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 |
|---|---|---|---|---|
| Knee-shin fluid swg & stance HCPCS L5728 | not published | not published | $3,007.94 – $7,979.33 | 3 |
| Knee-shin pneum/hydra pneum HCPCS L5780 | not published | not published | $1,156.84 – $3,068.85 | 3 |
| Knee-shin pneum swg frct exo HCPCS L5722 | not published | not published | $935.50 – $2,481.67 | 3 |
| Knee-shin pro flex/ext cont HCPCS L5859 | not published | not published | $13,504.24 – $35,823.52 | 3 |
| Knee-shin sys hydraul stance HCPCS L5848 | not published | not published | $1,000.83 – $2,655.00 | 3 |
| Knee-shin sys stance flexion HCPCS L5845 | not published | not published | $1,668.21 – $4,425.37 | 3 |
| Knee X-ray CPT 73564 | $565.60 | $565.60 | $10.95 – $527.14 | 9 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $384.60 | $384.60 | $7.95 – $358.45 | 9 |
| Knee X-ray (3 views, both knees) CPT 73562 | $480.40 | $480.40 | $8.95 – $447.73 | 9 |
| Knee X-ray (standing, both knees) CPT 73565 | $384.60 | $384.60 | $8.26 – $358.45 | 9 |
| Kne-shin exo sng axi mnl loc HCPCS L5710 | not published | not published | $385.01 – $1,021.32 | 3 |
| Kne sing axis fric shin sach HCPCS L5200 | not published | not published | $3,971.61 – $10,535.72 | 3 |
| Ko dbl upright w/air pre cst HCPCS L1847 | not published | not published | $534.29 – $1,417.33 | 3 |
| Ko dbl upright w/air pre ots HCPCS L1848 | not published | not published | $534.29 – $1,417.33 | 3 |
| Ko derot ant cruciate custom HCPCS L1840 | not published | not published | $868.04 – $2,302.74 | 3 |
| Ko elastic w/joints pre ots HCPCS L1812 | not published | not published | $92.00 – $169.35 | 3 |
| Ko rigid without joints pre ots HCPCS L1836 | not published | not published | $123.96 – $215.77 | 3 |
| Ko single upright pre cst HCPCS L1843 | not published | not published | $833.49 – $2,211.02 | 3 |
| Ko single upright prefab ots HCPCS L1851 | not published | not published | $839.46 – $1,450.88 | 3 |
| Ko supracondylar socket mold HCPCS L1860 | not published | not published | $1,009.60 – $2,678.26 | 3 |
| Ko swedish type pre ots HCPCS L1850 | not published | not published | $315.04 – $496.95 | 3 |
| Ko w/0 joint rigid molded to HCPCS L1834 | not published | not published | $921.06 – $2,443.36 | 3 |
| Ko w adj flex/ext rotat mold HCPCS L1846 | not published | not published | $1,153.50 – $3,059.99 | 3 |
| Ko w/adj jt rot cntrl molded HCPCS L1844 | not published | not published | $1,519.87 – $4,031.87 | 3 |
| Kras gene addl variants CPT 81276 | $308.70 | $308.70 | $120.39 – $293.27 | 9 |
| Kras gene variants exon 2 CPT 81275 | $1,262.90 | $1,262.90 | $193.25 – $1,187.13 | 9 |
| Kyleena, 19.5 mg HCPCS J7296 | not published | not published | $1,123.73 – $2,423.98 | 3 |
| Kyphectomy 1-2 segments CPT 22818 | not published | not published | $2,056.12 – $4,397.56 | 8 |
| Kyphectomy 3 or more CPT 22819 | not published | not published | $2,367.62 – $5,061.13 | 8 |
| Kyphosis pad HCPCS L1020 | not published | not published | $76.92 – $204.05 | 3 |
| Kyphosis pad floating HCPCS L1025 | not published | not published | $119.18 – $316.14 | 3 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | not published | not published | $18.41 – $52.69 | 9 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | $30.80 | $30.80 | $12.01 – $29.26 | 9 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $63.95 | $63.95 | $0.17 – $60.11 | 9 |
