43 – $911.01 | 9 |
| Incision of brow nerve CPT 64732 | not published | not published | $430.13 – $957.05 | 8 |
| Incision of burn scab initi CPT 16035 | $456.80 | $456.80 | $178.15 – $425.74 | 9 |
| Incision of cheek nerve CPT 64734 | not published | not published | $486.06 – $1,079.74 | 8 |
| Incision of chin nerve CPT 64736 | not published | not published | $322.16 – $691.35 | 8 |
| Incision of eardrum CPT 69420 | not published | not published | $116.11 – $370.70 | 9 |
| Incision of eardrum CPT 69421 | not published | not published | $146.92 – $311.11 | 8 |
| Incision of esophagus CPT 43020 | not published | not published | $539.69 – $1,168.52 | 8 |
| Incision of eye CPT 65850 | not published | not published | $806.70 – $1,691.79 | 8 |
| Incision of eye CPT 66172 | not published | not published | $1,137.72 – $2,402.12 | 8 |
| Incision of eyelid CPT 67710 | not published | not published | $93.35 – $465.78 | 9 |
| Incision of facial nerve CPT 64742 | not published | not published | $476.12 – $1,009.25 | 8 |
| Incision of fibula CPT 27707 | not published | not published | $391.42 – $847.92 | 8 |
| Incision of finger tendon CPT 26455 | not published | not published | $447.80 – $950.95 | 8 |
| Incision of foot fascia CPT 28008 | not published | not published | $286.12 – $824.28 | 9 |
| Incision of foot tendon 28234 CPT 28234 | not published | not published | $259.11 – $791.51 | 9 |
| Incision of gallbladder 47480 CPT 47480 | not published | not published | $837.61 – $1,803.63 | 8 |
| Incision of heel bone CPT 28300 | not published | not published | $628.73 – $1,347.47 | 8 |
| Incision of hip bone CPT 27146 | not published | not published | $1,215.64 – $2,634.61 | 8 |
| Incision of hip bones CPT 27151 | not published | not published | $1,513.95 – $3,245.98 | 8 |
| Incision of hip tendon CPT 27000 | not published | not published | $383.64 – $807.94 | 8 |
| Incision of hip tendon CPT 27001 | not published | not published | $522.25 – $1,123.11 | 8 |
| Incision of hip tendon CPT 27003 | not published | not published | $578.68 – $1,251.23 | 8 |
| Incision of hip tendons CPT 27006 | not published | not published | $689.14 – $1,480.32 | 8 |
| Incision of iris CPT 66500 | not published | not published | $376.96 – $788.28 | 8 |
| Incision of iris CPT 66505 | not published | not published | $409.35 – $858.10 | 8 |
| Incision of jaw joint CPT 21010 | not published | not published | $720.55 – $1,518.96 | 8 |
| Incision of jaw nerve CPT 64738 | not published | not published | $436.54 – $922.49 | 8 |
| Incision of knee joint CPT 27435 | not published | not published | $780.65 – $1,677.56 | 8 |
| Incision of liver duct CPT 47400 | not published | not published | $2,044.23 – $4,375.88 | 8 |
| Incision of lymph channels CPT 38308 | not published | not published | $445.13 – $971.97 | 8 |
| Incision of metatarsal CPT 28306 | not published | not published | $391.99 – $1,179.56 | 9 |
| Incision of metatarsal CPT 28307 | not published | not published | $498.23 – $1,520.07 | 9 |
| Incision of metatarsal CPT 28308 | not published | not published | $373.27 – $1,104.41 | 9 |
| Incision of metatarsals CPT 28309 | not published | not published | $869.32 – $1,866.66 | 8 |
| Incision of midfoot bones CPT 28304 | not published | not published | $594.49 – $1,601.03 | 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.