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 |
|---|---|---|---|---|
| Rem/biv cast full arm/leg CPT 29705 | $87.05 | $87.05 | $18.78 – $45.74 | 9 |
| Rem/biv cast shldr/hip spica CPT 29710 | not published | not published | $78.67 – $240.27 | 9 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | not published | not published | $5.62 – $12.55 | 8 |
| Rem endovas vena cava filter CPT 37193 | not published | not published | $330.16 – $2,826.85 | 9 |
| Rem interrog dev eval icpms CPT 93297 | not published | not published | $25.13 – $49.47 | 8 |
| Rem interrog dev eval scrms CPT 93298 | not published | not published | $25.44 – $49.47 | 8 |
| Rem interrog evl pm/ids CPT 93296 | not published | not published | $20.87 – $41.12 | 8 |
| Rem interrog evl pm/ldls pm CPT 93294 | not published | not published | $29.15 – $58.97 | 8 |
| Rem mntr physiol 1st dev supply ea 30 days CPT 99454 | not published | not published | $46.21 – $91.23 | 8 |
| Rem mntr physiol 1st set up pt educaj eqp CPT 99453 | not published | not published | $17.66 – $41.34 | 8 |
| Rem mntr wrls p-art prs snr CPT 93264 | not published | not published | $34.22 – $98.94 | 9 |
| Remote 30 day ecg rev/report CPT 93228 | $322.85 | $322.85 | $24.68 – $161.43 | 9 |
| Remote 30 day ecg tech supp CPT 93229 | not published | not published | $783.34 – $1,568.90 | 8 |
| Remot img sub by pt, non e/m HCPCS G2250 | not published | not published | $8.95 – $23.78 | 8 |
| Removable insert each HCPCS L6691 | not published | not published | $436.35 – $1,157.54 | 3 |
| Removable soft interface le HCPCS K0672 | not published | not published | $79.31 – $208.94 | 3 |
| Removal abdomen lymph nodes 38564 CPT 38564 | not published | not published | $671.60 – $1,441.01 | 8 |
| Removal allograft pancreas CPT 48556 | not published | not published | $1,225.96 – $2,656.97 | 8 |
| Removal anal seton other marker 46030 CPT 46030 | not published | not published | $83.68 – $488.92 | 9 |
| Removal biliary drg cath CPT 47537 | not published | not published | $92.59 – $929.00 | 9 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $958.70 | $958.70 | $130.88 – $315.44 | 9 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | not published | not published | $181.24 – $426.60 | 9 |
| Removal cerclage w/anes CPT 59871 | not published | not published | $125.79 – $271.80 | 8 |
| Removal cerclage without anes CPT 59899 | not published | not published | $925.54 – $1,108.88 | 2 |
| Removal cerumen impacted (both sides) CPT 69210 | $95.85 | $95.85 | $20.34 – $49.54 | 9 |
| Removal clot in graft oth/thn 35875 CPT 35875 | not published | not published | $554.74 – $1,176.67 | 8 |
| Removal clot in graft xcp 35876 CPT 35876 | not published | not published | $882.07 – $1,874.12 | 8 |
| Removal deep drug delivery device CPT 20701 | not published | not published | $61.84 – $129.46 | 8 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $260.75 | $260.75 | $76.26 – $245.11 | 9 |
| Removal duct glbldr calculi CPT 47544 | not published | not published | $150.11 – $1,577.89 | 9 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $320.90 | $320.90 | $108.51 – $299.08 | 9 |
| Removal foreign body extrn auditory canal with anes CPT 69205 | not published | not published | $92.48 – $194.52 | 8 |
| Removal foreign body foot cmplx CPT 28193 | not published | not published | $355.55 – $1,002.89 | 9 |
| Removal foreign body foot subcutaneous right CPT 28190 | $286.35 | $286.35 | $58.93 – $143.55 | 9 |
| Removal foreign body gum 41805 CPT 41805 | not published | not published | $188.35 – $592.35 | 9 |
| Removal foreign body jawbone CPT 41806 | not published | not published | $267.68 – $786.38 | 9 |
| Removal foreign body mouth CPT 40805 | not published | not published | $190.81 – $549.31 | 9 |
| Removal implant from finger/hand 26320 CPT 26320 | not published | not published | $339.39 – $736.78 | 8 |
| Removal implant superficial separate procedure CPT 20670 | not published | not published | $138.95 – $686.16 | 9 |
| Removal kidney open complex CPT 50225 | not published | not published | $1,154.85 – $2,404.83 | 8 |
| Removal kidney open radical CPT 50230 | not published | not published | $1,228.62 – $2,591.91 | 8 |
| Removal mamma implant mat 19330 CPT 19330 | not published | not published | $621.44 – $1,331.88 | 8 |
| Removal neck/armpit lesion CPT 38550 | not published | not published | $498.30 – $1,081.77 | 8 |
| Removal neck/armpit lesion 38555 CPT 38555 | not published | not published | $977.97 – $2,108.64 | 8 |
| Removal of adenoids CPT 42830 | not published | not published | $205.65 – $442.60 | 8 |
| Removal of adenoids CPT 42831 | not published | not published | $223.75 – $480.57 | 8 |
| Removal of adenoids CPT 42836 | not published | not published | $237.83 – $510.39 | 8 |
| Removal of adenoids <12yrs 42835 CPT 42835 | not published | not published | $191.80 – $412.78 | 8 |
| Removal of anal fissure CPT 46200 | not published | not published | $324.02 – $920.66 | 9 |
