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 |
|---|---|---|---|---|
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $160.92 – $341.62 | 8 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $89.40 – $631.54 | 9 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | not published | not published | $12.00 – $25.08 | 8 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $74.36 – $874.40 | 9 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $0.27 – $25.75 | 2 |
| Silicon gel insert w/wo lock HCPCS L6692 | not published | not published | $590.39 – $1,566.17 | 7 |
| Sim ang w/prs cath rad emb HCPCS C8004 | not published | not published | $10,975.86 – $11,305.13 | 5 |
| Simple cystometrogram 51725 CPT 51725 | not published | not published | $71.61 – $151.84 | 8 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $1,273.29 | $1,273.29 | $118.61 – $284.21 | 6 |
| Single energy x-ray study HCPCS G0130 | not published | not published | $10.65 – $22.36 | 8 |
| Single pivot hinge pair HCPCS L6605 | not published | not published | $175.60 – $465.82 | 7 |
| Single transfer toe-hand CPT 26553 | not published | not published | $3,122.27 – $6,674.97 | 8 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,953.20 | $2,953.20 | $57.65 – $2,090.26 | 9 |
| Sinus CT scan (with contrast) CPT 70487 | $2,306.60 | $2,306.60 | $51.54 – $760.12 | 9 |
| Sinus CT scan (without contrast) CPT 70486 | $1,920.60 | $1,920.60 | $39.21 – $631.00 | 9 |
| Sinus/juglr venogram s&i CPT 75860 | $2,628.40 | $2,628.40 | $51.29 – $2,073.81 | 9 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $338.03 – $812.72 | 9 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $577.84 – $1,216.65 | 8 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $501.85 – $1,054.65 | 8 |
| Sinus X-ray (complete) CPT 70220 | $564.00 | $564.00 | $10.05 – $339.66 | 9 |
| Sinus X-ray (limited) CPT 70210 | $663.00 | $663.00 | $8.08 – $210.86 | 9 |
| Sio flex pelvisacral custom HCPCS L0622 | not published | not published | $306.53 – $813.15 | 7 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | not published | not published | $164.38 – $279.78 | 7 |
| Sipuleucel-t - su HCPCS Q2043 | $149,482.25 | $149,482.25 | $53,426.66 – $140,513.32 | 9 |
| Sirolimus, oral HCPCS J7520 | not published | not published | $1.34 – $3.00 | 4 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $84.53 – $232.17 | 8 |
| Six volt bat otto bock/eq ea HCPCS L7360 | not published | not published | $255.24 – $677.10 | 7 |
| Skeletal muscle relaxant 1/2 CPT 80369 | not published | not published | $13.35 – $50.16 | 3 |
| Skel musc relaxant 3 or more CPT 80370 | not published | not published | $11.79 – $11.79 | 1 |
| Skin and muscle repair face CPT 15845 | not published | not published | $1,017.41 – $2,185.90 | 8 |
| Skin barrier with flange HCPCS A4373 | not published | not published | $6.97 – $18.36 | 7 |
| Skin Biopsy CPT 11102 | $378.65 | $378.65 | $36.08 – $194.03 | 9 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $642.78 – $1,626.72 | 9 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $101.16 – $336.01 | 9 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $705.83 – $1,707.04 | 9 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $699.19 – $1,752.64 | 9 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $104.22 – $357.21 | 9 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $5.85 – $12.89 | 8 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $2,337.89 – $5,181.11 | 8 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $3,922.33 – $8,628.40 | 8 |
| Skull X-ray (1 to 3 views) CPT 70250 | $663.00 | $663.00 | $8.41 – $339.66 | 9 |
| Skull X-ray (complete) CPT 70260 | $1,160.70 | $1,160.70 | $13.00 – $539.87 | 9 |
| Skyla, 13.5 mg HCPCS J7301 | $2,414.97 | $2,414.97 | $935.70 – $2,270.07 | 6 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $174.81 – $366.01 | 7 |
| Sleep study attended CPT 95807 | $2,681.85 | $2,681.85 | $56.23 – $2,115.98 | 9 |
| Sleep Study (Polysomnography) CPT 95810 | $5,591.75 | $5,591.75 | $112.82 – $2,613.88 | 9 |
| Sleep study unattended CPT 95806 | not published | not published | $41.94 – $87.44 | 8 |
| Sleeve fing rolyan med HCPCS L3933 | $562.75 | $562.75 | $134.17 – $287.01 | 9 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $2,793.49 – $6,101.55 | 8 |
| Sling arm deluxe w/pad xs HCPCS A4565 | not published | not published | $8.55 – $22.55 | 7 |
