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 |
|---|---|---|---|---|
| Woman's shoe oxford brace HCPCS L3224 | not published | not published | $66.33 – $175.97 | 7 |
| Wound Cleaning and Dead Tissue Removal (up to 20 sq cm) CPT 97597 | $621.05 | $621.05 | $28.52 – $182.00 | 9 |
| Wound closure by adhesive HCPCS G0168 | not published | not published | $13.51 – $235.14 | 8 |
| Woundfix biowound plus xplus HCPCS Q4217 | not published | not published | $573.00 – $781.15 | 3 |
| Wound pouch each HCPCS A6154 | not published | not published | $15.98 – $42.10 | 7 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $643.75 | $643.75 | $20.09 – $522.92 | 9 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $643.75 | $643.75 | $23.03 – $522.92 | 9 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $93.15 | $93.15 | $23.81 – $65.76 | 9 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $279.40 | $279.40 | $25.77 – $98.29 | 9 |
| Wrist arthroscopy CPT 29840 | not published | not published | $437.31 – $954.35 | 8 |
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $469.77 – $1,019.41 | 8 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $483.82 – $1,047.89 | 8 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $566.56 – $1,222.75 | 8 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $505.94 – $1,091.93 | 8 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $525.24 – $1,135.31 | 8 |
| Wrist/elbow bowden cable mol HCPCS L6580 | not published | not published | $1,537.85 – $4,079.54 | 7 |
| Wrist/elbow bowden cbl dir f HCPCS L6582 | not published | not published | $1,360.88 – $3,610.12 | 7 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $494.77 – $1,074.31 | 8 |
| Wrist X-ray CPT 73110 | $533.10 | $533.10 | $8.08 – $210.03 | 9 |
| Wrist X-ray (2 views, both wrists) CPT 73100 | $368.45 | $368.45 | $7.76 – $179.93 | 9 |
| Wrst mld sck flx hng tri pad HCPCS L6050 | not published | not published | $1,995.21 – $5,292.82 | 7 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $874.05 – $1,746.78 | 8 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $711.64 – $1,497.25 | 8 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $651.93 – $1,375.93 | 8 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $713.26 – $1,420.75 | 8 |
| Xcellistem, 1 mg HCPCS A2004 | not published | not published | $13.26 – $300.95 | 2 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $817.00 – $1,718.22 | 8 |
| Xe133 xenon 10mci HCPCS A9558 | not published | not published | $236.01 – $580.37 | 9 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | not published | not published | $598.54 – $1,472.54 | 9 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | not published | not published | $541.84 – $1,364.60 | 9 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $914.00 – $1,915.23 | 7 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $914.00 – $1,915.23 | 7 |
| Xm archive tissue molec anal CPT 88363 | not published | not published | $18.14 – $44.33 | 9 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | not published | not published | $338.22 – $740.15 | 8 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | not published | not published | $185.22 – $407.35 | 8 |
| X-ray abdomen >=3 views CPT 74021 | $738.30 | $738.30 | $12.34 – $255.44 | 9 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $2,304.00 | $2,304.00 | $25.89 – $434.50 | 9 |
| X-ray assay calculus CPT 82370 | not published | not published | $12.52 – $26.23 | 7 |
| X-ray bone length studies CPT 77073 | $761.25 | $761.25 | $12.56 – $523.11 | 9 |
| X-ray bone survey infant CPT 77076 | $761.25 | $761.25 | $32.32 – $332.33 | 9 |
| X-ray consultation CPT 76140 | not published | not published | $36.63 – $36.63 | 1 |
| Xray endovasc thor ao repr CPT 75956 | not published | not published | $305.00 – $663.56 | 8 |
| Xray endovasc thor ao repr CPT 75957 | not published | not published | $261.55 – $568.68 | 8 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $632.15 | $632.15 | $16.60 – $359.94 | 9 |
| X-ray exam entire spi 6/> vw CPT 72084 | $632.15 | $632.15 | $19.44 – $359.94 | 9 |
| X-ray exam of arm infant CPT 73092 | $663.00 | $663.00 | $7.42 – $263.01 | 9 |
| X-ray exam of femur 1 CPT 73551 | $318.50 | $318.50 | $7.76 – $158.00 | 9 |
| X-ray exam of jaw joint CPT 70328 | not published | not published | $8.41 – $17.62 | 8 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $24.90 – $52.20 | 8 |
