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 |
|---|---|---|---|---|
| Protein analysis w/probe CPT 88372 | not published | not published | $17.39 – $35.92 | 8 |
| Protein c activity CPT 85303 | $66.90 | $66.90 | $13.84 – $62.89 | 9 |
| Protein c concentrate HCPCS J2724 | not published | not published | $15.01 – $29.71 | 8 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $167.65 | $167.65 | $10.74 – $156.25 | 9 |
| Protein s total CPT 85305 | $41.90 | $41.90 | $11.61 – $39.39 | 9 |
| Protein total 24 hour urine CPT 84156 | $256.80 | $256.80 | $3.67 – $241.39 | 9 |
| Protein total body fluid CPT 84157 | $95.05 | $95.05 | $4.00 – $89.35 | 9 |
| Protein total serum plasma whole blood CPT 84155 | $59.90 | $59.90 | $3.67 – $56.31 | 9 |
| Protein western blot tissue CPT 88371 | not published | not published | $18.65 – $37.95 | 8 |
| Prothrombin complex kcentra HCPCS J7168 | $1,827.19 | $1,827.19 | $3.04 – $1,717.56 | 9 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $67.85 | $67.85 | $3.94 – $63.78 | 9 |
| Proton treatment complex CPT 77525 | not published | not published | $1,731.83 – $5,868.24 | 5 |
| Proton trmt intermediate CPT 77523 | not published | not published | $1,626.48 – $5,868.24 | 5 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $1,370.64 – $5,868.24 | 5 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $1,334.64 – $2,661.39 | 5 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $9.74 – $20.33 | 7 |
| Provide inr test mater/equip HCPCS G0249 | not published | not published | $59.26 – $127.42 | 8 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $431.77 – $923.17 | 8 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $562.61 – $1,212.59 | 8 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $133.70 | $133.70 | $73.81 – $158.04 | 9 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | not published | not published | $30.43 – $62.36 | 8 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | not published | not published | $339.20 – $15,453.22 | 9 |
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $441.13 – $18,403.42 | 9 |
| Prq cardiac angio addl art CPT 92921 | not published | not published | $241.15 – $241.15 | 1 |
| Prq card revasc chronic addl CPT 92944 | not published | not published | $378.80 – $378.80 | 1 |
| Prq card revasc mi 1 vsl CPT 92941 | not published | not published | $618.79 – $1,310.86 | 8 |
| Prq card stent w/angio addl CPT 92929 | not published | not published | $483.40 – $483.40 | 1 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | not published | not published | $550.70 – $1,165.82 | 8 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $544.75 – $1,231.57 | 8 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $695.48 – $1,508.11 | 8 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $762.09 – $1,637.56 | 8 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $479.21 – $1,037.03 | 8 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $357.78 – $776.09 | 8 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | not published | not published | $551.35 – $1,166.49 | 8 |
| Prq trlml c athrc st angiop1 CPT 92933 | not published | not published | $617.93 – $1,309.50 | 8 |
| Prq trluml c angiop 1art&/br CPT 92920 | not published | not published | $494.80 – $1,049.92 | 8 |
| Prq trluml c athrc 1 art&/br CPT 92924 | not published | not published | $590.81 – $1,250.53 | 8 |
| Prq trluml revsc ch occ ant CPT 92943 | not published | not published | $619.16 – $1,310.86 | 8 |
| Pr removal drug delivery implant CPT 11982 | not published | not published | $71.02 – $214.59 | 9 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $95.85 | $95.85 | $20.34 – $49.54 | 9 |
| Pr removal intrauterine device CPT 58301 | $106.00 | $106.00 | $21.90 – $53.34 | 9 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $278.75 | $278.75 | $57.35 – $139.70 | 9 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $210.65 | $210.65 | $43.78 – $106.64 | 9 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $223.25 | $223.25 | $46.41 – $113.05 | 9 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $203.10 | $203.10 | $42.24 – $100.94 | 9 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $211.90 | $211.90 | $43.78 – $106.64 | 9 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $684.62 – $1,678.77 | 9 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | not published | not published | $40.09 – $80.65 | 8 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $607.99 – $1,314.26 | 8 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $574.61 – $1,242.40 | 8 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $95.12 – $194.52 | 8 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $635.83 – $1,438.98 | 8 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $648.40 – $1,403.73 | 8 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $593.70 | $593.70 | $116.28 – $283.24 | 9 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | not published | not published | $29.77 – $32.54 | 4 |
