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 tofersen intrathec 1 mg HCPCS J1304 | not published | not published | $150.84 – $457.39 | 3 |
| Inj, tofidence, 1 mg HCPCS Q5133 | not published | not published | $11.86 – $11.86 | 1 |
| Inj travoprost intra impl HCPCS J7355 | not published | not published | $413.14 – $580.97 | 2 |
| Inj triamcinolone ace X-ray 1mg HCPCS J3304 | not published | not published | $17.20 – $35.58 | 8 |
| Inj triferic avnu 0.1mg iron HCPCS J1445 | not published | not published | $0.18 – $0.34 | 3 |
| Inj., triluron, 1 mg HCPCS J7332 | not published | not published | $10.10 – $19.95 | 8 |
| Inj., triptorelin X-ray 3.75 mg HCPCS J3316 | not published | not published | $3,185.21 – $10,409.81 | 4 |
| Inj, trivisc 1 mg HCPCS J7329 | not published | not published | $7.09 – $12.07 | 8 |
| Inj, tyenne, 1 mg HCPCS Q5135 | not published | not published | $8.11 – $8.11 | 1 |
| Inj, uzedy, 1 mg HCPCS J2799 | not published | not published | $24.70 – $76.06 | 3 |
| Inj, vancomycin hcl (mylan) HCPCS J3371 | $68.21 | $68.21 | $5.94 – $64.12 | 9 |
| Inj, vancomycin hcl (xellia) HCPCS J3372 | not published | not published | $6.48 – $12.61 | 8 |
| Inj vasopressin (am reg) 1 u HCPCS J2599 | not published | not published | $0.46 – $2.37 | 8 |
| Inj, vasopressin (baxter) HCPCS J2601 | not published | not published | $7.19 – $7.19 | 1 |
| Inj, vegzelma, 10 mg HCPCS Q5129 | not published | not published | $61.24 – $102.80 | 8 |
| Inj velmanase alfa-tycv 1 mg HCPCS J0217 | not published | not published | $408.00 – $1,347.64 | 3 |
| Inj., vestronidase alfa-vjbk HCPCS J3397 | not published | not published | $261.12 – $552.57 | 3 |
| Inj. viltolarsen HCPCS J1427 | not published | not published | $57.53 – $178.34 | 4 |
| Inj vocal cord bulking agent HCPCS L8607 | not published | not published | $39.91 – $105.86 | 3 |
| Inj w/fluor eval cv device CPT 36598 | $534.80 | $534.80 | $34.66 – $228.08 | 9 |
| Inj. xembify, 100 mg HCPCS J1558 | not published | not published | $13.89 – $28.18 | 8 |
| Inj xipere 1 mg HCPCS J3299 | not published | not published | $48.56 – $95.72 | 8 |
| Inj., yutiq, 0.01 mg HCPCS J7314 | not published | not published | $527.13 – $1,039.61 | 8 |
| Inner skull vessel surgery CPT 61702 | not published | not published | $3,763.97 – $8,282.71 | 8 |
| Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln HCPCS J9229 | not published | not published | $2,529.56 – $5,254.66 | 8 |
| Inpatient consultation CPT 99251 | not published | not published | $99.49 – $99.49 | 1 |
| Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy HCPCS G0459 | not published | not published | $41.25 – $88.11 | 8 |
| Inpt/ed teleconsult30 HCPCS G0425 | not published | not published | $90.75 – $186.39 | 8 |
| Inpt/ed teleconsult50 HCPCS G0426 | not published | not published | $127.39 – $263.67 | 8 |
| Inpt/ed teleconsult70 HCPCS G0427 | not published | not published | $182.13 – $374.83 | 8 |
| Inpt/tele follow up 15 HCPCS G0406 | not published | not published | $40.10 – $82.69 | 8 |
| Inpt/tele follow up 25 HCPCS G0407 | not published | not published | $70.45 – $146.41 | 8 |
| Inpt/tele follow up 35 HCPCS G0408 | not published | not published | $102.58 – $211.47 | 8 |
| Ins cath ren art 1st bi CPT 36252 | not published | not published | $334.72 – $2,636.68 | 9 |
| Ins cath ren art 1st uni CPT 36251 | not published | not published | $242.83 – $2,430.45 | 9 |
| Ins cath ren art 2nd+ bi CPT 36254 | not published | not published | $389.96 – $3,737.86 | 9 |
| Ins cath ren art 2nd+ uni CPT 36253 | not published | not published | $338.30 – $3,791.84 | 9 |
| Ins cerv dilator (sep proc) CPT 59200 | $288.80 | $288.80 | $41.95 – $203.02 | 9 |
| Ins device for right guide open CPT 49412 | not published | not published | $77.69 – $166.73 | 8 |
| Insemination of oocytes CPT 89268 | not published | not published | $788.40 – $788.40 | 1 |
| Insert abdomen-venous drain CPT 49425 | not published | not published | $744.93 – $1,605.04 | 8 |
| Insert and remove bone pin CPT 20650 | not published | not published | $157.69 – $450.36 | 9 |
| Insert ant drainage device CPT 66183 | not published | not published | $981.68 – $2,067.29 | 8 |
| Insert balloon device CPT 33973 | not published | not published | $470.34 – $993.66 | 8 |
| Insert brain-fluid device 61215 CPT 61215 | not published | not published | $489.29 – $1,086.50 | 8 |
| Insert cannula hemo oth 36815 CPT 36815 | not published | not published | $127.08 – $270.44 | 8 |
| Insert cannula vein-to-vein hemodialysis CPT 36800 | not published | not published | $116.48 – $241.29 | 8 |
| Insert cath pleura with image CPT 32557 | not published | not published | $144.63 – $1,259.23 | 9 |
| Insert cath pleura without image CPT 32556 | not published | not published | $119.31 – $1,419.85 | 9 |
| Insert drug del implant, >=4 HCPCS G0516 | not published | not published | $94.47 – $379.05 | 8 |
| Insert drug delivery implant CPT 11981 | not published | not published | $60.17 – $194.67 | 9 |
| Insert electrodes for eeg CPT 95830 | not published | not published | $88.50 – $1,324.76 | 9 |
