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 |
|---|---|---|---|---|
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $121.10 | $121.10 | $22.47 – $113.83 | 9 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $218.00 | $218.00 | $10.90 – $204.92 | 9 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $126.55 | $126.55 | $10.18 – $118.96 | 9 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $488.65 | $488.65 | $97.40 – $459.33 | 9 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $542.50 | $542.50 | $211.58 – $509.95 | 9 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | not published | not published | $12.90 – $27.03 | 7 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $24.75 | $24.75 | $9.65 – $23.51 | 9 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $33.00 | $33.00 | $12.87 – $31.02 | 9 |
| Mayo brcmg brucella antibody igm CPT 86622 | not published | not published | $8.93 – $18.71 | 7 |
| Mayo c1 esterase inhibitor CPT 83883 | $314.50 | $314.50 | $13.60 – $295.63 | 9 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $204.05 | $204.05 | $13.42 – $191.81 | 9 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $48.05 | $48.05 | $16.87 – $45.17 | 9 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $63.25 | $63.25 | $24.06 – $59.46 | 9 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $283.70 | $283.70 | $110.64 – $266.68 | 9 |
| Mayo ceruloplasmin CPT 82390 | $185.15 | $185.15 | $10.74 – $174.04 | 9 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $126.05 | $126.05 | $14.12 – $118.49 | 9 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $154.35 | $154.35 | $12.88 – $145.09 | 9 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $240.20 | $240.20 | $11.82 – $225.79 | 9 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $71.50 | $71.50 | $12.68 – $67.21 | 9 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $459.30 | $459.30 | $75.76 – $431.74 | 9 |
| Mayo chromium CPT 82495 | $350.40 | $350.40 | $20.28 – $329.38 | 9 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $105.00 | $105.00 | $12.20 – $98.70 | 9 |
| Mayo coccidioides antibody CPT 86635 | $70.00 | $70.00 | $11.47 – $65.80 | 9 |
| Mayo cocou cortisone urine CPT 82542 | $174.10 | $174.10 | $24.09 – $163.65 | 9 |
| Mayo cortisol free CPT 82530 | $582.40 | $582.40 | $16.71 – $547.46 | 9 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $83.30 | $83.30 | $26.96 – $79.14 | 9 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $56.25 | $56.25 | $12.12 – $52.88 | 9 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $104.40 | $104.40 | $23.04 – $99.18 | 9 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $66.80 | $66.80 | $15.93 – $63.46 | 9 |
| Mayo cyanide CPT 82600 | not published | not published | $19.40 – $40.65 | 7 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | not published | not published | $56.63 – $114.56 | 8 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $223.80 | $223.80 | $13.25 – $210.37 | 9 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $305.80 | $305.80 | $25.27 – $287.45 | 9 |
| Mayo dihydrotestosterone CPT 82642 | $447.60 | $447.60 | $29.28 – $420.74 | 9 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $9.64 – $20.20 | 7 |
| Mayo efpo chloride stool CPT 82438 | not published | not published | $5.00 – $10.16 | 7 |
| Mayo estriol CPT 82677 | $96.10 | $96.10 | $24.18 – $90.33 | 9 |
| Mayo estrone CPT 82679 | $108.95 | $108.95 | $24.95 – $102.41 | 9 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $280.05 | $280.05 | $16.34 – $263.25 | 9 |
| Mayo everolimus therapeutic drug level CPT 80169 | $96.60 | $96.60 | $13.73 – $90.80 | 9 |
| Mayo factor ii CPT 85210 | $276.85 | $276.85 | $12.98 – $260.24 | 9 |
| Mayo factor v CPT 85220 | $435.15 | $435.15 | $17.65 – $409.04 | 9 |
| Mayo factor vii CPT 85230 | $881.00 | $881.00 | $17.90 – $828.14 | 9 |
| Mayo factor viii vw factor antigen CPT 85246 | $246.15 | $246.15 | $22.94 – $231.38 | 9 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $545.60 | $545.60 | $22.94 – $512.86 | 9 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $186.30 | $186.30 | $22.94 – $175.12 | 9 |
| Mayo factor x CPT 85260 | $536.35 | $536.35 | $17.90 – $504.17 | 9 |
| Mayo factor xi CPT 85270 | $690.65 | $690.65 | $17.90 – $649.21 | 9 |
| Mayo fat/lipids feces quantitative CPT 82710 | $191.00 | $191.00 | $16.80 – $179.54 | 9 |
| Mayo fbl culture fungi blood CPT 87103 | $165.00 | $165.00 | $19.73 – $155.10 | 9 |
| Mayo fdp/fsp paracoagulation CPT 85366 | not published | not published | $16.49 – $168.60 | 7 |
