Pen Bay Medical Center
6 Glen Cove Dr, Rockport, ME · MaineHealth · · NPI 1982645305
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 |
|---|---|---|---|---|
| Rezafungin 200 mg intravenous solution HCPCS J0349 | not published | not published | $9.95 – $20.60 | 8 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $188.36 – $911.67 | 9 |
| Rheumatoid factor qualitative CPT 86430 | not published | not published | $6.14 – $12.87 | 7 |
| Rheumatoid factor quantitative CPT 86431 | $32.20 | $32.20 | $5.67 – $30.27 | 9 |
| Rh ig IV CPT 90386 | not published | not published | $10.89 – $217.57 | 3 |
| Rh ig minidose im CPT 90385 | not published | not published | $33.42 – $92.85 | 3 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $1,184.62 – $2,495.66 | 8 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | not published | not published | $4.76 – $9.68 | 4 |
| Rho d immune globulin 50 mcg HCPCS J2788 | not published | not published | $23.80 – $48.55 | 4 |
| Rho(d) immune globulin h, sd HCPCS J2792 | $2,161.72 | $2,161.72 | $30.77 – $2,032.02 | 9 |
| Rho d immune globulin inj HCPCS J2790 | $1,660.63 | $1,660.63 | $76.03 – $1,560.99 | 6 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $92.77 – $203.34 | 3 |
| R hrt cath chd abnl nt cnj CPT 93594 | not published | not published | $276.41 – $576.81 | 8 |
| R hrt cath chd nml nt cnj CPT 93593 | not published | not published | $179.74 – $375.50 | 8 |
| Rhythm ecg with report CPT 93040 | not published | not published | $12.20 – $27.11 | 8 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $977.15 | $977.15 | $12.34 – $342.43 | 9 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $1,160.70 | $1,160.70 | $14.85 – $862.57 | 9 |
| Rib cartilage graft CPT 21230 | not published | not published | $721.23 – $1,530.46 | 8 |
| Rib gusset (elastic) each HCPCS L1280 | not published | not published | $102.36 – $271.55 | 7 |
| Riboflavin 5'phos opth<=3ml HCPCS J2787 | not published | not published | $2,116.50 – $4,348.03 | 3 |
| Rib X-ray (3 views, both sides) CPT 71110 | $888.05 | $888.05 | $13.32 – $341.24 | 9 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $1,742.71 | $1,742.71 | $1,186.65 – $1,413.75 | 6 |
| Right heart cath congenital CPT 93530 | not published | not published | $331.67 – $331.67 | 1 |
| Right ventric recording CPT 93603 | not published | not published | $75.03 – $213.29 | 8 |
| Rilonacept injection HCPCS J2793 | not published | not published | $24.84 – $43.38 | 3 |
| Ring barrier skin cx 1 9/16 adapt HCPCS A4411 | not published | not published | $5.67 – $14.92 | 7 |
| Ring flange plas/leather mol HCPCS L1110 | not published | not published | $268.22 – $711.53 | 7 |
| Ring flange plastic/leather HCPCS L1100 | not published | not published | $172.14 – $456.64 | 7 |
| Ring fx reform 11-13x17mm HCPCS L8610 | not published | not published | $554.92 – $1,472.09 | 7 |
| Ring ostmy barr adapt 48mm HCPCS A4385 | not published | not published | $5.67 – $14.92 | 7 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $24,767.93 | $24,767.93 | $14.84 – $23,281.85 | 9 |
| Risk ascvd tst once pr 12 mo HCPCS G0537 | not published | not published | $8.74 – $18.29 | 6 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $3,081.86 | $3,081.86 | $10.94 – $1,283.32 | 9 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | not published | not published | $75.93 – $151.69 | 8 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | not published | not published | $36.53 – $72.31 | 8 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $2,019.01 | $2,019.01 | $31.18 – $1,897.87 | 9 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $8,557.88 | $8,557.88 | $29.92 – $1,608.89 | 9 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $1,711.58 | $1,711.58 | $19.25 – $1,608.89 | 9 |
| R & l heart cath congenital CPT 93531 | not published | not published | $648.22 – $648.22 | 1 |
| R & l heart cath congenital CPT 93532 | not published | not published | $803.90 – $803.90 | 1 |
| R & l heart cath congenital CPT 93533 | not published | not published | $536.29 – $536.29 | 1 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | $8,352.15 | $8,352.15 | $399.38 – $6,589.85 | 9 |
| R&l hrt cath chd nml nt cnj CPT 93596 | not published | not published | $307.31 – $640.51 | 8 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $1,053.30 – $2,290.29 | 8 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $87.18 – $280.76 | 9 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $637.77 – $1,379.32 | 8 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $328.55 – $841.63 | 9 |
| Rmvl fb upr arm/elbow deep CPT 24201 | $4,779.15 | $4,779.15 | $353.83 – $1,199.48 | 9 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $219.97 – $682.94 | 9 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | not published | not published | $134.29 – $427.24 | 9 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $701.88 – $1,489.81 | 8 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $117.03 – $252.14 | 8 |
