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 |
|---|---|---|---|---|
| Biopsy of tear gland CPT 68510 | not published | not published | $275.10 – $864.12 | 9 |
| Biopsy of tear sac CPT 68525 | not published | not published | $245.78 – $516.48 | 8 |
| Biopsy of testis CPT 54500 | not published | not published | $71.62 – $151.84 | 8 |
| Biopsy of testis CPT 54505 | not published | not published | $202.06 – $429.73 | 8 |
| Biopsy of toe joint lining CPT 28054 | not published | not published | $226.76 – $706.07 | 9 |
| Biopsy of upper nose/throat CPT 42804 | not published | not published | $118.31 – $419.52 | 9 |
| Biopsy of urethra CPT 53200 | not published | not published | $135.75 – $307.10 | 9 |
| Biopsy of wrist joint CPT 25100 | not published | not published | $339.32 – $738.81 | 8 |
| Biopsy oocyte polar body CPT 89291 | not published | not published | $165.85 – $170.82 | 5 |
| Biopsy oocyte polar body <=5 CPT 89290 | not published | not published | $165.85 – $170.82 | 5 |
| Biopsy/removal lymph nodes CPT 38525 | not published | not published | $420.87 – $910.28 | 8 |
| Biopsy/removal lymph nodes 38520 CPT 38520 | not published | not published | $449.23 – $965.87 | 8 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $4,340.75 | $4,340.75 | $120.05 – $976.55 | 9 |
| Biopsy roof of mouth CPT 42100 | $2,729.80 | $2,729.80 | $106.11 – $283.33 | 9 |
| Biopsy skin incisional single lesion CPT 11106 | $674.00 | $674.00 | $53.96 – $300.02 | 9 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $1,070.85 | $1,070.85 | $150.38 – $516.54 | 9 |
| Biopsy thigh soft tissues CPT 27324 | not published | not published | $394.83 – $858.77 | 8 |
| Biopsy tongue anterior two-thirds CPT 41100 | not published | not published | $103.72 – $363.00 | 9 |
| Biopsy vaginal mucosa xtnsv CPT 57105 | not published | not published | $141.29 – $345.01 | 9 |
| Biopsy vestibule of mouth 40808 CPT 40808 | not published | not published | $85.29 – $327.66 | 9 |
| Biopsy vrt bdy open lmbr/crv CPT 20251 | not published | not published | $401.20 – $890.62 | 8 |
| Biopsy vrt bdy open thoracic CPT 20250 | not published | not published | $370.02 – $809.97 | 8 |
| Biospy of bladder CPT 53899 | $3,507.40 | $3,507.40 | $235.39 – $743.26 | 9 |
| Biotinidase - quest CPT 82261 | not published | not published | $16.87 – $35.25 | 7 |
| Biovance 1 square cm HCPCS Q4154 | not published | not published | $140.88 – $285.38 | 4 |
| Biovance tri or 3l, sq cm HCPCS Q4283 | not published | not published | $1,059.21 – $1,530.00 | 3 |
| Bis xtracell fluid analysis CPT 93702 | $273.00 | $273.00 | $117.14 – $234.44 | 9 |
| Bivalirudin HCPCS J0583 | not published | not published | $0.19 – $0.31 | 4 |
| Bk/ak locking mechanism HCPCS L5671 | not published | not published | $471.59 – $1,251.02 | 7 |
| Bk back check HCPCS L5686 | not published | not published | $57.10 – $151.46 | 7 |
| Bk flex inner socket ext fra HCPCS L5645 | not published | not published | $842.50 – $2,234.93 | 7 |
| Bk fork strap HCPCS L5684 | not published | not published | $57.16 – $151.63 | 7 |
| Bk joint covers pair HCPCS L5678 | not published | not published | $37.64 – $99.87 | 7 |
| Bk knee joints polycentric p HCPCS L5677 | not published | not published | $623.28 – $1,653.38 | 7 |
| Bk knee joints single axis p HCPCS L5676 | not published | not published | $450.03 – $1,193.83 | 7 |
| Bk molded distal cushion HCPCS L5668 | not published | not published | $117.45 – $311.59 | 7 |
| Bk molded supracondylar susp HCPCS L5670 | not published | not published | $273.25 – $724.87 | 7 |
| Bk mold socket sach ft endo HCPCS L5301 | not published | not published | $2,325.68 – $6,169.46 | 7 |
| Bk removable medial brim sus HCPCS L5672 | not published | not published | $332.40 – $881.76 | 7 |
| Bk thigh lacer glut/ischia m HCPCS L5682 | not published | not published | $790.55 – $2,097.15 | 7 |
| Bk thigh lacer non-molded HCPCS L5680 | not published | not published | $327.60 – $869.02 | 7 |
| Bk waist belt padded and lin HCPCS L5690 | not published | not published | $123.70 – $328.15 | 7 |
| Bk waist belt webbing HCPCS L5688 | not published | not published | $67.33 – $178.59 | 7 |
| Bladder calculi irrig sol HCPCS Q2004 | not published | not published | $29.15 – $445.53 | 3 |
| Bladder Catheter Insertion (simple) CPT 51702 | $267.25 | $267.25 | $23.68 – $117.30 | 9 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $458.90 | $458.90 | $28.37 – $147.77 | 9 |
| Bladder irrigation tubing HCPCS A4355 | not published | not published | $8.43 – $22.19 | 7 |
| Bld exchange truj oth thn nb CPT 36455 | not published | not published | $114.73 – $251.47 | 8 |
| Bld prd mix CPT 86965 | $418.40 | $418.40 | $38.81 – $247.36 | 9 |
