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 |
|---|---|---|---|---|
| Hpa-15 genotyping CPT 81112 | not published | not published | $122.22 – $256.10 | 7 |
| Hpa-1 genotyping CPT 81105 | not published | not published | $122.22 – $256.10 | 7 |
| Hpa-2 genotyping CPT 81106 | not published | not published | $122.22 – $256.10 | 7 |
| Hpa-3 genotyping CPT 81107 | not published | not published | $122.22 – $256.10 | 7 |
| Hpa-4 genotyping CPT 81108 | not published | not published | $122.22 – $256.10 | 7 |
| Hpa-5 genotyping CPT 81109 | not published | not published | $122.22 – $256.10 | 7 |
| Hpa-6 genotyping CPT 81110 | not published | not published | $122.22 – $256.10 | 7 |
| Hpa-9 genotyping CPT 81111 | not published | not published | $122.22 – $256.10 | 7 |
| Hpv combo assay ca screen HCPCS G0476 | not published | not published | $35.09 – $73.19 | 7 |
| Hpv low-risk types CPT 87623 | not published | not published | $35.09 – $73.19 | 7 |
| Hpv types 16 & 18 only CPT 87625 | not published | not published | $40.55 – $84.72 | 7 |
| H pylori ag ia CPT 87339 | not published | not published | $16.00 – $33.21 | 7 |
| H pylori (c-13) blood CPT 83009 | not published | not published | $67.36 – $140.98 | 7 |
| H pylori (c-13) breath CPT 83013 | not published | not published | $67.36 – $140.98 | 7 |
| H pylori drug admin CPT 83014 | not published | not published | $7.86 – $16.26 | 7 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | not published | not published | $679.05 – $1,422.70 | 7 |
| Hrdtry brst ca-rlatd dsordrs CPT 81433 | not published | not published | $438.93 – $991.27 | 4 |
| Hrdtry cardmypy gene panel CPT 81439 | not published | not published | $584.90 – $1,225.45 | 7 |
| Hrdtry perph neurphy panel CPT 81448 | not published | not published | $584.90 – $1,225.45 | 7 |
| Hrv skn cll ssp agrft 1st 25 CPT 15011 | not published | not published | $1,770.40 – $1,823.51 | 5 |
| Hsv dna dir probe CPT 87528 | not published | not published | $20.05 – $42.01 | 7 |
| Htt gene charac alleles CPT 81274 | not published | not published | $274.83 – $575.89 | 7 |
| Htt gene detc abnor alleles CPT 81271 | not published | not published | $137.00 – $287.07 | 7 |
| Human epididymis protein 4 (he4) CPT 86305 | not published | not published | $20.81 – $43.38 | 7 |
| Human ig IV CPT 90283 | not published | not published | $59.29 – $148.52 | 3 |
| Human ig sc CPT 90284 | not published | not published | $15.88 – $29.71 | 3 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $3,760.79 | $3,760.79 | $1.26 – $3,535.14 | 9 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | not published | not published | $21.20 – $59.43 | 3 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | not published | not published | $0.48 – $0.67 | 4 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $544.60 | $544.60 | $0.36 – $511.92 | 6 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $166.15 | $166.15 | $4.11 – $156.18 | 6 |
| Hydrocolld drg >16<=48 w/bdr HCPCS A6238 | not published | not published | $25.34 – $66.76 | 7 |
| Hydrocolld drg >16<=48 without b HCPCS A6235 | not published | not published | $18.70 – $49.24 | 7 |
| Hydrocolld drg <=16 in w/bdr HCPCS A6237 | not published | not published | $8.79 – $23.15 | 7 |
| Hydrocolld drg <=16 without bdr HCPCS A6234 | not published | not published | $7.27 – $19.17 | 7 |
| Hydrocolld drg filler paste HCPCS A6240 | not published | not published | $13.61 – $35.85 | 7 |
| Hydrocortisone acetate inj HCPCS J1700 | not published | not published | $0.65 – $0.65 | 2 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $265.94 | $265.94 | $17.85 – $249.98 | 6 |
| Hydrocortisone sodium ph inj HCPCS J1710 | not published | not published | $4.68 – $4.68 | 2 |
| Hydrogel drg <= 16 in w/bdr HCPCS A6245 | not published | not published | $8.08 – $21.29 | 7 |
| Hydrogel drg >48 in without bdr HCPCS A6244 | not published | not published | $43.67 – $115.02 | 7 |
| Hydrogel drg > 48 sq in w/b HCPCS A6247 | not published | not published | $26.44 – $69.63 | 7 |
| Hydrogel drsg gel filler HCPCS A6248 | not published | not published | $18.06 – $47.57 | 7 |
| Hydrogel dsg>16<=48 sq in HCPCS A6232 | not published | not published | $7.62 – $20.10 | 7 |
| Hydrogel dsg<=16 sq in HCPCS A6231 | not published | not published | $5.20 – $13.68 | 7 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $1,010.14 | $1,010.14 | $0.17 – $34.69 | 6 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $321.10 | $321.10 | $253.35 – $301.83 | 6 |
| Hydromorphone 250 mg HCPCS S0092 | not published | not published | $85.09 – $156.57 | 2 |
