healthcosts.net

Pen Bay Medical Center

6 Glen Cove Dr, Rockport, ME · MaineHealth · · NPI 1982645305

Source: hospital's published price file ↗ · Published Sep 9, 2025 · Ingested Aug 13, 2026

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
Above knee cushion socket HCPCS L5648 not published not published $624.20 – $1,655.83 7
Above knee flex cover system HCPCS L5964 not published not published $1,009.62 – $2,678.30 7
Above knee hydracadence HCPCS L5610 not published not published $2,345.44 – $6,221.87 7
Above knee leather socket HCPCS L5642 not published not published $587.39 – $1,558.23 7
Above knee manual lock HCPCS L5925 not published not published $318.56 – $845.07 7
Above knee wood socket HCPCS L5644 not published not published $734.79 – $1,949.22 7
Abrasion lesions add-on CPT 15787 not published not published $16.24 – $57.82 9
Abrasion lesion single CPT 15786 not published not published $130.02 – $443.30 9
Abscess drain retroperitoneal surg code CPT 49406 $5,288.30 $5,288.30 $182.57 – $1,677.47 9
Absorpt drg >16<=48 in w/bdr HCPCS A6255 not published not published $3.38 – $8.91 7
Absorpt drg >16 <=48 without bdr HCPCS A6252 not published not published $3.62 – $9.53 7
Absorpt drg <=16 sq in w/bdr HCPCS A6254 not published not published $1.33 – $3.50 7
Absorpt drg <=16 sq in without b HCPCS A6251 not published not published $2.22 – $5.83 7
Absorpt drg > 48 sq in without b HCPCS A6253 not published not published $7.04 – $18.54 7
Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 not published not published $111.07 – $244.01 8
Access thoracic lymph duct CPT 38794 not published not published $270.01 – $574.78 8
Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 not published not published $0.05 – $0.10 4
Acetaminophen level CPT 80143 $502.25 $502.25 $8.97 – $472.12 9
Acetazolamide 500 mg solution for injection HCPCS J1120 $307.43 $307.43 $24.04 – $288.98 6
Acetone qualitative CPT 82009 $13.40 $13.40 $4.52 – $12.60 9
Acetylcholine receptor modulating antibody CPT 86043 $31.35 $31.35 $12.05 – $29.47 9
Acetylcholinesterase assay CPT 82013 not published not published $12.29 – $25.75 7
Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 $1,073.68 $1,073.68 $0.57 – $1,009.26 6
Acetylcysteine non-comp unit HCPCS J7608 not published not published $6.32 – $16.11 4
Acid perfusion of esophagus CPT 91030 not published not published $43.92 – $91.51 8
Acne surgery 10040 CPT 10040 not published not published $50.06 – $224.87 9
Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 not published not published $159.51 – $336.19 8
Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 not published not published $125.37 – $265.01 8
Aco ccm; at least 20 min 99490aco CPT 99490 not published not published $39.25 – $120.79 9
Aco ccm; ea addl 20 min 99439aco CPT 99439 not published not published $32.99 – $92.52 9
Aco cmplx chron care addl 20 min 99489aco CPT 99489 not published not published $47.18 – $139.42 9
Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 not published not published $63.61 – $258.92 9
Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 $454.85 $454.85 $124.73 – $358.88 9
Aco depression screen annual medicare g0444aco HCPCS G0444 not published not published $8.74 – $36.63 8
Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 $74.20 $74.20 $15.00 – $32.13 9
Acoustic immitance testing CPT 92570 $264.60 $264.60 $27.99 – $61.68 9
Acoustic refl threshold tst CPT 92568 $105.30 $105.30 $14.65 – $30.51 9
Acromp/acromionectomy prtl CPT 23130 not published not published $597.09 – $1,291.88 8
Acth stimulation panel CPT 80402 not published not published $86.96 – $182.22 7
Acth stimulation panel CPT 80406 not published not published $78.26 – $163.99 7
Actigraphy testing CPT 95803 $508.80 $508.80 $40.08 – $401.44 9
Actinotherapy uv light CPT 96900 $103.85 $103.85 $22.75 – $81.94 9
Acup 1/> w/estim 1st 15 min CPT 97813 not published not published $23.70 – $87.37 9
Acup 1/> w/estim ea addl 15 CPT 97814 not published not published $23.27 – $70.67 9
Acup 1/> without estim ea add 15 CPT 97811 $80.95 $80.95 $22.95 – $54.62 9
Acup 1/> wo estim 1st 15 min CPT 97810 $94.50 $94.50 $23.70 – $73.88 9
Acute hepatitis panel CPT 80074 $776.15 $776.15 $47.63 – $729.58 9
Acute venous thrombus image CPT 78456 not published not published $44.88 – $93.54 8
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 $130.53 $130.53 $0.04 – $122.70 6
#acylcarnitineprfl CPT 82017 $81.75 $81.75 $16.87 – $76.85 9
