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 |
|---|---|---|---|---|
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $390.39 | $390.39 | $6.66 – $26.18 | 6 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $1,840.70 | $1,840.70 | $0.47 – $1,730.26 | 6 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $49.08 – $103.22 | 6 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $6.17 – $7.46 | 3 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $61.52 – $115.90 | 3 |
| Domicil/r-home visit est pat CPT 99334 | not published | not published | $83.62 – $83.62 | 1 |
| Domicil/r-home visit est pat CPT 99335 | not published | not published | $131.84 – $131.84 | 1 |
| Domicil/r-home visit est pat CPT 99336 | not published | not published | $186.43 – $186.43 | 1 |
| Domicil/r-home visit est pat CPT 99337 | not published | not published | $267.11 – $267.11 | 1 |
| Domicil/r-home visit new pat CPT 99324 | not published | not published | $76.74 – $76.74 | 1 |
| Domicil/r-home visit new pat CPT 99325 | not published | not published | $111.66 – $111.66 | 1 |
| Domicil/r-home visit new pat CPT 99326 | not published | not published | $192.83 – $192.83 | 1 |
| Domicil/r-home visit new pat CPT 99327 | not published | not published | $257.27 – $257.27 | 1 |
| Domicil/r-home visit new pat CPT 99328 | not published | not published | $300.57 – $300.57 | 1 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $165.34 | $165.34 | $0.68 – $14.72 | 6 |
| Doppler echo complete CPT 93320 | $924.50 | $924.50 | $16.93 – $351.03 | 9 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | not published | not published | $66.32 – $143.01 | 8 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $611.85 | $611.85 | $20.07 – $236.46 | 9 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $593.25 | $593.25 | $11.12 – $133.14 | 9 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $0.81 – $1.36 | 3 |
| Dornase alfa non-comp unit HCPCS J7639 | $1,305.62 | $1,305.62 | $51.08 – $1,227.28 | 6 |
| Dornhoffer fixed part w/window HCPCS L8614 | not published | not published | $27,812.64 – $48,153.04 | 6 |
| Dorsi & plantar flex ass/res HCPCS L2220 | not published | not published | $72.87 – $193.32 | 7 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $228.40 – $474.57 | 8 |
| Double transfer toe-hand CPT 26554 | not published | not published | $3,632.05 – $7,769.62 | 8 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $325.25 | $325.25 | $2.51 – $305.74 | 6 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $1,903.91 | $1,903.91 | $79.62 – $1,789.68 | 9 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $256.98 | $256.98 | $202.76 – $241.56 | 6 |
| Dpyd gene common variants CPT 81232 | not published | not published | $174.81 – $366.01 | 7 |
| Drainable plastic pch w fcpl HCPCS A4375 | not published | not published | $19.08 – $50.27 | 7 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $703.15 | $703.15 | $113.72 – $260.91 | 9 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $435.95 | $435.95 | $139.17 – $272.95 | 9 |
| Drainage external ear complex 69005 CPT 69005 | $4,417.55 | $4,417.55 | $154.92 – $425.95 | 9 |
| Drainage external ear simple 69000 CPT 69000 | $674.85 | $674.85 | $120.30 – $260.91 | 9 |
| Drainage lymph node lesion 38300 CPT 38300 | $4,097.35 | $4,097.35 | $199.01 – $654.68 | 9 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $471.48 – $1,024.84 | 8 |
| Drainage mouth roof lesion CPT 42000 | $738.30 | $738.30 | $104.83 – $312.24 | 9 |
| Drainage of abdomen CPT 48000 | not published | not published | $1,764.77 – $3,837.71 | 8 |
| Drainage of arm bursa 23931 CPT 23931 | $4,328.50 | $4,328.50 | $155.00 – $588.50 | 9 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $394.23 – $841.15 | 8 |
| Drainage of bone lesion CPT 26992 | not published | not published | $968.12 – $2,070.00 | 8 |
| Drainage of bone lesion CPT 27303 | not published | not published | $614.43 – $1,335.94 | 8 |
| Drainage of eye CPT 65800 | not published | not published | $85.51 – $228.71 | 9 |
| Drainage of eye CPT 65810 | not published | not published | $442.24 – $935.36 | 8 |
| Drainage of eye CPT 65815 | not published | not published | $454.09 – $1,231.61 | 9 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $356.88 – $777.43 | 8 |
| Drainage of kidney lesion CPT 50390 | $3,105.10 | $3,105.10 | $88.82 – $1,412.03 | 9 |
| Drainage of mouth lesion CPT 41005 | $381.95 | $381.95 | $115.11 – $310.26 | 9 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $223.51 – $654.03 | 9 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $213.39 – $634.11 | 9 |