| Sling pelv split sam med HCPCS L0621 | not published | not published | $96.13 – $156.09 | 7 |
| Sling suprapubic suburetheral HCPCS C1771 | $2,133.00 | $2,133.00 | $685.64 – $816.86 | 6 |
| Slitting of prepuce CPT 54000 | not published | not published | $106.15 – $317.37 | 9 |
| Slitting of prepuce CPT 54001 | $3,690.10 | $3,690.10 | $135.12 – $385.48 | 9 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | not published | not published | $30.39 – $64.39 | 8 |
| Slp eval non-spch gen comm dev CPT 92605 | $548.15 | $548.15 | $84.23 – $515.26 | 9 |
| Slp pure tone screening CPT 92551 | $59.00 | $59.00 | $11.17 – $55.46 | 7 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $39.00 – $81.34 | 8 |
| Slp ther svc non-spch gen CPT 92606 | $413.40 | $413.40 | $67.09 – $388.60 | 9 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $4,314.91 – $16,608.54 | 8 |
| Small animal inoculation CPT 87003 | not published | not published | $16.84 – $35.25 | 7 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $1,504.95 | $1,504.95 | $35.20 – $1,186.30 | 9 |
| Small bowel endoscopy CPT 44360 | not published | not published | $136.17 – $288.06 | 8 |
| Small bowel endoscopy CPT 44364 | not published | not published | $193.27 – $409.39 | 8 |
| Small bowel endoscopy CPT 44366 | not published | not published | $226.57 – $479.88 | 8 |
| Small bowel endoscopy CPT 44369 | not published | not published | $232.04 – $491.40 | 8 |
| Small bowel endoscopy CPT 44376 | not published | not published | $268.40 – $568.68 | 8 |
| Small bowel endoscopy CPT 44378 | not published | not published | $362.31 – $767.96 | 8 |
| Small bowel endoscopy CPT 44382 | not published | not published | $70.86 – $573.72 | 9 |
| Small bowel endoscopy CPT 44384 | not published | not published | $144.91 – $307.71 | 8 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $181.15 – $383.63 | 8 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $172.41 – $365.34 | 8 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $150.47 – $318.57 | 8 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $281.50 – $596.47 | 8 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $54.45 – $379.69 | 9 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $80.47 – $1,871.51 | 9 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $252.30 – $534.11 | 8 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $302.40 | 8 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $25.80 | $25.80 | $5.39 – $24.25 | 9 |
| Smear gram stain CPT 87205 | $77.85 | $77.85 | $4.27 – $73.18 | 9 |
| Smear nasal eosinophil CPT 89190 | $161.75 | $161.75 | $5.79 – $152.05 | 9 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $92.50 | $92.50 | $5.99 – $72.98 | 9 |
| Smear wet mount CPT 87210 | $148.45 | $148.45 | $5.82 – $16.22 | 9 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $301.35 – $631.46 | 7 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $185.20 – $388.07 | 7 |
| Smpd1 gene common variants CPT 81330 | $158.10 | $158.10 | $47.00 – $148.61 | 9 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $31.17 – $107.01 | 7 |
| So airplane w/wo joint cf HCPCS L3674 | not published | not published | $999.30 – $2,650.87 | 7 |
| So cap design without jnts cf HCPCS L3671 | not published | not published | $761.78 – $2,020.82 | 7 |
| Socket insert above knee HCPCS L5658 | not published | not published | $400.85 – $1,063.35 | 7 |
| Socket insert below knee HCPCS L5655 | not published | not published | $299.29 – $793.94 | 7 |
| Socket insert knee articulat HCPCS L5656 | not published | not published | $355.09 – $941.98 | 7 |
| Socket insert symes HCPCS L5654 | not published | not published | $419.24 – $1,112.13 | 7 |
| Socket insert without lock mech HCPCS L5679 | not published | not published | $623.27 – $1,653.38 | 7 |
| Socket insert w lock mech HCPCS L5673 | not published | not published | $747.96 – $1,984.13 | 7 |
| Sock fracture or equal each HCPCS L3995 | not published | not published | $37.96 – $100.71 | 7 |
| Sock wool above knee HCPCS L8430 | not published | not published | $23.09 – $61.23 | 7 |
| Sodium 24 hour urine CPT 84300 | $164.75 | $164.75 | $5.06 – $154.87 | 9 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | not published | not published | $2.63 – $4.95 | 4 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $0.21 | $0.21 | $0.17 – $0.20 | 6 |
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.