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 |
|---|---|---|---|---|
| Dengue vacc quad 3 dose subq CPT 90587 | not published | not published | $73.92 – $160.27 | 3 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $8,237.29 | $8,237.29 | $23.48 – $4,209.46 | 9 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $583.10 | $583.10 | $124.75 – $292.35 | 9 |
| Deodorant ostmy adapt lube 8ml HCPCS A4394 | not published | not published | $2.88 – $7.59 | 7 |
| Depo-estradiol cypionate inj HCPCS J1000 | not published | not published | $29.84 – $76.42 | 4 |
| Dermabrasion other than face CPT 15782 | not published | not published | $354.18 – $940.58 | 9 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $410.57 – $1,036.30 | 9 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $340.32 – $872.47 | 9 |
| Dermabrasion total face CPT 15780 | not published | not published | $637.32 – $1,638.29 | 9 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $646.23 – $1,386.78 | 8 |
| Derma-gide, 1 sq cm HCPCS Q4203 | not published | not published | $206.74 – $593.41 | 4 |
| Dermagraft HCPCS Q4106 | not published | not published | $16.58 – $58.30 | 4 |
| Dermal filler injection(s) HCPCS G0429 | not published | not published | $65.47 – $192.10 | 8 |
| Dermapure 1 square cm HCPCS Q4152 | not published | not published | $43.45 – $102.89 | 4 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $730.48 – $1,684.54 | 9 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $571.02 – $1,391.58 | 9 |
| Dermavest, plurivest sq cm HCPCS Q4153 | not published | not published | $44.23 – $460.03 | 4 |
| Derm-maxx, per sq cm HCPCS Q4238 | not published | not published | $883.62 – $3,079.87 | 3 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | not published | not published | $1,618.74 – $3,543.55 | 8 |
| Description not available HCPCS S0013 | not published | not published | $13.40 – $28.90 | 3 |
| Design custom breast implant CPT 19396 | not published | not published | $136.42 – $524.90 | 9 |
| Design mlc device for imrt CPT 77338 | not published | not published | $221.49 – $461.58 | 8 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $791.91 | $791.91 | $3.89 – $744.40 | 9 |
| Desoxycorticosterone CPT 82633 | not published | not published | $30.98 – $64.92 | 7 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $354.82 – $782.18 | 8 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | not published | not published | $1,390.76 – $3,044.00 | 8 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $1,008.17 – $2,204.21 | 8 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $83.03 – $273.04 | 9 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $113.94 – $348.85 | 9 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $131.62 – $398.33 | 9 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $91.84 – $290.39 | 9 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $101.48 – $322.52 | 9 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $116.61 – $365.56 | 9 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $67.96 – $193.38 | 9 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $83.34 – $287.83 | 9 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $106.38 – $345.65 | 9 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $117.62 – $373.92 | 9 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $5,408.25 | $5,408.25 | $185.01 – $844.84 | 9 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $946.80 | $946.80 | $0.79 – $72.98 | 9 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $145.37 – $418.89 | 9 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | not published | not published | $52.47 – $131.06 | 9 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $205.23 – $539.02 | 9 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $129.06 – $373.92 | 9 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $78.95 – $257.62 | 9 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $344.14 – $866.68 | 9 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | $664.05 | $664.05 | $265.25 – $539.41 | 9 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $504.92 – $1,231.61 | 9 |
| Destruction 2-14 lesions 17003 CPT 17003 | not published | not published | $1.97 – $12.85 | 9 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $129.39 – $512.04 | 9 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $174.06 – $1,072.91 | 9 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | $770.75 | $770.75 | $132.24 – $465.78 | 9 |
| Destruction benign lesions < 14 lesions CPT 17110 | $194.40 | $194.40 | $64.25 – $150.15 | 9 |
| Destruction by injection tx of nerve 64630 CPT 64630 | $2,596.95 | $2,596.95 | $183.84 – $495.35 | 9 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $2,410.15 | $2,410.15 | $56.34 – $462.58 | 9 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $6,597.10 | $6,597.10 | $185.32 – $851.92 | 9 |
| Destruction ciliary body CPT 66700 | not published | not published | $373.28 – $868.61 | 9 |
| Destruction ciliary body CPT 66720 | not published | not published | $390.63 – $900.09 | 9 |
| Destruction ciliary body CPT 66740 | not published | not published | $373.28 – $843.56 | 9 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $136.53 – $504.98 | 9 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $124.15 – $855.76 | 9 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $142.97 – $303.65 | 9 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $131.97 – $405.40 | 9 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $161.76 – $473.50 | 9 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $125.52 – $400.90 | 9 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $147.98 – $455.51 | 9 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $102.53 – $280.76 | 9 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $165.36 – $431.74 | 9 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $95.29 – $323.80 | 9 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $672.42 – $1,428.12 | 8 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $179.32 – $479.93 | 9 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $111.20 – $325.73 | 9 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $92.08 – $267.91 | 9 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $30.03 – $62.93 | 7 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $43.67 – $91.51 | 7 |
| Determination venous press CPT 93770 | not published | not published | $1.36 – $14.78 | 4 |
| Determine refractive state CPT 92015 | not published | not published | $18.28 – $37.28 | 5 |
| Developmental screen/score/document 96110 CPT 96110 | $277.75 | $277.75 | $9.92 – $261.09 | 7 |
| Devel tst phys/qhp 1st hr CPT 96112 | $456.70 | $456.70 | $116.82 – $239.00 | 9 |
| Device ablt adv novasure HCPCS C1886 | $2,488.00 | $2,488.00 | $110.46 – $131.60 | 6 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $1,750.00 | $1,750.00 | $946.80 – $1,128.00 | 6 |
| Device intraute mirena HCPCS J7298 | $2,900.29 | $2,900.29 | $1,123.73 – $2,726.27 | 6 |
| Dev interrog remote 1/2/mlt CPT 93295 | not published | not published | $34.62 – $72.52 | 8 |
| Devise bowel pouch CPT 44316 | not published | not published | $1,332.06 – $2,892.85 | 8 |
| Devlopment test interpt&rep HCPCS G0451 | not published | not published | $9.92 – $23.72 | 8 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $228.35 | $228.35 | $48.34 – $115.64 | 9 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $133.65 | $133.65 | $9.06 – $105.45 | 9 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $98.22 – $223.27 | 8 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $1.17 – $2.41 | 3 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $3.63 | $3.63 | $0.07 – $3.41 | 6 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $87.02 | $87.02 | $0.11 – $3.38 | 6 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $195.36 – $406.35 | 8 |
| Dexamethasone panel CPT 80420 | not published | not published | $114.31 – $338.89 | 7 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $0.64 – $1.63 | 6 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $2,002.78 | $2,002.78 | $32.09 – $1,882.61 | 9 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $17.77 – $158.60 | 3 |
| Dextran 75 infusion HCPCS J7110 | not published | not published | $14.52 – $14.52 | 2 |
| Dextroamphetamine HCPCS S0160 | not published | not published | $0.67 – $1.05 | 2 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $73.72 | $73.72 | $1.16 – $69.30 | 6 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | not published | not published | $7.89 – $16.72 | 3 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | not published | not published | $1.68 – $3.56 | 4 |
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.