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 |
|---|---|---|---|---|
| Insert semi-rigid prosthesis CPT 54400 | not published | not published | $512.83 – $1,088.54 | 8 |
| Insert spine fixation device CPT 22843 | not published | not published | $768.19 – $1,664.68 | 8 |
| Insert spine fixation device CPT 22841 | not published | not published | $754.25 – $808.31 | 3 |
| Insert spine fixation device CPT 22844 | not published | not published | $930.16 – $2,006.30 | 8 |
| Insert spine fixation device CPT 22847 | not published | not published | $762.30 – $1,617.91 | 8 |
| Insert spine infusion device 62360 CPT 62360 | not published | not published | $304.32 – $647.30 | 8 |
| Insert sq defib electrode CPT 33271 | not published | not published | $427.08 – $913.67 | 8 |
| Insert swan-ganz cath CPT 93503 | $173.85 | $173.85 | $67.80 – $165.16 | 9 |
| Insert tandem cuff CPT 53444 | not published | not published | $763.60 – $1,617.24 | 8 |
| Insert tissue expander(s) CPT 11960 | not published | not published | $970.45 – $2,097.11 | 8 |
| Insert tray without bag/cath HCPCS A4310 | not published | not published | $8.58 – $22.61 | 3 |
| Insert tunneled cv 2cath 2sits without port/pmp 36565 CPT 36565 | not published | not published | $318.04 – $1,573.39 | 9 |
| Insert tunneled cv cath CPT 36560 | not published | not published | $363.63 – $2,340.49 | 9 |
| Insert tunneled cv cath CPT 36563 | not published | not published | $345.78 – $2,075.81 | 9 |
| Insert ureteral support CPT 50605 | not published | not published | $959.71 – $2,055.77 | 8 |
| Insert uro/ves nck sphincter CPT 53445 | not published | not published | $728.52 – $1,546.05 | 8 |
| Insert uteri tandem/ovoids CPT 57155 | not published | not published | $277.06 – $769.03 | 9 |
| Insert vad art access left hrt arterial access CPT 33990 | not published | not published | $338.61 – $715.76 | 8 |
| Insert vad art access left hrt art & vein access CPT 33991 | not published | not published | $426.57 – $900.12 | 8 |
| Ins icd gen exist mlt leads CPT 33231 | not published | not published | $378.53 – $803.87 | 8 |
| Ins icd gen exist sgl lead CPT 33240 | not published | not published | $346.41 – $722.53 | 8 |
| Insitu hybridization auto CPT 88367 | not published | not published | $32.65 – $65.06 | 8 |
| Insitu hybridization (fish) CPT 88366 | not published | not published | $60.20 – $121.33 | 8 |
| Insitu hybridization manual CPT 88368 | not published | not published | $40.66 – $83.38 | 8 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $334.00 | $334.00 | $33.18 – $311.29 | 9 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $428.40 | $428.40 | $41.90 – $399.27 | 9 |
| Insj biomechanical device CPT 22859 | not published | not published | $313.40 – $682.55 | 8 |
| Insj biomechanical device 22853 CPT 22853 | not published | not published | $242.70 – $524.61 | 8 |
| Insj perq vad r hrt venous CPT 33995 | not published | not published | $335.90 – $703.56 | 8 |
| Insj phrnc nrv stim sys CPT 33276 | not published | not published | $1,000.88 – $1,163.11 | 4 |
| Insj phrnc nrv stim transvns CPT 33277 | not published | not published | $524.15 – $573.08 | 4 |
| Insj rx elut implt lac canal CPT 68841 | not published | not published | $31.28 – $73.24 | 9 |
| Insj stablj dev w/dcmprn CPT 22867 | not published | not published | $1,020.53 – $2,190.65 | 8 |
| Insj stablj dev w/dcmprn CPT 22868 | not published | not published | $229.00 – $492.09 | 8 |
| Insj stablj dev without dcmprn CPT 22869 | not published | not published | $419.17 – $881.82 | 8 |
| Insj stablj dev without dcmprn CPT 22870 | not published | not published | $114.92 – $236.55 | 8 |
| Ins left heart vent thor inscn ecmo CPT 33988 | not published | not published | $726.63 – $1,536.58 | 8 |
| Ins lv lead exist pm/icd CPT 33224 | not published | not published | $484.69 – $1,019.41 | 8 |
| Ins mark abd/pel for right perq CPT 49411 | not published | not published | $178.59 – $920.66 | 9 |
| Ins mark thor for right perq CPT 32553 | not published | not published | $169.69 – $966.27 | 9 |
| Insole orthotic freedom sz6 6816 HCPCS L3060 | not published | not published | $68.50 – $181.72 | 3 |
| Ins picad w subq port 5yr> CPT 36571 | not published | not published | $296.80 – $2,371.99 | 9 |
| Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 | not published | not published | $78.50 – $708.00 | 9 |
| Ins pm gen exist dual lead CPT 33230 | not published | not published | $363.07 – $750.33 | 8 |
| Ins pm gen w/exist mlt leads CPT 33221 | not published | not published | $340.44 – $717.12 | 8 |
| Ins pq tunnld ip cath w/img CPT 49418 | not published | not published | $193.47 – $1,858.02 | 9 |
| Ins/rplcm prq eltrd ra pn ea CPT 64597 | not published | not published | $1,230.21 – $1,230.21 | 1 |
| Ins/rplcmt prq eltrd ra pn 1 CPT 64596 | not published | not published | $4,100.68 – $57,372.19 | 2 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | not published | not published | $346.38 – $696.77 | 8 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | not published | not published | $453.99 – $956.38 | 8 |