| Drainage of mouth lesion CPT 41008 | $4,483.75 | $4,483.75 | $247.78 – $759.40 | 9 |
| Drainage of mouth lesion CPT 41009 | $893.70 | $893.70 | $274.47 – $725.95 | 9 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $288.55 – $770.32 | 9 |
| Drainage of mouth lesion CPT 41016 | $8,131.45 | $8,131.45 | $332.71 – $898.16 | 9 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $331.47 – $897.52 | 9 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $386.35 – $1,011.89 | 9 |
| Drainage of nose lesion int 30000 CPT 30000 | $381.95 | $381.95 | $117.11 – $310.26 | 9 |
| Drainage of nose lesion sept 30020 CPT 30020 | $1,117.50 | $1,117.50 | $118.04 – $463.78 | 9 |
| Drainage of pelvis bursa CPT 26991 | $2,184.50 | $2,184.50 | $508.77 – $1,378.09 | 9 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $654.76 – $1,403.73 | 8 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $426.48 – $906.90 | 8 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $435.62 – $925.20 | 8 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $573.95 – $1,221.39 | 8 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $158.88 – $609.06 | 9 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $552.42 – $1,181.41 | 8 |
| Drainage of salivary gland CPT 42305 | not published | not published | $411.15 – $891.98 | 8 |
| Drainage of salivary gland CPT 42320 | not published | not published | $173.73 – $506.91 | 9 |
| Drainage of spinal cyst CPT 63172 | not published | not published | $1,332.55 – $2,944.36 | 8 |
| Drainage of spinal cyst CPT 63173 | not published | not published | $1,624.25 – $3,587.59 | 8 |
| Drainage of throat abscess CPT 42725 | not published | not published | $771.41 – $1,640.29 | 8 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $378.46 – $805.90 | 8 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $160.00 – $367.49 | 9 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $405.29 – $863.51 | 8 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $624.47 – $1,325.09 | 8 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $48.34 – $296.82 | 9 |
| Drain blood from under nail 11740 CPT 11740 | $290.15 | $290.15 | $30.58 – $111.78 | 9 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | not published | not published | $193.32 – $1,431.41 | 9 |
| Drain cath image guided visceral pq CPT 49405 | $4,233.40 | $4,233.40 | $182.89 – $1,676.84 | 9 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $1,390.15 | $1,390.15 | $85.87 – $357.21 | 9 |
| Drain chest lesion CPT 21502 | not published | not published | $484.38 – $1,044.49 | 8 |
| Drain chst dry seal exp thorastat HCPCS A7041 | not published | not published | $82.46 – $217.21 | 7 |
| Drain finger abscess;simple 26010 CPT 26010 | $703.15 | $703.15 | $135.79 – $271.84 | 9 |
| Drain lower leg bursa CPT 27604 | not published | not published | $311.51 – $871.83 | 9 |
| Drain lower leg lesion 27603 CPT 27603 | $4,636.10 | $4,636.10 | $376.84 – $1,017.66 | 9 |
| Drain neck/chest lesion 21501 CPT 21501 | $4,636.10 | $4,636.10 | $321.76 – $948.92 | 9 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $1,065.73 – $2,308.58 | 8 |
| Drain ostomy pouch w/flange HCPCS A5063 | not published | not published | $3.01 – $7.92 | 7 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $411.53 – $874.36 | 8 |
| Drain ovary abscess open CPT 58820 | not published | not published | $327.73 – $694.74 | 8 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $1,038.21 – $2,246.91 | 8 |
| Drain penis lesion CPT 54015 | not published | not published | $293.30 – $620.86 | 8 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $657.70 – $1,415.24 | 8 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $213.52 – $837.77 | 9 |
| Drain shoulder lesion CPT 23030 | not published | not published | $244.64 – $851.92 | 9 |
| Drain thigh/knee lesion 27301 CPT 27301 | $4,186.75 | $4,186.75 | $488.66 – $1,311.91 | 9 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $151.70 – $363.00 | 9 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $730.05 – $1,580.63 | 8 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $608.65 | $608.65 | $105.95 – $304.52 | 9 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $422.45 | $422.45 | $52.89 – $166.40 | 9 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $1,020.35 | $1,020.35 | $125.62 – $381.62 | 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.