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 |
|---|---|---|---|---|
| Inj, meropenem (b. braun) HCPCS J2184 | $173.31 | $173.31 | $2.11 – $162.91 | 9 |
| Inj., meropenem, vaborbactam HCPCS J2186 | not published | not published | $2.20 – $6.31 | 4 |
| Inj meropenem (wg crit care) HCPCS J2183 | $190.64 | $190.64 | $3.27 – $179.20 | 9 |
| Inj metaraminol bitartrate HCPCS J0380 | not published | not published | $1.14 – $2.03 | 3 |
| Inj, micafungin (par pharm) HCPCS J2247 | not published | not published | $0.34 – $0.61 | 8 |
| Inj, mirikizumab-mrkz, 1 mg HCPCS J2267 | not published | not published | $89.73 – $105.35 | 2 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | not published | not published | $225.13 – $480.99 | 8 |
| Inj, motixafortide, 0.25 mg HCPCS J2277 | not published | not published | $49.85 – $76.48 | 2 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | $60.19 | $60.19 | $8.78 – $56.58 | 9 |
| Inj moxifloxacin (fres kabi) HCPCS J2281 | not published | not published | $5.43 – $12.20 | 8 |
| Inj multihance HCPCS A9577 | not published | not published | $1.83 – $3.60 | 8 |
| Inj multihance multipack HCPCS A9578 | not published | not published | $1.77 – $3.54 | 8 |
| Inj. mycophenolate mofetil HCPCS J7519 | not published | not published | $0.54 – $1.64 | 4 |
| Inj naloxone hydrochloride HCPCS J2310 | $191.22 | $191.22 | $7.29 – $92.51 | 9 |
| Inj. naxitamab-gqgk, 1 mg HCPCS J9348 | not published | not published | $591.13 – $1,269.69 | 8 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | not published | not published | $63.02 – $612.26 | 9 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | $766.05 | $766.05 | $3.65 – $720.09 | 9 |
| Inj, nogapendekin pmln, 1mcg HCPCS J9028 | not published | not published | $187.54 – $187.54 | 1 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | not published | not published | $145.21 – $2,614.41 | 9 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | not published | not published | $112.71 – $2,455.50 | 9 |
| Inj, ocriplasmin, 0.125 mg HCPCS J7316 | not published | not published | $194.92 – $1,046.93 | 3 |
| Inj octafluoropropane mic,ml HCPCS Q9956 | not published | not published | $33.43 – $82.25 | 8 |
| Inj ogivri 10 mg HCPCS Q5114 | not published | not published | $40.84 – $102.49 | 8 |
| Inj, olaratumab, 10 mg HCPCS J9285 | not published | not published | $52.07 – $52.07 | 2 |
| Inj, oliceridine 0.1 mg HCPCS C9101 | not published | not published | $1.32 – $4.09 | 3 |
| Inj olipudase alfa-rpcp 1mg HCPCS J0218 | not published | not published | $376.97 – $754.31 | 8 |
| Inj, omacetaxine mep, 0.01mg HCPCS J9262 | not published | not published | $3.73 – $8.44 | 8 |
| Inj., omadacycline, 1 mg HCPCS J0121 | not published | not published | $3.66 – $7.73 | 8 |
| Inj onase abepar-xioi treat HCPCS J3399 | not published | not published | $0.03 – $5,005,186.73 | 3 |
| Inj ontruzant 10 mg HCPCS Q5112 | $4,548.40 | $4,548.40 | $32.46 – $1,526.97 | 9 |
| Inj, pafolacianine, 0.1 mg HCPCS A9603 | not published | not published | $135.47 – $333.97 | 3 |
| Inj, palonosetron (posfrea) HCPCS J2468 | not published | not published | $121.54 – $121.54 | 1 |
| Inj pantoprazole(hikma) 40mg HCPCS J2471 | not published | not published | $13.62 – $13.62 | 1 |
