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 |
|---|---|---|---|---|
| Intrinsic factor antibody CPT 86340 | $63.15 | $63.15 | $15.08 – $59.36 | 9 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $48.22 – $171.53 | 9 |
| Intro cath dialysis circuit CPT 36901 | not published | not published | $155.96 – $1,335.69 | 9 |
| Intro cath dialysis circuit w/pta CPT 36902 | not published | not published | $221.61 – $2,282.67 | 9 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | not published | not published | $290.47 – $7,999.34 | 9 |
| Intro catheter aorta CPT 36200 | $3,399.05 | $3,399.05 | $127.14 – $1,122.39 | 9 |
| Intro cath svc/ivc CPT 36010 | $769.80 | $769.80 | $99.08 – $625.31 | 9 |
| Intro long gi tube CPT 44500 | $689.90 | $689.90 | $18.23 – $544.33 | 9 |
| Intro long gi tube w/mult fluo CPT 74340 | $443.10 | $443.10 | $24.56 – $349.61 | 9 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $139.03 – $2,017.99 | 9 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | not published | not published | $81.40 – $1,789.27 | 9 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | not published | not published | $64.94 – $328.93 | 9 |
| Intubation endotracheal emergency procedure CPT 31500 | $1,334.85 | $1,334.85 | $133.21 – $461.13 | 9 |
| Io anal gast n-stim init CPT 95980 | not published | not published | $41.89 – $90.82 | 8 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $16.83 – $75.17 | 9 |
| Iodine i-123 sod iodide mil HCPCS A9509 | not published | not published | $95.30 – $1,844.67 | 9 |
| Iodine i-125 sodium iodide HCPCS A9527 | not published | not published | $43.13 – $450.62 | 9 |
| Iodine i-131 iobenguane 1mci HCPCS A9590 | not published | not published | $326.80 – $1,029.87 | 4 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $34.60 – $114.36 | 9 |
| Ionm in operatng room 15 min CPT 95940 | not published | not published | $31.04 – $65.06 | 8 |
| Ionm remote/>1 pt or per hr CPT 95941 | not published | not published | $244.13 – $244.13 | 1 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $217.70 | $217.70 | $0.35 – $204.64 | 6 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $83.28 | $83.28 | $0.12 – $62.42 | 6 |
| Io radiation tx management CPT 77469 | not published | not published | $311.88 – $659.50 | 8 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $7,398.64 – $7,620.60 | 5 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $7,398.64 – $7,620.60 | 5 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | not published | not published | $0.29 – $120,299.99 | 3 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $84,787.72 | $84,787.72 | $168.76 – $79,700.46 | 9 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | $473.75 | $473.75 | $98.10 – $355.31 | 6 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | $662.70 | $662.70 | $136.32 – $497.03 | 6 |
| Ip/obs consltj new/est hi 80 CPT 99255 | $817.85 | $817.85 | $183.42 – $613.39 | 6 |
| Ip/obs consltj new/est sf 35 CPT 99252 | $487.25 | $487.25 | $70.36 – $365.44 | 6 |
| Ipratropium bromide comp HCPCS J7645 | not published | not published | $0.05 – $0.05 | 2 |
| Ipratropium bromide non-comp HCPCS J7644 | not published | not published | $0.24 – $0.73 | 4 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $165.46 | $165.46 | $1.95 – $155.53 | 6 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $7,113.26 | $7,113.26 | $61.15 – $6,686.46 | 9 |
| Iron CPT 83540 | $49.95 | $49.95 | $6.47 – $46.95 | 9 |
| Iron binding capacity CPT 83550 | $53.65 | $53.65 | $8.74 – $50.43 | 9 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $363.89 | $363.89 | $16.90 – $342.06 | 9 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $6.88 – $14.23 | 7 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $1,231.39 | $1,231.39 | $0.21 – $578.52 | 6 |
| Irradiation of blood product each unit reference CPT 86945 | not published | not published | $34.68 – $42.70 | 7 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $303.75 | $303.75 | $23.67 – $48.80 | 9 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $182.39 – $380.24 | 8 |
| Irrigation syringe HCPCS A4322 | not published | not published | $3.39 – $8.93 | 7 |
| Irrigation tray HCPCS A4320 | not published | not published | $5.94 – $15.63 | 7 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $24.12 – $111.78 | 9 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | $10,063.92 | $10,063.92 | $73.13 – $1,892.00 | 9 |
| Island pedicle flap graft CPT 15740 | not published | not published | $807.61 – $1,962.09 | 9 |
| IV cipaglucosidase alfa-atga HCPCS G0138 | not published | not published | $175.35 – $360.58 | 6 |
