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 |
|---|---|---|---|---|
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $919.90 | $919.90 | $10.71 – $200.41 | 9 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $1,434.35 | $1,434.35 | $35.26 – $186.20 | 9 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $2,810.60 | $2,810.60 | $77.39 – $500.15 | 9 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $791.85 | $791.85 | $136.63 – $170.23 | 9 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $1,268.81 – $2,751.18 | 8 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $1,434.72 – $3,117.88 | 8 |
| Surgical revision intestine CPT 44680 | not published | not published | $1,014.53 – $2,203.52 | 8 |
| Surgical trays HCPCS A4550 | not published | not published | $39.98 – $39.98 | 1 |
| Surgigraft, 1 sq cm HCPCS Q4183 | not published | not published | $85.00 – $209.54 | 3 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $406.14 – $1,092.19 | 9 |
| Susceptibility agar dilution per agent CPT 87181 | $14.15 | $14.15 | $4.75 – $13.30 | 9 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $8.65 | $8.65 | $4.75 – $8.13 | 9 |
| Susceptibility mic per plate CPT 87186 | $164.55 | $164.55 | $8.65 – $154.68 | 9 |
| Suscept studies macrobroth dilution ea CPT 87188 | not published | not published | $6.64 – $13.91 | 7 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $948.15 – $2,028.65 | 8 |
| Suspension of testis CPT 54620 | not published | not published | $287.70 – $609.35 | 8 |
| Suspension of uterus CPT 58410 | not published | not published | $779.06 – $1,663.31 | 8 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $445.21 – $943.49 | 8 |
| Suspension sleeve lower ext HCPCS L2397 | not published | not published | $109.73 – $291.08 | 7 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $991.57 – $2,146.58 | 8 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $1,299.94 – $2,819.64 | 8 |
| Svc venogram s&i CPT 75827 | $2,859.80 | $2,859.80 | $50.28 – $2,256.38 | 9 |
| Swallowing Evaluation (Bedside) CPT 92610 | $754.45 | $754.45 | $68.98 – $164.47 | 9 |
| Swallowing Therapy Session CPT 92526 | $483.20 | $483.20 | $82.94 – $172.33 | 9 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $2.42 – $6.10 | 8 |
| Symes ankle without (sach) foot HCPCS L5703 | not published | not published | $2,241.47 – $5,946.07 | 7 |
| Symes met fr leath socket ar HCPCS L5060 | not published | not published | $2,618.61 – $6,946.54 | 7 |
| Symes type medial opening so HCPCS L5636 | not published | not published | $322.10 – $854.43 | 7 |
| Symes type poster opening so HCPCS L5634 | not published | not published | $375.21 – $995.35 | 7 |
| Symes type ptb brim design s HCPCS L5632 | not published | not published | $239.92 – $636.49 | 7 |
| Syme typ expandabl wall sckt HCPCS L5630 | not published | not published | $484.52 – $1,285.32 | 7 |
| Sympathectomy cervical CPT 64802 | not published | not published | $800.17 – $1,773.12 | 8 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $737.30 – $1,584.69 | 8 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $747.86 – $1,607.74 | 8 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $761.42 – $1,642.99 | 8 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $1,029.11 – $2,273.34 | 8 |
| Synch audio-only est high 40 CPT 98015 | $189.40 | $189.40 | $94.70 – $142.05 | 3 |
| Synch audio-only est low 20 CPT 98013 | $86.90 | $86.90 | $43.45 – $65.18 | 3 |
| Synch audio-only est mod 30 CPT 98014 | $128.10 | $128.10 | $64.05 – $96.08 | 3 |
| Synch audio-only est sf 10 CPT 98012 | $47.60 | $47.60 | $23.80 – $35.70 | 3 |
| Synch audio-only new high 60 CPT 98011 | $232.80 | $232.80 | $116.40 – $174.60 | 3 |
| Synch audio-only new low 30 CPT 98009 | $112.50 | $112.50 | $56.25 – $84.38 | 3 |
| Synch audio-only new mod 45 CPT 98010 | $176.70 | $176.70 | $88.35 – $132.53 | 3 |
| Synch audio-only new sf 15 CPT 98008 | $64.90 | $64.90 | $32.45 – $48.68 | 3 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $10.29 – $31.20 | 5 |
| Synthetic sentence id test CPT 92576 | not published | not published | $37.14 – $92.18 | 8 |
| Synvisc or synvisc-one HCPCS J7325 | $3,270.38 | $3,270.38 | $8.82 – $1,815.69 | 9 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $31.20 | $31.20 | $4.40 – $29.33 | 9 |
