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 |
|---|---|---|---|---|
| Infect ag if hep delta agent CPT 87380 | not published | not published | $17.66 – $38.47 | 7 |
| Infect ag if influenza a CPT 87276 | not published | not published | $16.07 – $33.67 | 7 |
| Infect ag if influenza b CPT 87275 | not published | not published | $12.25 – $25.67 | 7 |
| Infect ag if legionella pneumophila CPT 87278 | $46.20 | $46.20 | $15.60 – $43.43 | 9 |
| Infect ag if nos ea CPT 87299 | not published | not published | $16.10 – $33.74 | 7 |
| Infect ag if pneumocystis carinii CPT 87281 | not published | not published | $11.98 – $25.08 | 7 |
| Infect ag if varicella zoster CPT 87290 | not published | not published | $13.42 – $27.79 | 7 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $26.02 – $111.83 | 7 |
| Infect ag na hep b amp CPT 87516 | not published | not published | $35.09 – $73.19 | 7 |
| Infect ag na herpes simplex quant CPT 87530 | not published | not published | $42.84 – $89.48 | 7 |
| Infect ag na hpv high-risk types CPT 87624 | $227.70 | $227.70 | $35.09 – $214.04 | 9 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $286.45 | $286.45 | $89.19 – $269.26 | 9 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $47.88 – $107.52 | 7 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $228.80 | $228.80 | $41.34 – $215.07 | 9 |
| Infect ag na resp virus 12-25 targets CPT 87633 | not published | not published | $337.39 – $873.00 | 7 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | not published | not published | $488.66 – $1,023.96 | 7 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | not published | not published | $26.07 – $54.63 | 7 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $19.91 – $86.71 | 7 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $33.30 | $33.30 | $11.98 – $31.30 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | not published | not published | $13.42 – $27.79 | 7 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $156.10 | $156.10 | $13.82 – $146.73 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $161.05 | $161.05 | $11.98 – $151.39 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $83.50 | $83.50 | $14.38 – $78.49 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $60.30 | $60.30 | $10.33 – $56.68 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $98.40 | $98.40 | $10.33 – $92.50 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $96.95 | $96.95 | $24.08 – $91.13 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $328.15 | $328.15 | $11.98 – $308.46 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $45.05 | $45.05 | $11.98 – $42.35 | 9 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $153.50 | $153.50 | $11.98 – $144.29 | 9 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $339.90 | $339.90 | $35.09 – $319.51 | 9 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $174.55 | $174.55 | $35.09 – $164.08 | 9 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $142.60 | $142.60 | $37.27 – $134.04 | 9 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | not published | not published | $339.76 – $873.00 | 7 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $71.70 | $71.70 | $35.09 – $67.40 | 9 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | not published | not published | $35.09 – $73.19 | 7 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $430.85 | $430.85 | $41.34 – $405.00 | 9 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $174.55 | $174.55 | $35.09 – $164.08 | 9 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $84.45 | $84.45 | $24.69 – $79.38 | 9 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $166.60 | $166.60 | $68.63 – $156.60 | 9 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | not published | not published | $68.63 – $298.87 | 7 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | not published | not published | $35.09 – $73.19 | 7 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $112.15 | $112.15 | $35.09 – $105.42 | 9 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $191.95 | $191.95 | $76.77 – $180.43 | 9 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | not published | not published | $337.39 – $873.00 | 7 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $356.25 | $356.25 | $120.20 – $334.88 | 9 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $730.30 | $730.30 | $182.27 – $686.48 | 9 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $134.15 | $134.15 | $42.84 – $126.10 | 9 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $237.70 | $237.70 | $42.84 – $223.44 | 9 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $226.35 | $226.35 | $42.84 – $212.77 | 9 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $169.80 | $169.80 | $85.10 – $159.61 | 9 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $370.85 | $370.85 | $120.20 – $348.60 | 9 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $2,788.52 | $2,788.52 | $31.18 – $1,889.10 | 9 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $1,193.90 | $1,193.90 | $20.89 – $1,122.27 | 9 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $2,259.53 | $2,259.53 | $10.66 – $2,123.96 | 9 |
