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 |
|---|---|---|---|---|
| Treat ulnar fracture CPT 24685 | not published | not published | $631.29 – $1,365.09 | 8 |
| Treat vaginal bleeding CPT 57180 | $333.40 | $333.40 | $116.78 – $270.82 | 9 |
| Treat wrist bone fracture CPT 25635 | $730.20 | $730.20 | $319.43 – $486.92 | 9 |
| Treat wrist dislocation CPT 25675 | $927.20 | $927.20 | $232.17 – $431.37 | 9 |
| Tremelimumab-actl 20 mg/ml intravenous solution HCPCS J9347 | $96,886.42 | $96,886.42 | $135.56 – $7,893.01 | 9 |
| Treponema pallidum ag if CPT 87285 | not published | not published | $12.18 – $25.52 | 7 |
| Treponema pallidum antibody CPT 86780 | $57.25 | $57.25 | $13.24 – $53.82 | 9 |
| Treprostinil injection HCPCS J3285 | not published | not published | $55.48 – $110.60 | 8 |
| Treprostinil, non-comp unit HCPCS J7686 | not published | not published | $730.32 – $1,502.68 | 4 |
| Trg gene rearrangement anal CPT 81342 | not published | not published | $201.50 – $422.23 | 7 |
| Trh stimulation panel CPT 80439 | not published | not published | $67.21 – $140.83 | 7 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $108.60 | $108.60 | $0.95 – $6.59 | 6 |
| Triamcinolone a inj prs-free HCPCS J3300 | not published | not published | $4.27 – $49.45 | 8 |
| Triamcinolone diacetate inj HCPCS J3302 | not published | not published | $0.28 – $0.67 | 3 |
| Triamcinolone hexacetonl inj HCPCS J3303 | not published | not published | $3.61 – $8.29 | 3 |
| Trichinella antibody CPT 86784 | not published | not published | $12.56 – $26.32 | 7 |
| Trichomonas assay w/optic CPT 87808 | not published | not published | $15.29 – $31.85 | 7 |
| #tricyclicantidprssnt CPT 80337 | not published | not published | $10.35 – $10.35 | 1 |
| Triglycerides CPT 84478 | $133.20 | $133.20 | $5.74 – $125.21 | 9 |
| Trilaciclib 300 mg intravenous solution HCPCS J1448 | not published | not published | $5.20 – $10.60 | 8 |
| Trimethobenzamide hci 250mg HCPCS Q0173 | not published | not published | $0.84 – $1.36 | 3 |
| Trimethobenzamide hcl inj HCPCS J3250 | not published | not published | $45.84 – $100.73 | 4 |
| Trim nail(s) HCPCS G0127 | not published | not published | $7.09 – $46.26 | 8 |
| Trim nondyst nails CPT 11719 | $182.25 | $182.25 | $7.09 – $27.62 | 9 |
| Triptorelin pamoate HCPCS J3315 | not published | not published | $371.93 – $951.43 | 8 |
| Trluml dil aq o/f can without st CPT 66174 | not published | not published | $594.25 – $1,256.63 | 8 |
| Trluml dil aq o/f can w/st CPT 66175 | not published | not published | $691.26 – $1,455.91 | 8 |
| Trml dstrj ios bvn 1st 2 l/s CPT 64628 | not published | not published | $395.99 – $836.41 | 8 |
| Trml dstrj ios bvn ea addl CPT 64629 | not published | not published | $185.94 – $394.49 | 8 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | not published | not published | $232.17 – $1,032.44 | 9 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | not published | not published | $950.49 – $6,427.38 | 4 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | not published | not published | $899.36 – $1,966.29 | 8 |
| Trnscath plc stnt ante carotid art CPT 37218 | not published | not published | $760.75 – $1,655.85 | 8 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $14,807.30 | $14,807.30 | $191.27 – $2,437.51 | 9 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $15,253.05 | $15,253.05 | $138.00 – $3,252.16 | 9 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $31,540.80 | $31,540.80 | $280.80 – $6,507.53 | 9 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $8,113.50 | $8,113.50 | $277.06 – $2,951.48 | 9 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $5,879.30 | $5,879.30 | $354.13 – $4,638.77 | 9 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $6,654.00 | $6,654.00 | $211.98 – $5,250.01 | 9 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $6,654.00 | $6,654.00 | $112.13 – $5,250.01 | 9 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $2,038.95 | $2,038.95 | $310.71 – $1,608.73 | 9 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | $6,889.85 | $6,889.85 | $832.86 – $2,093.79 | 9 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | $3,801.95 | $3,801.95 | $203.45 – $2,999.74 | 9 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | not published | not published | $638.91 – $1,487.96 | 9 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | not published | not published | $785.40 – $1,929.33 | 9 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | not published | not published | $679.42 – $1,680.04 | 9 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | not published | not published | $623.83 – $1,572.76 | 9 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | not published | not published | $481.10 – $1,235.47 | 9 |