| Rmvl icd by tv extr CPT 33244 | not published | not published | $800.75 – $1,727.04 | 8 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | not published | not published | $360.46 – $776.76 | 8 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | not published | not published | $375.41 – $809.30 | 8 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | not published | not published | $346.95 – $746.94 | 8 |
| Rmvl icd pulse gen only CPT 33241 | $9,304.85 | $9,304.85 | $202.38 – $7,341.53 | 9 |
| Rmvl imed rx delivery device CPT 20703 | not published | not published | $98.25 – $212.83 | 8 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $446.58 – $974.67 | 8 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $2,145.32 – $4,682.92 | 8 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $472.50 | $472.50 | $149.22 – $350.78 | 9 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | not published | not published | $188.96 – $412.11 | 8 |
| Rmvl perm pm pulse gen CPT 33233 | $6,217.00 | $6,217.00 | $219.96 – $4,905.21 | 9 |
| Rmvl perq right heart vad CPT 33997 | not published | not published | $147.18 – $320.60 | 8 |
| Rmvl phrnc nrv stim pg only CPT 33280 | not published | not published | $200.09 – $419.55 | 8 |
| Rmvl phrnc nrv stim sys CPT 33278 | not published | not published | $534.07 – $1,154.29 | 8 |
| Rmvl phrnc nrv stim transvns CPT 33279 | not published | not published | $321.56 – $693.38 | 8 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $48,269.95 | $48,269.95 | $347.29 – $38,084.99 | 9 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $34,525.55 | $34,525.55 | $316.49 – $27,240.66 | 9 |
| Rmvl pq iabp CPT 33968 | $231.00 | $231.00 | $31.07 – $182.26 | 9 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | not published | not published | $171.36 – $373.47 | 8 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $1,205.92 – $2,588.51 | 8 |
| Rmvl rplcmt hrt sys f/trnspl CPT 33929 | not published | not published | $3,239.88 – $3,649.35 | 3 |
| Rmvl & rplcmt tot hrt sys CPT 33928 | not published | not published | $4,993.88 – $7,298.69 | 3 |
| Rmvl sq defib electrode CPT 33272 | not published | not published | $325.31 – $700.84 | 8 |
| Rmvl subq card rhythm mntr CPT 33286 | $1,991.00 | $1,991.00 | $79.10 – $248.63 | 9 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $485.28 – $1,142.77 | 8 |
| Rmvl tongs/halo anthr indiv CPT 20665 | not published | not published | $94.53 – $228.08 | 9 |
| Rmvl tot arthrp 1ntrspc crv CPT 22864 | not published | not published | $1,939.48 – $4,287.76 | 8 |
| Rmvl tot arthrp 1ntrspc lmbr CPT 22865 | not published | not published | $2,123.22 – $4,689.69 | 8 |
| Rmvl transplanted rnl algrft CPT 50370 | not published | not published | $1,158.48 – $2,505.16 | 8 |
| Rmvl tv pm lead dual CPT 33235 | $6,217.00 | $6,217.00 | $592.95 – $4,905.21 | 9 |
| Rmvl tv pm lead sgl CPT 33234 | $6,217.00 | $6,217.00 | $450.99 – $4,905.21 | 9 |
| Rmv ntr oi implt skl prq esp CPT 69726 | not published | not published | $461.15 – $973.33 | 8 |
| Rmv ntr oi imp sk tc>=100 CPT 69728 | not published | not published | $572.73 – $1,210.55 | 8 |
| Rmv ntr oi imp sk tc esp<100 CPT 69727 | not published | not published | $514.54 – $1,085.83 | 8 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | not published | not published | $251.86 – $549.70 | 8 |
| Rmv&rplcmt phrnc nrv stim ld CPT 33288 | not published | not published | $470.36 – $991.62 | 8 |
| Rmv&rplcmt phrnc nrv stim pg CPT 33287 | not published | not published | $363.33 – $782.85 | 8 |
| Rmv sk-mnt crnl nstm pg/rcvr CPT 61892 | not published | not published | $799.57 – $1,687.73 | 8 |
| Rmv suture/anesthesia/not local 15850 CPT 15850 | not published | not published | $57.07 – $57.07 | 1 |
| Rnl altrnsplj without rcp nfrct CPT 50360 | not published | not published | $2,304.78 – $4,989.29 | 8 |
| Rnl altrnsplj w/rcp nfrct CPT 50365 | not published | not published | $2,755.58 – $5,953.80 | 8 |
| Rnl autotrnsplj rimpltj kdn CPT 50380 | not published | not published | $1,939.18 – $4,205.75 | 8 |
| Robot lin-radsurg com, first HCPCS G0339 | not published | not published | $4,352.44 – $9,029.96 | 8 |
| Robt lin-radsurg fractx 2-5 HCPCS G0340 | not published | not published | $2,955.11 – $6,130.93 | 8 |
| Rocker bottom, contact afo HCPCS L2232 | not published | not published | $92.45 – $245.25 | 7 |
| Rolapitant, oral, 1mg HCPCS J8670 | not published | not published | $1.56 – $3.19 | 8 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | $7,637.74 | $7,637.74 | $29.77 – $7,179.48 | 9 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $13,147.28 | $13,147.28 | $11.00 – $3,089.67 | 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.