| PSA (Prostate) Test CPT 84153 | $186.30 | $186.30 | $18.39 – $174.65 | 9 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $1.99 – $4.74 | 8 |
| Psychoanalysis CPT 90845 | not published | not published | $83.63 – $188.88 | 9 |
| Psychophysiological therapy CPT 90875 | not published | not published | $57.45 – $117.26 | 8 |
| Psychophysiological therapy CPT 90876 | not published | not published | $91.30 – $197.87 | 8 |
| Psychotherapy group therapy CPT 90853 | not published | not published | $23.35 – $53.32 | 9 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | not published | not published | $66.54 – $150.98 | 9 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | not published | not published | $88.16 – $199.17 | 9 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | not published | not published | $129.66 – $293.61 | 9 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | not published | not published | $107.94 – $231.28 | 9 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | not published | not published | $76.78 – $165.12 | 9 |
| Psycl/nrpsyc tech 1st CPT 96138 | not published | not published | $31.51 – $70.49 | 8 |
| Psy evaluation of records CPT 90885 | not published | not published | $46.77 – $94.90 | 7 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $23.22 – $80.30 | 9 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | not published | not published | $18.00 – $72.60 | 9 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | not published | not published | $32.45 – $70.49 | 8 |
| Psytx complex interactive CPT 90785 | not published | not published | $13.20 – $28.27 | 9 |
| Psytx pt w/e&m 16-37 min CPT 90833 | not published | not published | $61.64 – $138.78 | 9 |
| Psytx pt w/e&m 38-52 min CPT 90836 | not published | not published | $78.11 – $175.39 | 9 |
| Psytx pt w/e&m 53+ min CPT 90838 | not published | not published | $103.59 – $232.57 | 9 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | not published | not published | $6.05 – $13.56 | 7 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $144.85 | $144.85 | $19.23 – $135.00 | 9 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $133.10 | $133.10 | $14.06 – $124.05 | 9 |
| Pt application of modality traction mechanical CPT 97012 | $144.85 | $144.85 | $14.19 – $135.00 | 9 |
| Pt/caregiver traing home inr CPT 93792 | not published | not published | $65.34 – $139.62 | 8 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $300.00 – $628.32 | 7 |
| Pten gene full sequence CPT 81321 | not published | not published | $600.00 – $1,257.26 | 7 |
| Pten gene known fam variant CPT 81322 | not published | not published | $46.60 – $97.61 | 7 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $782.21 – $1,637.56 | 8 |
| Pt-focused hlth risk assmt CPT 96160 | not published | not published | $2.50 – $6.10 | 8 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $24.05 – $48.80 | 8 |
| Pt prgrm for implt neurostim HCPCS L8681 | not published | not published | $1,022.79 – $2,713.21 | 3 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $253.25 | $253.25 | $35.58 – $81.60 | 9 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | not published | not published | $11.76 – $25.75 | 8 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | not published | not published | $29.21 – $62.36 | 8 |
| Pt wheelchair management each 15 minutes CPT 97542 | $188.00 | $188.00 | $31.20 – $175.22 | 9 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $600.14 – $1,257.32 | 8 |
| Pul art balloon repr percut CPT 92998 | not published | not published | $298.58 – $632.38 | 8 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $3,520.42 – $11,409.65 | 7 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $3,289.50 – $8,322.02 | 8 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $940.53 – $2,011.70 | 8 |
| Pulmonary vent imaging CPT 78579 | $2,501.65 | $2,501.65 | $22.71 – $2,331.54 | 9 |
| Pulse ox continuous overnight monitoring CPT 94762 | $258.00 | $258.00 | $23.68 – $240.46 | 9 |
| Pulse ox multiple CPT 94761 | $20.05 | $20.05 | $3.36 – $18.69 | 9 |
| Pulse ox single CPT 94760 | $53.55 | $53.55 | $2.10 – $49.91 | 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.