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 |
|---|---|---|---|---|
| Foot longitudinal arch suppo HCPCS L3010 | $90.85 | $90.85 | $44.34 – $257.57 | 9 |
| Foot longitud/metatarsal sup HCPCS L3020 | not published | not published | $184.29 – $488.87 | 7 |
| Foot plas heel stabi pre ots HCPCS L3170 | not published | not published | $47.27 – $125.39 | 7 |
| Foot plate molded stirrup at HCPCS L2250 | not published | not published | $316.21 – $838.82 | 7 |
| Foot single axis ankle/foot HCPCS L5974 | not published | not published | $288.03 – $764.08 | 7 |
| Foot X-ray CPT 73630 | $566.90 | $566.90 | $7.76 – $178.08 | 9 |
| Foot X-ray (2 views, both feet) CPT 73620 | $413.05 | $413.05 | $7.09 – $153.86 | 9 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | not published | not published | $1,046.65 – $2,776.54 | 7 |
| Forearm/arm cuffs free motio HCPCS L3720 | not published | not published | $569.57 – $1,510.96 | 7 |
| Forearm X-ray (both sides) CPT 73090 | $333.35 | $333.35 | $7.42 – $155.55 | 9 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $959.76 – $2,169.60 | 9 |
| Forensic autopsy (necropsy) CPT 88040 | not published | not published | $906.87 – $1,182.77 | 3 |
| Forensic cytopathology CPT 88125 | not published | not published | $13.01 – $27.11 | 8 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $572.30 | $572.30 | $54.35 – $132.99 | 9 |
| Formoterol comp unit HCPCS J7640 | not published | not published | $1.73 – $1.73 | 2 |
| Formoterol fumarate, inh HCPCS J7606 | not published | not published | $3.15 – $6.46 | 4 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $634.39 | $634.39 | $0.14 – $596.33 | 6 |
| Foscarnet sodium injection HCPCS J1455 | not published | not published | $15.58 – $80.37 | 8 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $1,183.86 | $1,183.86 | $2.55 – $370.93 | 7 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $28.50 – $59.64 | 7 |
| Fracture assessment via dxa CPT 77086 | $133.65 | $133.65 | $7.76 – $105.45 | 9 |
| _fragile x methylation-sendout CPT 81244 | not published | not published | $33.19 – $94.06 | 7 |
| Fragmenting of kidney stone CPT 50590 | $2,675.05 | $2,675.05 | $549.70 – $1,430.14 | 9 |
| Frame typ sock above elb/dis HCPCS L6688 | not published | not published | $530.77 – $1,408.03 | 7 |
| Frame typ socket bel elbow/w HCPCS L6687 | not published | not published | $546.87 – $1,450.69 | 7 |
| Frame typ socket shoulder di HCPCS L6689 | not published | not published | $652.77 – $1,731.63 | 7 |
| Frame typ sock interscap-tho HCPCS L6690 | not published | not published | $684.59 – $1,816.05 | 7 |
| Free fascial flap microvasc CPT 15758 | not published | not published | $2,158.62 – $4,591.41 | 8 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $1,028.77 – $2,229.29 | 8 |
| Free jejunum flap microvasc CPT 43496 | not published | not published | $2,164.11 – $4,293.32 | 8 |
| Free myo/skin flap microvasc CPT 15756 | not published | not published | $2,179.16 – $4,640.22 | 8 |
| Free omental flap microvasc CPT 49906 | not published | not published | $3,767.22 – $4,893.02 | 2 |
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $1,491.62 – $3,236.50 | 8 |
| Free skin flap microvasc CPT 15757 | not published | not published | $2,166.76 – $4,609.73 | 8 |
| Frenectomy 41115 CPT 41115 | not published | not published | $141.32 – $505.62 | 9 |
| Frenotomy 40806 CPT 40806 | not published | not published | $27.57 – $192.74 | 9 |
| Frenulotomy of penis CPT 54164 | not published | not published | $186.14 – $401.93 | 8 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $280.80 | $280.80 | $71.09 – $173.43 | 9 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $425.20 | $425.20 | $84.29 – $148.33 | 9 |
| Fresh frozen plasma thawing ea un CPT 86927 | not published | not published | $23.54 – $170.82 | 7 |
| Fr frz plasma donor retested HCPCS P9060 | not published | not published | $48.93 – $50.40 | 5 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $37.99 – $145.72 | 7 |
| Frozen blood prep CPT 86930 | not published | not published | $139.15 – $171.49 | 7 |
| Frozen blood thaw CPT 86931 | not published | not published | $104.46 – $170.82 | 7 |
| Frozen cell preparation CPT 88241 | not published | not published | $12.09 – $25.08 | 7 |
| Frozen plasma, pooled, sd HCPCS P9023 | not published | not published | $62.31 – $133.92 | 6 |
| Fructosamine glycated protein CPT 82985 | $48.90 | $48.90 | $16.76 – $45.97 | 9 |
| Ft arch suprt premold longit HCPCS L3040 | not published | not published | $43.71 – $115.96 | 7 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | not published | not published | $128.53 – $394.47 | 9 |
| Fth/gft fr trnk each addl CPT 15201 | not published | not published | $71.95 – $269.20 | 9 |
