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 |
|---|---|---|---|---|
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | not published | not published | $306.11 – $3,189.21 | 9 |
| Place slctv cath subclavian art CPT 36225 | not published | not published | $303.38 – $3,028.58 | 9 |
| Place slctv cath vertebral art uni CPT 36226 | not published | not published | $341.30 – $3,836.81 | 9 |
| Plaelet rich plasma unit HCPCS P9020 | not published | not published | $57.70 – $2,564.08 | 2 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | not published | not published | $40.28 – $677.68 | 2 |
| Plasma cryo redu path each HCPCS P9025 | not published | not published | $621.80 – $648.87 | 2 |
| Plasmaprotein fract,5%,250ml HCPCS P9048 | not published | not published | $53.95 – $339.15 | 4 |
| Plasma protein fract,5%,50ml HCPCS P9043 | not published | not published | $22.97 – $37.13 | 4 |
| Plasma volume multiple CPT 78111 | not published | not published | $9.08 – $21.02 | 8 |
| Plasma volume single CPT 78110 | not published | not published | $7.73 – $15.59 | 8 |
| Plas shoe insert w ank joint HCPCS L2180 | not published | not published | $122.93 – $326.11 | 3 |
| Plastic mod low ext pad/line HCPCS L2275 | not published | not published | $117.16 – $310.82 | 3 |
| Plastic mold recipro hip & c HCPCS L2627 | not published | not published | $2,034.07 – $5,395.91 | 3 |
| Plastic surgery neck CPT 15819 | not published | not published | $766.90 – $1,547.05 | 7 |
| Plast socket jts/thgh lacer HCPCS L5105 | not published | not published | $4,034.01 – $10,701.26 | 3 |
| Platelet aggregation each agent teg CPT 85576 | $244.85 | $244.85 | $17.39 – $228.20 | 9 |
| Platelet automated CPT 85049 | $98.50 | $98.50 | $4.48 – $92.59 | 9 |
| Platelet deplete of harvest CPT 38213 | not published | not published | $11.56 – $23.72 | 7 |
| Platelet pheresis each unit HCPCS P9034 | not published | not published | $440.40 – $1,827.09 | 2 |
| Platelet pheresis irr ea HCPCS P9036 | not published | not published | $477.97 – $2,703.60 | 2 |
| Platelets each unit HCPCS P9019 | not published | not published | $44.64 – $349.48 | 2 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | not published | not published | $3,577.01 – $3,577.01 | 1 |
| Platelets irradiated ea unit HCPCS P9032 | not published | not published | $80.57 – $624.67 | 2 |
| Platelets leukocytes reduced each unit HCPCS P9031 | not published | not published | $53.35 – $578.64 | 2 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | not published | not published | $128.48 – $944.95 | 2 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | not published | not published | $1,045.50 – $1,045.50 | 1 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $4,497.95 | $4,497.95 | $1,754.20 – $4,273.05 | 9 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $4,040.25 | $4,040.25 | $440.40 – $3,838.24 | 9 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $4,160.00 | $4,160.00 | $437.68 – $3,952.00 | 9 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $1,551.25 | $1,551.25 | $604.99 – $1,458.18 | 9 |
| Platelet survival CPT 78191 | not published | not published | $24.44 – $48.80 | 8 |
| Plating chrome/nickel pr bar HCPCS L2750 | not published | not published | $99.18 – $263.08 | 3 |
| Plcg2 gene common variants CPT 81320 | not published | not published | $291.36 – $610.53 | 7 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | not published | not published | $253.70 – $2,200.44 | 9 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | not published | not published | $196.07 – $2,668.15 | 9 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | not published | not published | $195.17 – $1,880.50 | 9 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | not published | not published | $327.87 – $2,532.60 | 9 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | not published | not published | $743.86 – $1,581.99 | 8 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $1,675.90 | $1,675.90 | $82.20 – $695.15 | 9 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $1,208.00 | $1,208.00 | $41.33 – $568.59 | 9 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | not published | not published | $301.55 – $637.14 | 8 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | not published | not published | $61.42 – $930.93 | 9 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | not published | not published | $48.30 – $363.00 | 9 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | not published | not published | $41.33 – $572.43 | 9 |
| Plerixafor injection HCPCS J2562 | not published | not published | $73.30 – $523.41 | 8 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $215.30 | $215.30 | $11.71 – $200.66 | 9 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | not published | not published | $866.65 – $1,859.20 | 8 |
| Plmt access bil tree sm bwl CPT 47541 | not published | not published | $322.09 – $2,202.37 | 9 |
| Plmt biliary drainage cath CPT 47534 | not published | not published | $354.96 – $2,416.96 | 9 |
