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 speech-gen aug dev eval iii, st CPT 92608 | $152.55 | $152.55 | $47.48 – $84.51 | 9 |
| Ghs sphenopalatine ganglion block CPT 64505 | $442.15 | $442.15 | $98.59 – $280.76 | 9 |
| Ghs spont nystagmus CPT 92541 | $480.45 | $480.45 | $4.18 – $379.08 | 9 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $597.90 | $597.90 | $100.92 – $326.17 | 9 |
| Ghs st - eval for alt comm CPT 92567 | $205.20 | $205.20 | $10.38 – $31.48 | 9 |
| Ghs strapping shoulder - 29240 CPT 29240 | $224.05 | $224.05 | $17.25 – $57.18 | 9 |
| Ghs st - re-eval for alt comm CPT 92597 | $692.45 | $692.45 | $70.73 – $432.49 | 9 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $14.89 – $33.21 | 8 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $131.09 – $281.29 | 8 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,357.90 | $1,357.90 | $180.80 – $580.15 | 9 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $1,043.30 | $1,043.30 | $135.26 – $343.72 | 9 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $4,503.95 | $4,503.95 | $299.86 – $1,342.88 | 9 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $7.30 – $15.30 | 7 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $732.85 | $732.85 | $232.17 – $427.56 | 9 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $549.40 | $549.40 | $229.21 – $431.37 | 9 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $24.30 – $50.84 | 7 |
| Ghs urine, porphyrins quant CPT 84120 | $92.80 | $92.80 | $14.71 – $87.23 | 9 |
| Ghs vaginal delivery only CPT 59409 | $1,877.40 | $1,877.40 | $742.63 – $1,626.04 | 9 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | not published | not published | $513.54 – $1,714.74 | 8 |
| Ghs windowing of cast CPT 29730 | not published | not published | $42.50 – $127.20 | 9 |
| Giardia ag if CPT 87269 | not published | not published | $13.61 – $28.48 | 7 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $14.72 – $30.84 | 7 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $39.01 – $81.34 | 8 |
| Gi inhouse confirmation CPT 87045 | $126.55 | $126.55 | $9.44 – $118.96 | 9 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $290.03 – $912.94 | 9 |
| Gi protein loss CPT 78282 | not published | not published | $14.61 – $30.51 | 8 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $2,529.65 | $2,529.65 | $107.52 – $1,995.89 | 9 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $115.94 – $241.29 | 8 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $43.27 – $90.15 | 8 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $100.86 – $210.11 | 8 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $101.12 – $211.89 | 7 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $61.52 – $128.79 | 7 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $30.65 – $73.19 | 7 |
| Glassia injection HCPCS J0257 | not published | not published | $5.25 – $10.90 | 8 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $23.70 – $128.09 | 8 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $37.99 – $84.05 | 8 |
| Glaucoma surgery CPT 66150 | not published | not published | $836.18 – $1,763.64 | 8 |
| Glaucoma surgery CPT 66155 | not published | not published | $835.51 – $1,762.28 | 8 |
| Glaucoma surgery CPT 66160 | not published | not published | $940.76 – $1,980.52 | 8 |
| Glaucoma surgery CPT 66170 | not published | not published | $1,042.79 – $2,199.45 | 8 |
| Glove finger flexion right lg xl HCPCS L3912 | not published | not published | $82.58 – $219.08 | 7 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $188.37 – $364.08 | 8 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $1,845.20 | $1,845.20 | $123.83 – $1,734.49 | 9 |
| Glucagon plasma - sendout CPT 82943 | not published | not published | $14.29 – $29.82 | 7 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $46.07 – $96.24 | 7 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $50.50 – $105.74 | 7 |
| Glucagon tolerance test CPT 82946 | not published | not published | $17.77 – $37.24 | 7 |
| Glucose 1 hr post dose CPT 82950 | $166.35 | $166.35 | $4.75 – $156.37 | 9 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $6.05 – $12.68 | 7 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $8.20 | $8.20 | $3.28 – $7.33 | 9 |
| Glucose blood quantitative CPT 82947 | $90.80 | $90.80 | $3.93 – $85.35 | 9 |
