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 |
|---|---|---|---|---|
| Tc-99m medronate HCPCS A9503 | $160.95 | $160.95 | $13.26 – $144.62 | 9 |
| Tc-99m mertiatide HCPCS A9562 | $2,509.45 | $2,509.45 | $632.92 – $819.59 | 9 |
| Tc-99m non-heu per study dose HCPCS Q9969 | not published | not published | $0.13 – $20.95 | 7 |
| Tc-99m oxidronate HCPCS A9561 | $142.90 | $142.90 | $44.88 – $101.52 | 9 |
| Tc-99m pentetate dtpa HCPCS A9539 | not published | not published | $14.74 – $31.96 | 9 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $512.05 | $512.05 | $17.53 – $120,299.99 | 7 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $143.00 | $143.00 | $1.59 – $14.57 | 6 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $144.30 | $144.30 | $24.54 – $65.33 | 9 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $430.90 | $430.90 | $80.54 – $197.54 | 9 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $4,043.85 | $4,043.85 | $153.07 – $611.41 | 9 |
| Tc-99m sulfur colloid HCPCS A9541 | $972.75 | $972.75 | $144.20 – $178.84 | 9 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $523.85 | $523.85 | $86.98 – $492.42 | 6 |
| Tc-99m tilmanocept diag HCPCS A9520 | not published | not published | $674.81 – $984.44 | 3 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $392.35 – $1,031.80 | 9 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $56.59 – $118.62 | 8 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $56.17 – $117.26 | 8 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $49.23 – $99.08 | 5 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $77.17 – $435.81 | 7 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $67.20 | $67.20 | $21.83 – $63.17 | 9 |
| T cells absolute cd 4 count CPT 86361 | not published | not published | $17.43 – $56.12 | 7 |
| T cells total count CPT 86359 | $62.55 | $62.55 | $18.17 – $58.80 | 9 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $53.79 – $463.95 | 8 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $301.39 – $798.30 | 8 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $261.29 – $669.11 | 8 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $440.01 – $977.39 | 8 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $932.16 – $2,043.57 | 8 |
| Team conf without pat by hc pro CPT 99368 | not published | not published | $34.55 – $70.49 | 4 |
| Team conf without pat by phys CPT 99367 | not published | not published | $53.05 – $107.77 | 4 |
| Team conf w/pat by hc prof CPT 99366 | $193.15 | $193.15 | $39.25 – $157.31 | 7 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $202.84 – $424.54 | 8 |
| Tee w or without fol w/cont,cong HCPCS C8926 | $1,657.35 | $1,657.35 | $764.65 – $1,557.91 | 9 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $764.65 – $787.59 | 5 |
| Teflon or equal cable lining HCPCS L6665 | not published | not published | $53.10 – $140.86 | 7 |
| Telavancin injection HCPCS J3095 | not published | not published | $7.05 – $14.63 | 8 |
| Telehealth original site facility fee HCPCS Q3014 | $198.45 | $198.45 | $29.21 – $78.73 | 6 |
| Telethx isodose plan cplx CPT 77307 | not published | not published | $136.41 – $291.03 | 8 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $72.27 – $150.47 | 8 |
| Temozolomide HCPCS J8700 | not published | not published | $0.20 – $0.52 | 4 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $10.39 – $20.58 | 8 |
| Temperature gradient studies CPT 93740 | not published | not published | $2.70 – $155.97 | 7 |
| Temple bne implnt w/stimulat CPT 69715 | not published | not published | $2,047.65 – $2,047.65 | 1 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $14,329.09 | $14,329.09 | $30.75 – $13,469.34 | 9 |
| Tendon lengthening CPT 26476 | not published | not published | $622.46 – $1,321.03 | 8 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $560.78 – $1,213.26 | 8 |
| Tendon shortening CPT 26477 | not published | not published | $606.11 – $1,291.21 | 8 |
| Tendon transfer with graft CPT 26492 | not published | not published | $896.35 – $1,906.66 | 8 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | not published | not published | $146.56 – $321.10 | 8 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $346.95 – $2,545.87 | 3 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $581.25 – $1,264.78 | 8 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $587.05 – $1,237.67 | 8 |
