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 |
|---|---|---|---|---|
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $2,136.75 | $2,136.75 | $21.80 – $25.97 | 6 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $2,136.75 | $2,136.75 | $473.40 – $564.00 | 6 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $17,856.30 | $17,856.30 | $445.57 – $5,808.53 | 9 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $16,767.55 | $16,767.55 | $191.26 – $2,395.75 | 9 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $985.93 – $2,155.41 | 8 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | not published | not published | $630.08 – $16,808.18 | 9 |
| Stereoscopic x-ray guidance HCPCS G6002 | not published | not published | $20.11 – $42.01 | 8 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $1,326.56 – $2,930.80 | 8 |
| Stereotactic radiation trmt CPT 77432 | not published | not published | $415.40 – $873.00 | 8 |
| Sterile gauze <= 16 sq in HCPCS A6402 | not published | not published | $0.12 – $0.31 | 7 |
| Sterile needle HCPCS A4215 | $123.60 | $123.60 | $0.22 – $116.18 | 6 |
| Sterile water/saline, 10 ml HCPCS A4216 | not published | not published | $0.49 – $1.30 | 7 |
| Sterile water/saline, 500 ml HCPCS A4217 | not published | not published | $2.95 – $7.80 | 7 |
| Sternal debridement CPT 21627 | not published | not published | $520.79 – $1,129.90 | 8 |
| Sternal pad HCPCS L1050 | not published | not published | $74.09 – $196.55 | 7 |
| St evaluate speech sound production CPT 92522 | $263.15 | $263.15 | $108.55 – $210.75 | 9 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $754.45 | $754.45 | $88.92 – $467.48 | 9 |
| Stimulants synthetic CPT 80371 | not published | not published | $14.06 – $50.16 | 3 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $537.38 – $1,194.29 | 8 |
| Stocking sup grips 4 pre ots HCPCS L0982 | not published | not published | $19.32 – $51.25 | 7 |
| Stoma absorptive cover HCPCS A5083 | not published | not published | $0.72 – $1.89 | 7 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $3,165.05 | $3,165.05 | $35.59 – $1,988.12 | 9 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $165.85 – $170.82 | 5 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $165.85 – $170.82 | 5 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $165.85 – $170.82 | 5 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $165.85 – $170.82 | 5 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $442.96 – $976.70 | 8 |
| Straight knee joint heavy du HCPCS L2385 | not published | not published | $151.94 – $403.06 | 7 |
| Strap chin dlx f/cpap HCPCS A7036 | not published | not published | $12.37 – $25.08 | 2 |
| Strap montgmry ns 8 hl sht 7.25 x 11.25in HCPCS A4461 | not published | not published | $3.66 – $9.66 | 7 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $288.80 | $288.80 | $16.70 – $53.96 | 9 |
| Strapping of chest CPT 29200 | not published | not published | $17.25 – $61.68 | 9 |
| Strapping of elbow or wrist 29260 CPT 29260 | $67.45 | $67.45 | $18.01 – $54.79 | 9 |
| Strapping of hand or finger CPT 29280 | $236.90 | $236.90 | $18.89 – $54.79 | 9 |
| Strapping of hip CPT 29520 | $260.00 | $260.00 | $17.80 – $66.81 | 9 |
| Strapping of knee CPT 29530 | $245.80 | $245.80 | $17.47 – $56.54 | 9 |
| Strapping of toes 29550 CPT 29550 | $202.25 | $202.25 | $10.58 – $37.27 | 9 |
| Strep a ag ia CPT 87430 | $43.70 | $43.70 | $16.81 – $41.08 | 9 |
| Strep a dna dir probe CPT 87650 | not published | not published | $20.05 – $42.01 | 7 |
| Strep a dna quant CPT 87652 | not published | not published | $41.76 – $87.44 | 7 |
| Strep b assay w/optic CPT 87802 | not published | not published | $12.73 – $26.44 | 7 |
| Strep b dna amp probe CPT 87653 | not published | not published | $35.09 – $73.19 | 7 |
| Streptokinase 1.5 m-units inj HCPCS J2995 | not published | not published | $79.50 – $149.11 | 3 |
| Streptokinase antibody CPT 86590 | not published | not published | $12.66 – $26.44 | 7 |
| Streptomycin injection HCPCS J3000 | not published | not published | $31.98 – $55.86 | 4 |
| Streptozocin injection HCPCS J9320 | not published | not published | $355.85 – $1,122.57 | 5 |
| Stress test pulmonary CPT 94618 | $302.35 | $302.35 | $12.44 – $238.55 | 9 |
| Stress tte complete CPT 93351 | $1,434.75 | $1,434.75 | $78.74 – $860.48 | 9 |
| Str markers spec anal addl CPT 81266 | not published | not published | $304.81 – $638.48 | 7 |