| Ivc venogram s&i CPT 75825 | $6,074.90 | $6,074.90 | $50.38 – $2,256.38 | 9 |
| IV Fluids (each additional hour) CPT 96361 | $122.75 | $122.75 | $11.75 – $70.30 | 9 |
| IV Fluids (first hour) CPT 96360 | $624.55 | $624.55 | $30.56 – $322.70 | 9 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $101.41 – $225.26 | 3 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $202.45 | $202.45 | $18.66 – $105.92 | 9 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $37.33 – $81.34 | 8 |
| IV Medicine Infusion (additional drug) CPT 96367 | $134.25 | $134.25 | $26.92 – $102.29 | 9 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $103.90 | $103.90 | $19.58 – $64.54 | 9 |
| IV Medicine Infusion (first hour) CPT 96365 | $461.60 | $461.60 | $58.63 – $343.65 | 9 |
| IV njx tst vasc flo flap/grf CPT 15860 | $634.45 | $634.45 | $100.28 – $500.58 | 9 |
| IV Push Injection (each additional drug) CPT 96375 | $129.65 | $129.65 | $14.39 – $64.54 | 9 |
| IV Push Injection (first drug) CPT 96374 | $271.65 | $271.65 | $34.41 – $102.29 | 9 |
| Ivp w/nephrotomography CPT 74415 | $2,395.65 | $2,395.65 | $22.27 – $1,890.17 | 9 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $2,395.65 | $2,395.65 | $22.06 – $1,177.74 | 9 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $124.32 – $269.68 | 8 |
| Jak2 targeted sequence analysis CPT 81279 | not published | not published | $89.12 – $388.07 | 7 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $511.34 – $1,108.21 | 8 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $578.38 – $1,222.75 | 8 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $867.90 | $867.90 | $11.03 – $523.11 | 9 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $674.85 | $674.85 | $11.68 – $523.11 | 9 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $226.31 – $481.24 | 8 |
| John cunningham antibody CPT 86711 | $43.90 | $43.90 | $16.89 – $41.27 | 9 |
| J-tube placement CPT 44015 | not published | not published | $130.50 – $284.69 | 8 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | not published | not published | $1,321.57 – $3,505.81 | 7 |
| Kafo dbl solid stirrup without j HCPCS L2030 | not published | not published | $1,071.87 – $2,843.40 | 7 |
| Kafo fem fx cast molded to p HCPCS L2128 | not published | not published | $2,034.60 – $5,397.30 | 7 |
| Kafo fem fx cast semi-rigid HCPCS L2134 | not published | not published | $1,058.19 – $2,807.11 | 7 |
| Kafo fem fx cast thermoplas HCPCS L2126 | not published | not published | $1,277.87 – $3,389.89 | 7 |
| Kafo femoral fx cast rigid HCPCS L2136 | not published | not published | $1,182.79 – $3,137.64 | 7 |
| Kafo femoral fx cast soft HCPCS L2132 | not published | not published | $751.72 – $1,994.12 | 7 |
| Kafo pla sin up w/wo k/a cus HCPCS L2034 | not published | not published | $1,858.72 – $4,930.73 | 7 |
| Kafo plas sing free knee mol HCPCS L2037 | not published | not published | $1,976.29 – $5,242.63 | 7 |
| Kafo plastic pediatric size HCPCS L2035 | not published | not published | $163.68 – $434.17 | 7 |
| Kafo sing fre stirr thi/calf HCPCS L2000 | not published | not published | $1,024.69 – $2,718.24 | 7 |
| Kafo sng/dbl mechanical act HCPCS L2005 | not published | not published | $3,806.44 – $10,097.55 | 7 |
| Kafo sng solid stirrup without j HCPCS L2010 | not published | not published | $931.37 – $2,470.69 | 7 |
| Kafo without joint multi-axis an HCPCS L2038 | not published | not published | $1,696.43 – $4,500.22 | 7 |
| Keratomileusis CPT 65760 | not published | not published | $1,892.34 – $2,349.26 | 3 |
| Keratophakia CPT 65765 | not published | not published | $2,743.89 – $3,406.63 | 3 |
| Keratoprosthesis CPT 65770 | not published | not published | $1,345.72 – $2,823.72 | 8 |
| Kerecis marigen shld sq cm HCPCS A2019 | not published | not published | $510.00 – $1,175.98 | 3 |
| Ketamine and metabolite screen - quest CPT 80357 | not published | not published | $12.30 – $50.16 | 3 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $15.47 – $32.42 | 7 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $33.30 | $33.30 | $8.17 – $31.30 | 9 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | $95.14 | $95.14 | $0.33 – $71.22 | 9 |
| Kidney endoscopy CPT 50551 | not published | not published | $278.32 – $693.86 | 9 |
| Kidney endoscopy CPT 50553 | not published | not published | $297.20 – $744.62 | 9 |
| Kidney endoscopy CPT 50570 | not published | not published | $463.61 – $985.53 | 8 |
| Kidney endoscopy CPT 50575 | not published | not published | $672.69 – $1,430.83 | 8 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $323.06 – $793.44 | 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.