| Tenolysis triceps CPT 24332 | not published | not published | $594.70 – $1,289.85 | 8 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $752.17 – $1,621.97 | 8 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $500.33 – $1,084.47 | 8 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $690.46 – $1,500.65 | 8 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $284.56 – $854.48 | 9 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $232.87 – $727.27 | 9 |
| Tension based scoliosis orth HCPCS L1005 | not published | not published | $2,973.14 – $7,887.05 | 7 |
| Tens suppl 2 lead per month HCPCS A4595 | not published | not published | $9.83 – $27.77 | 7 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $228.58 | $228.58 | $0.86 – $214.87 | 6 |
| Teriparatide injection HCPCS J3110 | not published | not published | $16.26 – $51.34 | 3 |
| Term dev auto grasp feature HCPCS L6881 | not published | not published | $3,805.05 – $10,093.90 | 7 |
| Term device, multi art digit HCPCS L6715 | not published | not published | $2,938.43 – $7,794.96 | 7 |
| Term dev mech hand vol close HCPCS L6709 | not published | not published | $1,148.64 – $3,047.06 | 7 |
| Term dev mech hand vol open HCPCS L6708 | not published | not published | $821.55 – $2,179.38 | 7 |
| Term dev mech hook vol close HCPCS L6707 | not published | not published | $1,365.75 – $3,623.03 | 7 |
| Term dev mech hook vol open HCPCS L6706 | not published | not published | $379.18 – $1,005.89 | 7 |
| Term dev modifier wrist unit HCPCS L6805 | not published | not published | $342.84 – $909.44 | 7 |
| Term dev, passive hand mitt HCPCS L6703 | not published | not published | $366.84 – $973.12 | 7 |
| Term dev precision pinch dev HCPCS L6810 | not published | not published | $177.03 – $469.61 | 7 |
| Term dev, sport/rec/work att HCPCS L6704 | not published | not published | $555.23 – $1,472.88 | 7 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $185.20 – $388.07 | 7 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $6.01 – $12.59 | 7 |
| Test for porphobilinogen CPT 84106 | not published | not published | $5.82 – $12.20 | 7 |
| Test for urine cystines CPT 82615 | not published | not published | $9.55 – $20.01 | 7 |
| Testicular imaging w/vasc flow CPT 78761 | $1,816.65 | $1,816.65 | $32.65 – $1,433.34 | 9 |
| Testosterone pellet 75 mg HCPCS S0189 | not published | not published | $107.24 – $226.68 | 2 |
| Testosterone response panel CPT 80414 | not published | not published | $51.64 – $108.21 | 7 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $1.84 – $3.79 | 8 |
| Test pathogen(s) for platelets reference HCPCS P9100 | not published | not published | $57.49 – $59.21 | 5 |
| Test sock elbw disart/above HCPCS L6682 | not published | not published | $272.37 – $722.51 | 7 |
| Test socket above knee HCPCS L5624 | not published | not published | $459.57 – $1,219.15 | 7 |
| Test socket below knee HCPCS L5620 | not published | not published | $351.44 – $932.28 | 7 |
| Test socket hemipelvectomy HCPCS L5628 | not published | not published | $518.56 – $1,375.61 | 7 |
| Test socket hip disarticulat HCPCS L5626 | not published | not published | $547.30 – $1,451.86 | 7 |
| Test socket knee disarticula HCPCS L5622 | not published | not published | $428.42 – $1,136.50 | 7 |
| Test socket shldr disart/tho HCPCS L6684 | not published | not published | $407.33 – $1,080.55 | 7 |
| Test socket symes HCPCS L5618 | not published | not published | $355.52 – $943.09 | 7 |
| Test sock wrist disart/bel e HCPCS L6680 | not published | not published | $223.83 – $593.76 | 7 |
| Test stress cardiovascular tracing only CPT 93017 | $661.35 | $661.35 | $33.29 – $422.67 | 9 |
| Test urine for lactose CPT 83633 | not published | not published | $8.72 – $23.57 | 7 |
| Test urine for porphyrins CPT 84119 | not published | not published | $13.36 – $27.79 | 7 |
| Test urine urobilinogen CPT 84578 | not published | not published | $4.47 – $9.37 | 7 |
| Tetanus ig im CPT 90389 | not published | not published | $188.42 – $1,000.28 | 3 |
| Tetanus immune globulin inj HCPCS J1670 | $1,550.09 | $1,550.09 | $556.53 – $1,457.08 | 9 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $10,923.78 | $10,923.78 | $18.16 – $10,268.35 | 9 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $137.00 – $287.07 | 7 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $365.48 – $1,591.48 | 7 |
| Tgsap so/hl 51/< rna alys CPT 81456 | not published | not published | $1,404.91 – $6,117.83 | 7 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $287.71 – $1,252.57 | 7 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $165.85 – $170.82 | 5 |
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.