| Labioplasty 56800 CPT 56800 | not published | not published | $245.56 – $519.19 | 8 |
| Lab pathology consultation CPT 80500 | not published | not published | $39.78 – $39.78 | 1 |
| Lab pathology consultation CPT 80502 | not published | not published | $133.48 – $133.48 | 1 |
| Lacer molded to patient mode HCPCS L2330 | not published | not published | $391.03 – $1,037.28 | 3 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $574.10 | $574.10 | $0.20 – $539.65 | 9 |
| Lactate dehydrogenase (ldh) CPT 83615 | $191.00 | $191.00 | $6.04 – $179.54 | 9 |
| Lactated ringers intravenous solution HCPCS J7120 | $12.92 | $12.92 | $2.45 – $12.14 | 9 |
| Lactation class HCPCS S9443 | $68.10 | $68.10 | $26.56 – $64.70 | 9 |
| Lactic acid CPT 83605 | $195.70 | $195.70 | $11.57 – $183.96 | 9 |
| Lactoferrin fecal qualitative CPT 83630 | not published | not published | $19.70 – $41.28 | 7 |
| Lactoferrin fecal quant CPT 83631 | not published | not published | $19.63 – $41.13 | 7 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | not published | not published | $242.92 – $526.65 | 8 |
| Lam facetec & foramot crv CPT 63045 | not published | not published | $1,218.95 – $2,670.53 | 8 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $1,050.53 – $2,294.36 | 8 |
| Lam facetec & foramot thrc CPT 63046 | not published | not published | $1,165.56 – $2,550.56 | 8 |
| Lam factc/frmt arthrd lum ea CPT 63053 | not published | not published | $215.34 – $466.32 | 8 |
| Lamie bx/exc idrl spine lesn lmbr 63282 CPT 63282 | not published | not published | $1,866.55 – $4,117.64 | 8 |
| Lamie bx/exc idrl spine lesn thrc 63281 CPT 63281 | not published | not published | $1,975.63 – $4,351.49 | 8 |
| Lamie excise intrspinl lesion thrc 63266 CPT 63266 | not published | not published | $1,622.81 – $3,556.41 | 8 |
| Lamination collar with couplin HCPCS L6629 | not published | not published | $143.24 – $379.99 | 3 |
| Laminotomy single cervical CPT 63040 | not published | not published | $1,311.81 – $2,844.05 | 8 |
| Laminotomy single lumbar CPT 63042 | not published | not published | $1,231.54 – $2,674.59 | 8 |
| Lamiotoiotiotinotomy addl cervical 63043 CPT 63043 | not published | not published | $806.23 – $1,172.50 | 5 |
| Lam w/cordotomy 1stg thrc CPT 63197 | not published | not published | $1,612.36 – $3,559.81 | 8 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | not published | not published | $48.44 – $88.93 | 8 |
| Lanthanum carbonate oral 5mg HCPCS J0607 | not published | not published | $0.08 – $0.08 | 1 |
| Laparo ablate liver tumor rf CPT 47370 | not published | not published | $1,195.63 – $2,568.86 | 8 |
| Laparo ablate renal cyst CPT 50541 | not published | not published | $882.10 – $1,861.92 | 8 |
| Laparo ablate renal mass CPT 50542 | not published | not published | $1,121.73 – $2,364.17 | 8 |
| Laparo-asst vag hysterectomy CPT 58550 | not published | not published | $855.20 – $1,802.95 | 8 |
| Laparo cholecystectomy/explr CPT 47564 | not published | not published | $1,065.94 – $2,295.72 | 8 |
| Laparo cholecystectomy/graph CPT 47563 | not published | not published | $686.61 – $1,478.29 | 8 |
| Laparo cholecystoenterostomy CPT 47570 | not published | not published | $741.01 – $1,593.52 | 8 |
