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 |
|---|---|---|---|---|
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $109.73 – $141.92 | 3 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $68.41 – $127.99 | 3 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $168.95 – $316.10 | 3 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $128.26 – $175.65 | 3 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $33.28 – $49.47 | 3 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | not published | not published | $13.50 – $46.10 | 3 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $840.82 | $840.82 | $71.50 – $790.37 | 6 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $1,292.50 | $1,292.50 | $141.34 – $1,214.95 | 6 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $758.24 | $758.24 | $42.27 – $712.75 | 6 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $36.43 – $61.00 | 2 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $74.85 – $148.55 | 8 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | not published | $70.38 – $139.12 | 8 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $155.12 – $332.69 | 8 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $705.05 | $705.05 | $30.37 – $268.36 | 9 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $1,301.47 | $1,301.47 | $322.04 – $1,223.38 | 6 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $179.39 – $254.00 | 3 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $716.01 | $716.01 | $71.34 – $673.05 | 9 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $58.62 – $165.04 | 8 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $18.05 – $43.21 | 8 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $228.93 | $228.93 | $19.57 – $215.19 | 9 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $20.65 – $63.32 | 5 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $73.11 – $234.59 | 5 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $21.40 – $57.95 | 5 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | not published | not published | $21.95 – $67.78 | 5 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $10.33 – $31.66 | 5 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $27.42 – $84.27 | 5 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $71.34 – $222.59 | 5 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $22.04 – $72.84 | 8 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $5.99 – $21.60 | 8 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $1,731.61 | $1,731.61 | $250.60 – $1,627.71 | 6 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $213.09 – $398.68 | 3 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $1,678.41 | $1,678.41 | $187.02 – $1,577.71 | 6 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $1,627.43 | $1,627.43 | $176.23 – $1,529.78 | 6 |
| Vaccine mmr live subcutaneous CPT 90707 | $929.14 | $929.14 | $86.75 – $873.39 | 6 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $302.57 – $562.58 | 4 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $1,142.68 | $1,142.68 | $131.13 – $1,074.12 | 9 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $253.60 – $510.01 | 8 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $249.26 – $501.25 | 8 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $2,068.14 | $2,068.14 | $292.95 – $1,944.05 | 9 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $189.26 | $189.26 | $47.76 – $177.90 | 6 |
| Vaccine rabies im CPT 90675 | $1,751.21 | $1,751.21 | $312.03 – $1,646.14 | 9 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | not published | not published | $330.40 – $618.15 | 3 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | not published | not published | $582.12 – $1,089.10 | 3 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | not published | $582.12 – $1,089.10 | 3 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $313.60 – $616.06 | 3 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $130.82 – $213.62 | 3 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $107.48 – $152.10 | 3 |
| Vaccine tdap >=7 years im CPT 90715 | $480.18 | $480.18 | $38.38 – $451.37 | 6 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $393.38 | $393.38 | $29.86 – $369.78 | 6 |
| Vaccine typhoid vicps im CPT 90691 | $1,430.49 | $1,430.49 | $94.90 – $1,344.66 | 6 |
| Vaccine varicella live subcutaneous CPT 90716 | $1,786.06 | $1,786.06 | $127.42 – $1,678.90 | 6 |
| Vaccine yellow fever live subcutaneous CPT 90717 | $1,635.54 | $1,635.54 | $147.77 – $1,537.41 | 6 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.02 | 6 |
| Vacuum drain bottle/tube kit HCPCS A7048 | not published | not published | $45.91 – $120.93 | 7 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | not published | not published | $438.84 – $1,155.86 | 7 |
| Vad cable power module dc input HCPCS Q0478 | not published | not published | $172.27 – $453.75 | 7 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | not published | not published | $3,915.54 – $10,313.17 | 7 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $950.08 – $2,030.02 | 8 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $1,182.97 – $2,530.91 | 8 |
| Vag hyst including t/o CPT 58262 | not published | not published | $886.37 – $1,892.41 | 8 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $1,245.94 – $2,665.79 | 8 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $1,157.99 – $2,477.35 | 8 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $854.83 – $1,824.64 | 8 |
| Vag hyst w/uro repair compl 58293 CPT 58293 | not published | not published | $2,055.10 – $2,055.10 | 1 |
| Vaginal bx CPT 58999 | not published | not published | $194.70 – $200.54 | 5 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $835.78 – $1,842.94 | 8 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $2,276.07 – $4,935.74 | 8 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $802.38 – $1,712.12 | 8 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $1,662.76 – $3,544.89 | 8 |
| Vag inser rectal control sys HCPCS A4563 | not published | not published | $120.61 – $3,369.75 | 7 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $1,662.76 – $3,544.89 | 8 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $863.06 – $1,840.90 | 8 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $104.23 – $227.73 | 8 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $1,137.95 – $2,469.22 | 8 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $1,125.40 – $2,442.10 | 8 |
| Valproic acid total therapeutic drug level CPT 80164 | $92.00 | $92.00 | $13.54 – $86.48 | 9 |
| Valrubicin injection HCPCS J9357 | not published | not published | $1,363.85 – $2,752.77 | 8 |
| Valvuloplasty aortic CPT 92986 | not published | not published | $1,224.22 – $2,649.51 | 8 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $1,770.29 – $3,851.93 | 8 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $2,097.17 – $4,564.99 | 8 |
| Valvuloplasty mitral CPT 92987 | not published | not published | $1,262.18 – $2,731.53 | 8 |
| Valvuloplasty pulmonary CPT 92990 | not published | not published | $1,011.58 – $2,187.95 | 8 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $2,818.81 – $6,136.80 | 8 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $2,239.25 – $4,870.67 | 8 |
| Vancomycin hcl injection HCPCS J3370 | $867.94 | $867.94 | $2.00 – $117.25 | 6 |
| Vancomycin peak therapeutic drug level CPT 80202 | $92.00 | $92.00 | $13.54 – $86.48 | 9 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $35.09 – $73.19 | 7 |
| Vantas implant HCPCS J9225 | not published | not published | $4,754.87 – $9,556.99 | 5 |
| Variable concentration mask HCPCS A4620 | not published | not published | $0.67 – $1.76 | 7 |
| Varicella zoster antibody igg CPT 86787 | $129.75 | $129.75 | $12.88 – $121.97 | 9 |
| Varicella-zoster immue globin im CPT 90396 | not published | not published | $208.77 – $3,463.96 | 8 |
| Varus/valgus strap padded/li HCPCS L2270 | not published | not published | $55.88 – $148.25 | 7 |
| Vasc emb/occ w/prs cath HCPCS C9797 | not published | not published | $17,379.23 – $17,900.61 | 5 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $705.99 – $1,527.09 | 8 |
| Vasectomy CPT 55250 | not published | not published | $220.27 – $648.25 | 9 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $232.06 | $232.06 | $1.82 – $218.14 | 7 |
| Vbac delivery 59610 CPT 59610 | not published | not published | $2,370.25 – $5,170.26 | 8 |
| Vbac/include postpartum care 59614 CPT 59614 | not published | not published | $1,081.32 – $2,381.80 | 8 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $22,349.59 | $22,349.59 | $22.06 – $21,008.61 | 9 |
| Veeg cont 2-12 hrs CPT 95713 | not published | not published | $513.54 – $1,191.77 | 8 |
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.