| Inj, panzyga, 500 mg HCPCS J1576 | not published | not published | $66.44 – $136.60 | 8 |
| Inj, pasireotide long acting HCPCS J2502 | not published | not published | $554.36 – $1,458.57 | 4 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | not published | not published | $99.35 – $195.38 | 8 |
| Inj, pedmark, 100 mg HCPCS J0208 | not published | not published | $93.16 – $291.03 | 4 |
| Inj, pegcetacoplan, 1mg HCPCS J2781 | not published | not published | $149.07 – $289.34 | 8 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | not published | not published | $30.05 – $1,051.55 | 5 |
| Inj, pegulicianine, 1 mg HCPCS A9615 | not published | not published | $74.14 – $74.14 | 1 |
| Inj. pemetrexed, 10 mg HCPCS J9304 | not published | not published | $52.95 – $104.16 | 8 |
| Inj pemetrexed (accord) 10mg HCPCS J9296 | not published | not published | $9.66 – $29.29 | 5 |
| Inj, pemetrexed (avyxa) 10mg HCPCS J9292 | not published | not published | $165.54 – $165.54 | 1 |
| Inj pemetrexed (bluepoint) HCPCS J9322 | not published | not published | $9.80 – $9.80 | 2 |
| Inj pemetrexed ditromethamin HCPCS J9323 | not published | not published | $4.69 – $22.11 | 4 |
| Inj pemetrexed, hospira 10mg HCPCS J9294 | not published | not published | $1.97 – $10.55 | 8 |
| Inj pemetrexed (sandoz) 10mg HCPCS J9297 | not published | not published | $1.12 – $3.02 | 8 |
| Inj pemetrexed (teva) 10mg HCPCS J9314 | not published | not published | $11.00 – $33.36 | 5 |
| Inj, pemivibart, 4500 mg HCPCS Q0224 | not published | not published | $13,014.43 – $19,964.46 | 2 |
| Inj, pemrydi rtu, 10 mg HCPCS J9324 | not published | not published | $162.38 – $256.82 | 2 |
| Inj perflexane lip micros,ml HCPCS Q9955 | not published | not published | $13.25 – $106,089.99 | 3 |
| Inj peritoneal venous shunt CPT 49427 | not published | not published | $37.93 – $79.31 | 8 |
| Inj., perseris, 0.5 mg HCPCS J2798 | not published | not published | $11.41 – $24.10 | 8 |
| Inj plasminogen tvmh 1mg HCPCS J2998 | not published | not published | $30.10 – $106.05 | 4 |
| Inj., plazomicin, 5 mg HCPCS J0291 | not published | not published | $3.45 – $7.06 | 8 |
| Inj pozelimab-bbfg, 1 mg HCPCS J9376 | not published | not published | $181.34 – $181.34 | 1 |
| Inj proc ankle arthr CPT 27648 | not published | not published | $49.34 – $406.69 | 9 |
| Inj proc elbow arthro CPT 24220 | not published | not published | $64.70 – $364.27 | 9 |
| Inj proc for lymphang CPT 38790 | not published | not published | $78.49 – $167.43 | 8 |
| Inj proc lumbr disk ea lvl CPT 62290 | not published | not published | $152.94 – $660.45 | 9 |
| Inj proc myelogram lumbar CPT 62284 | not published | not published | $81.37 – $359.77 | 9 |
| Inj proc sialogram CPT 42550 | not published | not published | $60.07 – $294.89 | 9 |
| Inj progesterone per 50 mg HCPCS J2675 | not published | not published | $0.73 – $1.76 | 8 |
| Inj prohance multipack HCPCS A9576 | not published | not published | $1.43 – $2.89 | 8 |
| Inj protirelin per 250 mcg HCPCS J2725 | not published | not published | $21.78 – $21.78 | 2 |
| Inj recombin esperoct per iu HCPCS J7204 | not published | not published | $2.08 – $4.32 | 8 |
| Inj, releuko 1 mcg HCPCS Q5125 | not published | not published | $0.41 – $0.90 | 8 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | not published | not published | $0.68 – $1.47 | 8 |
