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 |
|---|---|---|---|---|
| Inj, amisulpride, 1 mg HCPCS J0184 | not published | not published | $9.18 – $18.98 | 7 |
| Inj andexxa, 10 mg HCPCS J7169 | not published | not published | $127.50 – $276.58 | 8 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | not published | not published | $16.55 – $35.12 | 8 |
| Inj. (ani), up to 40 units HCPCS J0802 | not published | not published | $3,348.99 – $10,556.10 | 4 |
| Inj, aponvie, 1 mg HCPCS C9145 | not published | not published | $1.84 – $3.90 | 7 |
| Inj., aristada initio, 1 mg HCPCS J1943 | not published | not published | $3.01 – $6.18 | 8 |
| Inj, artesunate, 1mg HCPCS J0391 | not published | not published | $46.18 – $108.61 | 7 |
| Inj. asceniv HCPCS J1554 | not published | not published | $491.40 – $978.46 | 8 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | not published | not published | $49.19 – $107.03 | 8 |
| Inj atezolizumb 5mg hya-tqjs HCPCS J9024 | not published | not published | $31.64 – $32.58 | 5 |
| Inj avacincaptad pegol 0.1mg HCPCS J2782 | not published | not published | $105.90 – $214.89 | 6 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | not published | not published | $73.90 – $153.91 | 8 |
| Inj belantamab mafodot blmf HCPCS J9037 | not published | not published | $45.02 – $141.86 | 5 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $13,961.59 | $13,961.59 | $168.13 – $13,123.89 | 9 |
| Inj beta interferon sq 1 mcg HCPCS Q3028 | not published | not published | $38.33 – $83.86 | 3 |
| Inj, betibeglogene autotemce HCPCS J3393 | not published | not published | $0.03 – $6,219,252.16 | 6 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | not published | not published | $39.83 – $78.81 | 8 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | not published | not published | $206.21 – $414.92 | 8 |
| Inj, biorphen, 20 micrograms HCPCS J2372 | not published | not published | $0.17 – $0.52 | 4 |
| Inj bortezomib boruzu 0.1 mg HCPCS J9054 | not published | not published | $26.21 – $27.00 | 5 |
| Inj, bortezomib, dr. reddy's HCPCS J9046 | not published | not published | $4.91 – $101.73 | 8 |
| Inj, bortezomib freseniuskab HCPCS J9048 | not published | not published | $2.68 – $46.72 | 8 |
| Inj, bortezomib, hospira HCPCS J9049 | not published | not published | $1.52 – $5.82 | 5 |
| Inj., brexanolone, 1 mg HCPCS J1632 | not published | not published | $75.99 – $215.52 | 4 |
| Inj, brixadi, 7 days or less HCPCS J0577 | not published | not published | $422.83 – $847.37 | 6 |
| Inj brixadi, more than 7 day HCPCS J0578 | not published | not published | $1,691.31 – $3,389.51 | 6 |
| Inj, brolucizumab-dbll, 1 mg HCPCS J0179 | not published | not published | $321.16 – $669.93 | 8 |
| Inj bulking agent anal canal HCPCS L8605 | not published | not published | $666.62 – $1,768.38 | 7 |
| Inj, bupivacaine liposome HCPCS J0666 | $1,762.02 | $1,762.02 | $1.45 – $1,656.30 | 9 |
| Inj, bupivacaine (posimir) HCPCS C9144 | not published | not published | $0.49 – $1.05 | 7 |
| Inj. byooviz, 0.1 mg HCPCS Q5124 | not published | not published | $62.15 – $334.47 | 8 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | not published | not published | $0.78 – $2.70 | 4 |
| Inj, carmustine (accord) HCPCS J9052 | not published | not published | $18.40 – $544.18 | 7 |
| Inj cefazolin sodium, baxter HCPCS J0689 | not published | not published | $1.21 – $3.85 | 5 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $101.82 | $101.82 | $0.91 – $95.71 | 9 |
| Inj cefazolin (wg crit care) HCPCS J0687 | not published | not published | $1.00 – $2.20 | 6 |
| Inj. cefepime hcl (baxter) HCPCS J0701 | not published | not published | $5.47 – $17.25 | 5 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | $291.33 | $291.33 | $5.13 – $214.65 | 7 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | not published | not published | $2.17 – $4.51 | 8 |
| Inj ceftolozane tazobactam HCPCS J0695 | not published | not published | $6.84 – $16.11 | 8 |
| Inj., cerliponase alfa 1 mg HCPCS J0567 | not published | not published | $105.77 – $232.30 | 3 |
| Inj. cetirizine hcl 0.5mg HCPCS J1201 | not published | not published | $14.96 – $31.10 | 8 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | not published | not published | $86.51 – $333.57 | 8 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | not published | not published | $89.80 – $176.69 | 6 |
| Inj, clevidipine butyrate HCPCS C9248 | not published | not published | $2.88 – $7.17 | 7 |
| Inj, clindamycin (baxter) HCPCS J0737 | $82.38 | $82.38 | $1.75 – $49.08 | 7 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $1,189.15 | $1,189.15 | $38.21 – $352.71 | 9 |
| Inj., copanlisib, 1 mg HCPCS J9057 | not published | not published | $87.56 – $270.38 | 4 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | not published | not published | $441.85 – $2,030.54 | 8 |
