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 |
|---|---|---|---|---|
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | not published | not published | $432.38 – $942.95 | 4 |
| Ghs IV infusion sotrovimab HCPCS M0247 | not published | not published | $432.38 – $942.95 | 4 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $785.50 | $785.50 | $321.02 – $534.11 | 9 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $1,209.35 | $1,209.35 | $147.39 – $463.78 | 9 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $604.60 | $604.60 | $145.45 – $391.41 | 9 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $645.15 | $645.15 | $139.43 – $391.41 | 9 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $686.95 | $686.95 | $162.68 – $391.41 | 9 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $816.60 | $816.60 | $191.85 – $391.41 | 9 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $1,357.90 | $1,357.90 | $187.87 – $391.41 | 9 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $1,803.20 | $1,803.20 | $207.01 – $400.79 | 9 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $770.75 | $770.75 | $197.05 – $391.41 | 9 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $1,673.55 | $1,673.55 | $205.24 – $398.35 | 9 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $2,291.80 | $2,291.80 | $211.33 – $407.44 | 9 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $1,809.90 | $1,809.90 | $262.63 – $452.94 | 9 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $2,905.90 | $2,905.90 | $287.23 – $452.94 | 9 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $2,178.40 | $2,178.40 | $301.50 – $452.94 | 9 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $3,677.90 | $3,677.90 | $367.86 – $452.94 | 9 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $3,351.25 | $3,351.25 | $335.29 – $1,060.08 | 9 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $1,017.70 | $1,017.70 | $386.68 – $624.21 | 9 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | not published | not published | $8.60 – $18.02 | 7 |
| Ghs low level laser therapy CPT 97039 | $167.35 | $167.35 | $28.48 – $157.31 | 6 |
| Ghs mbp CPT 83873 | not published | not published | $17.20 – $35.92 | 7 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $556.40 | $556.40 | $22.93 – $116.93 | 9 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $981.55 | $981.55 | $78.14 – $166.73 | 9 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $702.55 | $702.55 | $70.23 – $149.11 | 9 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $389.60 | $389.60 | $10.15 – $24.39 | 9 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $319.90 | $319.90 | $54.53 – $74.68 | 9 |
| Ghs musc test done w/n test comp CPT 95886 | not published | not published | $43.29 – $90.15 | 8 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | not published | not published | $17.60 – $36.61 | 8 |
| Ghs musc tst done w/n tst non ext CPT 95887 | not published | not published | $35.41 – $73.89 | 8 |
| Ghs myocardial strain img spckl track CPT 93356 | $650.10 | $650.10 | $11.24 – $48.29 | 9 |
| Ghs nailbed repair/nail removal CPT 11760 | $1,008.30 | $1,008.30 | $106.37 – $357.21 | 9 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $2,257.30 | $2,257.30 | $23.47 – $64.25 | 9 |
| Ghs nerve blk intercostal, single level CPT 64420 | $1,826.80 | $1,826.80 | $56.37 – $188.88 | 9 |
| Ghs nerve block axillary nerve CPT 64417 | $2,524.15 | $2,524.15 | $61.74 – $309.02 | 9 |
| Ghs nerve block brachial plexus CPT 64415 | $2,498.00 | $2,498.00 | $66.67 – $258.28 | 9 |
| Ghs nerve block celiac plexus CPT 64530 | $2,596.95 | $2,596.95 | $91.28 – $440.73 | 9 |
| Ghs nerve block interscaline CPT 64510 | $2,259.25 | $2,259.25 | $73.84 – $282.69 | 9 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $2,256.65 | $2,256.65 | $81.27 – $444.59 | 9 |
| Ghs nerve block sciatic nerve CPT 64445 | $1,990.35 | $1,990.35 | $69.00 – $305.81 | 9 |
| Ghs nerve block suprascapular CPT 64418 | $1,926.85 | $1,926.85 | $52.94 – $166.40 | 9 |
| Ghs ng placement w fluoro guidance CPT 43752 | $870.60 | $870.60 | $37.86 – $80.65 | 9 |
| Ghs o2 saturation CPT 82810 | not published | not published | $9.77 – $20.33 | 7 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $11.90 – $25.08 | 8 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $3.49 – $7.46 | 8 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $44.66 – $140.65 | 6 |
| Ghs opcc repair cvp without subq port CPT 36575 | $2,655.20 | $2,655.20 | $31.65 – $274.97 | 9 |
| Ghs opcc repair cvp w subq port CPT 36576 | $3,389.65 | $3,389.65 | $172.29 – $656.59 | 9 |
| Ghs optokenetic CPT 92544 | $527.70 | $527.70 | $3.52 – $416.36 | 9 |
