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 |
|---|---|---|---|---|
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $532.90 – $1,133.27 | 8 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $326.99 – $806.93 | 9 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $372.61 – $916.80 | 9 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $531.59 – $1,130.57 | 8 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $572.19 – $1,216.65 | 8 |
| Kidney function study CPT 78725 | not published | not published | $16.26 – $33.88 | 8 |
| Kidney imaging morphology CPT 78700 | not published | not published | $20.09 – $42.01 | 8 |
| Kidney imag w/bld flow multi CPT 78709 | $2,881.55 | $2,881.55 | $62.35 – $876.42 | 9 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $2,371.35 | $2,371.35 | $42.47 – $1,343.82 | 9 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $978.55 | $978.55 | $33.63 – $729.51 | 9 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $915.30 | $915.30 | $26.53 – $51.05 | 9 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | $185.30 | $185.30 | $40.92 – $174.18 | 9 |
| Kit cath f 8f w/glv + wipe ster HCPCS A4353 | not published | not published | $7.77 – $20.47 | 7 |
| Kit gene analys d816 variant CPT 81273 | $1,457.80 | $1,457.80 | $124.87 – $1,370.33 | 9 |
| Kit irrigator stoma cone 7721 HCPCS A4398 | not published | not published | $15.09 – $39.75 | 7 |
| Kit lead specify 5-6-5 HCPCS C1778 | $3,555.00 | $3,555.00 | $31.56 – $37.60 | 6 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $315.00 | $315.00 | $248.54 – $296.10 | 6 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | not published | not published | $24.33 – $59.85 | 4 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | not published | not published | $1,602.84 – $4,251.95 | 7 |
| Kit trach suct cls 30.5cm HCPCS A4605 | not published | not published | $2.70 – $18.23 | 2 |
| Knee Arthroscopy (Cartilage Smoothing) CPT 29877 | not published | not published | $598.53 – $1,291.88 | 8 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $497.42 – $1,075.67 | 8 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $392.75 – $1,079.34 | 9 |
| Knee Arthroscopy (Meniscus Trimming) CPT 29881 | not published | not published | $521.96 – $1,127.87 | 8 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $601.52 – $1,302.73 | 8 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $893.16 – $1,925.62 | 8 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $516.94 – $1,123.11 | 8 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $517.09 – $1,115.65 | 8 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $479.02 – $1,035.67 | 8 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $628.62 – $1,357.63 | 8 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $637.10 – $1,375.93 | 8 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $542.07 – $1,169.88 | 8 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $664.37 – $1,428.79 | 8 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $811.31 – $1,737.20 | 8 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $596.99 – $1,289.17 | 8 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $613.47 – $1,328.49 | 8 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $724.91 – $1,567.74 | 8 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $937.83 – $2,006.30 | 8 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $1,174.87 – $2,530.91 | 8 |
| Knee cap medial or lateral p HCPCS L2800 | not published | not published | $126.57 – $335.75 | 7 |
| Knee control condylar pad HCPCS L2810 | not published | not published | $92.67 – $245.84 | 7 |
| Knee control full kneecap HCPCS L2795 | not published | not published | $100.82 – $267.46 | 7 |
| Knee disart expand wall sock HCPCS L5653 | not published | not published | $577.81 – $1,532.79 | 7 |
| Knee disarticulat leather so HCPCS L5640 | not published | not published | $606.23 – $1,608.18 | 7 |
| Knee disc/dial lock/adj flex HCPCS L2425 | not published | not published | $133.15 – $353.21 | 7 |
| Knee jnt ratchet lock ea jnt HCPCS L2430 | not published | not published | $133.15 – $353.21 | 7 |
| Knee joint cam lock each joi HCPCS L2415 | not published | not published | $112.82 – $299.29 | 7 |
| Knee joint drop lock ea jnt HCPCS L2405 | not published | not published | $80.98 – $214.82 | 7 |
| Knee lift loop drop lock rin HCPCS L2492 | not published | not published | $105.57 – $280.05 | 7 |
| Knee MRI (with and without contrast) CPT 73723 | $2,861.30 | $2,861.30 | $98.60 – $2,133.34 | 9 |
| Knee MRI (with contrast) CPT 73722 | $2,376.80 | $2,376.80 | $74.27 – $1,733.67 | 9 |
| Knee MRI (without contrast) CPT 73721 | $1,409.10 | $1,409.10 | $61.92 – $1,078.33 | 9 |
