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 |
|---|---|---|---|---|
| Th/wght bear quad-lat brim m HCPCS L2510 | not published | not published | $719.86 – $1,909.63 | 7 |
| Thymectomy prtl/tot rad medstnl dsj 60522 CPT 60522 | not published | not published | $1,269.60 – $2,756.61 | 8 |
| Thymectomy prtl/tot transcervical appr 60520 CPT 60520 | not published | not published | $993.11 – $2,147.28 | 8 |
| Thymectomy prtl/tot without rad medstnl dsj 60521 CPT 60521 | not published | not published | $1,051.09 – $2,279.44 | 8 |
| Thyroglobulin antibody CPT 86800 | $62.55 | $62.55 | $15.91 – $58.80 | 9 |
| Thyroidectomy inc substrnl split/trans approch 60270 CPT 60270 | not published | not published | $1,290.48 – $2,775.59 | 8 |
| Thyroid imaging CPT 78013 | $1,292.15 | $1,292.15 | $16.48 – $598.54 | 9 |
| Thyroid met imaging CPT 78015 | not published | not published | $30.79 – $64.39 | 8 |
| Thyroid met imaging/studies CPT 78016 | not published | not published | $31.63 – $65.75 | 8 |
| Thyroid mets imag whole body CPT 78018 | not published | not published | $37.34 – $77.95 | 8 |
| Thyroid met uptake CPT 78020 | not published | not published | $25.32 – $52.87 | 8 |
| Thyroid (TSH) Test CPT 84443 | $214.55 | $214.55 | $16.80 – $201.68 | 9 |
| Thyroid Ultrasound CPT 76536 | $1,015.05 | $1,015.05 | $25.88 – $49.75 | 9 |
| Thyroid uptake measurement CPT 78012 | $535.70 | $535.70 | $8.40 – $265.10 | 9 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | not published | not published | $1,891.21 – $4,087.90 | 8 |
| Thyrotropin releasing hormone CPT 80438 | not published | not published | $50.41 – $105.63 | 7 |
| Thyroxine binding globulin (tbg) CPT 84442 | $73.05 | $73.05 | $14.78 – $68.67 | 9 |
| Tibial arthroscopy/surgery CPT 29855 | not published | not published | $751.78 – $1,619.27 | 8 |
| Tibial arthroscopy/surgery CPT 29856 | not published | not published | $953.25 – $2,053.07 | 8 |
| Tibial length sock fx or equ HCPCS L2840 | not published | not published | $39.01 – $103.47 | 7 |
| Tibial tubercle hgt with toe f HCPCS L5020 | not published | not published | $1,975.40 – $5,240.26 | 7 |
| Tib/per revasc stent & ather 37231 CPT 37231 | not published | not published | $676.02 – $22,191.40 | 9 |
| Tib/per revasc stnt & ather CPT 37235 | not published | not published | $343.61 – $7,444.90 | 9 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | not published | not published | $293.49 – $1,992.28 | 9 |
| Tic-brn enceph vac 0.25ml im CPT 90626 | not published | not published | $324.16 – $606.48 | 3 |
| Tic-brn enceph vac 0.5ml im CPT 90627 | not published | not published | $324.16 – $606.48 | 3 |
| Tigecycline injection HCPCS J3243 | not published | not published | $0.58 – $1.24 | 4 |
| Tilt table locking hip sing HCPCS L5270 | not published | not published | $5,671.24 – $15,044.47 | 7 |
| Tilt table study CPT 93660 | $1,729.85 | $1,729.85 | $73.71 – $1,364.85 | 9 |
| Tinzaparin sodium injection HCPCS J1655 | not published | not published | $3.49 – $7.46 | 3 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | not published | not published | $3.96 – $12.01 | 4 |
| Tisagenlecleucel car-pos t HCPCS Q2042 | not published | not published | $578,324.58 – $1,118,139.80 | 6 |
| Tis cgen car anomal 1st shnt CPT 33745 | not published | not published | $979.26 – $2,132.36 | 8 |
| Tis cgen car anomal ea addl CPT 33746 | not published | not published | $391.41 – $852.00 | 8 |
| Tis clt agrft f/s/n/h/f/g ad CPT 15156 | not published | not published | $139.44 – $306.45 | 9 |
| Tis clt agrft f/s/n/h/f/g ea CPT 15157 | not published | not published | $151.87 – $340.51 | 9 |
| Tis cltr skn agrft t/a/l add CPT 15151 | not published | not published | $101.07 – $227.44 | 9 |
| Tis cltr skn agrft t/a/l ea CPT 15152 | not published | not published | $134.80 – $293.49 | 9 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | not published | not published | $165.20 – $359.53 | 8 |
| Tiss ex molecul study add-on CPT 88388 | not published | not published | $22.66 – $43.69 | 5 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | not published | not published | $21.28 – $62.86 | 3 |
| Tissue culture placenta CPT 88235 | $390.80 | $390.80 | $139.48 – $179.68 | 9 |
| Tissue culture skin/biopsy CPT 88233 | $1,353.70 | $1,353.70 | $22.76 – $144.95 | 9 |
| Tissue culture tumor CPT 88239 | not published | not published | $147.52 – $309.08 | 7 |
| Tissue exam koh skin/hair/nails CPT 87220 | not published | not published | $4.27 – $8.82 | 7 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | not published | not published | $102.85 – $230.50 | 3 |
| Tissue transglutaminase iga CPT 86364 | $34.25 | $34.25 | $5.55 – $32.20 | 9 |
| Tixagev and cilgav inj HCPCS M0220 | not published | not published | $144.61 – $315.36 | 3 |
