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 |
|---|---|---|---|---|
| Safety plan interven HCPCS G0560 | not published | not published | $41.13 – $86.08 | 6 |
| Salivary gland function exam CPT 78232 | not published | not published | $18.21 – $37.95 | 8 |
| Salivary gland imaging CPT 78230 | not published | not published | $20.42 – $42.70 | 8 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $20.18 – $42.01 | 8 |
| Salmonella antibody CPT 86768 | not published | not published | $13.19 – $27.64 | 7 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $822.23 – $1,756.18 | 8 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $103.43 – $217.57 | 8 |
| Saquinavir, 200 mg HCPCS S0140 | not published | not published | $1.24 – $2.70 | 2 |
| Sargramostim injection HCPCS J2820 | not published | not published | $56.09 – $118.64 | 8 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $7.22 – $107.77 | 7 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $145.60 – $319.32 | 8 |
| Sarscov coronavirus ag ia CPT 87426 | not published | not published | $17.00 – $73.89 | 7 |
| Sarscov & inf vir a&b ag ia CPT 87428 | not published | not published | $23.80 – $147.08 | 7 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $385.84 – $817.43 | 8 |
| Sbrt management CPT 77435 | not published | not published | $628.03 – $1,318.99 | 8 |
| Sbrt w/positron emission del HCPCS G0563 | not published | not published | $3,629.88 – $3,738.78 | 5 |
| Sbsq ic vlbw inf<1,500 gm CPT 99478 | not published | not published | $126.43 – $265.70 | 8 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | $310.45 | $310.45 | $148.33 – $311.11 | 9 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | $157.90 | $157.90 | $71.96 – $150.47 | 9 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | $207.90 | $207.90 | $103.78 – $218.26 | 9 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | $101.25 | $101.25 | $38.55 – $80.65 | 9 |
| Sbsq psyc collab care mgmt CPT 99493 | $194.40 | $194.40 | $78.39 – $156.04 | 9 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $1,192.35 | $1,192.35 | $35.99 – $287.47 | 9 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $614.05 | $614.05 | $22.04 – $484.49 | 9 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $1,407.45 | $1,407.45 | $22.04 – $938.24 | 9 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $1,402.50 | $1,402.50 | $18.45 – $42.01 | 9 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $1,407.45 | $1,407.45 | $21.49 – $967.98 | 9 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $1,407.45 | $1,407.45 | $21.82 – $967.98 | 9 |
| Scan proc cranial extra CPT 61782 | not published | not published | $163.98 – $350.42 | 8 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $215.81 – $481.91 | 8 |
| Scan proc spinal CPT 61783 | not published | not published | $213.38 – $472.44 | 8 |
| Scap thorac prosth tiss shap HCPCS L6570 | not published | not published | $5,270.32 – $13,980.93 | 7 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | not published | not published | $112.86 – $2,384.19 | 9 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $422.44 – $1,286.22 | 9 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $185.00 | $185.00 | $145.97 – $173.90 | 6 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $17.66 – $37.28 | 7 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $22.04 – $50.84 | 8 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $24.11 – $66.93 | 7 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $33.90 – $92.14 | 7 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $27.02 – $55.51 | 4 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $27.05 – $56.68 | 7 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $20.67 – $42.45 | 4 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $22.04 – $50.84 | 8 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $87.72 – $655.32 | 8 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $87.51 – $654.68 | 8 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | not published | not published | $18.05 – $37.82 | 7 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $84.00 | $84.00 | $28.27 – $78.96 | 9 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $18.45 – $96.93 | 4 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $24.08 – $50.16 | 7 |
| Screening Mammogram CPT 77067 | $869.25 | $869.25 | $34.95 – $280.02 | 9 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $22.04 – $50.84 | 8 |
| Screening prostate cancer PSA HCPCS G0103 | not published | not published | $19.70 – $40.46 | 4 |