| Ghs oscillating trac CPT 92545 | $480.45 | $480.45 | $3.52 – $379.08 | 9 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $95.85 | $95.85 | $21.96 – $60.39 | 9 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | not published | not published | $24.49 – $86.73 | 9 |
| Ghs ot dds rom CPT 95851 | not published | not published | $7.42 – $41.76 | 9 |
| Ghs ot group caregiver training CPT 97552 | $27.45 | $27.45 | $10.37 – $15.51 | 9 |
| Ghs ot prosthetic training/15 min CPT 97761 | $167.35 | $167.35 | $40.19 – $82.86 | 9 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $167.35 | $167.35 | $35.44 – $119.09 | 9 |
| Ghs ot work hardening-additional hours CPT 97546 | $291.20 | $291.20 | $65.26 – $273.73 | 7 |
| Ghs pacing - transcutaneous CPT 92953 | $604.60 | $604.60 | $0.87 – $91.25 | 9 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $2,379.20 | $2,379.20 | $0.79 – $65.27 | 9 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $2,432.20 | $2,432.20 | $49.26 – $175.39 | 9 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | not published | not published | $22.04 – $50.84 | 8 |
| Ghs peritonsillar abscess i andd CPT 42700 | $784.15 | $784.15 | $131.23 – $373.92 | 9 |
| Ghs phenylketonurid CPT 84030 | $124.60 | $124.60 | $5.50 – $52.17 | 9 |
| Ghs picc line insert < 5 CPT 36568 | $2,411.75 | $2,411.75 | $86.86 – $1,902.87 | 9 |
| Ghs plngl fx pm cl CPT 26725 | $1,580.50 | $1,580.50 | $232.17 – $380.56 | 9 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $4.31 – $8.82 | 7 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $6,724.15 | $6,724.15 | $117.52 – $5,305.35 | 9 |
| Ghs pos nystagmus CPT 92542 | $445.40 | $445.40 | $3.85 – $351.42 | 9 |
| Ghs ppd (tb intradermal) CPT 86580 | $107.58 | $107.58 | $9.29 – $84.88 | 9 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $38.85 | $38.85 | $9.66 – $36.52 | 9 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $5.61 – $11.52 | 7 |
| Ghs protoporphyrins fract CPT 84202 | $31.60 | $31.60 | $14.35 – $29.70 | 9 |
| Ghs pr without cont pulse ox CPT 94625 | $165.30 | $165.30 | $16.47 – $134.27 | 9 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $12.25 – $25.67 | 7 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $582.35 | $582.35 | $163.38 – $547.41 | 7 |
| Ghs quinidine CPT 80194 | not published | not published | $14.60 – $30.51 | 7 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $83.49 – $176.90 | 8 |
| Ghs removal intranasal foreign body CPT 30300 | $583.10 | $583.10 | $113.93 – $135.74 | 9 |
| Ghs removal pharyngeal foreign body CPT 42809 | $1,090.60 | $1,090.60 | $113.93 – $139.13 | 9 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $3,760.30 | $3,760.30 | $582.18 – $1,231.57 | 9 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $4,997.20 | $4,997.20 | $468.03 – $1,038.39 | 9 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $41.30 | $41.30 | $15.89 – $38.82 | 9 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $4.31 – $8.82 | 7 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $535.70 | $535.70 | $13.91 – $503.56 | 9 |
| Ghs sedimentation rate CPT 85651 | not published | not published | $4.27 – $8.82 | 7 |
| Ghs semen analysis fert CPT 89320 | $30.80 | $30.80 | $12.31 – $28.95 | 9 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $9.84 – $20.33 | 7 |
| Ghs sensitivity (per antimicro) CPT 87184 | $161.25 | $161.25 | $7.48 – $151.58 | 9 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $1,491.40 | $1,491.40 | $87.93 – $237.92 | 9 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $2,001.60 | $2,001.60 | $118.52 – $237.92 | 9 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $2,384.90 | $2,384.90 | $108.64 – $237.92 | 9 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $425.20 | $425.20 | $143.05 – $213.15 | 9 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $1,306.55 | $1,306.55 | $69.30 – $237.92 | 9 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $518.35 | $518.35 | $68.59 – $237.92 | 9 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $1,743.75 | $1,743.75 | $87.48 – $237.92 | 9 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $2,977.40 | $2,977.40 | $135.16 – $259.96 | 9 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $402.25 | $402.25 | $161.88 – $311.47 | 9 |
| Ghs sleep study unattended CPT 95800 | not published | not published | $37.34 – $77.95 | 8 |
| Ghs somatosensory testing lower extremit CPT 95926 | not published | not published | $25.34 – $52.87 | 8 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | not published | not published | $43.17 – $90.15 | 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.