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 |
|---|---|---|---|---|
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $239.15 | $239.15 | $21.70 – $151.65 | 9 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $445.70 | $445.70 | $51.71 – $114.59 | 9 |
| Cytopath smear other source CPT 88160 | $75.85 | $75.85 | $23.70 – $59.85 | 9 |
| Cytopath smear other source CPT 88162 | not published | not published | $37.28 – $77.28 | 8 |
| Cytopath smear oth prep screen & interp CPT 88161 | not published | not published | $23.70 – $50.16 | 8 |
| Cytopath tbs c/v auto redo CPT 88166 | not published | not published | $16.77 – $37.28 | 7 |
| Cytopath tbs c/v manual CPT 88164 | not published | not published | $16.77 – $37.28 | 7 |
| Cytopath tbs c/v redo CPT 88165 | not published | not published | $16.77 – $88.47 | 7 |
| Cytopath tbs c/v select CPT 88167 | not published | not published | $16.77 – $37.28 | 7 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $62.80 – $164.70 | 7 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $29.68 – $62.19 | 7 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $46.00 – $95.57 | 8 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $139.24 | $139.24 | $3.60 – $130.89 | 6 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $302.92 – $668.90 | 8 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $4,248.21 | $4,248.21 | $15.29 – $3,993.32 | 9 |
| Dalteparin sodium HCPCS J1645 | not published | not published | $14.25 – $27.41 | 4 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | not published | not published | $0.02 – $0.06 | 4 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.05 – $0.08 | 6 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $25,243.50 | $25,243.50 | $49.05 – $23,728.89 | 9 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $9,240.79 | $9,240.79 | $2.93 – $1,231.30 | 9 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $2.93 – $5.87 | 8 |
| Dark field exam spec collj CPT 87164 | not published | not published | $9.20 – $35.34 | 8 |
| Dark field exam without collj CPT 87166 | not published | not published | $9.20 – $23.68 | 7 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $223.52 – $491.07 | 8 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | not published | not published | $19.76 – $46.50 | 8 |
| Daunorubicin citrate inj HCPCS J9151 | not published | not published | $57.66 – $108.44 | 3 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $192.31 – $548.33 | 8 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $176.73 – $531.96 | 9 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $4,856.25 | $4,856.25 | $224.70 – $579.51 | 9 |
| Dch glucoscan CPT 82948 | $45.00 | $45.00 | $4.04 – $8.88 | 9 |
| Dch pulmonary stress test CPT 94621 | not published | not published | $64.64 – $135.55 | 8 |
| Dch validity tests CPT 81002 | $13.35 | $13.35 | $3.48 – $9.73 | 9 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | $1,430.70 | $1,430.70 | $546.96 – $1,162.16 | 9 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $1,685.98 – $3,725.18 | 8 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $262.81 – $559.19 | 8 |
| D&c of cervical stump CPT 57558 | not published | not published | $124.02 – $308.38 | 9 |
| Deamidated gliadin antibody iga CPT 86258 | $34.25 | $34.25 | $5.55 – $32.20 | 9 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $653.30 – $1,416.60 | 8 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $1,005.45 | $1,005.45 | $25.74 – $114.36 | 9 |
| Debridement (>20 cm) charge pt CPT 97598 | $604.60 | $604.60 | $13.39 – $86.73 | 9 |
| Debridement bone <= 20 sq cm CPT 11044 | $2,438.85 | $2,438.85 | $213.45 – $600.70 | 9 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $1,231.50 | $1,231.50 | $51.07 – $140.71 | 9 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $2,308.80 | $2,308.80 | $90.77 – $232.57 | 9 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $967.75 | $967.75 | $57.63 – $250.56 | 9 |
| Debride nail1-5 11720 CPT 11720 | $195.75 | $195.75 | $13.75 – $63.61 | 9 |
| Debride nail6 or more 11721 CPT 11721 | $182.25 | $182.25 | $22.80 – $86.09 | 9 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $282.85 – $964.34 | 9 |