| X-ray exam of mastoids CPT 70120 | $456.50 | $456.50 | $8.41 – $360.18 | 9 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $16.61 – $34.57 | 8 |
| X-ray exam of penis CPT 74445 | $552.05 | $552.05 | $50.09 – $435.57 | 9 |
| X-ray exam of perineum CPT 74775 | not published | not published | $28.50 – $59.64 | 8 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $7.76 – $16.26 | 8 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $13.87 – $29.15 | 8 |
| X-ray exam of teeth CPT 70300 | not published | not published | $4.81 – $10.16 | 8 |
| X-ray exam of teeth CPT 70310 | not published | not published | $7.63 – $16.26 | 8 |
| X-ray exam si joints CPT 72200 | $334.40 | $334.40 | $7.98 – $188.45 | 9 |
| X-ray exam thorac spine4/>vw CPT 72074 | $819.25 | $819.25 | $11.35 – $240.45 | 9 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $663.00 | $663.00 | $8.41 – $339.66 | 9 |
| X-ray fallopian tube CPT 74742 | not published | not published | $27.85 – $58.30 | 8 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $8.29 – $17.62 | 8 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $331.40 | $331.40 | $12.89 – $190.62 | 9 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $632.15 | $632.15 | $14.52 – $359.94 | 9 |
| X-ray joint survey 1 view CPT 77077 | not published | not published | $15.84 – $33.21 | 8 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $333.35 | $333.35 | $7.42 – $164.98 | 9 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $1,187.75 | $1,187.75 | $10.37 – $164.19 | 9 |
| X-ray male genital tract CPT 74440 | not published | not published | $17.26 – $35.92 | 8 |
| X-ray mandible ltd <4 views CPT 70100 | $663.00 | $663.00 | $8.41 – $339.66 | 9 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $15.95 – $29.10 | 2 |
| X-ray nose to rectum for foreign body child CPT 76010 | $761.25 | $761.25 | $8.41 – $523.11 | 9 |
| X-ray of mammary ducts CPT 77054 | $1,452.30 | $1,452.30 | $20.42 – $1,145.86 | 9 |
| X-ray optic foramina CPT 70190 | $443.10 | $443.10 | $10.38 – $349.61 | 9 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $151.84 – $330.09 | 8 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $173.29 – $377.53 | 8 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $1,503.55 | $1,503.55 | $23.69 – $697.48 | 9 |
| X-ray ribs 2 views left CPT 71100 | $564.00 | $564.00 | $10.37 – $424.84 | 9 |
| X-ray sella turcica CPT 70240 | not published | not published | $8.74 – $18.29 | 8 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $1,157.40 | $1,157.40 | $23.79 – $726.24 | 9 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $26.53 – $55.57 | 8 |
| X-ray small intestine follow-through study CPT 74248 | $2,116.25 | $2,116.25 | $0.91 – $36.42 | 9 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $663.00 | $663.00 | $10.05 – $339.66 | 9 |
| X-ray surgical specimen CPT 76098 | $881.35 | $881.35 | $14.52 – $523.11 | 9 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $430.50 | $430.50 | $12.02 – $158.00 | 9 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $26.79 – $56.26 | 8 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $209.85 – $544.27 | 8 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $68.90 – $143.01 | 8 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $1,479.00 – $6,263.55 | 3 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $12.91 – $27.05 | 7 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.29 – $2.95 | 8 |
| Yersinia antibody CPT 86793 | not published | not published | $13.19 – $27.64 | 7 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $56,824.55 – $117,397.00 | 8 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $236.09 – $627.10 | 4 |
| Ziconotide injection HCPCS J2278 | not published | not published | $9.04 – $19.32 | 8 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $284.99 | $284.99 | $1.51 – $267.89 | 6 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $1.55 – $2.70 | 2 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $51.31 – $107.52 | 7 |
| Zika virus igm antibody CPT 86794 | not published | not published | $16.85 – $35.25 | 7 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | not published | not published | $1.40 – $3.67 | 7 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $628.82 | $628.82 | $8.08 – $591.09 | 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.