| Removal of anal tags CPT 46230 | not published | not published | $166.78 – $605.84 | 9 |
| Removal of ankle bone CPT 28130 | not published | not published | $588.09 – $1,297.30 | 8 |
| Removal of ankle/heel lesion CPT 28100 | not published | not published | $403.95 – $1,182.14 | 9 |
| Removal of ankle implant CPT 27704 | not published | not published | $548.47 – $1,171.91 | 8 |
| Removal of arm artery clot 34111 CPT 34111 | not published | not published | $561.79 – $1,188.17 | 8 |
| Removal of artery clot CPT 34051 | not published | not published | $936.06 – $1,996.80 | 8 |
| Removal of artery clot 34101 CPT 34101 | not published | not published | $559.74 – $1,190.90 | 8 |
| Removal of artery clot 34151 CPT 34151 | not published | not published | $1,304.03 – $2,768.80 | 8 |
| Removal of artery clot; neck incision 34001 CPT 34001 | not published | not published | $856.22 – $1,823.95 | 8 |
| Removal of bladder CPT 51570 | not published | not published | $1,414.71 – $2,977.57 | 8 |
| Removal of bladder lesion CPT 51520 | not published | not published | $574.08 – $1,219.35 | 8 |
| Removal of bladder lesion CPT 51525 | not published | not published | $827.07 – $1,745.33 | 8 |
| Removal of bladder lesion CPT 51530 | not published | not published | $741.42 – $1,569.10 | 8 |
| Removal of bladder & nodes CPT 51575 | not published | not published | $1,746.71 – $3,668.94 | 8 |
| Removal of bladder & nodes CPT 51585 | not published | not published | $2,023.97 – $4,261.32 | 8 |
| Removal of bladder stone CPT 51050 | not published | not published | $454.51 – $969.24 | 8 |
| Removal of bone for graft CPT 20900 | not published | not published | $174.29 – $742.69 | 9 |
| Removal of bone for graft CPT 20902 | not published | not published | $264.26 – $557.83 | 8 |
| Removal of bone lesion CPT 23140 | not published | not published | $536.89 – $1,162.42 | 8 |
| Removal of bone lesion CPT 23145 | not published | not published | $671.72 – $1,449.14 | 8 |
| Removal of bone lesion CPT 23146 | not published | not published | $602.27 – $1,304.76 | 8 |
| Removal of brain abscess CPT 61522 | not published | not published | $2,056.82 – $4,533.12 | 8 |
| Removal of brain lesion CPT 61520 | not published | not published | $3,520.69 – $7,670.66 | 8 |
| Removal of brain lesion CPT 61521 | not published | not published | $2,974.55 – $6,536.02 | 8 |
| Removal of brain lesion CPT 61524 | not published | not published | $1,960.67 – $4,320.31 | 8 |
| Removal of brain lesion CPT 61526 | not published | not published | $3,186.25 – $6,841.72 | 8 |
| Removal of brain lesion CPT 61530 | not published | not published | $2,881.37 – $6,340.14 | 8 |
| Removal of brain lesion CPT 61534 | not published | not published | $1,556.54 – $3,433.06 | 8 |
| Removal of brain lesion CPT 61536 | not published | not published | $2,420.35 – $5,330.89 | 8 |
| Removal of brain lesion 61510 CPT 61510 | not published | not published | $2,071.38 – $4,569.73 | 8 |
| Removal of brain tissue CPT 61537 | not published | not published | $2,306.39 – $5,076.72 | 8 |
| Removal of brain tissue CPT 61538 | not published | not published | $2,495.90 – $5,493.56 | 8 |
| Removal of brain tissue CPT 61539 | not published | not published | $2,218.34 – $4,886.26 | 8 |
| Removal of brain tissue CPT 61540 | not published | not published | $2,046.09 – $4,507.37 | 8 |
| Removal of brain tissue CPT 61543 | not published | not published | $2,043.94 – $4,505.33 | 8 |
| Removal of brain tissue CPT 61566 | not published | not published | $2,105.67 – $4,638.18 | 8 |
| Removal of breast lesion CPT 19120 | not published | not published | $399.06 – $1,010.60 | 9 |
| Removal of brow wrinkles CPT 15826 | not published | not published | $1,718.56 – $1,864.62 | 3 |
| Removal of calcium deposits CPT 23000 | not published | not published | $344.09 – $1,072.27 | 9 |
| Removal of cervix radical CPT 57531 | not published | not published | $1,738.22 – $3,731.97 | 8 |
| Removal of colon/ileostomy CPT 44156 | not published | not published | $2,184.23 – $4,672.07 | 8 |
| Removal of colon/ileostomy 44151 CPT 44151 | not published | not published | $2,042.35 – $4,371.14 | 8 |
| Removal of epididymis CPT 54860 | not published | not published | $404.13 – $860.13 | 8 |
| Removal of epididymis CPT 54861 | not published | not published | $547.60 – $1,162.42 | 8 |
| Removal of esophagus CPT 43108 | not published | not published | $4,176.53 – $8,878.51 | 8 |
| Removal of esophagus CPT 43113 | not published | not published | $4,083.63 – $8,692.79 | 8 |
| Removal of esophagus CPT 43124 | not published | not published | $3,579.99 – $7,630.00 | 8 |
| Removal of esophagus pouch CPT 43135 | not published | not published | $1,385.32 – $2,957.92 | 8 |
| Removal of ethmoid sinus CPT 31200 | not published | not published | $602.04 – $1,268.85 | 8 |
| Removal of ethmoid sinus CPT 31201 | not published | not published | $771.42 – $1,585.36 | 8 |
| Removal of external ear CPT 69120 | not published | not published | $375.66 – $790.31 | 8 |
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.