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 |
|---|---|---|---|---|
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | not published | not published | $4.48 – $8.80 | 4 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $1,705.56 | $1,705.56 | $3.84 – $1,603.23 | 9 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | not published | not published | $1.62 – $3.25 | 4 |
| Ceftazidime and avibactam HCPCS J0714 | $1,757.37 | $1,757.37 | $92.66 – $1,651.93 | 9 |
| Ceftizoxime sodium / 500 mg HCPCS J0715 | not published | not published | $5.24 – $5.25 | 2 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $256.10 | $256.10 | $0.46 – $8.31 | 6 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $52.21 | $52.21 | $1.87 – $33.38 | 6 |
| #celiac hla-dq2 CPT 81377 | not published | not published | $94.74 – $198.52 | 7 |
| #celiac hla-dq8 CPT 81383 | not published | not published | $109.13 – $228.42 | 7 |
| Cell count body fluid CPT 89050 | $127.20 | $127.20 | $4.72 – $119.57 | 9 |
| Cell count w differential body fluid CPT 89051 | $246.50 | $246.50 | $5.60 – $231.71 | 9 |
| Cell cryopreserve/storage CPT 88240 | not published | not published | $13.07 – $27.11 | 7 |
| Cell enumeration & id CPT 86152 | not published | not published | $250.78 – $525.30 | 7 |
| Cell enumeration phys interp CPT 86153 | not published | not published | $31.90 – $66.43 | 8 |
| Cellesta or duo per sq cm HCPCS Q4184 | not published | not published | $34.75 – $1,234.21 | 3 |
| Cell function assay w/stim CPT 86352 | not published | not published | $135.86 – $284.69 | 7 |
| Cell marker study CPT 88182 | $835.35 | $835.35 | $35.95 – $284.99 | 9 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | $26,086.63 | $26,086.63 | $27.46 – $24,521.43 | 9 |
| Centralization wrist on ulna CPT 25335 | not published | not published | $908.88 – $1,956.13 | 8 |
| Centruroides immune f(ab) HCPCS J0716 | not published | not published | $4,859.01 – $10,066.97 | 8 |
| Cephalin floculation test HCPCS P2028 | not published | not published | $4.95 – $10.16 | 7 |
| Cerclage cervix pregnancy abdominal 59325 CPT 59325 | not published | not published | $223.35 – $490.73 | 8 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | not published | not published | $344.67 – $727.28 | 8 |
| Cerebrospinal fld flw imag CPT 78645 | not published | not published | $25.22 – $52.87 | 8 |
| Cer post col occ/man sup adj HCPCS L0180 | not published | not published | $439.64 – $1,166.26 | 7 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $14,325.44 | $14,325.44 | $4.46 – $13,465.91 | 9 |
| Cerv collar supp adj cerv ba HCPCS L0190 | not published | not published | $532.80 – $1,413.37 | 7 |
| Cervical collar molded to pt HCPCS L0170 | not published | not published | $731.84 – $1,941.40 | 7 |
| Cervical laminoplsty 2/> seg CPT 63050 | not published | not published | $1,403.99 – $3,068.41 | 8 |
| Cervical lymphadenectomy 38720 CPT 38720 | not published | not published | $1,288.76 – $2,749.84 | 8 |
| Cervical or vaginal cancer screening g0101 HCPCS G0101 | not published | not published | $25.91 – $75.81 | 8 |
| Cerv sr wire occ/man pre ots HCPCS L0160 | not published | not published | $185.84 – $492.97 | 7 |
| Cesarean section delivery only 59514 CPT 59514 | not published | not published | $838.05 – $1,844.30 | 8 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $3,878.50 | $3,878.50 | $71.54 – $1,822.90 | 9 |
| #cf-97variants CPT 81220 | $1,653.75 | $1,653.75 | $556.60 – $1,554.53 | 9 |
| Cftr gene dup/delet variants CPT 81222 | not published | not published | $65.54 – $911.64 | 7 |
| Cftr gene intron poly t CPT 81224 | not published | not published | $87.51 – $353.60 | 7 |
| Cftr gene known fam variants CPT 81221 | not published | not published | $97.22 – $203.72 | 7 |
| Change cystostomy tube; complex 51710 CPT 51710 | $1,207.95 | $1,207.95 | $76.67 – $262.77 | 9 |
| Change cystostomy tube simple CPT 51705 | $696.70 | $696.70 | $49.54 – $188.24 | 9 |
| Change gastric port open CPT 43888 | not published | not published | $444.64 – $962.48 | 8 |
| Change g-tube to g-j perc CPT 49446 | $3,178.80 | $3,178.80 | $137.13 – $1,510.44 | 9 |
| Change nephroureteral cath CPT 50387 | $2,374.15 | $2,374.15 | $77.89 – $1,044.00 | 9 |
| Change of ureter tube/stent CPT 50688 | $2,653.00 | $2,653.00 | $74.20 – $2,093.22 | 9 |
| Change of windpipe airway 31502 CPT 31502 | $309.05 | $309.05 | $32.87 – $69.82 | 9 |
| Change stent via transureth CPT 50385 | not published | not published | $203.81 – $1,922.26 | 9 |
| Change ureter stent percut CPT 50382 | $6,376.05 | $6,376.05 | $235.43 – $1,892.70 | 9 |
| Charger coch impl/aoi battry HCPCS L8625 | not published | not published | $175.77 – $466.28 | 7 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $57.97 – $353.86 | 9 |
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | $89.95 – $238.36 | 9 |