| Screen pap by tech w md supv HCPCS P3000 | not published | not published | $16.77 – $37.28 | 7 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | not published | not published | $2.72 – $6.77 | 4 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $9,208.55 | $9,208.55 | $1.11 – $1.33 | 6 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $1,132.40 | $1,132.40 | $29.16 – $729.51 | 9 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $52.55 – $116.59 | 8 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | not published | not published | $784.22 – $1,698.56 | 8 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | not published | not published | $222.93 – $2,237.71 | 9 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $567.10 | $567.10 | $5.16 – $252.40 | 9 |
| Sedimentation rate erythrocyte automated CPT 85652 | $99.25 | $99.25 | $2.70 – $93.30 | 9 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $2,351.39 – $5,072.09 | 3 |
| Segmentectomy 32484 CPT 32484 | not published | not published | $1,325.54 – $2,884.03 | 8 |
| Select picture audiometry CPT 92583 | $176.85 | $176.85 | $50.59 – $139.53 | 9 |
| Self-adher band w>=3" <5"/yd HCPCS A6454 | not published | not published | $0.87 – $2.30 | 7 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $167.35 | $167.35 | $32.05 – $111.84 | 9 |
| Self-meas bp 2 readg bid 30d CPT 99474 | not published | not published | $8.41 – $32.13 | 9 |
| Self-meas bp pt educaj/train CPT 99473 | not published | not published | $11.80 – $29.15 | 8 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | not published | not published | $13.05 – $30.51 | 4 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | not published | not published | $9.61 – $22.36 | 4 |
| Semen analysis HCPCS G0027 | not published | not published | $6.50 – $13.56 | 7 |
| Semen analysis presence/motility CPT 89321 | $52.50 | $52.50 | $12.05 – $49.35 | 9 |
| Semen analysis w/count CPT 89310 | not published | not published | $8.61 – $18.04 | 7 |
| Sensorimotor examination CPT 92060 | not published | not published | $27.00 – $70.03 | 8 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $37.99 – $150.47 | 8 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $379.16 – $1,157.73 | 9 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $97.46 – $402.32 | 7 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $663.86 – $1,438.98 | 8 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $611.15 – $1,321.72 | 8 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $720.96 – $1,556.91 | 8 |
| Serial casting application 97139app CPT 97139 | $141.75 | $141.75 | $6.20 – $133.25 | 7 |
| Serial tonometry CPT 92100 | not published | not published | $30.94 – $163.83 | 9 |
| Sermorelin acetate injection HCPCS Q0515 | not published | not published | $1.80 – $2.70 | 3 |
| Serpina1 gene CPT 81332 | not published | not published | $43.65 – $91.47 | 7 |
| Sertraline (zoloft) - sendout CPT 80332 | not published | not published | $19.81 – $50.16 | 3 |
| Set radiation therapy field CPT 77280 | not published | not published | $36.73 – $76.59 | 8 |
| Set radiation therapy field CPT 77285 | not published | not published | $55.33 – $115.23 | 8 |
| Set radiation therapy field CPT 77290 | not published | not published | $80.69 – $168.10 | 8 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $73.19 – $298.97 | 7 |
| Set up port xray equipment HCPCS Q0092 | not published | not published | $23.06 – $54.23 | 8 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | not published | not published | $0.02 – $0.02 | 1 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | not published | not published | $0.10 – $0.10 | 1 |
| Sever cranial nerve CPT 64771 | not published | not published | $558.23 – $1,255.96 | 8 |
| Sewhfo airplane without jnts cf HCPCS L3976 | not published | not published | $1,420.36 – $3,767.87 | 7 |
| Sewhfo airplane w/jnt(s) cf HCPCS L3978 | not published | not published | $1,676.97 – $4,448.61 | 7 |
| Sewhfo cap desgn w/jnt(s) cf HCPCS L3977 | not published | not published | $1,591.85 – $4,222.78 | 7 |
| Sewhfo cap design without jnt cf HCPCS L3975 | not published | not published | $1,420.36 – $3,767.87 | 7 |
| Sewho airplane without jnts cf HCPCS L3967 | not published | not published | $1,676.97 – $4,448.61 | 7 |
| Sewho airplane w/jnt(s) cf HCPCS L3973 | not published | not published | $1,676.97 – $4,448.61 | 7 |
| Sewho cap design without jnts cf HCPCS L3961 | not published | not published | $1,420.36 – $3,767.87 | 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.