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 |
|---|---|---|---|---|
| Face, Eye Socket and Neck MRI (without contrast) CPT 70540 | $2,772.30 | $2,772.30 | $61.26 – $1,230.84 | 9 |
| Facial Bones X-ray (1 to 2 views) CPT 70140 | $663.00 | $663.00 | $9.39 – $339.66 | 9 |
| Facial Bones X-ray (complete) CPT 70150 | $663.00 | $663.00 | $12.02 – $509.02 | 9 |
| Facial nerve function test CPT 92516 | not published | not published | $21.63 – $139.42 | 9 |
| Facility svs dental rehab HCPCS G0330 | not published | not published | $3,138.77 – $3,232.94 | 5 |
| Factor ix CPT 85250 | $113.55 | $113.55 | $19.04 – $106.74 | 9 |
| Factor ix alprolix recomb HCPCS J7201 | not published | not published | $3.11 – $7.06 | 8 |
| Factor ix complex HCPCS J7194 | not published | not published | $1.17 – $3.27 | 8 |
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $4.94 – $10.29 | 8 |
| Factor ix non-recombinant HCPCS J7193 | not published | not published | $1.05 – $2.66 | 8 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $4.41 – $8.70 | 8 |
| Factor ix recombinan rixubis HCPCS J7200 | not published | not published | $1.37 – $4.91 | 5 |
| Factor ix recombinant nos HCPCS J7195 | not published | not published | $1.41 – $3.65 | 8 |
| Factor viia recomb sevenfact HCPCS J7212 | not published | not published | $1.95 – $6.88 | 5 |
| Factor viii CPT 85240 | $75.70 | $75.70 | $17.90 – $71.16 | 9 |
| Factor viii HCPCS J7190 | not published | not published | $0.97 – $2.20 | 8 |
| Factor viii fc fusion recomb HCPCS J7205 | not published | not published | $2.06 – $4.63 | 8 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $1.18 – $2.45 | 8 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $1.97 – $4.15 | 8 |
| Factor viii recombinant nos HCPCS J7192 | $22.74 | $22.74 | $1.22 – $21.38 | 9 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $1.28 – $2.83 | 8 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $3.22 – $6.39 | 8 |
| Factor xiii anti-hem factor HCPCS J7180 | not published | not published | $9.68 – $20.70 | 8 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $16.84 – $33.95 | 8 |
| Fallopian tube recnl CPT 58345 | not published | not published | $277.15 – $591.04 | 8 |
| Fam adapt bhv tx gdn phy/qhp CPT 97156 | not published | not published | $26.36 – $71.85 | 7 |
| Family therapy without pt 50min 90846 CPT 90846 | $416.25 | $416.25 | $95.17 – $206.04 | 9 |
| Family therapy with patient 50 min 90847 CPT 90847 | $377.95 | $377.95 | $99.25 – $214.87 | 9 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $5.16 | $5.16 | $4.07 – $4.85 | 6 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $7,007.60 | $7,007.60 | $26.14 – $6,587.14 | 9 |
| Fancc gene CPT 81242 | $158.10 | $158.10 | $36.62 – $148.61 | 9 |
| Fasciotomy hip/thigh any typ CPT 27025 | not published | not published | $885.72 – $1,939.87 | 8 |
| Fat/lipids feces qualitative CPT 82705 | $15.20 | $15.20 | $5.10 – $14.29 | 9 |
| Fatty acids nonesterified CPT 82725 | not published | not published | $18.77 – $39.31 | 7 |
| Fda ide #g240020 carry bag HCPCS Q0499 | not published | not published | $156.44 – $412.07 | 7 |
| Fecal bilirubin test CPT 82252 | not published | not published | $4.56 – $9.49 | 7 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | not published | not published | $62.98 – $125.73 | 8 |
| Fecal microbiota prep instil HCPCS G0455 | not published | not published | $67.04 – $252.49 | 8 |
| #fecal-sodium CPT 84302 | $53.80 | $53.80 | $4.86 – $50.57 | 9 |
| Feeding tube reposition CPT 74355 | not published | not published | $34.95 – $73.19 | 8 |
| Fees w/laryngeal sense i&r CPT 92617 | not published | not published | $38.90 – $81.34 | 9 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $96.29 – $440.73 | 9 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $96.60 | $96.60 | $8.97 – $90.80 | 9 |
| Fem focal defic constant fri HCPCS L5230 | not published | not published | $3,784.13 – $10,038.37 | 7 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $211.11 – $464.29 | 8 |
| Femoral lgth sock fx or equa HCPCS L2850 | not published | not published | $70.55 – $187.12 | 7 |
| Fem/popl revasc w/stent CPT 37226 | $30,622.00 | $30,622.00 | $469.11 – $15,277.19 | 9 |
| Fem urinary collect pouch HCPCS A4328 | not published | not published | $9.87 – $25.96 | 7 |
| Feno poc CPT 95012 | not published | not published | $17.43 – $37.95 | 8 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $246.56 | $246.56 | $0.84 – $20.83 | 6 |