| Laparo drng lymphocele 49323 CPT 49323 | not published | not published | $609.48 – $1,314.93 | 8 |
| Laparo ligate spermatic vein CPT 55550 | not published | not published | $414.40 – $881.82 | 8 |
| Laparo-myomectomy complex CPT 58546 | not published | not published | $1,080.76 – $2,267.91 | 8 |
| Laparo new ureter/bladder CPT 50947 | not published | not published | $1,328.62 – $2,797.95 | 8 |
| Laparo new ureter/bladder CPT 50948 | not published | not published | $1,223.07 – $2,585.81 | 8 |
| Laparo partial colectomy 44204 CPT 44204 | not published | not published | $1,464.56 – $3,117.88 | 8 |
| Laparo partial nephrectomy CPT 50543 | not published | not published | $1,430.61 – $3,017.57 | 8 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | not published | not published | $26,842.17 – $26,842.17 | 1 |
| Laparo radical nephrectomy CPT 50545 | not published | not published | $1,281.60 – $2,701.04 | 8 |
| Laparo removal donor kidney CPT 50547 | not published | not published | $1,543.21 – $3,336.81 | 8 |
| Laparo remove w/ureter CPT 50548 | not published | not published | $1,288.89 – $2,713.90 | 8 |
| Laparoscope proc rectum CPT 45499 | not published | not published | $26,842.17 – $26,842.17 | 1 |
| Laparoscopic myomectomy CPT 58545 | not published | not published | $873.19 – $1,840.23 | 8 |
| Laparoscopic nephrectomy CPT 50546 | not published | not published | $1,155.31 – $2,442.80 | 8 |
| Laparoscopic proc CPT 45400 | not published | not published | $1,086.34 – $2,297.06 | 8 |
| Laparoscopic salpingostomy 58673 CPT 58673 | not published | not published | $769.92 – $1,615.20 | 8 |
| Laparoscopy adrenalectomy CPT 60650 | not published | not published | $1,137.28 – $2,437.37 | 8 |
| Laparoscopy aspiration CPT 49322 | not published | not published | $359.08 – $769.30 | 8 |
| Laparoscopy biopsy CPT 49321 | not published | not published | $329.84 – $708.30 | 8 |
| Laparoscopye procstom 43659 CPT 43659 | not published | not published | $26,842.17 – $26,842.17 | 1 |
| Laparoscopy excise lesions CPT 58662 | not published | not published | $689.93 – $1,457.27 | 8 |
| Laparoscopy fundoplasty CPT 43280 | not published | not published | $1,026.55 – $2,202.18 | 8 |
| Laparoscopy gastrostomy CPT 43653 | not published | not published | $552.31 – $1,192.93 | 8 |
| Laparoscopy islet cell trans HCPCS G0342 | not published | not published | $718.60 – $1,547.42 | 8 |
| Laparoscopy lymphadenectomy CPT 38571 | not published | not published | $638.37 – $1,348.14 | 8 |
| Laparoscopy lymphadenectomy CPT 38572 | not published | not published | $872.12 – $1,829.38 | 8 |
| Laparoscopy lymph node biop CPT 38570 | not published | not published | $495.31 – $1,056.69 | 8 |
| Laparoscopy lysis CPT 58660 | not published | not published | $658.80 – $1,403.04 | 8 |
| Laparoscopy orchiectomy CPT 54690 | not published | not published | $631.28 – $1,337.31 | 8 |
| Laparoscopy orchiopexy CPT 54692 | not published | not published | $727.75 – $1,538.62 | 8 |
| Laparoscopy pyeloplasty CPT 50544 | not published | not published | $1,192.98 – $2,509.89 | 8 |
| Laparoscopy remove adnexa CPT 58661 | not published | not published | $632.45 – $1,331.88 | 8 |
| Laparoscopy splenectomy CPT 38120 | not published | not published | $1,008.56 – $2,171.00 | 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.