| Ft insert ucb berkeley shell HCPCS L3000 | not published | not published | $291.80 – $774.07 | 7 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $80.20 – $3,116.52 | 7 |
| Ftl cgen abnor five anal CPT 81512 | not published | not published | $69.52 – $145.67 | 7 |
| Ftl cgen abnor four anal CPT 81511 | $844.95 | $844.95 | $122.91 – $428.69 | 9 |
| Ftl cgen abnor three anal CPT 81510 | not published | not published | $55.54 – $116.38 | 7 |
| Ftl cgen abnor two proteins CPT 81508 | not published | not published | $52.86 – $113.78 | 7 |
| Ft prosth multiaxial ankl/ft HCPCS L5978 | not published | not published | $352.14 – $934.12 | 7 |
| Full field erg w/i&r CPT 92273 | not published | not published | $34.33 – $71.16 | 8 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $10.65 – $22.36 | 8 |
| Full sole/heel wedge btween HCPCS L3420 | not published | not published | $50.82 – $134.80 | 7 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $1,166.15 | $1,166.15 | $14.52 – $261.47 | 9 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $811.93 – $1,934.46 | 9 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | $3,355.55 | $3,355.55 | $584.08 – $1,491.16 | 9 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | $3,639.30 | $3,639.30 | $65.20 – $248.63 | 9 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $3,112.60 | $3,112.60 | $761.87 – $1,799.54 | 9 |
| Functional brain mapping CPT 96020 | not published | not published | $150.32 – $314.50 | 8 |
| Fundus photography with i&r 92250 CPT 92250 | not published | not published | $16.08 – $39.20 | 8 |
| Furnsh initial orthosis only HCPCS L1200 | not published | not published | $1,655.12 – $4,390.61 | 7 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $116.03 | $116.03 | $26.84 – $31.98 | 6 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | not published | not published | $0.44 – $0.75 | 4 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $3,018.65 – $6,562.46 | 8 |
| Fuse esophagus & intestine CPT 43340 | not published | not published | $1,299.54 – $2,822.36 | 8 |
| Fuse esophagus & intestine CPT 43341 | not published | not published | $1,300.88 – $2,827.79 | 8 |
| Fuse esophagus & stomach CPT 43320 | not published | not published | $1,315.67 – $2,857.61 | 8 |
| Fuse gallbladder & bowel CPT 47740 | not published | not published | $1,238.46 – $2,684.76 | 8 |
| Fuse gallbladder & bowel CPT 47741 | not published | not published | $1,389.35 – $3,014.85 | 8 |
| Fuse/graft added joint CPT 26863 | not published | not published | $214.59 – $460.22 | 8 |
| Fuse liver duct & intestine CPT 47802 | not published | not published | $1,452.26 – $2,938.63 | 5 |
| Fuse liver ducts & bowel CPT 47765 | not published | not published | $2,820.96 – $6,159.85 | 8 |
| Fuse pancreas and bowel CPT 48548 | not published | not published | $1,569.51 – $3,410.70 | 8 |
| Fuse pancreas cyst and bowel CPT 48540 | not published | not published | $1,229.13 – $2,671.22 | 8 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $1,036.59 – $2,249.62 | 8 |
| Fuse upper gi structures CPT 47721 | not published | not published | $1,277.26 – $2,770.17 | 8 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $741.65 – $1,576.56 | 8 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $832.00 – $1,769.05 | 8 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $973.37 – $2,075.42 | 8 |
| Fusion of big toe joint CPT 28750 | not published | not published | $558.13 – $1,505.94 | 9 |
| Fusion of big toe joint CPT 28755 | not published | not published | $323.07 – $973.98 | 9 |
| Fusion of facial/other nerve CPT 64866 | not published | not published | $1,194.83 – $2,537.01 | 8 |
| Fusion of finger jnt add-on CPT 26861 | not published | not published | $96.32 – $206.74 | 8 |
| Fusion of finger joint CPT 26860 | not published | not published | $592.68 – $1,257.99 | 8 |
| Fusion of finger tendons CPT 26471 | not published | not published | $639.45 – $1,358.99 | 8 |
| Fusion of finger tendons CPT 26474 | not published | not published | $630.70 – $1,337.98 | 8 |
| Fusion of foot bones CPT 28730 | not published | not published | $703.42 – $1,496.58 | 8 |
| Fusion of foot bones CPT 28735 | not published | not published | $754.59 – $1,607.74 | 8 |
| Fusion of foot bones CPT 28740 | not published | not published | $596.89 – $1,595.88 | 9 |
| Fusion of hand joint CPT 26843 | not published | not published | $756.66 – $1,606.38 | 8 |
| Fusion of knee CPT 27580 | not published | not published | $1,414.33 – $3,027.74 | 8 |
| Fusion of knuckle CPT 26850 | not published | not published | $711.62 – $1,510.81 | 8 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $720.17 – $1,530.46 | 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.