| Inj, crovalimab-akkz, 10 mg HCPCS J1307 | not published | not published | $551.51 – $1,090.23 | 6 |
| Inj cutaquig 100 mg HCPCS J1551 | not published | not published | $13.89 – $44.06 | 5 |
| Inj cuvitru, 100 mg HCPCS J1555 | not published | not published | $15.21 – $32.84 | 8 |
| Inj, cyclophos (baxter) 5mg HCPCS J9076 | not published | not published | $10.14 – $10.14 | 1 |
| Inj cyclophos dr.reddy's 5mg HCPCS J9072 | not published | not published | $3.72 – $18.34 | 7 |
| Inj cyclophosphamd auromedic HCPCS J9071 | not published | not published | $0.78 – $1.79 | 8 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | not published | not published | $1.16 – $4.32 | 6 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | $1,338.03 | $1,338.03 | $4.21 – $1,257.75 | 9 |
| Inj, daptomycin (baxter) HCPCS J0874 | not published | not published | $0.07 – $0.13 | 3 |
| Inj, daptomycin (hospira) HCPCS J0877 | not published | not published | $0.06 – $0.18 | 5 |
| Inj daptomycin (xellia) HCPCS J0873 | not published | not published | $0.04 – $0.06 | 7 |
| Inj daxibotulinumtoxina-lanm HCPCS J0589 | not published | not published | $3.11 – $6.54 | 6 |
| Inj, decitabine (sun pharma) HCPCS J0893 | $975.98 | $975.98 | $0.78 – $917.42 | 7 |
| Inj delandistrogene mox rokl HCPCS J1413 | not published | not published | $0.03 – $6,968,275.51 | 6 |
| Inj. denosumab-bbdz, 1 mg HCPCS Q5136 | not published | not published | $27.54 – $28.36 | 5 |
| Inj diclofenac sodium 0.5mg HCPCS J1130 | not published | not published | $0.21 – $0.21 | 2 |
| Inj disk cerv-thor ea lev CPT 62291 | $869.80 | $869.80 | $136.58 – $594.28 | 9 |
| Inj, docetaxel (beizray) 1mg HCPCS J9174 | not published | not published | $52.47 – $54.04 | 5 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | not published | not published | $4.14 – $8.09 | 6 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $62.92 – $169.62 | 9 |
| Inj, durolane 1 mg HCPCS J7318 | not published | not published | $6.14 – $13.24 | 8 |
| Inj dx for sinogram CPT 20501 | $943.45 | $943.45 | $34.38 – $180.45 | 9 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $1,998.85 | $1,998.85 | $79.33 – $427.88 | 9 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $1,189.15 | $1,189.15 | $64.74 – $150.56 | 9 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $48.06 – $99.39 | 8 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $423.00 – $928.57 | 8 |
| Injection, cangrelor HCPCS C9460 | not published | not published | $19.47 – $39.44 | 7 |
| Injection, caplacizumab-yhdp HCPCS C9047 | not published | not published | $764.26 – $2,329.63 | 3 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | not published | not published | $54.31 – $159.33 | 9 |
| Injection, casimersen, 10 mg HCPCS J1426 | not published | not published | $163.20 – $504.09 | 4 |
| Injection, cimetidine hydroc HCPCS S0023 | not published | not published | $2.44 – $4.07 | 2 |
| Injection, daratumumab 10 mg HCPCS J9145 | $1,852.05 | $1,852.05 | $61.71 – $1,740.93 | 9 |
| Injection, delafloxacin HCPCS C9462 | not published | not published | $0.48 – $0.98 | 2 |
| Injection, doxercalciferol HCPCS J1270 | not published | not published | $0.33 – $0.75 | 4 |
| Injection during cath supravalvular aortography CPT 93567 | $264.30 | $264.30 | $34.23 – $208.53 | 9 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $18.84 – $42.85 | 8 |
| Injection epidural blood patch or clot CPT 62273 | $1,947.60 | $1,947.60 | $108.80 – $323.80 | 9 |
| Injection estrone per 1 mg HCPCS J1435 | not published | not published | $0.24 – $0.67 | 3 |
| Injection eye drug CPT 67028 | not published | not published | $87.91 – $216.52 | 9 |
| Injection, famotidine, 20 mg HCPCS S0028 | not published | not published | $0.92 – $3.39 | 2 |
| Injection for arthrography wrist (both sides) CPT 25246 | $1,189.15 | $1,189.15 | $69.10 – $142.92 | 9 |
| Injection for bladder x-ray CPT 51600 | $462.90 | $462.90 | $41.05 – $278.66 | 9 |
| Injection for hip x-ray CPT 27095 | not published | not published | $77.53 – $588.50 | 9 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $1,189.15 | $1,189.15 | $47.38 – $167.42 | 9 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $123.25 – $260.27 | 8 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $49.87 – $111.78 | 9 |
| Injection for ureter x-ray CPT 50684 | $943.45 | $943.45 | $48.54 – $177.41 | 9 |
| Injection for ureter x-ray CPT 50690 | $527.70 | $527.70 | $67.20 – $228.08 | 9 |
| Injection, fosphenytoin sodi HCPCS S0078 | not published | not published | $38.25 – $266.37 | 2 |
| Injection, fulvestrant HCPCS J9395 | $1,585.97 | $1,585.97 | $6.98 – $1,490.81 | 9 |
| Injection glatiramer acetate HCPCS J1595 | $487.99 | $487.99 | $58.65 – $458.71 | 9 |
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.