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 |
|---|---|---|---|---|
| Romiplostim injection HCPCS J2796 | not published | not published | $92.42 – $305.71 | 5 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $5,365.24 | $5,365.24 | $10.10 – $5,043.33 | 9 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $131.69 | $131.69 | $0.07 – $123.79 | 6 |
| Rotation wrst with cable lock HCPCS L6625 | not published | not published | $672.32 – $1,783.49 | 7 |
| Rotavirus antibody CPT 86759 | not published | not published | $18.23 – $37.95 | 7 |
| Round caliper and plate atta HCPCS L2240 | not published | not published | $91.57 – $242.92 | 7 |
| Routine footcare pt w lops HCPCS G0247 | not published | not published | $20.74 – $162.54 | 8 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | not published | not published | $22.04 – $45.11 | 7 |
| Rplcm oi implt sk tc esp<100 CPT 69719 | not published | not published | $621.76 – $1,314.93 | 8 |
| Rplcmt a-valve tlcj autol pv CPT 33440 | not published | not published | $3,104.89 – $6,765.80 | 8 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | $542.27 – $1,145.49 | 8 |
| Rplc oi implt sk tc esp>=100 CPT 69730 | not published | not published | $662.28 – $1,401.01 | 8 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $6,890.25 | $6,890.25 | $60.77 – $358.50 | 9 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $1,120.50 | $1,120.50 | $32.43 – $884.07 | 9 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $2,573.55 | $2,573.55 | $64.63 – $1,730.79 | 9 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $4,398.30 | $4,398.30 | $92.80 – $2,303.41 | 9 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $3,537.50 | $3,537.50 | $55.55 – $614.85 | 9 |
| Rpl tun-cvad w subq port CPT 36582 | $15,376.55 | $15,376.55 | $270.20 – $1,653.06 | 9 |
| Rpl tun-cvad w subq pump CPT 36583 | not published | not published | $311.00 – $2,176.68 | 9 |
| Rpl tun cvc wo subq port CPT 36581 | $6,890.25 | $6,890.25 | $172.93 – $1,464.18 | 9 |
| Rpm tx mgmt 1st 20 min CPT 99457 | not published | not published | $28.72 – $94.45 | 9 |
| Rpm tx mgmt ea addl 20 min CPT 99458 | not published | not published | $28.72 – $75.81 | 9 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | not published | not published | $960.02 – $2,093.05 | 8 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | not published | not published | $723.78 – $1,576.56 | 8 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | $697.56 – $1,520.99 | 8 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | not published | not published | $536.64 – $1,169.21 | 8 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | $321.43 – $698.81 | 8 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | $446.02 – $971.97 | 8 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | not published | not published | $1,163.38 – $2,537.01 | 8 |
| Rpr aa hrn rcr > 10 rdc CPT 49617 | not published | not published | $831.89 – $1,811.08 | 8 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | not published | not published | $802.67 – $1,750.09 | 8 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | not published | not published | $598.50 – $1,303.40 | 8 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | not published | not published | $535.22 – $1,165.82 | 8 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | not published | not published | $395.38 – $859.44 | 8 |
| Rpr acq av fistula thrx&abd CPT 35189 | not published | not published | $1,367.30 – $3,002.65 | 8 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | not published | not published | $932.48 – $2,023.92 | 8 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | not published | not published | $845.33 – $1,847.69 | 8 |
| Rpr blvs gr ot/th vn ntrth w CPT 35271 | not published | not published | $1,272.46 – $2,768.13 | 8 |
| Rpr blvs gr ot/t vn ntrth wo CPT 35276 | not published | not published | $1,345.45 – $2,919.97 | 8 |
| Rpr blvsl gr ot/th vn ntr-ab CPT 35281 | not published | not published | $1,493.70 – $3,264.96 | 8 |
| Rpr blvsl vn grf intra-abdl CPT 35251 | not published | not published | $1,585.63 – $3,460.17 | 8 |
| Rpr blvsl vn grf ntrthrc w/b CPT 35241 | not published | not published | $1,323.22 – $2,872.51 | 8 |
| Rpr cgen av fistula thrx&abd CPT 35182 | not published | not published | $1,652.58 – $3,598.45 | 8 |
| Rpr choanal atresia ntranasl CPT 30540 | not published | not published | $716.84 – $1,503.37 | 8 |
| Rpr choanal atresia trsnpltn CPT 30545 | not published | not published | $968.64 – $2,035.44 | 8 |
| Rpr csf leak/pseudomeng/laminectomy63709 CPT 63709 | not published | not published | $1,059.66 – $2,311.98 | 8 |
| Rpr diaphragm hernia/chronic/not neonate 39541 CPT 39541 | not published | not published | $879.63 – $1,908.00 | 8 |
| Rpr diaphragm lac/any approach 39501 CPT 39501 | not published | not published | $803.30 – $1,736.53 | 8 |
