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, pemivibart, 4500 mg HCPCS Q0224 | $1,684.73 | $1,684.73 | $1,329.25 – $6,781.01 | 9 |
| Inj, pemrydi rtu, 10 mg HCPCS J9324 | not published | not published | $80.10 – $162.38 | 6 |
| Inj perflexane lip micros,ml HCPCS Q9955 | not published | not published | $13.25 – $120,299.99 | 3 |
| Inj peritoneal venous shunt CPT 49427 | not published | not published | $36.94 – $79.31 | 8 |
| Inj., perseris, 0.5 mg HCPCS J2798 | not published | not published | $11.41 – $24.10 | 8 |
| Inj plasminogen tvmh 1mg HCPCS J2998 | not published | not published | $30.10 – $68.21 | 8 |
| Inj., plazomicin, 5 mg HCPCS J0291 | not published | not published | $3.45 – $7.06 | 8 |
| Inj pozelimab-bbfg, 1 mg HCPCS J9376 | not published | not published | $181.34 – $181.34 | 1 |
| Inj proc ankle arthr CPT 27648 | $723.50 | $723.50 | $48.79 – $142.92 | 9 |
| Inj proc elbow arthro CPT 24220 | $674.85 | $674.85 | $63.10 – $263.92 | 9 |
| Inj proc for lymphang CPT 38790 | $281.60 | $281.60 | $78.49 – $222.18 | 9 |
| Inj proc lumbr disk ea lvl CPT 62290 | $912.00 | $912.00 | $150.30 – $660.45 | 9 |
| Inj proc myelogram lumbar CPT 62284 | $3,364.80 | $3,364.80 | $79.19 – $359.77 | 9 |
| Inj proc sialogram CPT 42550 | $259.10 | $259.10 | $58.62 – $210.47 | 9 |
| Inj progesterone per 50 mg HCPCS J2675 | not published | not published | $0.73 – $1.76 | 4 |
| Inj prohance multipack HCPCS A9576 | not published | not published | $1.46 – $2.89 | 4 |
| Inj protirelin per 250 mcg HCPCS J2725 | not published | not published | $21.78 – $21.78 | 2 |
| Inj recombin esperoct per iu HCPCS J7204 | not published | not published | $2.08 – $4.32 | 8 |
| Inj, releuko 1 mcg HCPCS Q5125 | not published | not published | $0.41 – $0.90 | 8 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | not published | not published | $0.68 – $1.47 | 8 |
| Inj retro urethrocysto CPT 51610 | $943.45 | $943.45 | $61.52 – $247.99 | 9 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | not published | not published | $12.36 – $25.69 | 8 |
| Inj roctavian ml 2x10^13vc g HCPCS J1412 | not published | not published | $11,554.69 – $25,161.59 | 7 |
| Inj., rolapitant, 0.5 mg HCPCS J2797 | not published | not published | $0.90 – $0.90 | 2 |
| Inj romidepsin non-lyo 0.1mg HCPCS J9318 | not published | not published | $28.52 – $71.06 | 8 |
| Inj, rykindo, 0.5 mg HCPCS J2801 | not published | not published | $13.03 – $27.30 | 6 |
| Inj scleros sol mult veins CPT 36471 | $357.85 | $357.85 | $69.77 – $290.68 | 9 |
| Inj scleros sol sgl vein CPT 36470 | $357.85 | $357.85 | $35.53 – $222.29 | 9 |
| Inj, sculptra, 0.5mg HCPCS Q2028 | not published | not published | $0.66 – $2.93 | 8 |
| Inj sebelipase alfa 1 mg HCPCS J2840 | not published | not published | $520.71 – $1,130.32 | 8 |
| Inj secretin synthetic human HCPCS J2850 | not published | not published | $33.47 – $45.10 | 8 |
| Inj secukinumab intrav 1mg HCPCS J3247 | not published | not published | $17.84 – $35.04 | 6 |
| Inj, sezaby, 1 mg HCPCS J2561 | not published | not published | $1.15 – $2.79 | 8 |