| Fern test HCPCS Q0114 | not published | not published | $9.74 – $20.33 | 7 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $3,516.26 | $3,516.26 | $1.13 – $3,305.28 | 9 |
| Ferritin CPT 82728 | $187.25 | $187.25 | $13.63 – $176.02 | 9 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $2,850.13 | $2,850.13 | $0.31 – $2,679.12 | 9 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $0.31 – $0.75 | 8 |
| Fetal aneuploidy trisom risk CPT 81507 | not published | not published | $73.06 – $1,665.87 | 7 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $703.15 | $703.15 | $48.29 – $554.79 | 9 |
| Fetal chrmoml microdeltj CPT 81422 | not published | not published | $759.05 – $1,590.54 | 7 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $2,255.30 | $2,255.30 | $73.06 – $2,119.98 | 9 |
| Fetal contract stress test 59020 - 26 CPT 59020 | not published | not published | $33.80 – $70.67 | 8 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $185.92 – $408.71 | 8 |
| Fetal fibronectin CPT 82731 | $763.25 | $763.25 | $64.41 – $717.46 | 9 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $285.94 – $743.34 | 9 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $119.90 | $119.90 | $7.73 – $112.71 | 9 |
| Fetal hemoglobin rosette CPT 85461 | $219.95 | $219.95 | $9.36 – $26.13 | 9 |
| Fetal lung maturity assess lam body dnst CPT 83664 | not published | not published | $19.32 – $40.48 | 7 |
| Fetal monitor/interpret only CPT 59051 | not published | not published | $38.48 – $84.72 | 8 |
| Fetal monitor w/report CPT 59050 | not published | not published | $46.11 – $101.67 | 8 |
| Fetal non stress test CPT 59025 | $446.45 | $446.45 | $20.05 – $243.84 | 9 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $103.33 – $227.73 | 8 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $294.41 – $1,058.72 | 8 |
| #_fet/norfentcnfrmur CPT 80354 | $59.45 | $59.45 | $15.25 – $117.86 | 9 |
| Fiasp for insulin pump use HCPCS J1811 | not published | not published | $6.80 – $15.61 | 8 |
| Fibrin degradation d dimer quantitative CPT 85379 | $111.55 | $111.55 | $10.18 – $104.86 | 9 |
| Fibrin degradation products CPT 85362 | not published | not published | $6.89 – $14.23 | 7 |
| Fibrin degrade semiquant CPT 85378 | not published | not published | $9.72 – $20.33 | 7 |
| Fibrin degradj d-dimer CPT 85380 | not published | not published | $10.18 – $21.02 | 7 |
| Fibrinogen activity CPT 85384 | $302.10 | $302.10 | $9.72 – $283.97 | 9 |
| Fibrinogen test CPT 85370 | not published | not published | $10.90 – $25.75 | 7 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $38.70 | $38.70 | $8.20 – $36.38 | 9 |
| Fibrinolytic antiplasmin CPT 85410 | not published | not published | $7.71 – $16.16 | 7 |
| Fibrinolytic plasmin CPT 85400 | not published | not published | $7.71 – $16.16 | 7 |
| Fibrinolytic plasminogen CPT 85415 | not published | not published | $17.19 – $35.92 | 7 |
| Fibrinolytic plasminogen CPT 85421 | not published | not published | $10.18 – $21.02 | 7 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $85.45 | $85.45 | $6.53 – $80.32 | 9 |
| Fibula bone graft microvasc CPT 20955 | not published | not published | $2,334.60 – $4,968.95 | 8 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | not published | not published | $0.28 – $0.57 | 8 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $1,411.85 | $1,411.85 | $0.99 – $1,125.26 | 9 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $2,003.51 | $2,003.51 | $0.22 – $1,745.84 | 9 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $648.78 – $1,363.73 | 8 |
| Filtered speech hearing test CPT 92571 | $64.70 | $64.70 | $28.07 – $59.30 | 9 |
| Filters elec/combo vad, rep HCPCS Q0500 | not published | not published | $28.64 – $75.41 | 7 |
| Filter vena cava fem denali HCPCS C1880 | $1,390.00 | $1,390.00 | $110.46 – $131.60 | 6 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $783.74 – $1,673.50 | 8 |
| Finasteride, 5 mg HCPCS S0138 | not published | not published | $0.16 – $4.07 | 2 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $1,243.15 | $1,243.15 | $84.56 – $585.28 | 9 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $621.65 | $621.65 | $48.92 – $271.77 | 9 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | $1,352.40 | $1,352.40 | $41.08 – $100.87 | 9 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $621.65 | $621.65 | $0.91 – $53.95 | 9 |
| Fine needle asp without image guide 10021 CPT 10021 | $333.35 | $333.35 | $52.41 – $195.31 | 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.