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 |
|---|---|---|---|---|
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | not published | $1,052.41 – $2,223.86 | 8 |
| Opn tx dprsd zygomatic arch CPT 21356 | not published | not published | $387.44 – $1,059.42 | 9 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $1,005.65 – $2,125.59 | 8 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | $989.03 – $2,057.13 | 8 |
| Opn tx nasomax fx w/graft CPT 21348 | not published | not published | $1,061.78 – $2,235.39 | 8 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | $735.52 – $1,573.17 | 8 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $665.10 – $1,427.45 | 8 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $704.51 – $1,506.07 | 8 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $867.93 – $1,853.79 | 8 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $624.68 – $1,333.24 | 8 |
| Opn tx orbit fx without impl 21406 CPT 21406 | not published | not published | $560.83 – $1,206.49 | 8 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $775.31 – $1,635.53 | 8 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $969.39 – $2,061.20 | 8 |
| Opps service,sched team conf HCPCS G0175 | not published | not published | $1,959.06 – $1,959.06 | 1 |
| Oprelvekin injection HCPCS J2355 | not published | not published | $426.92 – $501.56 | 3 |
| Opscpy extnd on/mac draw CPT 92202 | not published | not published | $14.22 – $29.55 | 9 |
| Opscpy extnd rta draw uni/bi CPT 92201 | not published | not published | $21.79 – $47.54 | 9 |
| Optical endomicroscpy interp CPT 88375 | not published | not published | $46.43 – $94.21 | 8 |
| Optokinetic nystagmus test CPT 92534 | not published | not published | $37.90 – $48.09 | 3 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $626.47 – $1,344.75 | 8 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $553.98 – $1,192.24 | 8 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $567.45 – $1,222.08 | 8 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $695.56 – $1,501.32 | 8 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $695.42 – $1,498.61 | 8 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $1,120.85 – $2,386.53 | 8 |
| Optx cranfcl sep comp mlt CPT 21433 | not published | not published | $1,664.46 – $3,546.92 | 8 |
| Optx cranfcl sep w/wiring CPT 21432 | not published | not published | $687.55 – $1,466.76 | 8 |
| Optx crnfcl sep comp mlt int CPT 21436 | not published | not published | $1,954.09 – $4,170.50 | 8 |
| Optx crnfc sep comp int&/xtr CPT 21435 | not published | not published | $1,350.80 – $2,888.10 | 8 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $553.30 – $1,196.33 | 8 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $752.59 – $1,625.37 | 8 |
| Optx lunate dislocation CPT 25695 | not published | not published | $613.21 – $1,324.42 | 8 |
| Optx medial ankle fx CPT 27766 | not published | not published | $585.99 – $1,260.70 | 8 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $774.50 – $1,657.22 | 8 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $1,014.70 – $3,534.20 | 9 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $473.25 – $1,020.08 | 8 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $612.63 – $1,497.59 | 9 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $608.04 – $1,299.34 | 8 |
| Optx palatal/max fx comp CPT 21423 | not published | not published | $766.98 – $1,632.13 | 8 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $1,045.58 – $2,245.55 | 8 |
| Optx post ankle fx CPT 27769 | not published | not published | $700.79 – $1,506.74 | 8 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $850.28 – $1,831.41 | 8 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $1,186.31 – $2,541.07 | 8 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $647.51 – $1,401.01 | 8 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $610.37 – $1,316.96 | 8 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $588.67 – $1,266.12 | 8 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $763.42 – $1,647.05 | 8 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $920.50 – $1,985.28 | 8 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $871.21 – $1,880.21 | 8 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $653.27 – $1,413.20 | 8 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $939.66 – $2,015.10 | 8 |
| Optx sho dislc fx CPT 23670 | not published | not published | $838.68 – $1,811.08 | 8 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $894.40 – $1,928.35 | 8 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $605.44 – $1,310.19 | 8 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $557.07 – $1,204.46 | 8 |
| Optx thigh fx CPT 27269 | not published | not published | $1,189.06 – $2,550.56 | 8 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $762.94 – $1,634.86 | 8 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $709.44 – $1,531.16 | 8 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $604.71 – $1,309.50 | 8 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $603.14 – $1,307.47 | 8 |
| Oral aprepitant HCPCS J8501 | $89.88 | $89.88 | $3.05 – $84.49 | 9 |
| Oral busulfan HCPCS J8510 | not published | not published | $4.74 – $140.11 | 3 |
| Oral everolimus HCPCS J7527 | not published | not published | $2.75 – $4.59 | 7 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | not published | not published | $12.22 – $25.08 | 7 |
| Oral methotrexate (jylamvo) HCPCS J8611 | not published | not published | $40.57 – $58.71 | 2 |
| Oral methotrexate (xatmep) HCPCS J8612 | not published | not published | $43.40 – $61.44 | 2 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $393.86 – $790.48 | 8 |
| Orbitocranial approach/skull CPT 61584 | not published | not published | $2,735.96 – $5,915.16 | 8 |
| Orbitocranial approach/skull CPT 61585 | not published | not published | $3,089.74 – $6,723.10 | 8 |
| Orbitocranial approach/skull CPT 61592 | not published | not published | $2,987.32 – $6,489.94 | 8 |
| Orchiectomy partial CPT 54522 | not published | not published | $566.39 – $1,201.06 | 8 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $686.16 – $1,455.24 | 8 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $415.93 – $885.22 | 8 |
| Organic acids total quant ea spec CPT 83918 | not published | not published | $23.60 – $49.45 | 7 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | not published | not published | $40.92 – $85.64 | 8 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | not published | not published | $27.20 – $56.41 | 8 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $112.46 – $308.38 | 9 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | not published | not published | $4.76 – $27.66 | 8 |
| Ortho dvc repair per 15 min HCPCS L4205 | not published | not published | $22.71 – $58.30 | 2 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | not published | not published | $244.11 – $647.55 | 3 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | not published | not published | $422.77 – $1,121.48 | 3 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | not published | not published | $1,084.01 – $2,875.59 | 3 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | not published | not published | $615.13 – $1,631.78 | 3 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | not published | not published | $228.97 – $607.38 | 3 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | not published | not published | $271.55 – $720.37 | 3 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | not published | not published | $89.34 – $237.01 | 3 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | not published | not published | $228.97 – $607.38 | 3 |
| Orthopantogram CPT 70355 | not published | not published | $9.64 – $18.63 | 8 |
| Orthopedic shoe add rub insl HCPCS L3510 | not published | not published | $27.17 – $72.08 | 3 |
| Orthop traing pfrmd phys/qhp CPT 92065 | not published | not published | $23.30 – $65.75 | 8 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $24.00 – $54.23 | 8 |
| Ortho shoe add full sole HCPCS L3540 | not published | not published | $47.27 – $125.39 | 3 |
| Ortho shoe add half sole HCPCS L3530 | not published | not published | $29.51 – $78.29 | 3 |
| Ortho shoe add leather insol HCPCS L3500 | not published | not published | $27.17 – $72.08 | 3 |
| Ortho shoe add march bar HCPCS L3595 | not published | not published | $38.97 – $103.39 | 3 |
| Ortho sidebar disconnect HCPCS L2768 | not published | not published | $121.02 – $321.02 | 3 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | not published | not published | $428.89 – $1,137.74 | 3 |
| Orthovisc inj per dose HCPCS J7324 | not published | not published | $119.80 – $182.14 | 8 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | not published | not published | $357.14 – $947.41 | 3 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | not published | not published | $838.38 – $2,224.07 | 3 |
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.