| Str markers specimen anal CPT 81265 | not published | not published | $233.07 – $488.38 | 7 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $106.15 – $235.19 | 8 |
| Subq i/p critical care pr day age 28 days/less than 99469 CPT 99469 | not published | not published | $367.82 – $773.36 | 8 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $49.71 – $158.04 | 9 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $97.13 – $280.76 | 9 |
| Subsequent intensive care infant 1500-2500 grams 99479 CPT 99479 | not published | not published | $114.86 – $241.29 | 8 |
| Subsequent intensive care infant 2501-5000 grams 99480 CPT 99480 | not published | not published | $110.61 – $232.49 | 8 |
| Subsequent repair of nerve CPT 64872 | not published | not published | $108.64 – $233.85 | 8 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $623.03 – $1,379.32 | 8 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $501.48 – $1,059.41 | 8 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $615.92 – $1,335.27 | 8 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $843.38 – $1,818.54 | 8 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $1,357.41 – $2,996.56 | 8 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $22.48 | $22.48 | $0.82 – $21.13 | 6 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $864.75 – $3,649.53 | 6 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $3,543.23 – $3,649.53 | 5 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $864.75 – $3,649.53 | 6 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $770.96 – $1,823.51 | 6 |
| Suction socket HCPCS L6686 | not published | not published | $746.28 – $1,979.70 | 7 |
| Suction susp ak/knee disart HCPCS L5652 | not published | not published | $510.74 – $1,354.87 | 7 |
| Sugars multiple quant CPT 84379 | not published | not published | $11.53 – $24.16 | 7 |
| Sugars single quant CPT 84378 | not published | not published | $11.53 – $24.16 | 7 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $7,914.03 | $7,914.03 | $1,350.48 – $1,608.93 | 6 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $145.50 | $145.50 | $114.80 – $136.77 | 6 |
| Sulfonylurea screen qn-sendout CPT 80377 | not published | not published | $7.77 – $50.16 | 3 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $139.24 | $139.24 | $64.01 – $130.89 | 6 |
| Sup/ext non-ins inf pump syr HCPCS K0552 | not published | not published | $2.64 – $7.08 | 7 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $3.17 – $32.13 | 9 |
| Supply of digital device HCPCS G0552 | not published | not published | $124.73 – $128.47 | 5 |
| Supp non-insulin inf cath/wk HCPCS A4221 | not published | not published | $19.71 – $52.78 | 7 |
| Support clav 29.6-40.5in med HCPCS L3650 | $99.90 | $99.90 | $64.01 – $93.91 | 9 |
| Supprelin la implant HCPCS J9226 | not published | not published | $44,158.25 – $89,474.69 | 8 |
| Suprv interfacilty transport CPT 99485 | not published | not published | $72.24 – $147.08 | 4 |
| Suprv interfac trnsport addl CPT 99486 | not published | not published | $62.37 – $127.42 | 4 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $100.56 – $216.90 | 8 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $766.34 – $1,672.81 | 8 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $766.41 – $1,673.50 | 8 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $409.70 – $871.66 | 8 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $1,086.94 – $2,353.32 | 8 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $640.17 – $1,382.04 | 8 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $707.33 – $1,526.40 | 8 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $883.31 – $1,900.56 | 8 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $648.75 – $1,401.01 | 8 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $839.12 – $1,778.54 | 8 |
| Surgical opening esophagus CPT 43351 | not published | not published | $1,232.51 – $2,673.25 | 8 |
| Surgical opening esophagus CPT 43352 | not published | not published | $998.30 – $2,164.90 | 8 |
| Surgical opening of stomach CPT 43510 | not published | not published | $901.80 – $1,952.74 | 8 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $747.21 – $1,617.24 | 8 |
| Surgical opening of throat CPT 42955 | $2,432.15 | $2,432.15 | $731.79 – $1,918.97 | 9 |
| Surgical pathology level 1 gross examination only CPT 88300 | $656.35 | $656.35 | $4.15 – $57.44 | 9 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $245.65 | $245.65 | $6.44 – $149.87 | 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.