| Plmt nephroureteral catheter CPT 50433 | not published | not published | $244.21 – $2,138.12 | 9 |
| Plmt ureteral stent prq CPT 50694 | not published | not published | $255.82 – $2,108.58 | 9 |
| Plug insert indwelling 16f HCPCS L8511 | not published | not published | $67.70 – $179.58 | 3 |
| Pm device progr eval dual CPT 93280 | not published | not published | $36.44 – $73.19 | 8 |
| Pm device progr eval multi CPT 93281 | not published | not published | $40.91 – $82.02 | 8 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $133.19 – $434.40 | 7 |
| Pmp22 gene dup/delet CPT 81324 | not published | not published | $758.36 – $1,588.76 | 7 |
| Pmp22 gene full sequence CPT 81325 | not published | not published | $130.52 – $1,612.48 | 7 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $46.60 – $97.61 | 7 |
| Pm phone r-strip device eval CPT 93293 | not published | not published | $14.07 – $27.79 | 8 |
| Pms2 gene dup/delet variants CPT 81319 | not published | not published | $203.50 – $426.34 | 7 |
| Pms2 gene full seq analysis CPT 81317 | not published | not published | $676.50 – $1,417.29 | 7 |
| Pms2 known familial variants CPT 81318 | not published | not published | $105.00 – $693.38 | 7 |
| Pne flu hepb cov home admin HCPCS M0201 | not published | not published | $25.74 – $74.39 | 7 |
| Pneum full leg splnt pre ots HCPCS L4370 | not published | not published | $224.00 – $594.22 | 3 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $88.38 – $243.50 | 9 |
| #pnh-flow cytometry interp CPT 88187 | not published | not published | $34.61 – $71.85 | 8 |
| Pn soln nos 10 grams lipids HCPCS B4185 | not published | not published | $34.13 – $34.13 | 1 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $363.30 | $363.30 | $26.07 – $341.50 | 9 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | not published | not published | $120.47 – $262.75 | 8 |
| Polycentric hinge pair HCPCS L6600 | not published | not published | $177.84 – $471.77 | 3 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | not published | not published | $131.98 – $266.37 | 8 |
| Polysom any age 1-3> param CPT 95808 | not published | not published | $81.20 – $163.36 | 8 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | not published | not published | $120.27 – $245.35 | 8 |
| Polyvalent mult org ea ag ia CPT 87451 | not published | not published | $10.51 – $21.69 | 7 |
| Porfimer sodium injection HCPCS J9600 | not published | not published | $4,609.73 – $71,315.79 | 4 |
| Portable 02 contents, gas HCPCS E0443 | not published | not published | $78.88 – $124.83 | 2 |
| Portable 02 contents, liquid HCPCS E0444 | not published | not published | $78.88 – $124.83 | 2 |
| Positional change of finger CPT 26555 | not published | not published | $1,337.20 – $2,836.59 | 8 |
| Positional nystagmus test CPT 92532 | not published | not published | $34.70 – $55.56 | 3 |
| Post-coital mucous exam HCPCS Q0115 | not published | not published | $21.65 – $52.20 | 7 |
| Post d/c phone follow up HCPCS G0544 | not published | not published | $100.31 – $425.58 | 2 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $713.32 – $1,534.53 | 8 |
| Postop applicat rigid dsg on HCPCS L6388 | not published | not published | $555.73 – $1,474.22 | 3 |
| Postop app non-wgt bear dsg HCPCS L5450 | not published | not published | $386.25 – $1,024.63 | 3 |
| Postop app non-wgt bear dsg HCPCS L5460 | not published | not published | $567.90 – $1,506.51 | 3 |
| Postop dress & 1 cast chg bk HCPCS L5400 | not published | not published | $1,141.05 – $3,026.94 | 3 |
| Postop dsg & 1 cast chg ak/d HCPCS L5420 | not published | not published | $1,441.10 – $3,822.89 | 3 |
| Postop dsg ak ea add cast ch HCPCS L5430 | not published | not published | $499.16 – $1,324.15 | 3 |
| Postop dsg bk ea add cast ch HCPCS L5410 | not published | not published | $435.72 – $1,155.86 | 3 |
| Postop dsg cast chg elb dis/ HCPCS L6382 | not published | not published | $1,449.65 – $3,845.58 | 3 |
| Postop dsg cast chg wrst/elb HCPCS L6380 | not published | not published | $1,112.32 – $2,950.69 | 3 |
| Postop ea cast chg & realign HCPCS L6386 | not published | not published | $428.80 – $1,137.49 | 3 |
| Post-operative body jacket HCPCS L1310 | not published | not published | $1,701.85 – $4,514.62 | 3 |
| Post-op hip abduct custom fa HCPCS L1685 | not published | not published | $1,411.37 – $3,744.02 | 3 |
| Post op service lvrs min 6 HCPCS G0305 | not published | not published | $2,441.13 – $2,441.13 | 1 |
| Postpartum Care Only CPT 59430 | not published | not published | $171.05 – $513.33 | 9 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | $717.71 – $1,553.51 | 8 |
| Potassium 24 hour urine CPT 84133 | $26.60 | $26.60 | $4.73 – $25.00 | 9 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $42.24 | $42.24 | $0.11 – $25.81 | 9 |
| Potassium hydroxide preps HCPCS Q0112 | not published | not published | $5.83 – $12.20 | 7 |
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.