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 |
|---|---|---|---|---|
| Chlmyd pneum dna dir probe CPT 87485 | not published | not published | $20.05 – $42.01 | 7 |
| Chlmyd pneum dna quant CPT 87487 | not published | not published | $42.84 – $89.48 | 7 |
| Chlnggrphy intraop addl s&i CPT 74301 | $572.30 | $572.30 | $9.72 – $451.54 | 9 |
| Chloramphenicol sodium injec HCPCS J0720 | not published | not published | $41.08 – $50.26 | 4 |
| Chlordiazepoxide injection HCPCS J1990 | not published | not published | $21.05 – $42.01 | 3 |
| Chloride CPT 82435 | $90.80 | $90.80 | $4.60 – $85.35 | 9 |
| Chloride 24 hour urine CPT 82436 | $99.10 | $99.10 | $5.75 – $93.15 | 9 |
| Chloroprocaine (clorotekal) HCPCS J2402 | not published | not published | $0.31 – $0.65 | 3 |
| Chloroprocaine hcl injection HCPCS J2401 | $281.95 | $281.95 | $0.03 – $244.09 | 7 |
| Chloroprocaine opht gel, 1mg HCPCS J2403 | not published | not published | $0.60 – $1.19 | 8 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $475.21 | $475.21 | $63.79 – $446.70 | 6 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $323.05 | $323.05 | $29.79 – $265.03 | 6 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | not published | not published | $0.36 – $0.73 | 3 |
| Chmotx admn plrl cav thrcnts CPT 96440 | not published | not published | $128.98 – $1,437.84 | 9 |
| Cholangiogram percutaneous compl CPT 47532 | $7,166.50 | $7,166.50 | $197.95 – $1,590.74 | 9 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $958.25 | $958.25 | $12.55 – $392.57 | 9 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $1,197.47 – $2,600.73 | 8 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $1,065.68 – $2,309.27 | 8 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $1,092.48 – $2,365.52 | 8 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $10,264.20 | $10,264.20 | $318.76 – $4,973.15 | 9 |
| Cholera vaccine live oral CPT 90625 | not published | not published | $308.00 – $576.24 | 3 |
| Cholesterol CPT 82465 | $51.00 | $51.00 | $4.35 – $47.94 | 9 |
| Cholesterol body fluid CPT 84999 | $164.90 | $164.90 | $130.11 – $155.01 | 6 |
| Cholesterol (Lipid) Test CPT 80061 | $201.65 | $201.65 | $13.39 – $189.55 | 9 |
| Choline c-11 HCPCS A9515 | not published | not published | $2,062.94 – $12,572.61 | 8 |
| Cholinesterase CPT 82480 | not published | not published | $7.87 – $16.26 | 7 |
| Cholinesterase challenge CPT 95857 | not published | not published | $27.10 – $122.70 | 9 |
| Chorion biopsy CPT 59015 | not published | not published | $121.73 – $307.10 | 9 |
| Chorionic gonadotropin/1000u HCPCS J0725 | not published | not published | $21.82 – $38.89 | 4 |
| Chrnc care mgmt phys 1st 30 CPT 99491 | not published | not published | $72.31 – $163.19 | 9 |
| Chrom analysis CPT 88273 | not published | not published | $34.81 – $72.94 | 7 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $31.11 – $81.72 | 7 |
| Chromatography CPT 83021 | $50.15 | $50.15 | $18.06 – $47.14 | 9 |
| Chromogenic substrate assay CPT 85130 | not published | not published | $11.89 – $24.91 | 7 |
| Chromo high res and frag x - sendout CPT 81243 | $416.80 | $416.80 | $30.24 – $391.79 | 9 |
| Chromosome analys amniotic CPT 88269 | $451.50 | $451.50 | $94.72 – $178.87 | 9 |
| Chromosome analysis 100 CPT 88249 | not published | not published | $173.17 – $362.62 | 7 |
| Chromosome analysis 15-20 cell count CPT 88262 | $347.35 | $347.35 | $125.49 – $194.20 | 9 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $173.17 – $362.62 | 7 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $150.29 – $314.92 | 7 |
| Chromosome analysis 5 CPT 88261 | not published | not published | $264.34 – $553.76 | 7 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $173.17 – $362.62 | 7 |
| Chromosome analys placenta CPT 88267 | $490.25 | $490.25 | $175.71 – $209.34 | 9 |
| Chromosome banding study CPT 88283 | not published | not published | $68.60 – $143.68 | 7 |
| Chromosome count additional CPT 88285 | not published | not published | $26.91 – $56.26 | 7 |
| Chromosome karyotype study CPT 88280 | $233.05 | $233.05 | $33.47 – $181.61 | 9 |
| Chromosome study additional CPT 88289 | not published | not published | $34.43 – $71.85 | 7 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $12.46 – $26.11 | 7 |
| Chylomicron screen, bf - sendout CPT 82664 | not published | not published | $54.51 – $128.79 | 7 |
| Cid ext controller repl HCPCS L8628 | not published | not published | $1,151.40 – $3,054.37 | 7 |
| Cid ext speech process repl HCPCS L8627 | not published | not published | $6,641.17 – $17,617.41 | 7 |