| Insert epicard eltrd endo 33203 CPT 33203 | not published | not published | $761.41 – $1,631.46 | 8 |
| Insert epicardial lead open 33202 CPT 33202 | not published | not published | $726.92 – $1,551.48 | 8 |
| Insert eye socket implant CPT 67550 | not published | not published | $1,041.77 – $2,169.63 | 8 |
| Insert hepatic shunt (tips) CPT 37182 | not published | not published | $783.65 – $1,614.51 | 8 |
| Insert heyman uteri capsule CPT 58346 | not published | not published | $483.95 – $1,027.54 | 8 |
| Insert intervert bimech device 22854 CPT 22854 | not published | not published | $315.02 – $683.22 | 8 |
| Insert intracorporeal device CPT 33979 | not published | not published | $1,821.74 – $3,858.72 | 8 |
| Insert intrauterine device iud CPT 58300 | not published | not published | $49.36 – $212.66 | 8 |
| Insertion catheter artery nfs ther chemotx 36640 CPT 36640 | not published | not published | $113.01 – $236.55 | 8 |
| Insertion catheter bladder non indwelling CPT 51701 | $58.00 | $58.00 | $12.01 – $29.26 | 9 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | not published | not published | $195.82 – $1,480.24 | 9 |
| Insertion intra aortic balloon assist device percutaneous CPT 33967 | not published | not published | $242.14 – $514.45 | 8 |
| Insertion intra-aortic circulation dev 33970 CPT 33970 | not published | not published | $332.23 – $701.53 | 8 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | not published | not published | $211.10 – $3,803.40 | 9 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $301.50 | $301.50 | $62.56 – $152.38 | 9 |
| Insertion of cannula CPT 36810 | not published | not published | $202.50 – $397.69 | 8 |
| Insertion of cannula(s) CPT 36823 | not published | not published | $1,333.70 – $2,867.77 | 8 |
| Insertion of catheter vein CPT 36481 | not published | not published | $313.88 – $3,261.15 | 9 |
| Insertion of catheter vein CPT 36500 | not published | not published | $171.92 – $364.65 | 8 |
| Insertion of heart electrode 33211 CPT 33211 | not published | not published | $158.73 – $333.47 | 8 |
| Insertion of infusion pump CPT 36260 | not published | not published | $625.13 – $1,348.83 | 8 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | not published | not published | $490.53 – $1,037.03 | 8 |
| Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207 | not published | not published | $452.74 – $960.44 | 8 |
| Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 | not published | not published | $438.32 – $919.10 | 8 |
| Insertion palate prosthesis CPT 42281 | not published | not published | $155.61 – $433.01 | 9 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $2,658.15 | $2,658.15 | $57.20 – $190.45 | 9 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | not published | not published | $81.26 – $723.42 | 9 |
| Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 | not published | not published | $864.53 – $1,824.64 | 8 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $252.70 | $252.70 | $98.55 – $240.07 | 9 |
| Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 | not published | not published | $352.51 – $746.94 | 8 |
| Insertion subcutaneous cardiac rhythm monitor CPT 33285 | not published | not published | $82.97 – $8,033.26 | 9 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | not published | not published | $317.63 – $1,846.44 | 9 |
| Insertion ureth cath CPT 51045 | not published | not published | $480.14 – $1,007.21 | 8 |
| Insert lens prosthesis CPT 66985 | not published | not published | $733.45 – $1,546.75 | 8 |
| Insert major vessel graft CPT 33330 | not published | not published | $1,339.39 – $2,852.18 | 8 |
| Insert major vessel graft with bypass 33335 CPT 33335 | not published | not published | $1,755.36 – $3,730.61 | 8 |
| Insert multi-comp penis pros CPT 54405 | not published | not published | $778.55 – $1,647.05 | 8 |
| Insert nasal septal button CPT 30220 | not published | not published | $123.41 – $588.50 | 9 |
| Insert ocular implant CPT 65130 | not published | not published | $819.30 – $1,707.38 | 8 |
| Insert ocular implant CPT 65135 | not published | not published | $829.19 – $1,727.71 | 8 |
| Insert palate implants HCPCS C9727 | not published | not published | $6,814.95 – $6,814.95 | 1 |
| Insert pelv fixation device CPT 22848 | not published | not published | $339.23 – $731.35 | 8 |
| Insert pessary/other device CPT 57160 | not published | not published | $44.55 – $143.91 | 9 |
| Insert picvad cath CPT 36570 | not published | not published | $314.91 – $2,752.32 | 9 |
| Insert pm/icd lead dual CPT 33217 | not published | not published | $349.06 – $742.87 | 8 |
| Insert prost urethral stent CPT 53855 | not published | not published | $78.80 – $1,246.39 | 9 |
| Insert/repl sq defib w/eltrd CPT 33270 | not published | not published | $532.13 – $1,122.44 | 8 |
| Insert self-contd prosthesis CPT 54401 | not published | not published | $638.92 – $1,366.45 | 8 |
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.