| Tl-201 thallium diag per mci HCPCS A9505 | not published | not published | $33.31 – $75.27 | 9 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $774.55 – $1,651.79 | 8 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $995.67 – $2,126.26 | 8 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $870.40 – $1,855.82 | 8 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $1,164.09 – $2,486.17 | 8 |
| Tlso 2mod symphis-xipho pre HCPCS L0458 | not published | not published | $828.44 – $2,197.63 | 7 |
| Tlso 2 piece rigid shell HCPCS L0491 | not published | not published | $713.41 – $1,892.51 | 7 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | not published | not published | $932.46 – $2,473.60 | 7 |
| Tlso 3mod sacro-scap pre HCPCS L0462 | not published | not published | $1,159.84 – $3,076.77 | 7 |
| Tlso 3 piece rigid shell HCPCS L0492 | not published | not published | $469.46 – $1,245.38 | 7 |
| Tlso corset front HCPCS L0970 | not published | not published | $101.71 – $269.81 | 7 |
| Tlso flex trnk sj-t9 pre ots HCPCS L0455 | not published | not published | $322.16 – $549.59 | 7 |
| Tlso full corset HCPCS L0974 | not published | not published | $200.75 – $532.55 | 7 |
| Tlso r fram soft ant pre cst HCPCS L0466 | not published | not published | $383.58 – $1,017.54 | 7 |
| Tlso r fram soft pre ots HCPCS L0467 | not published | not published | $383.58 – $616.39 | 7 |
| Tlso rig fram pelvic pre cst HCPCS L0468 | not published | not published | $495.64 – $1,314.82 | 7 |
| Tlso rig fram pelvic pre ots HCPCS L0469 | not published | not published | $495.64 – $785.39 | 7 |
| Tlso rigid frame pre subclav HCPCS L0470 | not published | not published | $703.92 – $1,867.33 | 7 |
| Tlso rigid lined custom fab HCPCS L0482 | not published | not published | $1,546.47 – $4,102.42 | 7 |
| Tlso rigid lined pre one pie HCPCS L0488 | not published | not published | $932.46 – $2,473.60 | 7 |
| Tlso rigid plastic cust fab HCPCS L0484 | not published | not published | $2,108.63 – $5,593.70 | 7 |
| Tlso rigid plastic custom fa HCPCS L0480 | not published | not published | $1,482.06 – $3,931.52 | 7 |
| Tlso rigid plastic pre one HCPCS L0490 | not published | not published | $262.79 – $697.11 | 7 |
| Tlso trnk sj-t9 pre cst HCPCS L0454 | not published | not published | $322.16 – $854.62 | 7 |
| Tmvr w/prosthetic ring 33426 CPT 33426 | not published | not published | $2,188.93 – $4,767.64 | 8 |
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | not published | not published | $2,239.34 – $4,872.70 | 8 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | $460.90 – $985.53 | 8 |
| Tobramycin comp unit HCPCS J7685 | not published | not published | $49.82 – $121.33 | 2 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $780.78 | $780.78 | $2.39 – $36.97 | 6 |
| Tobramycin non-comp unit HCPCS J7682 | not published | not published | $17.04 – $31.64 | 4 |
| Tobramycin peak therapeutic drug level CPT 80200 | $143.35 | $143.35 | $16.13 – $134.75 | 9 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $1,268.30 | $1,268.30 | $5.79 – $1,192.20 | 9 |
| Tocilizumab for covid-19 HCPCS Q0249 | not published | not published | $6.77 – $14.96 | 8 |
| Toe joint transfer CPT 26556 | not published | not published | $3,249.96 – $6,945.43 | 8 |
| Toe X-ray (both feet) CPT 73660 | $318.50 | $318.50 | $6.11 – $168.89 | 9 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | not published | not published | $15.54 – $37.13 | 8 |
| Tomosynthesis breast screen bilateral CPT 77063 | $143.00 | $143.00 | $23.57 – $66.87 | 9 |
| Tone decay hearing test CPT 92563 | $102.60 | $102.60 | $30.89 – $80.95 | 9 |
| Tongue and neck surgery CPT 41135 | not published | not published | $2,073.09 – $4,377.24 | 8 |
| Tongue base vol reduction CPT 41530 | not published | not published | $362.72 – $1,755.21 | 9 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | not published | not published | $106.39 – $364.27 | 9 |
| Tongue jaw & neck surgery CPT 41155 | not published | not published | $2,846.10 – $6,018.20 | 8 |
| Tongue mouth jaw surgery CPT 41150 | not published | not published | $2,103.14 – $4,439.60 | 8 |
| Tongue mouth neck surgery CPT 41153 | not published | not published | $2,288.93 – $4,836.10 | 8 |
| Tongue removal neck surgery CPT 41145 | not published | not published | $2,625.87 – $5,544.40 | 8 |
| Tongue suspension CPT 41512 | not published | not published | $642.45 – $1,356.96 | 8 |
| Tongue to lip surgery CPT 41510 | not published | not published | $436.63 – $927.23 | 8 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $248.12 – $530.04 | 8 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $260.52 – $557.83 | 8 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $676.16 | $676.16 | $0.78 – $635.59 | 6 |
| Topotecan oral HCPCS J8705 | not published | not published | $106.46 – $346.65 | 5 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $39.50 – $77.72 | 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.