| Debride skin bone at fx site CPT 11012 | $4,968.20 | $4,968.20 | $394.35 – $1,255.38 | 9 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $530.89 – $1,146.16 | 8 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $716.19 – $1,560.30 | 8 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $424.10 | $424.10 | $23.45 – $77.10 | 9 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $49.53 – $151.62 | 9 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $983.95 | $983.95 | $264.71 – $799.26 | 9 |
| Debr inf skin add-on 11001 CPT 11001 | not published | not published | $14.08 – $52.69 | 9 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $1,287.15 | $1,287.15 | $146.80 – $449.09 | 9 |
| Decalcification CPT 88311 | $127.20 | $127.20 | $8.15 – $46.24 | 9 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | not published | not published | $1.43 – $4.61 | 4 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $589.85 | $589.85 | $30.79 – $70.49 | 9 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $448.84 – $971.30 | 8 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $714.74 – $1,506.07 | 8 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $1,177.52 – $2,530.91 | 8 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $543.28 – $1,175.31 | 8 |
| Decompress fingers/hand CPT 26035 | not published | not published | $828.97 – $1,791.43 | 8 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $1,255.46 – $2,677.32 | 8 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $746.48 – $1,613.84 | 8 |
| Decompression fasct forearm CPT 24495 | not published | not published | $889.28 – $1,877.51 | 8 |
| Decompression of leg CPT 27892 | not published | not published | $514.66 – $1,119.05 | 8 |
| Decompression of leg CPT 27893 | not published | not published | $592.25 – $1,282.41 | 8 |
| Decompression of leg CPT 27894 | not published | not published | $780.51 – $1,687.04 | 8 |
| Decompression of lower leg CPT 27600 | not published | not published | $385.80 – $826.23 | 8 |
| Decompression of lower leg CPT 27601 | not published | not published | $424.70 – $906.90 | 8 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $529.77 – $1,151.59 | 8 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $560.56 – $1,211.92 | 8 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $634.09 – $1,373.22 | 8 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $677.36 – $1,462.01 | 8 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $347.12 – $1,019.59 | 9 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $351.15 – $772.69 | 8 |
| Decompressive craniotomy CPT 61322 | not published | not published | $2,228.68 – $4,930.31 | 8 |
| Decompress optic nerve CPT 67570 | not published | not published | $1,219.72 – $2,539.04 | 8 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $1,530.87 – $3,361.20 | 8 |
| Decompress small bowel CPT 44021 | not published | not published | $919.67 – $1,993.41 | 8 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $1,407.56 – $3,072.47 | 8 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $1,663.43 – $3,642.50 | 8 |
| Decompress spine cord add-on CPT 63066 | not published | not published | $188.00 – $420.24 | 8 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $297.37 – $656.79 | 8 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $146.22 – $587.85 | 9 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | not published | not published | $6.90 – $17.66 | 4 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $2,066.58 | $2,066.58 | $4.14 – $1,710.54 | 9 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $731.17 – $1,569.10 | 8 |
| Delay flap arms/legs CPT 15610 | not published | not published | $233.48 – $714.41 | 9 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $329.51 – $897.52 | 9 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $312.84 – $867.97 | 9 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $201.77 – $656.59 | 9 |
| Delivery of placenta 59414 CPT 59414 | not published | not published | $83.81 – $185.05 | 8 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $865.32 – $1,908.00 | 8 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | not published | not published | $1,283.97 – $2,826.43 | 8 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | not published | not published | $597.70 – $1,303.40 | 8 |
| Demonstrate use home inr mon HCPCS G0248 | not published | not published | $80.55 – $202.67 | 8 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $492.30 | $492.30 | $15.86 – $105.45 | 9 |
| Denervation of hip joint CPT 27035 | not published | not published | $1,097.29 – $2,312.65 | 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.