| Inj retro urethrocysto CPT 51610 | not published | not published | $61.52 – $247.99 | 9 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | not published | not published | $12.36 – $25.69 | 8 |
| Inj roctavian ml 2x10^13vc g HCPCS J1412 | not published | not published | $11,554.69 – $36,413.68 | 3 |
| Inj., rolapitant, 0.5 mg HCPCS J2797 | not published | not published | $0.90 – $0.90 | 2 |
| Inj romidepsin non-lyo 0.1mg HCPCS J9318 | not published | not published | $32.62 – $102.83 | 4 |
| Inj, rykindo, 0.5 mg HCPCS J2801 | not published | not published | $27.30 – $39.51 | 2 |
| Inj scleros sol mult veins CPT 36471 | not published | not published | $72.13 – $384.84 | 9 |
| Inj scleros sol sgl vein CPT 36470 | not published | not published | $36.63 – $222.29 | 9 |
| Inj, sculptra, 0.5mg HCPCS Q2028 | not published | not published | $0.66 – $2.93 | 4 |
| Inj sebelipase alfa 1 mg HCPCS J2840 | not published | not published | $520.71 – $1,633.18 | 4 |
| Inj secretin synthetic human HCPCS J2850 | not published | not published | $33.47 – $129.09 | 4 |
| Inj secukinumab intrav 1mg HCPCS J3247 | not published | not published | $35.04 – $53.25 | 2 |
| Inj, sezaby, 1 mg HCPCS J2561 | not published | not published | $1.36 – $2.79 | 3 |
| Inj, spesolimab-sbzo, 1 mg HCPCS J1747 | not published | not published | $60.22 – $121.43 | 8 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | not published | not published | $1,838.12 – $1,838.12 | 1 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | not published | not published | $18.91 – $36.92 | 8 |
| Inj, susvimo 0.1 mg HCPCS J2779 | not published | not published | $80.49 – $159.06 | 8 |
| Inj, sutimlimab-jome, 10 mg HCPCS J1302 | not published | not published | $17.35 – $35.83 | 8 |
| Inj. tagraxofusp-erzs 10 mcg HCPCS J9269 | not published | not published | $325.56 – $669.93 | 8 |
| Inj, taliglucerace alfa 10 u HCPCS J3060 | not published | not published | $43.78 – $82.29 | 8 |
| Inj teclistamab cqyv 0.5 mg HCPCS J9380 | not published | not published | $30.85 – $64.35 | 8 |
| Inj tedizolid phosphate HCPCS J3090 | not published | not published | $1.69 – $3.58 | 8 |
| Inj teplizumab mzwv 5 mcg HCPCS J9381 | not published | not published | $36.26 – $73.61 | 8 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | not published | not published | $328.00 – $686.15 | 8 |
| Inj testostero enanthate 1mg HCPCS J3121 | not published | not published | $0.05 – $0.10 | 8 |
| Inj testosterone cypionate HCPCS J1071 | not published | not published | $0.03 – $0.06 | 8 |
| Inj theophylline per 40 mg HCPCS J2810 | not published | not published | $0.41 – $0.82 | 3 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | $837.10 | $837.10 | $148.44 – $786.87 | 9 |
| Inj thrc fascial pln blk uni w/wo image CPT 64466 | $837.10 | $837.10 | $133.52 – $786.87 | 9 |
| Inj. tigecycline (accord) HCPCS J3244 | not published | not published | $0.60 – $5.55 | 8 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | not published | not published | $133.55 – $263.27 | 8 |
| Inj, tislelizumab-jsgr HCPCS J9329 | not published | not published | $109.05 – $109.05 | 1 |
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.