| Inj, spesolimab-sbzo, 1 mg HCPCS J1747 | not published | not published | $60.22 – $121.43 | 8 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | not published | not published | $386.68 – $398.28 | 5 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | not published | not published | $18.91 – $36.92 | 4 |
| Inj, susvimo 0.1 mg HCPCS J2779 | not published | not published | $78.43 – $159.06 | 8 |
| Inj, sutimlimab-jome, 10 mg HCPCS J1302 | not published | not published | $17.35 – $35.83 | 8 |
| Inj. tagraxofusp-erzs 10 mcg HCPCS J9269 | not published | not published | $325.56 – $669.93 | 8 |
| Inj, taliglucerace alfa 10 u HCPCS J3060 | not published | not published | $41.06 – $82.29 | 8 |
| Inj teclistamab cqyv 0.5 mg HCPCS J9380 | not published | not published | $30.85 – $64.35 | 8 |
| Inj tedizolid phosphate HCPCS J3090 | not published | not published | $1.69 – $3.58 | 8 |
| Inj teplizumab mzwv 5 mcg HCPCS J9381 | not published | not published | $36.26 – $73.61 | 8 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | not published | not published | $328.00 – $686.15 | 8 |
| Inj testostero enanthate 1mg HCPCS J3121 | not published | not published | $0.05 – $0.10 | 4 |
| Inj, testosterone, azmiro HCPCS J1072 | not published | not published | $1.33 – $1.36 | 5 |
| Inj testosterone cypionate HCPCS J1071 | not published | not published | $0.03 – $0.06 | 4 |
| Inj theophylline per 40 mg HCPCS J2810 | not published | not published | $0.41 – $0.82 | 3 |
| Inj thiotepa nos 1 mg HCPCS J9342 | not published | not published | $12.24 – $12.60 | 5 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | $1,241.30 | $1,241.30 | $69.89 – $1,166.82 | 9 |
| Inj thrc fascial pln blk uni w/wo image CPT 64466 | $1,241.30 | $1,241.30 | $62.80 – $1,166.82 | 9 |
| Inj. tigecycline (accord) HCPCS J3244 | not published | not published | $0.60 – $8.04 | 5 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | not published | not published | $126.24 – $263.27 | 8 |
| Inj, tislelizumab-jsgr HCPCS J9329 | not published | not published | $57.42 – $109.05 | 6 |
| Inj tofersen intrathec 1 mg HCPCS J1304 | not published | not published | $150.84 – $307.09 | 7 |
| Inj, tofidence, 1 mg HCPCS Q5133 | not published | not published | $5.79 – $11.86 | 6 |
| Inj travoprost intra impl HCPCS J7355 | not published | not published | $195.25 – $413.14 | 6 |
| Inj triamcinolone ace X-ray 1mg HCPCS J3304 | not published | not published | $17.20 – $35.58 | 8 |
| Inj triferic avnu 0.1mg iron HCPCS J1445 | not published | not published | $0.18 – $0.34 | 3 |
| Inj., triluron, 1 mg HCPCS J7332 | not published | not published | $10.10 – $19.95 | 8 |
| Inj., triptorelin X-ray 3.75 mg HCPCS J3316 | not published | not published | $3,185.21 – $7,163.22 | 8 |
| Inj, trivisc 1 mg HCPCS J7329 | not published | not published | $5.45 – $12.07 | 8 |
| Inj, tyenne, 1 mg HCPCS Q5135 | not published | not published | $4.69 – $8.11 | 6 |
| Inj ustekinumab-aekn, 1 mg HCPCS Q9998 | not published | not published | $47.80 – $49.23 | 5 |
| Inj ustekinumab-kfce, 1 mg HCPCS Q5100 | not published | not published | $3.17 – $3.26 | 5 |
| Inj ustekinumab-stba, 1 mg HCPCS Q5099 | not published | not published | $2.41 – $2.48 | 5 |
| Inj, uzedy, 1 mg HCPCS J2799 | not published | not published | $24.70 – $48.87 | 7 |
