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 |
|---|---|---|---|---|
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $1,649.40 | $1,649.40 | $232.17 – $380.56 | 9 |
| Clsr 1 vsd w/wo patch w/vlvt CPT 33684 | not published | not published | $1,731.05 – $3,776.71 | 8 |
| Clsr 1vsd w/wo ptch rmvl bnd CPT 33688 | not published | not published | $1,720.26 – $3,757.05 | 8 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $772.55 | $772.55 | $232.17 – $446.50 | 9 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $808.45 | $808.45 | $319.43 – $512.67 | 9 |
| Cltx craniofacial separation CPT 21431 | not published | not published | $669.78 – $1,419.32 | 8 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | not published | not published | $347.54 – $774.82 | 9 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | not published | not published | $232.17 – $670.08 | 9 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $2,884.30 | $2,884.30 | $494.06 – $1,109.54 | 9 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | not published | not published | $232.17 – $710.57 | 9 |
| Cltx lunate dislc w/mnpj CPT 25690 | $2,884.30 | $2,884.30 | $477.68 – $2,275.71 | 9 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | $9,271.05 | $9,271.05 | $891.11 – $2,108.58 | 9 |
| Cltx mndblr fx w/mnpj CPT 21451 | $2,432.15 | $2,432.15 | $617.54 – $1,480.88 | 9 |
| Cltx mndblr/max alv ridge fx CPT 21440 | $4,827.35 | $4,827.35 | $528.26 – $1,466.11 | 9 |
| Cltx palatal/max fx wire fix CPT 21421 | $4,698.35 | $4,698.35 | $525.04 – $1,243.81 | 9 |
| Cltx post ankle fx CPT 27767 | not published | not published | $232.17 – $626.28 | 9 |
| Cltx post ankle fx w/mnpj CPT 27768 | $2,771.10 | $2,771.10 | $435.14 – $949.59 | 9 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | not published | not published | $370.00 – $822.99 | 9 |
| Cltx strnclav dislc w/mnpj CPT 23525 | not published | not published | $232.17 – $797.30 | 9 |
| Cltx thigh fx CPT 27267 | not published | not published | $427.30 – $922.49 | 8 |
| Cltx thigh fx w/mnpj CPT 27268 | not published | not published | $526.56 – $1,140.06 | 8 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $757.37 – $1,845.80 | 9 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $745.01 – $1,588.76 | 8 |
| C motor evoked lwr limbs CPT 95929 | not published | not published | $74.54 – $155.21 | 8 |
| C motor evoked uppr limbs CPT 95928 | not published | not published | $75.08 – $156.57 | 8 |
| C motor evoked upr&lwr limbs CPT 95939 | not published | not published | $113.01 – $235.88 | 8 |
| Cmp rpr tof wo plm atrs ptch CPT 33694 | not published | not published | $1,787.38 – $3,900.07 | 8 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $14.10 – $30.84 | 8 |
| Cmptr ophth img optic nerve CPT 92133 | not published | not published | $14.10 – $40.47 | 8 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $9.50 – $29.15 | 7 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $8.80 – $18.29 | 7 |
| #cmvcul-virus inoculation shell CPT 87254 | $58.10 | $58.10 | $19.56 – $54.61 | 9 |
| Cmv ig IV CPT 90291 | not published | not published | $1,967.67 – $3,681.37 | 3 |
| Cmv pcr-sendout CPT 87496 | $97.45 | $97.45 | $35.09 – $91.60 | 9 |
| Cnbp gene detc abnor allele CPT 81187 | not published | not published | $137.00 – $287.07 | 7 |
| Cntct lens hydrophil photoch HCPCS V2524 | not published | not published | $152.29 – $349.98 | 2 |
| Co2 monitor per day CPT 94681 | not published | not published | $9.06 – $18.98 | 8 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | not published | not published | $2.03 – $5.03 | 8 |
| Coagulation time activated teg CPT 85347 | not published | not published | $4.28 – $8.82 | 7 |
| Coagulation time lee & white CPT 85345 | not published | not published | $4.69 – $9.49 | 7 |
| Coagulation time otr method CPT 85348 | not published | not published | $4.49 – $9.41 | 7 |
| Cocaine 4 % nasal solution HCPCS C9046 | not published | not published | $1.56 – $3.21 | 2 |
| Cocaine hcl nasal (numbrino) HCPCS C9143 | not published | not published | $1.84 – $4.69 | 2 |
| Coccidioidomycosis skin test CPT 86490 | not published | not published | $72.80 – $159.74 | 6 |
| Coch imp ext proc/contr rplc HCPCS L8619 | not published | not published | $7,792.57 – $20,671.81 | 7 |
| Coch implant headset replace HCPCS L8615 | not published | not published | $419.78 – $1,113.56 | 7 |
| Coch implant microphone repl HCPCS L8616 | not published | not published | $97.77 – $259.37 | 7 |
| Coch implant tran cable repl HCPCS L8618 | not published | not published | $24.41 – $64.71 | 7 |
| Coch implant trans coil repl HCPCS L8617 | not published | not published | $85.40 – $226.54 | 7 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $118.87 – $304.52 | 9 |
| Cochlear implt f/up exam 7/> CPT 92603 | not published | not published | $115.57 – $285.90 | 9 |
