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 |
|---|---|---|---|---|
| U2af1 gene common variants CPT 81357 | not published | not published | $92.99 – $404.65 | 7 |
| Ua w/micro/comp poc CPT 81000 | $12.50 | $12.50 | $4.02 – $11.75 | 9 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | $26,528.46 | $26,528.46 | $67.66 – $24,936.75 | 9 |
| Ue triple control harness HCPCS L6677 | not published | not published | $276.10 – $732.42 | 7 |
| Ugt1a1 gene analy common variants CPT 81350 | not published | not published | $47.61 – $490.06 | 7 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $2.50 – $5.43 | 8 |
| Ultrasound breast complete CPT 76641 | $897.50 | $897.50 | $33.63 – $447.60 | 9 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $661.35 | $661.35 | $31.34 – $426.42 | 9 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $483.75 | $483.75 | $20.38 – $125.10 | 9 |
| Ultrasound dx ophth b-scan CPT 76512 | $330.40 | $330.40 | $17.40 – $168.18 | 9 |
| Ultrasound elastography ea l target les CPT 76983 | not published | not published | $22.39 – $47.54 | 8 |
| Ultrasound elastography parenchyma CPT 76981 | $323.75 | $323.75 | $27.52 – $255.44 | 9 |
| Ultrasound encephalogram CPT 76506 | $1,102.70 | $1,102.70 | $29.05 – $729.51 | 9 |
| Ultrasound exam follow-up CPT 76970 | not published | not published | $31.51 – $31.51 | 1 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $359.00 | $359.00 | $34.61 – $283.25 | 9 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $744.60 | $744.60 | $35.17 – $168.18 | 9 |
| Ultrasound Guidance for a Needle Procedure CPT 76942 | $1,121.65 | $1,121.65 | $28.64 – $58.97 | 9 |
| Ultrasound guidance for vascular access CPT 76937 | $626.70 | $626.70 | $12.88 – $25.42 | 9 |
| Ultrasound guide intraoperative CPT 76998 | $1,909.80 | $1,909.80 | $43.74 – $729.51 | 9 |
| Ultrasound guide tissue ablation CPT 76940 | $1,121.65 | $1,121.65 | $73.01 – $884.98 | 9 |
| Ultrasound hips infant dynamic CPT 76885 | $1,051.40 | $1,051.40 | $33.96 – $829.55 | 9 |
| Ultrasound infant hips ltd without stress CPT 76886 | not published | not published | $28.50 – $59.64 | 8 |
| Ultrasound joint complete left CPT 76881 | $1,051.40 | $1,051.40 | $10.46 – $729.51 | 9 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $14.77 – $109.87 | 8 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $727.50 | $727.50 | $39.88 – $477.31 | 9 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $727.50 | $727.50 | $20.50 – $553.40 | 9 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | not published | not published | $87.06 – $179.62 | 8 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $604.95 | $604.95 | $39.11 – $141.66 | 9 |
| Ultrasound prostate/transrectal CPT 76872 | $1,453.60 | $1,453.60 | $31.24 – $729.51 | 9 |
| Ultrasound spinal canal and contents CPT 76800 | $529.50 | $529.50 | $58.44 – $417.78 | 9 |
| Ultrasound transabd ea addl gest CPT 76812 | not published | not published | $81.82 – $170.13 | 8 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $73.93 – $154.54 | 8 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | not published | not published | $38.87 – $81.34 | 8 |
| Ultraviolet therapy CPT 97028 | not published | not published | $8.00 – $16.95 | 8 |
| Umbilical artery cath newborn 36660 CPT 36660 | not published | not published | $64.74 – $136.25 | 8 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $294.41 – $1,058.72 | 8 |
| Umbilicoplasty 15847 CPT 15847 | not published | not published | $747.89 – $1,003.82 | 3 |
| Unit mobile power mpu HCPCS Q0479 | not published | not published | $11,206.70 – $29,517.41 | 7 |
| Unlistd noninvas vasc dx std CPT 93998 | not published | not published | $23.70 – $24.41 | 5 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $23.70 – $24.41 | 5 |
| Unlisted chemotherapy px CPT 96549 | $199.80 | $199.80 | $0.67 – $187.81 | 9 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $224.75 – $231.49 | 5 |