| Cidofovir injection HCPCS J0740 | not published | not published | $529.38 – $595.23 | 8 |
| Cid transmit coil and cable HCPCS L8629 | not published | not published | $166.65 – $442.05 | 7 |
| Cilastatin sodium injection HCPCS J0743 | not published | not published | $6.91 – $14.23 | 4 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $373.28 – $848.70 | 9 |
| Ciltacabtagene car-pos t HCPCS Q2056 | not published | not published | $553,378.83 – $1,089,860.32 | 6 |
| Cinacalcet 30 mg tablet HCPCS J0604 | not published | not published | $0.02 – $0.04 | 3 |
| Cine/video x-rays CPT 76120 | not published | not published | $18.13 – $37.95 | 8 |
| Cine/video x-rays add-on CPT 76125 | not published | not published | $12.69 – $27.11 | 8 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $81.22 | $81.22 | $1.37 – $76.35 | 6 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | not published | not published | $28.88 – $91.04 | 5 |
| Circum 28 days or older CPT 54161 | not published | not published | $190.08 – $404.65 | 8 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | $283.40 | $283.40 | $140.12 – $266.40 | 9 |
| Circumcision (newborn) CPT 54150 | $709.90 | $709.90 | $91.35 – $230.21 | 9 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $226.26 | $226.26 | $1.72 – $212.68 | 6 |
| C-kit mutation liquid tumor - sendout CPT 81272 | not published | not published | $329.51 – $690.47 | 7 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | not published | not published | $9.73 – $22.27 | 8 |
| C-laminoplasty w/graft/plate CPT 63051 | not published | not published | $1,603.18 – $3,484.56 | 8 |
| Clamp neck artery CPT 61703 | not published | not published | $1,282.46 – $2,833.20 | 8 |
| Claviculectomy partial CPT 23120 | not published | not published | $567.46 – $1,228.18 | 8 |
| Claviculectomy total CPT 23125 | not published | not published | $684.98 – $1,478.29 | 8 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $131.57 – $419.52 | 9 |
| Clearance of airways CPT 31720 | $570.40 | $570.40 | $47.51 – $83.75 | 9 |
| Clearance of airways CPT 31725 | not published | not published | $74.62 – $157.93 | 8 |
| Clearance of tear duct CPT 68530 | not published | not published | $242.65 – $832.64 | 9 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $41.51 – $188.88 | 9 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $20.21 – $157.40 | 9 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $30.36 – $194.67 | 9 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $20.21 – $166.40 | 9 |
| C-lens fitg tech ou CPT 92314 | not published | not published | $33.19 – $167.03 | 5 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $168.24 | $168.24 | $1.90 – $27.16 | 7 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $1,110.77 – $2,372.31 | 8 |
| Cllr miami j sm HCPCS L0174 | not published | not published | $325.95 – $864.66 | 7 |
| Cl mult vsd w/rem pul band CPT 33677 | not published | not published | $1,924.33 – $4,200.32 | 8 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | not published | not published | $9.19 – $21.39 | 8 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $20.50 | $20.50 | $16.17 – $19.27 | 6 |
| Close bladder-uterus fistula CPT 51920 | not published | not published | $735.06 – $1,558.27 | 8 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $2,577.66 – $5,616.25 | 8 |
| Close chest after drainage CPT 32810 | not published | not published | $841.39 – $1,823.95 | 8 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $623.65 | $623.65 | $232.17 – $380.56 | 9 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | not published | not published | $385.55 – $867.97 | 9 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | $15,560.60 | $15,560.60 | $700.10 – $1,506.74 | 9 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $232.17 – $862.84 | 9 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $1,248.45 | $1,248.45 | $319.43 – $486.66 | 9 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $2,226.95 | $2,226.95 | $232.17 – $380.56 | 9 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $1,274.10 | $1,274.10 | $248.10 – $514.57 | 9 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $1,040.60 | $1,040.60 | $107.31 – $303.88 | 9 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $620.05 – $1,563.13 | 9 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $160.61 – $425.31 | 9 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $315.66 – $988.75 | 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.