| Trnsplj pd lvr&bwl cd154+cll CPT 81560 | not published | not published | $250.22 – $1,342.61 | 7 |
| Trnspl rej kdn mrna qpcr 139 CPT 81558 | not published | not published | $3,240.00 – $6,789.21 | 6 |
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | not published | not published | $1,023.87 – $2,218.44 | 8 |
| Troponin quantitative CPT 84484 | $161.25 | $161.25 | $12.47 – $151.58 | 9 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $530.96 – $2,319.44 | 8 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | not published | not published | $366.09 – $3,193.05 | 9 |
| Truskin, per sq centimeter HCPCS Q4167 | not published | not published | $102.80 – $253.42 | 3 |
| Truss addition to std pad wa HCPCS L8320 | not published | not published | $67.13 – $178.05 | 7 |
| Truss add to std pad scrotal HCPCS L8330 | not published | not published | $62.41 – $165.54 | 7 |
| Truss double with standard pad HCPCS L8310 | not published | not published | $126.26 – $334.96 | 7 |
| Truss single with standard pad HCPCS L8300 | not published | not published | $79.98 – $212.16 | 7 |
| Tte w or without contr, cont ecg HCPCS C8930 | $1,396.50 | $1,396.50 | $764.65 – $1,312.71 | 9 |
| Tte w or without fol w/con,stres HCPCS C8928 | $2,124.00 | $2,124.00 | $764.65 – $1,996.56 | 9 |
| Tte w or without fol w/cont, com HCPCS C8921 | not published | not published | $764.65 – $787.59 | 5 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | $1,594.00 | $1,594.00 | $764.65 – $1,498.36 | 9 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $357.00 – $760.50 | 8 |
| Tube drain vert dev st 5-40f HCPCS A5200 | not published | not published | $12.57 – $33.11 | 7 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | not published | not published | $52.29 – $137.73 | 7 |
| Tube trach disp innr can 6 xlt HCPCS A4623 | not published | not published | $7.28 – $19.19 | 7 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | not published | not published | $52.78 – $138.99 | 7 |
| Tubing (oxygen) per foot HCPCS A4616 | not published | not published | $0.06 – $0.17 | 7 |
| Tubular dressing HCPCS A6457 | not published | not published | $1.26 – $3.33 | 7 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $70.11 – $435.81 | 7 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $1,095.68 – $2,343.83 | 8 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $1,020.25 – $2,179.80 | 8 |
| Twelve volt battery utah/equ HCPCS L7364 | not published | not published | $477.36 – $1,266.31 | 7 |
| Tx atrial fib pulm vein isol CPT 93656 | not published | not published | $865.50 – $1,878.85 | 8 |
| Tx closed distal humerus fx CPT 24999 | $2,884.30 | $2,884.30 | $232.17 – $2,342.92 | 9 |
| Tx closed hip disl traumatic without anes CPT 27250 | $1,453.60 | $1,453.60 | $167.40 – $328.86 | 9 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $5,535.10 | $5,535.10 | $560.52 – $1,225.82 | 9 |
| Tx closed tib shaft fx without manip CPT 27750 | $861.05 | $861.05 | $232.17 – $380.56 | 9 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $106.74 – $309.02 | 9 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $69.16 – $210.09 | 9 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $887.95 – $1,941.21 | 8 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $842.90 – $1,842.94 | 8 |
| Tx l/r atrial fib addl CPT 93657 | not published | not published | $280.54 – $609.35 | 8 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | not published | not published | $717.30 – $1,547.42 | 8 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $5,679.50 | $5,679.50 | $487.56 – $1,058.72 | 9 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | not published | not published | $530.99 – $1,153.62 | 8 |
| Tx open nsl fx uncomp CPT 21325 | not published | not published | $428.66 – $909.61 | 8 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | $613.15 – $1,302.73 | 8 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | not published | not published | $575.63 – $1,247.16 | 8 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $438.13 – $950.95 | 8 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $943.45 | $943.45 | $185.73 – $372.57 | 9 |
| Tympanic membrane repair CPT 69610 | not published | not published | $277.45 – $743.98 | 9 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $530.33 – $1,111.59 | 8 |
| Tympanometry & reflex thresh CPT 92550 | $207.90 | $207.90 | $21.24 – $164.03 | 9 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $127.72 – $392.54 | 9 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $1,358.29 – $2,854.21 | 8 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $1,235.30 – $2,606.83 | 8 |
| Tyms gene com variants CPT 81346 | not published | not published | $174.81 – $366.01 | 7 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $66.43 – $169.29 | 3 |
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.