| Glucose body fluid CPT 82945 | $233.25 | $233.25 | $3.93 – $219.26 | 9 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $56.58 – $134.21 | 8 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $207.40 | $207.40 | $12.87 – $194.96 | 9 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $17.30 | $17.30 | $3.92 – $16.26 | 9 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $30.17 | $30.17 | $0.43 – $28.36 | 9 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $27.79 – $30.15 | 3 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $4,773.67 | $4,773.67 | $11.03 – $4,487.25 | 9 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $188.05 | $188.05 | $18.58 – $176.77 | 9 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $148.41 – $310.98 | 7 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $187.60 | $187.60 | $18.52 – $176.34 | 9 |
| Gonioscopy CPT 92020 | not published | not published | $19.57 – $52.69 | 9 |
| Goniotomy CPT 65820 | not published | not published | $786.95 – $1,647.05 | 8 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $572.82 – $1,389.82 | 8 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $68.93 | $68.93 | $30.40 – $64.79 | 6 |
| Graft axiofill 1000mg HCPCS J3590 | $616.00 | $616.00 | $486.02 – $579.04 | 6 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $1,309.05 – $2,292.36 | 3 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $441.51 | $441.51 | $7.69 – $9.17 | 6 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $889.70 – $1,887.67 | 8 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | not published | not published | $31.11 – $31.11 | 2 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $762.88 – $2,304.98 | 3 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $2,507.00 | $2,507.00 | $771.25 – $918.85 | 6 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $4,408.00 | $4,408.00 | $71.80 – $85.54 | 6 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | not published | $39.06 – $129.29 | 4 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $525.05 | $525.05 | $95.34 – $113.59 | 6 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $1,029.56 – $2,249.62 | 8 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | not published | not published | $135.45 – $274.29 | 4 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $45.00 – $95.78 | 4 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | not published | not published | $162.08 – $320.39 | 3 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | not published | not published | $97.32 – $345.97 | 4 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $17,930.00 | $17,930.00 | $42.61 – $50.76 | 6 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $2,651.25 | $2,651.25 | $49.97 – $59.53 | 6 |
| Granisetron 1 mg tab HCPCS Q0166 | $13.02 | $13.02 | $1.46 – $12.24 | 6 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.30 – $0.44 | 4 |
| Granulocyte pheresis ea unit HCPCS P9050 | not published | not published | $1,345.16 – $1,345.16 | 1 |
| Great toe-hand transfer CPT 26551 | not published | not published | $3,143.38 – $6,719.70 | 8 |
| Great toe with reduction 28495 CPT 28495 | $403.55 | $403.55 | $144.62 – $290.15 | 9 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $481.01 – $1,155.15 | 9 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $486.51 – $1,184.06 | 9 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $141.23 – $369.42 | 9 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $461.01 – $988.92 | 8 |
| Ground mileage HCPCS A0425 | not published | not published | $8.94 – $19.17 | 2 |
| Group behave couns 2-10 HCPCS G0473 | not published | not published | $11.04 – $23.78 | 8 |
| Group health education CPT 99078 | not published | not published | $61.04 – $61.04 | 1 |
| Group mnt 2 or more 30 mins HCPCS G0271 | $74.20 | $74.20 | $15.00 – $42.80 | 9 |
| Group train without patient HCPCS G0543 | not published | not published | $10.37 – $21.69 | 6 |
| Growth hormone antibody CPT 86277 | not published | not published | $15.74 – $32.98 | 7 |
| Growth hormone panel CPT 80428 | not published | not published | $66.70 – $139.62 | 7 |
| Growth hormone panel CPT 80430 | not published | not published | $124.53 – $271.00 | 7 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $34.89 – $158.41 | 7 |
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.