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 |
|---|---|---|---|---|
| Unlisted px hands/fingers CPT 26989 | not published | not published | $232.17 – $239.13 | 5 |
| Unlisted px inner ear CPT 69949 | not published | not published | $224.75 – $231.49 | 5 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $289.32 – $581.61 | 6 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $232.17 – $239.13 | 5 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $235.39 – $242.45 | 5 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $128.50 – $132.36 | 5 |
| Unlisted px middle ear CPT 69799 | not published | not published | $224.75 – $231.49 | 5 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $224.75 – $231.49 | 5 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $224.75 – $231.49 | 5 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $232.17 – $239.13 | 5 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $2,207.38 – $2,273.60 | 5 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $224.75 – $231.49 | 5 |
| Unlisted px small intestine CPT 44799 | $1,583.70 | $1,583.70 | $85.63 – $1,286.44 | 9 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $224.75 – $231.49 | 5 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $128.50 – $132.36 | 5 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $224.75 – $231.49 | 5 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $224.75 – $231.49 | 5 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $51.71 – $53.26 | 5 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $388.91 – $400.57 | 5 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $192.31 – $399.70 | 6 |
| Unlisted surgical path px CPT 88399 | $31.10 | $31.10 | $24.54 – $53.26 | 9 |
| Unlisted transfusion med px CPT 86999 | $37.70 | $37.70 | $23.70 – $35.44 | 9 |
| Unlisted ultrasound procedure CPT 76999 | $507.10 | $507.10 | $85.22 – $117.64 | 9 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $598.38 – $616.33 | 5 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $388.91 – $400.57 | 5 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $5,646.73 – $5,816.13 | 5 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $5,646.73 – $5,816.13 | 5 |
| Unsched dialysis esrd pt hos HCPCS G0257 | not published | not published | $677.22 – $697.53 | 5 |
| Upgrade pm system CPT 33214 | $41,076.90 | $41,076.90 | $446.17 – $32,409.67 | 9 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $457.50 | $457.50 | $7.42 – $186.64 | 9 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $2,306.60 | $2,306.60 | $55.69 – $1,762.55 | 9 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $1,920.60 | $1,920.60 | $45.43 – $819.06 | 9 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,191.75 | $2,191.75 | $105.04 – $1,668.74 | 9 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $1,864.50 | $1,864.50 | $81.36 – $1,445.05 | 9 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,296.25 | $1,296.25 | $67.70 – $1,007.40 | 9 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $627.55 | $627.55 | $9.39 – $189.40 | 9 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $738.30 | $738.30 | $10.37 – $445.00 | 9 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $116.72 – $554.44 | 9 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $131.24 – $724.70 | 9 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | not published | not published | $378.32 – $1,003.61 | 7 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $168.89 – $369.40 | 8 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $1,550.85 | $1,550.85 | $40.84 – $884.07 | 9 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $1,503.55 | $1,503.55 | $36.92 – $1,139.43 | 9 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $131.24 – $772.25 | 9 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $614.12 – $1,304.09 | 8 |
| Urea nitrogen CPT 84520 | $90.80 | $90.80 | $3.95 – $85.35 | 9 |
| Urea nitrogen 24 hour urine CPT 84540 | $144.30 | $144.30 | $5.56 – $135.64 | 9 |
| Urea nitrogen clearance CPT 84545 | $18.00 | $18.00 | $7.20 – $16.92 | 9 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $5.13 – $10.75 | 7 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $166.19 – $3,450.69 | 9 |
| Ureteral reflux study CPT 78740 | not published | not published | $25.79 – $54.23 | 8 |
| Ureter endoscopy CPT 50970 | not published | not published | $350.23 – $744.21 | 8 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $333.32 – $821.08 | 9 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $446.25 – $948.92 | 8 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $338.44 – $719.15 | 8 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $334.96 – $828.78 | 9 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $298.51 – $748.47 | 9 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $440.25 – $936.05 | 8 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $336.26 – $714.40 | 8 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $1,062.05 – $2,263.17 | 8 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $1,074.89 – $2,293.68 | 8 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $1,507.90 | $1,507.90 | $14.96 – $290.71 | 9 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $716.82 – $1,525.06 | 8 |
| Urethrocystography void s&i CPT 74455 | $2,395.65 | $2,395.65 | $14.96 – $309.92 | 9 |
| Uric acid blood CPT 84550 | $99.25 | $99.25 | $4.52 – $93.30 | 9 |
| Uric acid urine CPT 84560 | $153.00 | $153.00 | $5.08 – $143.82 | 9 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.70 – $9.85 | 7 |
| Urinalysis microscopic only CPT 81015 | $90.80 | $90.80 | $3.05 – $85.35 | 9 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $2.17 – $4.55 | 7 |
| Urinalysis (with microscopy) CPT 81001 | $150.20 | $150.20 | $3.17 – $141.19 | 9 |
| Urinalysis (without microscopy) CPT 81003 | $59.35 | $59.35 | $2.25 – $55.79 | 9 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $7.06 – $14.92 | 8 |
| Urinary pouch on barr w/flng HCPCS A5073 | not published | not published | $3.53 – $9.30 | 7 |
| Urinary pouch w/barrier HCPCS A5071 | not published | not published | $6.68 – $17.60 | 7 |
| Urinary reflex study CPT 51792 | not published | not published | $52.47 – $113.20 | 8 |
| Urinary suspensory HCPCS A5105 | not published | not published | $38.52 – $101.46 | 7 |
| Urine Culture Test CPT 87086 | $120.00 | $120.00 | $8.07 – $112.80 | 9 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $5.50 – $15.42 | 8 |
| Urine ost pouch w faucet/tap HCPCS A4428 | not published | not published | $7.24 – $19.09 | 7 |
| Urine pregnancy test CPT 81025 | $90.10 | $90.10 | $8.61 – $35.49 | 9 |
| Urine screen for bacteria CPT 81007 | not published | not published | $4.07 – $62.82 | 7 |
| Urine shunt to intestine CPT 50815 | not published | not published | $1,172.49 – $2,485.50 | 8 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $3.49 – $18.29 | 7 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $63.43 – $124.03 | 3 |
| Urography, antegrade CPT 74425 | $1,064.20 | $1,064.20 | $23.26 – $489.85 | 9 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $22.39 – $46.77 | 8 |
| Urokinase 250,000 iu inj HCPCS J3365 | not published | not published | $457.73 – $457.73 | 2 |
| Urokinase 5000 iu injection HCPCS J3364 | not published | not published | $9.16 – $9.16 | 2 |
| Use 1st target lesion CPT 76982 | not published | not published | $27.19 – $56.93 | 8 |
| User adjustable heel height HCPCS L5990 | not published | not published | $1,688.56 – $4,479.33 | 7 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $5,061.30 | $5,061.30 | $12.50 – $4,757.62 | 9 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $34,803.95 | $34,803.95 | $153.96 – $32,715.71 | 9 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $12,453.02 – $12,826.61 | 5 |
| Vaccine Administration (one shot) CPT 90471 | $103.90 | $103.90 | $19.24 – $51.95 | 9 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $160.00 | $160.00 | $126.24 – $166.50 | 9 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $143.36 – $290.72 | 8 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $128.80 – $308.18 | 8 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $86.24 – $173.52 | 8 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $64.40 – $129.58 | 8 |
| Vaccine dtap < 7 years im CPT 90700 | $288.80 | $288.80 | $32.26 – $271.47 | 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.