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 |
|---|---|---|---|---|
| Cymetra injectable HCPCS Q4112 | not published | not published | $872.08 – $872.08 | 2 |
| Cyp2c19 gene com variants CPT 81225 | not published | not published | $291.36 – $610.53 | 7 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $174.81 – $366.01 | 7 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $450.91 – $944.85 | 7 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $174.81 – $366.01 | 7 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $174.81 – $366.01 | 7 |
| Cystatin c CPT 82610 | $48.15 | $48.15 | $18.02 – $45.26 | 9 |
| Cystic fibrosis cftr CPT 81223 | not published | not published | $499.00 – $1,045.62 | 7 |
| Cystine urine quantitative CPT 82131 | not published | not published | $22.98 – $48.13 | 7 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $457.29 – $969.24 | 8 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $2,395.65 | $2,395.65 | $14.52 – $228.93 | 9 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $8,949.76 – $9,218.25 | 5 |
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $156.58 – $332.80 | 6 |
| Cysto, litho, vacuum kidney HCPCS C9761 | not published | not published | $8,949.76 – $9,218.25 | 5 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $100.10 – $212.14 | 8 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $856.74 – $1,819.89 | 8 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $713.10 – $1,517.60 | 8 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $156.58 – $5,157.71 | 8 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $158.27 – $865.41 | 9 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $227.03 – $481.91 | 8 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $165.55 – $1,433.34 | 9 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $191.30 – $1,497.59 | 9 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $233.03 – $494.80 | 8 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $272.98 – $579.51 | 8 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $370.23 – $786.25 | 8 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $199.62 – $424.30 | 8 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $154.22 – $717.64 | 9 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $250.60 – $532.07 | 8 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $305.72 – $649.33 | 8 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $191.99 – $681.66 | 9 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $186.85 – $675.23 | 9 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $231.18 – $490.73 | 8 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $265.01 – $562.58 | 8 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $274.50 – $582.91 | 8 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $263.02 – $558.52 | 8 |
| Cystoscopy and treatment CPT 52310 | $3,803.40 | $3,803.40 | $144.27 – $615.48 | 9 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $259.76 – $904.59 | 9 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $233.43 – $496.16 | 8 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $249.15 – $1,159.01 | 9 |
| Cystoscopy (Bladder Scope) CPT 52000 | $1,610.20 | $1,610.20 | $76.33 – $461.94 | 9 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $160.49 – $746.55 | 9 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $157.72 – $735.62 | 9 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $318.70 – $677.81 | 8 |
| Cystoscopy inject material CPT 52327 | not published | not published | $244.23 – $519.88 | 8 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $4,920.13 – $5,067.73 | 5 |
| Cystoscopy removal of clots CPT 52001 | $711.30 | $711.30 | $271.67 – $844.84 | 9 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $172.99 – $808.22 | 9 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $235.74 – $1,036.94 | 9 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $302.41 – $642.54 | 8 |
| Cystoscopy & ureter catheter CPT 52005 | $4,100.35 | $4,100.35 | $126.47 – $584.65 | 9 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $3,623.90 | $3,623.90 | $280.28 – $600.53 | 9 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $453.01 – $964.51 | 8 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $750.20 – $1,589.45 | 8 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $286.72 – $609.35 | 8 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $349.38 – $742.18 | 8 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $394.45 – $838.45 | 8 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $441.92 – $939.43 | 8 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $392.91 – $835.05 | 8 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $370.23 – $786.25 | 8 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $421.40 – $895.38 | 8 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $335.30 – $712.36 | 8 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $372.74 – $791.68 | 8 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $250.15 – $532.07 | 8 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $4,100.35 | $4,100.35 | $145.07 – $628.98 | 9 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $134.68 – $726.63 | 9 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $48.02 – $1,647.29 | 9 |
| Cystourethro w/implant CPT 52441 | not published | not published | $198.92 – $2,423.38 | 9 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $325.69 – $692.04 | 8 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $292.63 – $621.55 | 8 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $268.84 – $570.71 | 8 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | not published | not published | $0.76 – $1.57 | 4 |
| Cytarabine liposome inj HCPCS J9098 | not published | not published | $604.66 – $856.74 | 3 |
| Cytog alys chrml abnr lw-ps CPT 81349 | not published | not published | $433.08 – $2,509.89 | 7 |
| Cytogenetics 25-99 CPT 88274 | $648.60 | $648.60 | $42.38 – $267.05 | 9 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $40.70 – $85.28 | 7 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $558.19 – $2,430.60 | 7 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $587.69 – $1,885.64 | 7 |
| Cytog genom-wid alys hem mal CPT 81195 | not published | not published | $1,263.53 – $2,647.65 | 6 |
| Cytomegalovirus ag ia CPT 87332 | not published | not published | $11.98 – $25.08 | 7 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $166.00 | $166.00 | $14.39 – $25.66 | 9 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $26.70 | $26.70 | $16.85 – $25.10 | 9 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $13.42 – $27.79 | 7 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $1,807.87 – $3,586.17 | 8 |
| Cytomeg dna dir probe CPT 87495 | not published | not published | $30.03 – $62.93 | 7 |
| Cyto/molecular report CPT 88291 | $258.25 | $258.25 | $31.56 – $118.59 | 9 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $25.37 – $52.87 | 7 |
| Cytopath c/v automated CPT 88147 | not published | not published | $18.06 – $105.74 | 7 |
| Cytopath c/v auto redo CPT 88152 | not published | not published | $16.77 – $57.60 | 7 |
| Cytopath c/v auto rescreen CPT 88148 | not published | not published | $17.66 – $37.28 | 7 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $9.50 – $30.51 | 7 |
| Cytopath c/v manual CPT 88150 | not published | not published | $16.77 – $37.28 | 7 |
| Cytopath c/v redo CPT 88153 | not published | not published | $16.77 – $50.16 | 7 |
| Cytopath c/v thin layer redo CPT 88143 | not published | not published | $23.04 – $48.13 | 7 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $17.93 – $37.28 | 8 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $1,022.30 | $1,022.30 | $26.12 – $141.23 | 9 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $73.85 | $73.85 | $26.49 – $54.66 | 9 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $119.55 | $119.55 | $20.26 – $56.59 | 9 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | not published | not published | $21.20 – $44.07 | 8 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | not published | not published | $26.44 – $54.90 | 8 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | not published | not published | $8.60 – $40.47 | 8 |
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.