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 |
|---|---|---|---|---|
| Injection, glucarpidase HCPCS C9293 | not published | not published | $392.50 – $862.77 | 2 |
| Injection, inclisiran, 1 mg HCPCS J1306 | not published | not published | $12.13 – $24.27 | 8 |
| Injection into brain canal CPT 61026 | not published | not published | $101.83 – $231.82 | 8 |
| Injection into brain canal CPT 61055 | $1,765.25 | $1,765.25 | $110.20 – $1,392.78 | 9 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $175.31 – $602.63 | 9 |
| Injection into spinal artery CPT 62294 | not published | not published | $861.66 – $1,993.41 | 8 |
| Injection into vocal cord CPT 31513 | not published | not published | $126.03 – $267.06 | 8 |
| Injection intraop add-on CPT 48400 | not published | not published | $98.56 – $215.54 | 8 |
| Injection, isavuconazonium HCPCS J1833 | not published | not published | $1.00 – $2.05 | 8 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $42.51 – $408.60 | 9 |
| Injection, khapzory, 0.5 mg HCPCS J0642 | not published | not published | $1.53 – $5.16 | 5 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $5.73 – $11.34 | 8 |
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $14.03 – $29.15 | 8 |
| Injection of sinus tract CPT 20500 | not published | not published | $85.91 – $239.64 | 9 |
| Injection,onabotulinumtoxina HCPCS J0585 | $1,542.52 | $1,542.52 | $6.13 – $1,449.97 | 9 |
| Injection, pentamidine iseth HCPCS S0080 | $1,628.81 | $1,628.81 | $99.65 – $1,531.08 | 6 |
| Injection, peramivir HCPCS J2547 | not published | not published | $1.62 – $3.52 | 8 |
| Injection, piperacillin sodi HCPCS S0081 | not published | not published | $1.78 – $2.70 | 2 |
| Injection px peyronie ds CPT 54200 | not published | not published | $82.80 – $226.78 | 9 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $218.40 | $218.40 | $30.34 – $98.65 | 9 |
| Injection, renflexis HCPCS Q5104 | $1,798.95 | $1,798.95 | $25.05 – $1,691.01 | 9 |
| Injection, ruconest HCPCS J0596 | not published | not published | $32.24 – $68.52 | 8 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | not published | not published | $316.74 – $316.74 | 1 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $1,990.35 | $1,990.35 | $60.78 – $223.58 | 9 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $1,826.80 | $1,826.80 | $39.88 – $145.20 | 9 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $2,603.45 | $2,603.45 | $106.95 – $475.43 | 9 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $2,450.80 | $2,450.80 | $0.79 – $64.77 | 9 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $3,369.65 | $3,369.65 | $101.37 – $371.99 | 9 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $943.45 | $943.45 | $0.79 – $55.45 | 9 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $2,257.30 | $2,257.30 | $87.02 – $342.44 | 9 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $1,826.80 | $1,826.80 | $103.27 – $506.91 | 9 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,826.80 | $1,826.80 | $95.52 – $498.55 | 9 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $142.01 – $308.32 | 8 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $791.95 | $791.95 | $37.23 – $111.78 | 9 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $1,160.35 | $1,160.35 | $34.97 – $101.51 | 9 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $821.70 | $821.70 | $39.77 – $116.93 | 9 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $134.25 | $134.25 | $18.63 – $82.39 | 7 |
| Injection, ticarcillin disod HCPCS S0040 | not published | not published | $13.60 – $21.69 | 2 |
| Injection torsemide 10 mg/ml HCPCS J3265 | not published | not published | $2.19 – $2.20 | 2 |
| Injection treatment of eye CPT 66020 | not published | not published | $125.07 – $379.05 | 9 |
| Injection treatment of eye CPT 66030 | not published | not published | $106.00 – $341.79 | 9 |
| Injection treatment of nerve CPT 64605 | not published | not published | $336.77 – $1,753.94 | 9 |
| Injection treatment of nerve CPT 64610 | not published | not published | $453.61 – $1,496.30 | 9 |
| Injection treatment of nerve CPT 64681 | not published | not published | $213.85 – $870.54 | 9 |
| Injection treatment of nose CPT 30200 | not published | not published | $57.27 – $213.95 | 9 |
| Inject sacroiliac joint CPT 27096 | $2,037.90 | $2,037.90 | $80.27 – $316.74 | 9 |
| Inject/treat eye socket CPT 67500 | not published | not published | $61.80 – $148.41 | 9 |
| Inject/treat eye socket CPT 67505 | not published | not published | $69.03 – $164.47 | 9 |
| Inject/treat eye socket CPT 67515 | not published | not published | $45.08 – $98.29 | 9 |
| Inj, eculizumab-aagh, 2 mg HCPCS Q5151 | not published | not published | $31.35 – $32.29 | 5 |
