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 |
|---|---|---|---|---|
| Lumbar or lumbar rib pad HCPCS L1040 | not published | not published | $69.43 – $184.17 | 3 |
| Lumbar sling HCPCS L1090 | not published | not published | $81.57 – $216.37 | 3 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $1,505.90 – $3,255.47 | 8 |
| Lumizyme injection HCPCS J0221 | not published | not published | $192.02 – $398.61 | 8 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $778.20 | $778.20 | $10.02 – $725.28 | 9 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $2.58 – $5.43 | 8 |
| Lung Function Test (Spirometry) CPT 94010 | $129.75 | $129.75 | $7.98 – $120.93 | 9 |
| Lung perfusion imaging CPT 78580 | $1,171.30 | $1,171.30 | $34.30 – $1,091.65 | 9 |
| Lung transplant double CPT 32853 | not published | not published | $4,292.76 – $9,178.09 | 8 |
| Lung transplant single CPT 32851 | not published | not published | $3,073.91 – $6,560.43 | 8 |
| Lung transplant with bypass CPT 32852 | not published | not published | $3,327.17 – $7,062.69 | 8 |
| Lung transplant with bypass CPT 32854 | not published | not published | $4,549.30 – $9,700.67 | 8 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $1,386.34 – $2,969.44 | 8 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $192.14 – $405.05 | 8 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $14,835.07 | $14,835.07 | $39.23 – $4,648.35 | 9 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $285.07 – $896.23 | 4 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $232.14 – $727.65 | 4 |
| Lvad shower bag heartmate HCPCS Q0501 | not published | not published | $478.70 – $1,260.87 | 3 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $31.19 – $110.51 | 9 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | not published | $276.08 – $732.38 | 3 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $20.05 – $42.01 | 7 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $678.33 – $1,453.88 | 8 |
| Lymphatics/lymph node imaging CPT 78195 | $2,286.35 | $2,286.35 | $55.03 – $2,130.88 | 9 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $36.56 – $76.59 | 7 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $49.03 – $102.74 | 7 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $114.39 – $397.11 | 7 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $47.59 – $99.64 | 7 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $40.71 – $86.75 | 8 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $55.24 – $111.83 | 8 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $38.28 – $77.95 | 8 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $51.94 – $105.07 | 8 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $144.96 – $623.19 | 9 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $149.46 – $357.21 | 9 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $193.20 – $497.26 | 9 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $15.53 – $30.59 | 8 |
| Macro exam dissect molec study ea CPT 88387 | $99.85 | $99.85 | $12.54 – $93.06 | 9 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $4.27 – $8.82 | 7 |
| Macroscopic exam parasite CPT 87169 | $183.60 | $183.60 | $4.31 – $172.58 | 9 |
| Magnesium CPT 83735 | $95.75 | $95.75 | $6.70 – $90.01 | 9 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $80.31 | $80.31 | $0.50 – $15.02 | 9 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $75.56 – $153.18 | 8 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $20.14 – $43.85 | 3 |
| Malaria antibody CPT 86750 | not published | not published | $13.19 – $27.64 | 7 |
| Male sling procedure CPT 53440 | not published | not published | $724.99 – $1,534.53 | 8 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $2,870.71 – $6,115.78 | 8 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $342.86 – $761.17 | 8 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $418.34 – $886.56 | 8 |
| Manipulation of hip joint CPT 27275 | not published | not published | $177.05 – $384.99 | 8 |
| Manipulation of spine CPT 22505 | not published | not published | $124.57 – $310.44 | 8 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $75.24 – $228.71 | 9 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $42.59 | $42.59 | $2.60 – $40.03 | 9 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $0.67 – $6.71 | 3 |
| Man's shoe oxford brace HCPCS L3225 | not published | not published | $80.27 – $212.92 | 3 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $5.07 – $10.62 | 7 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $165.86 – $325.73 | 8 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $130.12 – $278.57 | 8 |
| Map tachycard site(s) CPT 93609 | not published | not published | $201.27 – $509.48 | 8 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $45.94 – $97.65 | 8 |
| Marker biop eviva buckle ss HCPCS A4648 | $111.05 | $111.05 | $38.94 – $94.86 | 9 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $1,084.10 – $2,320.78 | 8 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $105.91 – $214.17 | 2 |
| Mastectomy form HCPCS L8020 | not published | not published | $190.19 – $504.54 | 3 |
| Mastectomy partial CPT 19301 | not published | not published | $630.54 – $1,356.27 | 8 |
| Mast mod rad CPT 19307 | not published | not published | $1,125.98 – $2,420.42 | 8 |
| Mastoidectomy CPT 69501 | not published | not published | $690.66 – $1,447.11 | 8 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $917.45 – $1,918.85 | 8 |
| Mastoids complete CPT 70130 | $714.60 | $714.60 | $16.27 – $666.01 | 9 |
| Mastoid surgery revision CPT 69603 | not published | not published | $1,244.18 – $2,614.27 | 8 |
| Mastopexy CPT 19316 | not published | not published | $759.93 – $1,630.79 | 8 |
| Mast radical CPT 19305 | not published | not published | $1,098.78 – $2,351.29 | 8 |
| Mast rad urban type CPT 19306 | not published | not published | $1,163.94 – $2,507.86 | 8 |
| Mast simple complete CPT 19303 | not published | not published | $914.19 – $1,970.36 | 8 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $93.25 – $168.10 | 8 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | not published | not published | $1,870.00 – $4,609.96 | 3 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | not published | not published | $18.55 – $40.63 | 8 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $35.09 – $73.19 | 7 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $27.29 – $56.93 | 7 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $42.84 – $89.48 | 7 |
| Maxillofacial fixation CPT 21100 | not published | not published | $342.63 – $1,194.34 | 9 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $119.50 | $119.50 | $14.46 – $112.33 | 9 |
| Mayo aathr protein s free CPT 85306 | $201.45 | $201.45 | $15.32 – $189.36 | 9 |
| Mayo activated protein c resistance assay CPT 85307 | not published | not published | $15.32 – $31.85 | 7 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $239.05 | $239.05 | $24.69 – $224.71 | 9 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $201.55 | $201.55 | $13.47 – $191.47 | 9 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $183.60 | $183.60 | $11.21 – $172.58 | 9 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $78.50 | $78.50 | $14.78 – $73.79 | 9 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $158.70 | $158.70 | $20.35 – $149.18 | 9 |
| Mayo alpha 1 antitrypsin CPT 82103 | $105.80 | $105.80 | $13.44 – $99.45 | 9 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $165.00 | $165.00 | $15.08 – $155.10 | 9 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | not published | not published | $13.00 – $13.00 | 1 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $265.45 | $265.45 | $10.12 – $249.52 | 9 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $457.05 | $457.05 | $121.63 – $429.63 | 9 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $330.50 | $330.50 | $39.06 – $310.67 | 9 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $239.05 | $239.05 | $93.23 – $227.10 | 9 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,443.95 | $1,443.95 | $25.72 – $1,371.75 | 9 |
| Mayo androstenedione CPT 82157 | $223.80 | $223.80 | $29.28 – $210.37 | 9 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $229.70 | $229.70 | $14.60 – $215.92 | 9 |
| Mayo antithrombin iii antigen CPT 85301 | not published | not published | $10.81 – $22.36 | 7 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $111.30 | $111.30 | $15.05 – $104.62 | 9 |
| Mayo avwpr vw factor activity CPT 85397 | $80.25 | $80.25 | $30.86 – $75.44 | 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.