| Knee orth pos locking joint HCPCS L1831 | not published | not published | $273.39 – $725.27 | 7 |
| Knee-shin exo fluid swing ph HCPCS L5724 | not published | not published | $1,720.82 – $4,564.93 | 7 |
| Knee-shin exo frct swg & sta HCPCS L5718 | not published | not published | $997.09 – $2,645.07 | 7 |
| Knee-shin exo frict swg & st HCPCS L5712 | not published | not published | $513.19 – $1,361.38 | 7 |
| Knee-shin exo mech stance ph HCPCS L5716 | not published | not published | $830.11 – $2,202.09 | 7 |
| Knee-shin exo mnl lock ultra HCPCS L5711 | not published | not published | $645.88 – $1,713.33 | 7 |
| Knee-shin exo variable frict HCPCS L5714 | not published | not published | $462.04 – $1,225.68 | 7 |
| Knee-shin ext jnts fld swg e HCPCS L5726 | not published | not published | $2,137.68 – $5,670.75 | 7 |
| Knee-shin fluid swg & stance HCPCS L5728 | not published | not published | $3,007.94 – $7,979.33 | 7 |
| Knee-shin pneum/hydra pneum HCPCS L5780 | not published | not published | $1,156.84 – $3,068.85 | 7 |
| Knee-shin pneum swg frct exo HCPCS L5722 | not published | not published | $935.50 – $2,481.67 | 7 |
| Knee-shin pro flex/ext cont HCPCS L5859 | not published | not published | $13,504.24 – $35,823.52 | 7 |
| Knee-shin sys hydraul stance HCPCS L5848 | not published | not published | $1,000.83 – $2,655.00 | 7 |
| Knee-shin sys stance flexion HCPCS L5845 | not published | not published | $1,668.21 – $4,425.37 | 7 |
| Knee X-ray CPT 73564 | $604.60 | $604.60 | $10.71 – $245.54 | 9 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $462.90 | $462.90 | $7.76 – $176.34 | 9 |
| Knee X-ray (3 views, both knees) CPT 73562 | $507.45 | $507.45 | $8.74 – $210.03 | 9 |
| Knee X-ray (standing, both knees) CPT 73565 | $462.90 | $462.90 | $8.09 – $360.93 | 9 |
| Kne-shin exo sng axi mnl loc HCPCS L5710 | not published | not published | $385.01 – $1,021.32 | 7 |
| Kne sing axis fric shin sach HCPCS L5200 | not published | not published | $3,971.61 – $10,535.72 | 7 |
| Ko dbl upright w/air pre cst HCPCS L1847 | not published | not published | $534.29 – $1,417.33 | 7 |
| Ko dbl upright w/air pre ots HCPCS L1848 | not published | not published | $534.29 – $1,417.33 | 7 |
| Ko derot ant cruciate custom HCPCS L1840 | not published | not published | $868.04 – $2,302.74 | 7 |
| Ko elastic w/joints pre ots HCPCS L1812 | not published | not published | $92.00 – $169.35 | 7 |
| Ko rigid without joints pre ots HCPCS L1836 | not published | not published | $123.96 – $215.77 | 7 |
| Ko single upright pre cst HCPCS L1843 | not published | not published | $833.49 – $2,211.02 | 7 |
| Ko single upright prefab ots HCPCS L1851 | not published | not published | $839.46 – $1,450.88 | 7 |
| Ko supracondylar socket mold HCPCS L1860 | not published | not published | $1,009.60 – $2,678.26 | 7 |
| Ko swedish type pre ots HCPCS L1850 | not published | not published | $315.04 – $496.95 | 7 |
| Ko w/0 joint rigid molded to HCPCS L1834 | not published | not published | $921.06 – $2,443.36 | 7 |
| Ko w adj flex/ext rotat mold HCPCS L1846 | not published | not published | $1,153.50 – $3,059.99 | 7 |
| Ko w/adj jt rot cntrl molded HCPCS L1844 | not published | not published | $1,519.87 – $4,031.87 | 7 |
| Kras gene addl variants CPT 81276 | not published | not published | $193.25 – $404.65 | 7 |
| Kras gene variants exon 2 CPT 81275 | not published | not published | $193.25 – $404.65 | 7 |
| Kyleena, 19.5 mg HCPCS J7296 | $2,900.29 | $2,900.29 | $1,123.73 – $2,726.27 | 6 |
| Kyphectomy 1-2 segments CPT 22818 | not published | not published | $2,049.96 – $4,397.56 | 8 |
| Kyphectomy 3 or more CPT 22819 | not published | not published | $2,359.79 – $5,061.13 | 8 |
| Kyphosis pad HCPCS L1020 | not published | not published | $76.92 – $204.05 | 7 |
| Kyphosis pad floating HCPCS L1025 | not published | not published | $119.18 – $316.14 | 7 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | not published | not published | $17.69 – $52.69 | 9 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | not published | not published | $14.19 – $46.26 | 9 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $52.21 | $52.21 | $0.17 – $49.08 | 7 |
| Labioplasty 56800 CPT 56800 | not published | not published | $244.27 – $519.19 | 8 |
| Lab pathology consultation CPT 80500 | not published | not published | $29.52 – $29.52 | 1 |
| Lab pathology consultation CPT 80502 | not published | not published | $104.66 – $104.66 | 1 |
| Lacer molded to patient mode HCPCS L2330 | not published | not published | $391.03 – $1,037.28 | 7 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $967.00 | $967.00 | $0.20 – $908.98 | 6 |
| Lactate dehydrogenase (ldh) CPT 83615 | $108.30 | $108.30 | $6.04 – $101.80 | 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.