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 |
|---|---|---|---|---|
| Ibuprofen injection HCPCS J1741 | not published | not published | $2.93 – $5.87 | 3 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $1,336.76 | $1,336.76 | $205.06 – $1,256.55 | 9 |
| Icatibant injection HCPCS J1744 | not published | not published | $95.06 – $317.75 | 8 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $44.82 – $94.21 | 8 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $11.80 – $25.08 | 8 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $0.87 – $15.42 | 9 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $4.50 – $9.63 | 8 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $906.06 – $1,971.05 | 8 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $372.24 – $866.68 | 9 |
| Idarubicin hcl injection HCPCS J9211 | not published | not published | $42.93 – $92.51 | 4 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $92.58 – $329.59 | 9 |
| Idecabtagene vicleucel car HCPCS Q2055 | not published | not published | $541,260.45 – $1,044,381.64 | 6 |
| Identify sperm tissue CPT 89264 | not published | not published | $51.71 – $53.26 | 5 |
| Idet 1 or more levels CPT 22527 | not published | not published | $147.77 – $3,090.26 | 5 |
| Idet single level CPT 22526 | not published | not published | $317.86 – $3,764.84 | 5 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $665.30 – $1,408.47 | 8 |
| Idh1 common variants CPT 81120 | not published | not published | $193.25 – $404.65 | 7 |
| Idh2 common variants CPT 81121 | not published | not published | $295.79 – $619.52 | 7 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $421.64 – $908.25 | 8 |
| I&d lacrimal gland CPT 68400 | not published | not published | $125.23 – $570.52 | 9 |
| I&d lacrimal sac CPT 68420 | not published | not published | $159.02 – $636.68 | 9 |
| Iduc valve sply repl HCPCS A4342 | not published | not published | $860.84 – $1,803.83 | 6 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $4,186.75 | $4,186.75 | $206.91 – $696.43 | 9 |
| Idursulfase injection HCPCS J1743 | not published | not published | $542.92 – $1,071.88 | 8 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $306.69 – $653.40 | 8 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $174.53 – $371.44 | 8 |
| Ifnl3 gene CPT 81283 | not published | not published | $73.37 – $153.74 | 7 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $1,049.57 | $1,049.57 | $25.72 – $337.07 | 6 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $99.75 – $434.40 | 7 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $68.55 – $143.64 | 7 |
| Igh gene rearrange amp meth CPT 81261 | not published | not published | $197.99 – $414.81 | 7 |
| Igh@ var region somatic mutation analy CPT 81263 | $1,666.10 | $1,666.10 | $294.52 – $1,566.13 | 9 |
| Igk rearrangeabn clonal pop CPT 81264 | not published | not published | $172.73 – $361.94 | 7 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $263.95 | $263.95 | $26.78 – $86.47 | 9 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $314.90 | $314.90 | $36.61 – $108.33 | 9 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $263.95 | $263.95 | $11.64 – $37.58 | 9 |
| Iiv3 vacc no prsv 0.25 ml im CPT 90655 | not published | not published | $13.99 – $26.44 | 3 |
| Ikbkap gene CPT 81260 | $158.10 | $158.10 | $39.31 – $148.61 | 9 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $982.89 – $2,118.80 | 8 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $2,517.45 – $5,394.61 | 8 |
| Iliac/fem angio cath insert HCPCS G0278 | not published | not published | $12.21 – $26.44 | 8 |
| Iliac revasc add-on 37222 CPT 37222 | $11,739.70 | $11,739.70 | $168.20 – $1,168.00 | 9 |
| Iloprost non-comp unit dose HCPCS Q4074 | not published | not published | $142.57 – $293.05 | 4 |
| Imatinib 100 mg tab HCPCS S0088 | not published | not published | $3.03 – $4.82 | 2 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $840.79 – $1,819.89 | 8 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | $24,309.05 | $24,309.05 | $57.02 – $5,712.62 | 9 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $15.56 – $35.92 | 8 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $13.11 – $31.48 | 8 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $42.15 – $91.51 | 8 |
| Immntx 1 sting insect CPT 95130 | not published | not published | $22.75 – $44.74 | 3 |
| Immntx 4 sting insects CPT 95133 | not published | not published | $42.38 – $82.02 | 3 |
| Immntx 5 sting insects CPT 95134 | not published | not published | $50.41 – $97.61 | 3 |