Acylcarnitines qual CPT 82016 not published not published $16.49 – $34.55 7
Adalimumab injection HCPCS J0135 not published not published $551.04 – $5,563.09 4
Adapt behavior tx phys/qhp CPT 97155 not published not published $21.90 – $160.17 7
Adapter b 8 channel 10cm HCPCS C1883 $100.00 $100.00 $78.90 – $94.00 6
Adaptive behavior tx by tech CPT 97153 not published not published $12.76 – $92.21 7
Adding walker to prev cast CPT 29440 not published not published $26.75 – $84.16 9
Additional switch, ext power HCPCS L6611 not published not published $383.22 – $1,016.60 7
Add le poly knee custom kafo HCPCS L2387 not published not published $196.37 – $520.90 7
Add ue prost a/e acrylic HCPCS L7404 not published not published $517.32 – $1,372.34 7
Add ue prost a/e ultlite mat HCPCS L7401 not published not published $319.35 – $847.18 7
Add ue prost b/e acrylic HCPCS L7403 not published not published $342.74 – $909.21 7
Add ue prost be/wd, ultlite HCPCS L7400 not published not published $285.27 – $756.72 7
Add ue prost s/d acrylic HCPCS L7405 not published not published $676.58 – $1,794.78 7
Add ue prost s/d ultlite mat HCPCS L7402 not published not published $344.88 – $914.87 7
Add up-ex prosthes lock mech HCPCS L6698 not published not published $471.59 – $1,251.02 7
Adenosine 3 mg/250 ml bag for osm HCPCS J0153 not published not published $0.42 – $0.63 4
Adenovirus ag ia CPT 87301 not published not published $11.98 – $25.08 7
Adenovirus antibody,serum - quest CPT 86603 not published not published $12.87 – $26.97 7
Adenovirus assay w/optic CPT 87809 not published not published $18.17 – $45.41 7
Adenovirus vaccine type 4 CPT 90476 not published not published $96.39 – $139.50 2
Adhesiolysis tube ovary 58740 CPT 58740 not published not published $864.42 – $1,850.40 8
Adhesive, liquid or equal HCPCS A4364 not published not published $3.20 – $8.61 7
Adh-sendout CPT 84588 $297.15 $297.15 $33.94 – $279.32 9
Adj gastric band via subq port CPT 43999 $1,530.35 $1,530.35 $907.41 – $1,438.53 9
Adjmt/revj ext fixj sys anes CPT 20693 not published not published $427.51 – $936.05 8
Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 not published not published $731.95 – $1,787.34 9
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 $1,967.15 $1,967.15 $0.23 – $2.73 6
Admin ecg contrast agent CPT 93352 $305.90 $305.90 $32.04 – $229.28 9
Administration chemotherapy IV infusion each additional hour CPT 96415 $322.60 $322.60 $25.93 – $254.53 9
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 $214.60 $214.60 $59.74 – $113.88 9
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 $811.20 $811.20 $121.19 – $640.04 9
Administration chemotherapy IV push single/initial substance/drug CPT 96409 $467.00 $467.00 $93.88 – $368.46 9
Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 $194.40 $194.40 $32.04 – $153.38 9
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 $286.10 $286.10 $67.23 – $225.73 9
Administration immunization each additional component CPT 90461 not published not published $8.41 – $17.62 8
Administration immunization each additional vaccine CPT 90472 $134.25 $134.25 $13.85 – $37.10 9
Administration immunization first component each vaccine CPT 90460 not published not published $21.48 – $46.77 8
Administration immunization intranasal/oral route 1 vaccine CPT 90473 not published not published $15.80 – $33.88 8
Administration immunization intranasal/oral route each additional vaccine CPT 90474 not published not published $11.35 – $24.39 8
Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 not published not published $22.60 – $46.77 8
Administration vaccine hepatitis b HCPCS G0010 $134.25 $134.25 $29.92 – $97.67 9
Administration vaccine pneumococcal HCPCS G0009 not published not published $29.92 – $68.46 7
Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 $103.90 $103.90 $10.20 – $51.95 9
Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 $15,242.28 $15,242.28 $36.98 – $8,954.85 9
Adrenal cortex & medulla img CPT 78075 not published not published $33.96 – $71.16 8
Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 not published not published $1,177.36 – $2,539.71 8
Adrenalin epinephrine inject HCPCS J0171 $726.62 $726.62 $0.75 – $34.90 6
Advance care planning each additional 30 min 99498 CPT 99498 $191.65 $191.65 $68.38 – $110.36 9
Adv prim care mgmt lvl 1 HCPCS G0556 not published not published $11.90 – $25.08 6
Adv prim care mgmt lvl 2 HCPCS G0557 not published not published $28.83 – $75.92 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.