| Inj, vancomycin hcl (mylan) HCPCS J3371 | $279.86 | $279.86 | $5.94 – $105.68 | 7 |
| Inj, vancomycin hcl (xellia) HCPCS J3372 | not published | not published | $6.48 – $19.65 | 5 |
| Inj vasopressin (am reg) 1 u HCPCS J2599 | not published | not published | $0.46 – $2.37 | 3 |
| Inj, vasopressin (baxter) HCPCS J2601 | not published | not published | $2.94 – $7.19 | 6 |
| Inj, vegzelma, 10 mg HCPCS Q5129 | not published | not published | $43.62 – $102.80 | 8 |
| Inj velmanase alfa-tycv 1 mg HCPCS J0217 | not published | not published | $408.00 – $871.41 | 7 |
| Inj., vestronidase alfa-vjbk HCPCS J3397 | not published | not published | $261.12 – $552.57 | 3 |
| Inj. viltolarsen HCPCS J1427 | not published | not published | $57.53 – $178.34 | 4 |
| Inj vocal cord bulking agent HCPCS L8607 | $735.00 | $735.00 | $39.91 – $587.50 | 9 |
| Inj w/fluor eval cv device CPT 36598 | $898.90 | $898.90 | $33.40 – $228.08 | 9 |
| Inj. xembify, 100 mg HCPCS J1558 | not published | not published | $13.89 – $28.18 | 8 |
| Inj xipere 1 mg HCPCS J3299 | not published | not published | $48.00 – $95.72 | 8 |
| Inj., yutiq, 0.01 mg HCPCS J7314 | not published | not published | $527.13 – $1,039.61 | 8 |
| Inj zanidatamab-hrii, 2 mg HCPCS J9276 | not published | not published | $25.08 – $25.83 | 5 |
| Inj zenocutuzumab-zbco 1 mg HCPCS J9382 | not published | not published | $32.62 – $33.60 | 5 |
| Inner skull vessel surgery CPT 61702 | not published | not published | $3,729.49 – $8,282.71 | 8 |
| Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln HCPCS J9229 | not published | not published | $2,529.56 – $5,254.66 | 8 |
| Inpatient consultation CPT 99251 | not published | not published | $79.24 – $79.24 | 1 |
| Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy HCPCS G0459 | not published | not published | $41.25 – $88.11 | 8 |
| Inpt/ed teleconsult30 HCPCS G0425 | not published | not published | $88.19 – $186.39 | 8 |
| Inpt/ed teleconsult50 HCPCS G0426 | not published | not published | $125.03 – $263.67 | 8 |
| Inpt/ed teleconsult70 HCPCS G0427 | not published | not published | $178.06 – $374.83 | 8 |
| Inpt/tele follow up 15 HCPCS G0406 | not published | not published | $39.11 – $82.69 | 8 |
| Inpt/tele follow up 25 HCPCS G0407 | not published | not published | $69.36 – $146.41 | 8 |
| Inpt/tele follow up 35 HCPCS G0408 | not published | not published | $100.39 – $211.47 | 8 |
| Ins cath ren art 1st bi CPT 36252 | $9,572.35 | $9,572.35 | $325.76 – $2,636.68 | 9 |
| Ins cath ren art 1st uni CPT 36251 | $9,572.35 | $9,572.35 | $234.18 – $2,430.45 | 9 |
| Ins cath ren art 2nd+ bi CPT 36254 | $9,572.35 | $9,572.35 | $380.91 – $3,737.86 | 9 |
| Ins cath ren art 2nd+ uni CPT 36253 | $9,572.35 | $9,572.35 | $329.44 – $3,791.84 | 9 |
| Ins cerv dilator (sep proc) CPT 59200 | not published | not published | $41.95 – $203.02 | 9 |
| Ins device for right guide open CPT 49412 | not published | not published | $76.20 – $166.73 | 8 |
| Insemination of oocytes CPT 89268 | not published | not published | $165.85 – $170.82 | 5 |
| Insert abdomen-venous drain CPT 49425 | not published | not published | $741.95 – $1,605.04 | 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.