| Inj, eculizumab-aeeb, 2 mg HCPCS Q5152 | not published | not published | $41.49 – $42.73 | 5 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | $38,416.02 | $38,416.02 | $31.92 – $36,111.06 | 9 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $21.12 – $43.75 | 8 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $366.67 – $744.40 | 8 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $50.65 – $102.82 | 8 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $1,950.85 | $1,950.85 | $94.25 – $316.10 | 9 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,950.85 | $1,950.85 | $74.89 – $260.85 | 9 |
| Inj, epinephrine (belcher) HCPCS J0173 | not published | not published | $1.79 – $5.64 | 4 |
| Inj., eravacycline, 1 mg HCPCS J0122 | not published | not published | $1.08 – $3.67 | 5 |
| Inj, erzofri, 1 mg HCPCS J2428 | not published | not published | $17.15 – $17.66 | 5 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | not published | not published | $3.82 – $7.61 | 4 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $163.20 – $335.27 | 3 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $175.70 – $368.29 | 8 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $15.06 – $35.58 | 8 |
| Inj, exagamglogene autotem HCPCS J3392 | not published | not published | $2,332,000.00 – $4,609,957.80 | 6 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $8.78 – $18.84 | 8 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $34.48 – $69.67 | 8 |
| Inj fe-based mr contrast,1ml HCPCS Q9953 | not published | not published | $62.05 – $120,299.99 | 3 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | $8,385.26 | $8,385.26 | $18.86 – $7,882.14 | 9 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $131.82 – $269.81 | 8 |
| Inj ferric pyrophosphate cit HCPCS J1443 | not published | not published | $0.03 – $0.06 | 3 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $1.10 – $2.18 | 8 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | not published | not published | $7.43 – $15.21 | 7 |
| Inj, focinvez, 1mg HCPCS J1434 | not published | not published | $2.87 – $6.58 | 6 |
| Inj follitropin alfa 75 iu HCPCS S0126 | not published | not published | $121.33 – $246.34 | 2 |
| Inj follitropin beta 75 iu HCPCS S0128 | not published | not published | $115.23 – $221.85 | 2 |
| Inj for ext venography CPT 36005 | $458.10 | $458.10 | $44.06 – $372.11 | 9 |
| Inj for mammo ductogram CPT 19030 | $592.40 | $592.40 | $71.71 – $315.44 | 9 |
| Inj, fosaprepitant (teva) HCPCS J1456 | not published | not published | $0.43 – $2.04 | 8 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $400.51 – $1,300.95 | 8 |
| Inj., fremanezumab-vfrm 1 mg HCPCS J3031 | not published | not published | $3.16 – $5.64 | 4 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | not published | not published | $3.32 – $53.00 | 8 |
| Inj, fulvestrant (teva) HCPCS J9393 | not published | not published | $3.13 – $47.60 | 8 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | not published | not published | $3.91 – $11.26 | 3 |
| Inj, ganciclovir (exela) HCPCS J1574 | not published | not published | $51.00 – $104.77 | 3 |
| Inj ganirelix acetat 250 mcg HCPCS S0132 | not published | not published | $159.97 – $187.68 | 2 |
| Inj gemcitabine hcl (accord) HCPCS J9196 | not published | not published | $3.93 – $23.59 | 5 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $111.92 – $228.26 | 8 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | not published | not published | $2,707.93 – $5,477.61 | 7 |
| Inj glycopyrrolate fres kabi HCPCS J1598 | not published | not published | $1.85 – $3.98 | 6 |
| Inj glycopyrrolate, glyrx-pf HCPCS J1597 | not published | not published | $3.35 – $3.35 | 1 |
| Inj golodirsen 10 mg HCPCS J1429 | not published | not published | $163.20 – $503.58 | 4 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | not published | not published | $4.96 – $10.90 | 8 |
| Inj., guselkumab, 1 mg HCPCS J1628 | not published | not published | $74.86 – $145.34 | 8 |
| Inj., haegarda 10 units HCPCS J0599 | not published | not published | $10.80 – $24.39 | 3 |
| Inj, hemgenix, per tx dose HCPCS J1411 | not published | not published | $0.03 – $7,696,324.55 | 6 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | not published | not published | $3.42 – $10.37 | 4 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | not published | not published | $62.97 – $124.66 | 8 |
| Inj, hercessi, 10 mg HCPCS Q5146 | not published | not published | $76.18 – $184.82 | 6 |
| Inj herzuma 10 mg HCPCS Q5113 | $9,376.89 | $9,376.89 | $30.12 – $3,147.96 | 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.