| Unlisted CT procedure CPT 76497 | not published | not published | $44.07 – $87.77 | 6 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $388.91 – $400.57 | 5 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $51.71 – $53.26 | 5 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $51.71 – $53.26 | 5 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $151.43 – $155.97 | 5 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $388.91 – $400.57 | 5 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $194.70 – $200.54 | 5 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $71.16 – $87.77 | 6 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $388.91 – $400.57 | 5 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $388.91 – $400.57 | 5 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $194.70 – $200.54 | 5 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $5,646.73 – $5,816.13 | 5 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | not published | not published | $5,646.73 – $5,816.13 | 5 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | not published | not published | $5,646.73 – $5,816.13 | 5 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | not published | not published | $5,646.73 – $5,816.13 | 5 |
| Unlisted laps px appendix CPT 44979 | not published | not published | $5,646.73 – $5,816.13 | 5 |
| Unlisted laps px bladder CPT 51999 | not published | not published | $5,646.73 – $5,816.13 | 5 |
| Unlisted laps px endoc sys CPT 60659 | not published | not published | $5,646.73 – $5,816.13 | 5 |
| Unlisted laps px esoph CPT 43289 | not published | not published | $5,646.73 – $5,816.13 | 5 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $5,646.73 – $5,816.13 | 5 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | $5,646.73 – $5,816.13 | 5 |
| Unlisted laps px renal CPT 50549 | not published | not published | $5,646.73 – $5,816.13 | 5 |
| Unlisted laps px spleen CPT 38129 | not published | not published | $5,646.73 – $5,816.13 | 5 |
| Unlisted laps px testis CPT 54699 | not published | not published | $5,646.73 – $5,816.13 | 5 |
| Unlisted laps px ureter CPT 50949 | not published | not published | $5,646.73 – $5,816.13 | 5 |
| Unlisted laps px uterus CPT 58578 | not published | not published | $5,646.73 – $5,816.13 | 5 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $224.75 – $231.49 | 5 |
| Unlisted misc path test CPT 89240 | not published | not published | $51.71 – $53.26 | 5 |
| Unlisted mr procedure CPT 76498 | not published | not published | $38.64 – $87.77 | 6 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $388.91 – $400.57 | 5 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $224.75 – $231.49 | 5 |
| Unlisted neurological dx px CPT 95999 | not published | not published | $151.43 – $155.97 | 5 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $388.91 – $400.57 | 5 |
| Unlisted oph svc/procedure CPT 92499 | not published | not published | $23.70 – $24.41 | 5 |
| Unlisted orl service/px CPT 92700 | not published | not published | $23.70 – $24.41 | 5 |
| Unlisted procedure colon CPT 45399 | not published | not published | $882.39 – $908.86 | 5 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $907.41 – $934.63 | 5 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $289.32 – $298.00 | 5 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $224.75 – $231.49 | 5 |
| Unlisted procedure liver CPT 47399 | not published | not published | $680.96 – $701.39 | 5 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $289.32 – $298.00 | 5 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $680.96 – $701.39 | 5 |
| Unlisted procedure rectum CPT 45999 | not published | not published | $882.39 – $908.86 | 5 |
| Unlisted procedure spine CPT 22899 | not published | not published | $232.17 – $239.13 | 5 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $868.19 – $1,855.13 | 8 |
| Unlisted psychiatric service/proc 90899 CPT 90899 | not published | not published | $28.83 – $29.70 | 5 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $232.17 – $239.13 | 5 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $224.75 – $231.49 | 5 |
| Unlisted px ant segment eye CPT 66999 | not published | not published | $2,207.38 – $2,273.60 | 5 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $232.17 – $239.13 | 5 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $907.41 – $934.63 | 5 |
| Unlisted px casting/strpg CPT 29799 | not published | not published | $152.72 – $157.30 | 5 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $289.32 – $298.00 | 5 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $680.96 – $701.39 | 5 |
| Unlisted px external ear CPT 69399 | not published | not published | $224.75 – $231.49 | 5 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $289.32 – $298.00 | 5 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $232.17 – $239.13 | 5 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $232.17 – $239.13 | 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.