| Influenza dna amp prob addl CPT 87503 | not published | not published | $15.52 – $61.00 | 7 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $40.04 – $165.06 | 8 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $23.46 – $57.08 | 8 |
| Inf lwr xtr fscl pln blk uni w/wo image CPT 64474 | $1,826.80 | $1,826.80 | $69.89 – $1,053.27 | 9 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $2,923.66 – $6,285.24 | 8 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $2,868.62 – $6,130.70 | 8 |
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | $1,241.30 | $1,241.30 | $76.11 – $1,166.82 | 9 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | $1,241.30 | $1,241.30 | $72.51 – $1,166.82 | 9 |
| Infuse radioactive materials CPT 77750 | not published | not published | $132.44 – $502.41 | 8 |
| Ingest challenge ea addl 60 min CPT 95079 | not published | not published | $65.66 – $164.47 | 9 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $71.24 – $237.71 | 9 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $576.65 | $576.65 | $45.06 – $241.75 | 9 |
| Init ak ischal plstr direct HCPCS L5505 | not published | not published | $1,941.21 – $5,149.57 | 7 |
| Init bk ptb plaster direct HCPCS L5500 | not published | not published | $1,386.77 – $3,678.79 | 7 |
| Initial care training 30 m HCPCS G0539 | not published | not published | $44.88 – $93.54 | 6 |
| Initial custom socket insert HCPCS L5683 | not published | not published | $1,224.27 – $3,247.72 | 7 |
| Initial foot exam pt lops HCPCS G0245 | not published | not published | $37.88 – $124.63 | 8 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | not published | not published | $322.50 – $678.48 | 8 |
| Initial nursing facility care/day 35 minutes CPT 99305 | $298.25 | $298.25 | $128.41 – $269.10 | 9 |
| Initial nursing facility care/day 45 minutes CPT 99306 | $381.95 | $381.95 | $175.27 – $367.37 | 9 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | $207.90 | $207.90 | $77.37 – $162.67 | 9 |
| Initial observation care CPT 99218 | not published | not published | $134.81 – $134.81 | 1 |
| Initial observation care CPT 99219 | not published | not published | $183.28 – $183.28 | 1 |
| Initial observation care CPT 99220 | not published | not published | $250.44 – $250.44 | 1 |
| Init nb em per day non-fac CPT 99461 | not published | not published | $58.09 – $176.68 | 9 |
| Init pm e/m new pat 65+ yrs CPT 99387 | not published | not published | $120.27 – $310.95 | 5 |
| Init/sub psych care m 1st 30 HCPCS G2214 | not published | not published | $36.93 – $110.51 | 8 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | not published | not published | $5.88 – $11.69 | 7 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $6,935.22 | $6,935.22 | $6.55 – $4,889.33 | 9 |
| Inj acetaminoph 10mg/ibu 3mg HCPCS J0138 | not published | not published | $0.22 – $0.48 | 6 |
| Inj, acetaminophen (b braun) HCPCS J0136 | not published | not published | $0.05 – $0.15 | 5 |
| Inj acetaminophen -fresenius HCPCS J0134 | $111.39 | $111.39 | $0.05 – $104.71 | 7 |
| Inj, acetaminophen (hikma) HCPCS J0137 | not published | not published | $0.05 – $0.15 | 4 |
| Inj. acthar gel to 40 units HCPCS J0801 | not published | not published | $3,479.53 – $10,551.67 | 4 |
| Inj, adalimumab, 1 mg HCPCS J0139 | not published | not published | $91.73 – $181.32 | 6 |
| Inj adalimumab-ryvk, 1 mg HCPCS Q5142 | not published | not published | $10.64 – $27.20 | 6 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | not published | not published | $61,200.00 – $125,334.80 | 8 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $5.98 – $11.82 | 8 |
| Inj, adzynma, 10 iu HCPCS J7171 | not published | not published | $35.59 – $68.33 | 6 |
| Inj, aflibercept-ayyh, 1 mg HCPCS Q5147 | not published | not published | $869.08 – $895.16 | 5 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | not published | not published | $319.74 – $650.49 | 6 |
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $1.44 – $3.00 | 8 |
| Inj, alfentanil hcl, 500mcg HCPCS J0216 | not published | not published | $2.57 – $5.07 | 3 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | not published | not published | $4.54 – $8.70 | 8 |
| Inj, alyglo, 500 mg HCPCS J1552 | not published | not published | $131.12 – $290.36 | 6 |
| Inj alymsys 10 mg HCPCS Q5126 | not published | not published | $42.60 – $115.12 | 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.