| Ins/rpl pm gen exist dual lead CPT 33213 | not published | not published | $318.23 – $678.48 | 8 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | not published | not published | $304.01 – $652.04 | 8 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | not published | not published | $431.02 – $913.00 | 8 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | not published | not published | $154.81 – $852.55 | 9 |
| Ins/rpl wireless pulm art sensor incl s&i CPT 33289 | not published | not published | $313.42 – $666.29 | 8 |
| Insrt/redo neurostim 1 array CPT 61885 | not published | not published | $499.42 – $1,105.49 | 8 |
| Ins sk-mnt crnl nstm pg/rcvr CPT 61889 | not published | not published | $2,281.94 – $2,557.33 | 5 |
| Ins subq extnsn pertneal cath CPT 49435 | not published | not published | $112.05 – $239.95 | 8 |
| Install spinal shunt CPT 63740 | not published | not published | $933.39 – $2,063.90 | 8 |
| Install spinal shunt 63741 CPT 63741 | not published | not published | $652.83 – $1,401.01 | 8 |
| Inst fibrinolysis agent ini day CPT 32561 | not published | not published | $65.32 – $182.45 | 9 |
| Inst fibrinolysis agent sbsq d CPT 32562 | $714.65 | $714.65 | $58.21 – $163.19 | 9 |
| Insti hexaminolevulinate hcl HCPCS A9589 | not published | not published | $1,269.33 – $2,725.47 | 8 |
| Instillation anticarcinogenic agent bladder CPT 51720 | not published | not published | $42.25 – $170.89 | 9 |
| Instill, bupivac and meloxic HCPCS C9088 | not published | not published | $0.75 – $2.34 | 3 |
| Instill pharm renal pelvis HCPCS C9789 | not published | not published | $4,715.78 – $4,715.78 | 1 |
| Instll rx agnt into rnal tub CPT 50391 | not published | not published | $93.88 – $240.93 | 9 |
| Ins trurl ablt trnsdc thr Ultrasound CPT 51721 | not published | not published | $438.53 – $438.53 | 1 |
| Inst tauro 1.35mg/hep 100u HCPCS J0911 | not published | not published | $2.61 – $17.98 | 2 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | not published | not published | $340.53 – $7,965.28 | 9 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | not published | not published | $303.24 – $2,193.38 | 9 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $3,906.75 | $3,906.75 | $248.67 – $1,561.20 | 9 |
| Ins tun intraperit dia cath CPT 49421 | not published | not published | $214.80 – $458.19 | 8 |
| Inst via cath agent pleurds CPT 32560 | not published | not published | $72.80 – $485.70 | 9 |
| Insulin for insulin pump use HCPCS J1817 | not published | not published | $2.54 – $10.13 | 8 |
| Insulin suppression panel CPT 80432 | not published | not published | $165.61 – $347.03 | 7 |
| Insulin tolerance panel CPT 80434 | not published | not published | $221.25 – $597.14 | 7 |
| Insulin tolerance panel CPT 80435 | not published | not published | $103.00 – $215.54 | 7 |
| Insulin total CPT 83525 | $200.75 | $200.75 | $11.43 – $188.71 | 9 |
| Ins vag brachytx device CPT 57156 | not published | not published | $147.98 – $442.66 | 9 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | not published | not published | $1,507.00 – $3,164.11 | 8 |
| Integra meshed bil wound mat HCPCS C9363 | not published | not published | $72.77 – $72.77 | 1 |
| Intens behave ther cardio dx HCPCS G0446 | not published | not published | $22.40 – $61.00 | 8 |
| Intens cardiac rehab no exer HCPCS G0423 | not published | not published | $106.96 – $264.34 | 8 |
| Intens cardiac rehab w/exerc HCPCS G0422 | not published | not published | $106.96 – $264.34 | 8 |
| Intercalary algrft compl CPT 20934 | not published | not published | $719.36 – $1,527.76 | 8 |
| Interdental fixation CPT 21110 | not published | not published | $688.06 – $1,651.79 | 9 |
| Interdental wirg oth/thn fx CPT 21497 | not published | not published | $565.68 – $1,363.96 | 9 |
| Interdiscal perq aspir dx CPT 62267 | not published | not published | $149.63 – $506.91 | 9 |
| Interferon alfa-2a inj HCPCS J9213 | not published | not published | $29.22 – $71.16 | 3 |
| Interferon alfa-2b inj HCPCS J9214 | not published | not published | $26.44 – $86.91 | 5 |
| Interferon alfacon-1 inj HCPCS J9212 | not published | not published | $6.55 – $12.89 | 3 |
| Interferon alfa-n3 inj HCPCS J9215 | not published | not published | $30.72 – $34.57 | 3 |
| Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 | not published | not published | $53.69 – $109.95 | 8 |
| Interferon beta-1a inj HCPCS J1826 | not published | not published | $1,180.04 – $5,794.17 | 4 |
| Interferon beta-1b / .25 mg HCPCS J1830 | not published | not published | $524.36 – $1,109.57 | 3 |
| Interferon gamma 1-b inj HCPCS J9216 | not published | not published | $606.63 – $8,304.94 | 3 |
| Interfyl, 1 mg HCPCS Q4171 | not published | not published | $10.90 – $23.55 | 8 |
| Intermediate visual field xm CPT 92082 | not published | not published | $20.31 – $41.34 | 8 |
| Internal nerve revision 64727 CPT 64727 | not published | not published | $172.91 – $361.27 | 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.