| Chemical peel face epiderm 15788 CPT 15788 | not published | not published | $205.81 – $753.61 | 9 |
| Chemical peel nonfacial 15793 CPT 15793 | not published | not published | $339.34 – $920.66 | 9 |
| Chemical peel nonfacial; epidermal CPT 15792 | not published | not published | $199.37 – $649.53 | 9 |
| Chemo adm cns w/lmbr punct CPT 96450 | $939.05 | $939.05 | $73.37 – $311.60 | 9 |
| Chemodener muscle larynx emg CPT 64617 | not published | not published | $103.78 – $312.88 | 9 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | not published | not published | $65.62 – $180.53 | 9 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | not published | not published | $76.29 – $233.21 | 9 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | not published | not published | $110.29 – $344.35 | 9 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | not published | not published | $100.93 – $296.82 | 9 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $241.16 – $609.06 | 9 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | not published | not published | $112.82 – $267.27 | 9 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | not published | not published | $205.14 – $466.44 | 9 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $48.59 – $201.73 | 9 |
| Chemodenerv eccrine glands 64650 CPT 64650 | not published | not published | $38.66 – $171.53 | 9 |
| Chemodenerv musc migraine 64615 CPT 64615 | not published | not published | $114.60 – $298.11 | 9 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | not published | not published | $102.21 – $269.20 | 9 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | not published | not published | $104.21 – $257.62 | 9 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | not published | not published | $109.53 – $312.88 | 9 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | not published | not published | $124.69 – $356.57 | 9 |
| Chemo extend IV infus w/pump HCPCS G0498 | $811.20 | $811.20 | $265.53 – $640.04 | 9 |
| Chemo ia infuse each addl hr CPT 96423 | not published | not published | $44.66 – $140.31 | 8 |
| Chemo ia infusion up to 1 hr CPT 96422 | not published | not published | $146.46 – $302.31 | 8 |
| Chemo ia push tecnique CPT 96420 | not published | not published | $95.89 – $197.91 | 8 |
| Chemo intralesional over 7 CPT 96406 | not published | not published | $42.86 – $249.92 | 9 |
| Chemo intralesional up to 7 96405 CPT 96405 | not published | not published | $27.88 – $159.97 | 9 |
| Chemotaxis assay CPT 86155 | not published | not published | $15.99 – $33.21 | 7 |
| Chemotherapy injection 96542 CPT 96542 | not published | not published | $39.79 – $251.85 | 9 |
| Chemotx admn pertl cav impl CPT 96446 | not published | not published | $18.43 – $346.97 | 9 |
| Chest 2 vws w oblique CPT 71048 | $1,040.60 | $1,040.60 | $14.31 – $523.11 | 9 |
| Chest apical lordotic proj CPT 71047 | $1,040.60 | $1,040.60 | $12.68 – $523.11 | 9 |
| Chest CT scan (with and without contrast) CPT 71270 | $2,953.20 | $2,953.20 | $57.00 – $2,090.26 | 9 |
| Chest CT scan (with contrast) CPT 71260 | $2,306.60 | $2,306.60 | $53.19 – $891.41 | 9 |
| Chest CT scan (without contrast) CPT 71250 | $1,920.60 | $1,920.60 | $49.25 – $738.94 | 9 |
| Chest Physiotherapy (first session) CPT 94667 | $159.05 | $159.05 | $21.73 – $105.45 | 9 |
| Chest Physiotherapy (follow-up session) CPT 94668 | $222.70 | $222.70 | $33.93 – $100.87 | 9 |
| Chest Ultrasound CPT 76604 | $924.60 | $924.60 | $26.20 – $170.35 | 9 |
| Chest X-ray CPT 71046 | $726.10 | $726.10 | $10.05 – $308.81 | 9 |
| Chest X-ray (single view) CPT 71045 | $685.65 | $685.65 | $8.41 – $273.03 | 9 |
| Chg pr pul rehab for copd patients CPT 94626 | $165.30 | $165.30 | $24.78 – $134.27 | 9 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $867.90 | $867.90 | $31.99 – $459.71 | 9 |
| Chikungunya vaccine live im CPT 90589 | not published | not published | $288.12 – $288.12 | 1 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $207.46 – $434.47 | 7 |
| Chimerism anal w/cell select CPT 81268 | not published | not published | $260.79 – $546.30 | 7 |
| Chiropractic manj 5 regions CPT 98942 | not published | not published | $24.49 – $97.65 | 9 |
| Chiropract manj 1-2 regions CPT 98940 | not published | not published | $21.52 – $52.69 | 9 |
| Chiropract manj 3-4 regions CPT 98941 | not published | not published | $24.49 – $75.81 | 9 |
| Chiropract manj xtrspinl 1/> CPT 98943 | not published | not published | $22.43 – $49.46 | 5 |
| Chlamydia culture CPT 87110 | $54.45 | $54.45 | $19.60 – $51.18 | 9 |
| Chlamydia trachomatis ag if CPT 87270 | not published | not published | $11.98 – $25.08 | 7 |
| Chlamydia type CPT 87140 | $14.50 | $14.50 | $5.57 – $13.63 | 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.