| Rpr fem hernia init blocked CPT 49553 | not published | not published | $603.73 – $1,304.09 | 8 |
| Rpr hern preemie reduc CPT 49491 | not published | not published | $759.53 – $1,642.99 | 8 |
| Rpr hypopl a-arch w/byp CPT 33853 | not published | not published | $1,690.84 – $3,681.81 | 8 |
| Rpr hypopl a-arch wo byp CPT 33852 | not published | not published | $1,295.72 – $2,818.30 | 8 |
| Rpr hypspad comp dsj & urtp CPT 54348 | not published | not published | $968.77 – $2,053.74 | 8 |
| Rpr hypspad comp simple CPT 54340 | not published | not published | $548.57 – $1,164.45 | 8 |
| Rpr ing hernia baby blocked CPT 49496 | not published | not published | $588.30 – $1,271.55 | 8 |
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $391.42 – $845.89 | 8 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $579.85 – $1,253.26 | 8 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $398.14 – $862.17 | 8 |
| Rpr ing hern premie blocked CPT 49492 | not published | not published | $910.13 – $1,971.72 | 8 |
| Rpr intst excl anrect fist HCPCS C9796 | not published | not published | $2,654.19 – $2,733.82 | 5 |
| Rpr nsl vlv collapse w/implt CPT 30468 | not published | not published | $162.54 – $4,817.85 | 9 |
| Rpr nsl vlv collapse w/rmdlg CPT 30469 | not published | not published | $143.97 – $4,708.62 | 9 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | not published | not published | $706.40 – $1,534.53 | 8 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | not published | not published | $876.77 – $1,908.69 | 8 |
| Rpr pul art unifocal without cpb CPT 33925 | not published | not published | $1,573.23 – $3,433.06 | 8 |
| Rpr&refitg spect xcp aphakia CPT 92370 | not published | not published | $15.27 – $58.46 | 5 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $10.86 – $59.21 | 7 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $552.86 – $1,194.29 | 8 |
| Rpr tga aortic pulm art rcns CPT 33778 | not published | not published | $2,155.54 – $4,702.58 | 8 |
| Rpr tga atr bfl clsr vsd CPT 33776 | not published | not published | $1,808.20 – $3,937.34 | 8 |
| Rpr tga atr bfl rmvl plm bnd CPT 33775 | not published | not published | $1,709.09 – $3,722.48 | 8 |
| Rpr tga atrial baffle px CPT 33774 | not published | not published | $1,662.49 – $3,618.77 | 8 |
| Rpr tga bfl rpr sbpulm obstr CPT 33777 | not published | not published | $1,736.88 – $3,787.54 | 8 |
| Rpr tga rcnstj clsr vsd CPT 33780 | not published | not published | $2,162.30 – $4,724.26 | 8 |
| Rpr tga rcnstj rmvl plm bnd CPT 33779 | not published | not published | $2,120.23 – $4,633.45 | 8 |
| Rpr tga rcnstj rpr sbpl obst CPT 33781 | not published | not published | $2,106.36 – $4,604.97 | 8 |
| Rpr tga without surg enlgmnt vsd CPT 33770 | not published | not published | $1,934.15 – $4,224.04 | 8 |
| Rpr tga w/surg enlgmnt vsd CPT 33771 | not published | not published | $1,984.97 – $4,339.27 | 8 |
| Rpr umbil hern block < 5 yr CPT 49582 | not published | not published | $744.69 – $744.69 | 1 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | $12,255.20 | $12,255.20 | $351.48 – $742.87 | 9 |
| Rp therapy unlisted px CPT 79999 | not published | not published | $216.92 – $496.70 | 6 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $906.21 – $1,920.89 | 8 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $1,960.13 – $4,201.68 | 8 |
| Rsv assay w/optic CPT 87807 | not published | not published | $13.10 – $27.11 | 7 |
| Rsv vacc mrna lipid nano im CPT 90683 | not published | not published | $607.68 – $607.68 | 1 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | not published | not published | $17.66 – $41.34 | 8 |
| Rtm dev sply cbt 16-30 d CPT 98978 | not published | not published | $36.09 – $97.61 | 6 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | not published | not published | $36.09 – $91.23 | 8 |
| Rtm dev sply resp sys 16-30d CPT 98976 | not published | not published | $36.09 – $91.23 | 8 |
| Rtm tx mgmt 1st 20 min CPT 98980 | not published | not published | $29.38 – $97.65 | 9 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | not published | not published | $28.72 – $77.10 | 9 |
| Rubella antibody igg CPT 86762 | $84.75 | $84.75 | $14.39 – $79.67 | 9 |
| Rubeola ag if CPT 87283 | not published | not published | $18.17 – $127.40 | 7 |
| Rubeola antibody igg CPT 86765 | $32.10 | $32.10 | $12.88 – $30.17 | 9 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $329.51 – $690.47 | 7 |
| Russell viper venom diluted CPT 85613 | $99.25 | $99.25 | $9.52 – $93.30 | 9 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $841.14 – $1,921.56 | 7 |
| Sach foot, replacement HCPCS L5971 | not published | not published | $256.73 – $681.04 | 7 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $6,001.12 | $6,001.12 | $33.20 – $5,641.05 | 9 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $507.45 | $507.45 | $10.37 – $195.00 | 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.