| Hydromorphone injection HCPCS J1170 | not published | not published | $2.70 – $6.60 | 4 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | not published | not published | $0.01 – $0.02 | 6 |
| Hydroxyurea 500 mg HCPCS S0176 | not published | not published | $0.57 – $2.03 | 2 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $314.85 | $314.85 | $9.91 – $295.96 | 6 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | not published | not published | $0.08 – $4.07 | 3 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | not published | not published | $17.90 – $37.28 | 7 |
| Hymenotomy CPT 56442 | not published | not published | $45.59 – $98.28 | 8 |
| Hymovis injection 1 mg HCPCS J7322 | not published | not published | $16.99 – $34.43 | 8 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $947.95 – $2,008.33 | 8 |
| Hyoscyamine sulfate inj HCPCS J1980 | not published | not published | $18.98 – $55.08 | 4 |
| Hyperbaric oxygen therapy CPT 99183 | not published | not published | $100.51 – $214.17 | 8 |
| #hypersens-actinomyces ab CPT 86602 | not published | not published | $10.18 – $21.02 | 7 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $93.97 – $201.98 | 8 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $69.66 – $145.05 | 8 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $77.76 – $168.77 | 8 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $67.67 – $140.98 | 8 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $95.12 – $198.61 | 8 |
| Hypnotherapy CPT 90880 | not published | not published | $82.54 – $197.87 | 9 |
| Hypothermia ill neonate CPT 99184 | not published | not published | $204.47 – $429.73 | 8 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $16.19 – $34.97 | 8 |
| Hysterectomy/bladder repair CPT 51925 | not published | not published | $1,027.17 – $2,189.98 | 8 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $947.52 – $2,023.92 | 8 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $1,010.36 – $2,158.80 | 8 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $875.32 – $1,870.05 | 8 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $256.36 – $565.29 | 8 |
| Hysterosalpingography s&i CPT 74740 | $1,856.55 | $1,856.55 | $17.47 – $1,128.82 | 9 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $232.98 – $4,026.32 | 9 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $219.55 – $2,540.95 | 9 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $144.59 – $696.43 | 9 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $268.54 – $575.45 | 8 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $209.96 – $832.64 | 9 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $338.27 – $725.25 | 8 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $295.60 – $633.74 | 8 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $803.07 – $1,754.15 | 8 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | not published | not published | $221.65 – $414.69 | 3 |
| I-123 iobenguane diag HCPCS A9582 | not published | not published | $2,074.81 – $4,962.45 | 8 |
| I-123 ioflupane diag HCPCS A9584 | not published | not published | $1,388.02 – $5,171.53 | 8 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $481.20 | $481.20 | $91.12 – $141.12 | 9 |
| I125 iothalamate, dx HCPCS A9554 | not published | not published | $38.25 – $81.34 | 3 |
| I125 serum albumin, dx HCPCS A9532 | not published | not published | $176.46 – $120,299.99 | 3 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | not published | not published | $753.92 – $1,880.93 | 9 |
| I131 iodide cap, rx HCPCS A9517 | not published | not published | $23.13 – $450.62 | 9 |
| I131 iodide sol, rx HCPCS A9530 | not published | not published | $9.46 – $23.05 | 8 |
| I131 max 100uci HCPCS A9531 | $429.30 | $429.30 | $3.62 – $120,299.99 | 7 |
| I131 serum albumin, dx HCPCS A9524 | not published | not published | $80.75 – $755.07 | 9 |
| I-131 sod iodide sol diag per mci HCPCS A9529 | not published | not published | $120,299.99 – $120,299.99 | 1 |
| Iaadi respiratory synctial virus CPT 87280 | not published | not published | $13.42 – $27.79 | 7 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | not published | not published | $35.09 – $73.19 | 7 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $18.09 – $37.91 | 7 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $21.79 – $94.88 | 7 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | not published | not published | $25.60 – $50.12 | 4 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $1,178.24 – $5,130.80 | 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.