| Bld push tfuj 2 yr/< CPT 36440 | not published | not published | $47.17 – $98.97 | 8 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $1,301.76 | $1,301.76 | $21.02 – $303.86 | 6 |
| Blepharoplasty lower 15820 CPT 15820 | not published | not published | $494.75 – $1,120.46 | 9 |
| Blepharoplasty upper 15822 CPT 15822 | not published | not published | $382.62 – $893.66 | 9 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | not published | not published | $529.03 – $1,201.41 | 9 |
| Blepharp lwr eyelid fat pad CPT 15821 | not published | not published | $527.80 – $1,199.48 | 9 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | not published | not published | $138.79 – $301.47 | 8 |
| Blind cor sinus reducer impl HCPCS C9783 | not published | not published | $10,975.86 – $11,305.13 | 5 |
| Blinded conv. tx mdd clin tr HCPCS G2000 | not published | not published | $171.19 – $528.94 | 5 |
| Blind interatrial shunt ide HCPCS C9758 | not published | not published | $16,937.68 – $17,445.81 | 5 |
| Blind myocar trpl bon marrow HCPCS C9782 | not published | not published | $16,937.68 – $17,445.81 | 5 |
| Blind/nonblind trans atrial HCPCS C9792 | not published | not published | $9,436.92 – $9,720.03 | 5 |
| Blink reflex test CPT 95933 | not published | not published | $29.84 – $62.36 | 8 |
| Blm gene CPT 81209 | $158.10 | $158.10 | $39.31 – $148.61 | 9 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $750.00 | $750.00 | $33.17 – $39.52 | 6 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $2,395.00 | $2,395.00 | $14.16 – $16.87 | 6 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $2,500.00 | $2,500.00 | $946.80 – $1,128.00 | 6 |
| Bln press regulation 71-80cm HCPCS C1815 | $6,365.00 | $6,365.00 | $2,295.99 – $2,735.40 | 6 |
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | not published | not published | $13.63 – $35.92 | 7 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | not published | not published | $73.48 – $155.90 | 8 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | not published | not published | $68.68 – $145.72 | 8 |
| Block paracervical nrv CPT 64435 | not published | not published | $41.50 – $155.47 | 9 |
| Block plantar digital nerve CPT 64455 | $805.65 | $805.65 | $31.86 – $96.38 | 9 |
| Block tap inj(s) w/wo img bi CPT 64488 | $5,487.20 | $5,487.20 | $57.45 – $264.69 | 9 |
| Block tap inj(s) w/wo img uni CPT 64486 | $3,675.50 | $3,675.50 | $49.61 – $214.59 | 9 |
| Blood clot lysis time CPT 85175 | not published | not published | $6.15 – $42.68 | 7 |
| Blood clot retraction CPT 85170 | not published | not published | $5.74 – $33.88 | 7 |
| Blood Clotting (PT/INR) Test CPT 85610 | $110.55 | $110.55 | $4.29 – $85.16 | 9 |
| Blood Clotting (PTT) Test CPT 85730 | $190.05 | $190.05 | $6.01 – $178.65 | 9 |
| Blood component/product noc HCPCS P9099 | not published | not published | $48.93 – $50.40 | 5 |
| Blood Count (CBC) Test CPT 85025 | $105.05 | $105.05 | $7.77 – $98.75 | 9 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $79.70 | $79.70 | $6.47 – $74.92 | 9 |
| Blood count spun microhematocrit CPT 85013 | not published | not published | $3.77 – $14.67 | 7 |
| Blood Culture Test CPT 87040 | $399.85 | $399.85 | $10.32 – $375.86 | 9 |
| Blood draw capillary 36416 CPT 36416 | $28.85 | $28.85 | $2.34 – $20.54 | 7 |
| Blood Draw (Venipuncture) CPT 36415 | $36.45 | $36.45 | $3.49 – $34.26 | 9 |
| Blood gases o2 saturation direct measurement CPT 82805 | $122.90 | $122.90 | $45.02 – $115.53 | 9 |
| Blood gases ph venous CPT 82800 | $102.45 | $102.45 | $11.00 – $96.30 | 9 |
| Blood, l/r, irradiated HCPCS P9056 | not published | not published | $84.17 – $86.70 | 5 |
| Blood mucoprotein HCPCS P2038 | not published | not published | $4.95 – $10.16 | 7 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $115.65 | $115.65 | $15.92 – $108.71 | 9 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $51.00 | $51.00 | $4.23 – $38.07 | 9 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $51.00 | $51.00 | $4.38 – $38.07 | 9 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $33.85 | $33.85 | $5.15 – $20.30 | 9 |
| Blood smear interpretation CPT 85060 | not published | not published | $22.61 – $47.44 | 8 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | not published | not published | $3.80 – $7.96 | 7 |
| Blood split unit HCPCS P9011 | not published | not published | $75.56 – $146.05 | 7 |
| Blood thymol turbidity HCPCS P2033 | not published | not published | $4.95 – $10.16 | 7 |
| Blood Transfusion CPT 36430 | $1,502.30 | $1,502.30 | $36.42 – $87.44 | 9 |
| Blood typing abo CPT 86900 | $118.75 | $118.75 | $2.99 – $128.50 | 9 |
| Blood typing ag donor ea ag CPT 86902 | $276.70 | $276.70 | $6.08 – $358.60 | 9 |
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.