| Immob elbow child sm HCPCS L3762 | $74.20 | $74.20 | $58.54 – $144.65 | 9 |
| Immobilizer lwr extrem nylon 20in reinforc 21-35in HCPCS L2999 | $408.45 | $408.45 | $322.27 – $383.94 | 6 |
| Immobilizer shldr cntor adlt HCPCS L3670 | not published | not published | $98.47 – $261.22 | 7 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $101.25 | $101.25 | $77.85 – $95.18 | 9 |
| Immobilizer shldr sling med HCPCS L3660 | not published | not published | $119.34 – $316.58 | 7 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $728.82 – $1,565.04 | 8 |
| Immune complex assay CPT 86332 | not published | not published | $24.37 – $50.84 | 7 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $8,338.68 | $8,338.68 | $44.15 – $1,959.59 | 9 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | not published | not published | $74.63 – $160.97 | 8 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $9,276.60 | $9,276.60 | $42.66 – $4,360.23 | 9 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $106.49 – $218.01 | 3 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $263.10 | $263.10 | $20.81 – $247.31 | 9 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $32.20 | $32.20 | $20.81 – $30.27 | 9 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $25.57 – $53.54 | 7 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $140.95 | $140.95 | $11.98 – $132.49 | 9 |
| Immunodiffusion nes CPT 86329 | not published | not published | $14.05 – $29.15 | 7 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $21.31 – $62.70 | 6 |
| Immunofixation electrophoresis serum CPT 86334 | $47.15 | $47.15 | $17.26 – $37.20 | 9 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | not published | not published | $27.42 – $56.93 | 8 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $330.45 | $330.45 | $33.98 – $95.51 | 9 |
| Immunoglobulin assay CPT 86023 | $61.40 | $61.40 | $12.46 – $57.72 | 9 |
| Immunotherapy 2/> injections CPT 95125 | not published | not published | $15.61 – $31.85 | 3 |
| Impedence cardiogram CPT 93701 | not published | not published | $14.23 – $52.03 | 8 |
| Imp extar knee shck absrb HCPCS C8003 | not published | not published | $17,798.63 – $18,332.58 | 5 |
| Impl absrb msh/prsth dly cls CPT 15778 | not published | not published | $366.04 – $797.08 | 8 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | not published | not published | $680.25 – $1,804.51 | 7 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | not published | not published | $800.66 – $2,108.87 | 7 |
| Implantation iris prosthesis CPT 66683 | not published | not published | $751.66 – $1,569.10 | 6 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $1,433.43 – $3,130.75 | 8 |
| Implant brain electrodes CPT 61531 | not published | not published | $1,157.69 – $2,562.09 | 8 |
| Implant brain electrodes CPT 61533 | not published | not published | $1,437.85 – $3,175.49 | 8 |
| Implant brain electrodes CPT 61760 | not published | not published | $1,491.47 – $3,295.47 | 8 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $4,500.00 | $4,500.00 | $749.55 – $893.00 | 6 |
| Implant cochlear device CPT 69930 | not published | not published | $1,165.95 – $2,465.85 | 8 |
| Implant cochlear osia osi300 HCPCS L8690 | $4,345.00 | $4,345.00 | $138.67 – $7,047.37 | 9 |
| Implant eye drug system CPT 67027 | not published | not published | $808.85 – $1,699.25 | 8 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $52.38 – $181.82 | 9 |
| Implant nerve end CPT 64787 | not published | not published | $222.25 – $476.50 | 8 |
| Implant neuroelectrde addl CPT 61864 | not published | not published | $258.86 – $578.17 | 8 |
| Implant neuroelectrde addl CPT 61868 | not published | not published | $456.14 – $1,018.74 | 8 |
| Implant neuroelectrode CPT 61863 | not published | not published | $1,418.84 – $3,133.47 | 8 |
| Implant neuroelectrode CPT 61867 | not published | not published | $2,132.53 – $4,722.23 | 8 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $795.15 – $1,749.40 | 8 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $221.88 – $7,456.46 | 9 |
| Implant neuroelectrodes CPT 64555 | not published | not published | $217.92 – $4,090.57 | 9 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $290.03 – $1,413.42 | 9 |
| Implant neuroelectrodes CPT 61850 | not published | not published | $931.79 – $2,058.47 | 8 |
| Implant neuroelectrodes CPT 61860 | not published | not published | $1,468.52 – $3,246.67 | 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.