| Cocm by rhc/fqhc 60 min mo HCPCS G0512 | not published | not published | $59.40 – $282.69 | 7 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | not published | not published | $1.34 – $2.03 | 2 |
| Cogenex amnio memb per sq cm HCPCS Q4229 | not published | not published | $106.02 – $1,029.97 | 4 |
| Cold agglutinin screen (arc) CPT 86156 | not published | not published | $8.07 – $16.91 | 7 |
| Cold agglutinin titer CPT 86157 | not published | not published | $8.06 – $16.89 | 7 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | not published | not published | $1,550.31 – $3,355.11 | 8 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | not published | not published | $1,746.06 – $3,763.82 | 8 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | not published | not published | $1,947.43 – $4,187.46 | 8 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | not published | not published | $1,264.89 – $2,736.95 | 8 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | not published | not published | $1,815.28 – $3,931.92 | 8 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | not published | not published | $1,552.28 – $3,348.34 | 8 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | not published | not published | $1,972.68 – $4,255.91 | 8 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | not published | not published | $1,171.63 – $2,532.94 | 8 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | not published | not published | $1,701.95 – $3,678.41 | 8 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | not published | not published | $1,656.59 – $3,583.53 | 8 |
| Colectomy w/ileoanal anast CPT 44157 | not published | not published | $2,048.70 – $4,445.70 | 8 |
| Colectomy w/neo-rectum pouch CPT 44158 | not published | not published | $2,099.08 – $4,555.50 | 8 |
| Colistimethate sodium inj HCPCS J0770 | not published | not published | $10.90 – $24.03 | 4 |
| Collagenase, clost hist inj HCPCS J0775 | not published | not published | $66.27 – $140.12 | 8 |
| Collagen based wound filler HCPCS A6010 | not published | not published | $34.42 – $90.67 | 7 |
| Collagen dressing <=16 sq in HCPCS A6021 | not published | not published | $23.37 – $61.56 | 7 |
| Collagen drsg>16<=48 sq in HCPCS A6022 | not published | not published | $23.37 – $61.56 | 7 |
| Collagen dsg wound filler HCPCS A6024 | not published | not published | $6.87 – $18.10 | 7 |
| Collagen gel/paste wound fil HCPCS A6011 | not published | not published | $2.54 – $6.68 | 7 |
| Collagen imp urinary 2.5 ml HCPCS L8603 | $349.95 | $349.95 | $276.11 – $649.99 | 9 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $437.25 | $437.25 | $7.76 – $163.36 | 9 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | not published | not published | $23.62 – $62.65 | 7 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | not published | not published | $73.64 – $195.38 | 7 |
| Collar cerv ascend 172 reg HCPCS L0172 | not published | not published | $112.98 – $299.71 | 7 |
| Collar cerv patriot adlt HCPCS L0150 | not published | not published | $109.71 – $291.04 | 7 |
| Collar extrication adult univ HCPCS L0200 | not published | not published | $499.65 – $1,325.47 | 7 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $219.95 | $219.95 | $24.94 – $154.45 | 9 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $248.10 | $248.10 | $27.13 – $54.57 | 9 |
| Coll-e-derm 1 sq cm HCPCS Q4193 | not published | not published | $1,989.00 – $4,331.14 | 3 |
| Collj & interpj data ea 30 d CPT 99091 | not published | not published | $51.65 – $108.44 | 8 |
| Colon motility 6 hr study CPT 91117 | not published | not published | $130.42 – $273.16 | 8 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $87.72 – $654.68 | 9 |
| Colonoscopy flex with decompression 45393 CPT 45393 | not published | not published | $236.51 – $502.93 | 8 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | not published | not published | $214.91 – $939.28 | 9 |
| Colonoscopy for bleeding 44391 CPT 44391 | not published | not published | $217.27 – $1,225.82 | 9 |
| Colonoscopy for foreign body CPT 44390 | not published | not published | $199.37 – $778.66 | 9 |
| Colonoscopy & polypectomy 44392 CPT 44392 | not published | not published | $188.02 – $750.40 | 9 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | not published | not published | $286.64 – $607.30 | 8 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | not published | not published | $212.67 – $843.56 | 9 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $190.18 – $851.92 | 9 |
| Colonoscopy thru stoma spx CPT 44388 | not published | not published | $74.06 – $609.06 | 9 |
| Colonoscopy w/ablation CPT 45388 | not published | not published | $254.92 – $4,657.88 | 9 |
| Colonoscopy w/balloon dilat CPT 45386 | not published | not published | $200.67 – $1,169.29 | 9 |
| Colonoscopy w/band ligation CPT 45398 | not published | not published | $221.47 – $1,575.32 | 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.