| System pacing micra av HCPCS C1786 | $3,100.00 | $3,100.00 | $2,155.55 – $2,568.08 | 6 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $3,900.00 | $3,900.00 | $2,051.40 – $2,444.00 | 6 |
| T3 (triiodothyronine) free CPT 84481 | $214.45 | $214.45 | $16.94 – $201.58 | 9 |
| T3 (triiodothyronine) total CPT 84480 | $179.35 | $179.35 | $14.18 – $168.59 | 9 |
| T4 (thyroxine) free CPT 84439 | $26.75 | $26.75 | $9.02 – $25.15 | 9 |
| T4 (thyroxine) total CPT 84436 | $86.70 | $86.70 | $6.87 – $81.50 | 9 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.53 – $1.13 | 4 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $1.65 – $3.56 | 4 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $2.83 | $2.83 | $0.24 – $2.30 | 6 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $1,862.34 | $1,862.34 | $238.60 – $1,750.60 | 9 |
| Tacrolimus therapeutic drug level CPT 80197 | $232.70 | $232.70 | $11.57 – $218.74 | 9 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $13.41 – $27.62 | 8 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $2,070.57 – $4,424.68 | 8 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $1,914.04 – $4,088.49 | 8 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $1,178.44 – $2,520.75 | 8 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $663.00 | $663.00 | $8.08 – $339.66 | 9 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $63.61 – $139.09 | 8 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $72.40 – $138.32 | 6 |
| Talymed HCPCS Q4127 | not published | not published | $67.32 – $135.39 | 4 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $0.29 – $3.39 | 2 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $71.51 – $665.59 | 9 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $56.79 – $410.53 | 9 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | not published | not published | $0.43 – $0.67 | 2 |
| Target gsa panel hmtlmph neop CPT 81450 | $2,256.65 | $2,256.65 | $755.23 – $2,121.25 | 9 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $2,919.60 – $6,117.83 | 7 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $597.91 – $1,252.57 | 7 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,567.49 – $3,143.15 | 6 |
| Tas congenital car anomal CPT 33741 | not published | not published | $685.32 – $1,492.52 | 8 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $125.27 – $428.52 | 9 |
| Tavr perq femoral CPT 33361 | not published | not published | $1,104.86 – $2,406.86 | 8 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $2,187.83 | $2,187.83 | $0.30 – $1,590.36 | 9 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $137.00 – $287.07 | 7 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $38.24 – $81.34 | 8 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $9.39 – $19.66 | 8 |
| Tbs techl calculation only CPT 77091 | not published | not published | $26.18 – $55.57 | 8 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $2.42 – $6.10 | 8 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $100.00 – $209.44 | 7 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $172.10 | $172.10 | $61.98 – $161.77 | 9 |
| Tc-99m apcitide diag HCPCS A9504 | not published | not published | $416.38 – $1,060.33 | 9 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $809.51 – $2,756.86 | 9 |
| Tc-99m bicisate HCPCS A9557 | not published | not published | $456.39 – $3,630.73 | 9 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $667.15 – $120,299.99 | 4 |
| Tc-99m diag per dose HCPCS A4641 | not published | not published | $120,299.99 – $120,299.99 | 1 |
| Tc-99m disofenin HCPCS A9510 | $511.00 | $511.00 | $42.93 – $89.06 | 9 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $3,169.95 | $3,169.95 | $1,040.32 – $2,979.75 | 9 |
| Tc-99m exametazime diag HCPCS A9521 | not published | not published | $705.75 – $1,748.25 | 9 |
| Tc-99m fanolesomab diag HCPCS A9566 | not published | not published | $120,299.99 – $120,299.99 | 1 |
| Tc-99m gluceptate HCPCS A9550 | not published | not published | $120,299.99 – $120,299.99 | 1 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $328.60 – $688.56 | 6 |
| Tc-99m labeled rbc HCPCS A9560 | $432.85 | $432.85 | $95.27 – $167.46 | 9 |
| Tc-99m maa HCPCS A9540 | $629.80 | $629.80 | $22.06 – $45.76 | 9 |
| Tc-99m mebrofenin HCPCS A9537 | $274.30 | $274.30 | $56.42 – $127.64 | 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.