| Mayo ffspg allergen clam igg CPT 86001 | $68.60 | $68.60 | $7.82 – $64.48 | 9 |
| Mayo fibrinogen antigen CPT 85385 | not published | not published | $14.46 – $30.30 | 7 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $180.45 | $180.45 | $21.67 – $169.62 | 9 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $175.75 | $175.75 | $68.54 – $166.96 | 9 |
| Mayo hemosiderin qualitative urine CPT 83070 | $105.20 | $105.20 | $4.75 – $98.89 | 9 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $83.20 | $83.20 | $32.45 – $78.21 | 9 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | not published | not published | $35.09 – $73.19 | 7 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $127.70 | $127.70 | $13.79 – $120.04 | 9 |
| Mayo hla typing a/b/c single antigen CPT 86812 | not published | not published | $25.81 – $54.08 | 7 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $215.60 | $215.60 | $8.89 – $202.66 | 9 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $254.30 | $254.30 | $13.52 – $239.04 | 9 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $160.85 | $160.85 | $27.17 – $151.20 | 9 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $120.90 | $120.90 | $17.27 – $113.65 | 9 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $77.40 | $77.40 | $14.99 – $72.76 | 9 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $315.20 | $315.20 | $20.81 – $296.29 | 9 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $387.85 | $387.85 | $20.81 – $364.58 | 9 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | not published | not published | $73.53 – $116.08 | 2 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $44.70 | $44.70 | $16.07 – $42.02 | 9 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $345.65 | $345.65 | $11.98 – $324.91 | 9 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $149.10 | $149.10 | $35.09 – $140.15 | 9 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $204.35 | $204.35 | $22.47 – $192.09 | 9 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | not published | not published | $35.09 – $73.19 | 7 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | not published | not published | $73.53 – $116.08 | 2 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $847.70 | $847.70 | $42.84 – $796.84 | 9 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $124.40 | $124.40 | $48.52 – $118.18 | 9 |
| Mayo infliximab therapeutic drug level CPT 80230 | $210.90 | $210.90 | $24.69 – $198.25 | 9 |
| Mayo inhab inhibin a CPT 86336 | $70.30 | $70.30 | $15.59 – $66.08 | 9 |
| Mayo insft insulin free CPT 83527 | $41.10 | $41.10 | $12.95 – $38.63 | 9 |
| Mayo insulin antibodies CPT 86337 | $548.45 | $548.45 | $21.41 – $515.54 | 9 |
| Mayo iodine CPT 83789 | $77.25 | $77.25 | $24.11 – $72.62 | 9 |
| Mayo itraconazole therapeutic drug level CPT 80189 | not published | not published | $17.35 – $56.81 | 7 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $266.05 | $266.05 | $17.35 – $250.09 | 9 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $165.20 | $165.20 | $13.25 – $155.29 | 9 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $251.90 | $251.90 | $12.79 – $236.79 | 9 |
| Mayo legionella antibody CPT 86713 | $213.25 | $213.25 | $15.30 – $200.46 | 9 |
| Mayo leptospira antibody igm CPT 86720 | not published | not published | $16.20 – $33.88 | 7 |
| Mayo lipoprotein electrophoresis CPT 83700 | $32.80 | $32.80 | $11.26 – $30.83 | 9 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $325.35 | $325.35 | $15.49 – $305.83 | 9 |
| Mayo manganese CPT 83785 | $277.75 | $277.75 | $26.65 – $261.09 | 9 |
| Mayo metanephrines plasma CPT 83835 | $601.45 | $601.45 | $16.94 – $565.36 | 9 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $137.10 | $137.10 | $13.12 – $128.87 | 9 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $111.30 | $111.30 | $11.78 – $104.62 | 9 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $21.85 | $21.85 | $8.52 – $20.76 | 9 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $280.90 | $280.90 | $14.55 – $264.05 | 9 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $291.20 | $291.20 | $18.64 – $273.73 | 9 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $175.75 | $175.75 | $68.54 – $166.96 | 9 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | not published | not published | $118.53 – $388.07 | 7 |
| Mayo muramidase CPT 85549 | not published | not published | $18.75 – $39.29 | 7 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $611.50 | $611.50 | $18.40 – $574.81 | 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.