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 |
|---|---|---|---|---|
| Lengthening of hand tendon CPT 26478 | not published | not published | $642.91 – $1,354.93 | 8 |
| Lengthening of palate CPT 42227 | not published | not published | $815.16 – $1,728.40 | 8 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $874.66 – $1,855.82 | 8 |
| Lengthening of thigh bone CPT 27466 | not published | not published | $1,136.68 – $2,442.10 | 8 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $486.05 – $1,050.59 | 8 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $631.53 – $1,367.12 | 8 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $849.11 – $1,828.71 | 8 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $1,029.51 – $2,211.67 | 8 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $899.19 – $1,903.93 | 8 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $957.94 – $2,060.50 | 8 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $1,084.32 – $2,328.93 | 8 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $150.00 | $150.00 | $102.57 – $147.16 | 9 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $150.00 | $150.00 | $98.63 – $147.16 | 9 |
| Lepirudin HCPCS J1945 | not published | not published | $304.34 – $570.54 | 3 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $858.86 | $858.86 | $3.48 – $95.98 | 6 |
| Leukacyte transfusion CPT 86950 | not published | not published | $90.43 – $170.82 | 7 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $10.39 – $21.69 | 7 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $30,750.07 | $30,750.07 | $155.42 – $1,796.40 | 9 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $12,902.17 | $12,902.17 | $1,510.51 – $12,128.04 | 9 |
| Leuprolide acetate implant HCPCS J9219 | not published | not published | $4,819.82 – $4,819.82 | 2 |
| Leuprolide acetate injeciton HCPCS J9218 | not published | not published | $4.65 – $17.62 | 5 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $220.74 – $465.10 | 8 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $51.41 – $110.51 | 8 |
| Lev 1 hosp type b ed visit HCPCS G0380 | $152.55 | $152.55 | $81.37 – $143.40 | 9 |
| Lev 2 hosp type b ed visit HCPCS G0381 | $195.90 | $195.90 | $107.10 – $184.15 | 9 |
| Lev 3 hosp type b ed visit HCPCS G0382 | $345.40 | $345.40 | $180.59 – $324.68 | 9 |
| Lev 4 hosp type b ed visit HCPCS G0383 | $456.60 | $456.60 | $276.37 – $429.20 | 9 |
| Lev 5 hosp type b ed visit HCPCS G0384 | $677.90 | $677.90 | $390.90 – $637.23 | 9 |
| Levalbuterol comp unit HCPCS J7615 | not published | not published | $1.44 – $4.07 | 2 |
| Levalbuterol non-comp con HCPCS J7612 | not published | not published | $0.27 – $0.59 | 4 |
| Levalbuterol non-comp unit HCPCS J7614 | $1.05 | $1.05 | $0.04 – $0.79 | 5 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $390.39 | $390.39 | $0.06 – $201.77 | 6 |
| Levetiracetam therapeutic drug level CPT 80177 | $4.40 | $4.40 | $3.47 – $13.65 | 9 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $67.30 | $67.30 | $0.86 – $45.81 | 6 |
| Levonorgestrel implant sys HCPCS J7306 | not published | not published | $323.41 – $787.61 | 2 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $1,174.69 | $1,174.69 | $10.64 – $1,104.21 | 6 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | not published | not published | $246.92 – $514.45 | 8 |
| Liberta rc ipg HCPCS C1820 | $10,734.00 | $10,734.00 | $8,469.13 – $10,089.96 | 6 |
| Lidocaine injection HCPCS J2001 | not published | not published | $0.03 – $0.08 | 4 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $316.18 | $316.18 | $0.02 – $0.43 | 6 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $73.72 | $73.72 | $0.01 – $69.30 | 9 |
| Lidocaine therapeutic drug level CPT 80176 | not published | not published | $14.69 – $30.51 | 7 |
| Lift assist for elbow HCPCS L6635 | not published | not published | $170.85 – $453.22 | 7 |
| Lift heel adj small gl60404sm HCPCS L3332 | not published | not published | $68.50 – $181.72 | 7 |
| Lift heel adjustable med HCPCS L3334 | not published | not published | $35.45 – $94.04 | 7 |
| Lifts elevation metal extens HCPCS L3330 | not published | not published | $525.72 – $1,394.62 | 7 |
| Ligate esophagus veins CPT 43400 | not published | not published | $1,431.35 – $3,110.42 | 8 |
| Ligate leg veins open CPT 37761 | not published | not published | $492.31 – $1,069.57 | 8 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $528.66 – $1,155.65 | 8 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $71.03 – $152.51 | 8 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $1,358.80 – $2,949.79 | 8 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $422.52 – $920.46 | 8 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $362.78 – $791.68 | 8 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $356.35 – $759.13 | 8 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $3,679.25 | $3,679.25 | $193.04 – $600.06 | 9 |
| Ligation common iliac vein CPT 37660 | not published | not published | $1,232.05 – $2,678.66 | 8 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $228.93 – $494.80 | 8 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $715.09 – $1,527.09 | 8 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $673.00 – $1,474.89 | 8 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $687.16 – $1,474.22 | 8 |
| Ligation major artery chest CPT 37616 | not published | not published | $1,046.35 – $2,314.68 | 8 |
| Ligation/major artery/extremity 37618 CPT 37618 | $9,253.45 | $9,253.45 | $368.72 – $794.38 | 9 |
| Ligation major artery neck CPT 37615 | not published | not published | $492.39 – $1,053.29 | 8 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $583.40 – $1,227.51 | 8 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $1,229.36 – $2,669.86 | 8 |
| Ligation of femoral vein CPT 37650 | not published | not published | $422.77 – $923.84 | 8 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $1,610.56 – $3,508.28 | 8 |
| Ligation of neck artery CPT 37606 | not published | not published | $689.13 – $1,527.09 | 8 |
| Ligation of salivary duct CPT 42665 | not published | not published | $209.34 – $731.13 | 9 |
| Ligation of shunt CPT 49428 | not published | not published | $408.41 – $884.53 | 8 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $841.15 – $1,771.77 | 8 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $235.37 – $671.38 | 9 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $347.44 – $752.37 | 8 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $533.67 – $1,166.49 | 8 |
| Liletta, 52 mg HCPCS J7297 | not published | not published | $862.00 – $1,859.41 | 3 |
| Limb exercise test CPT 95875 | not published | not published | $55.97 – $116.59 | 8 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $202.29 – $435.83 | 8 |
| Limited ankle motion ea jnt HCPCS L2200 | not published | not published | $42.31 – $112.23 | 7 |
| Limited autopsy CPT 88036 | not published | not published | $163.24 – $212.83 | 3 |
| Limited autopsy CPT 88037 | not published | not published | $145.09 – $189.11 | 3 |
| Limited motion knee joint HCPCS L2184 | not published | not published | $114.11 – $302.75 | 7 |
| Limited visual field xm CPT 92081 | not published | not published | $15.30 – $31.85 | 8 |
| Lincomycin injection HCPCS J2010 | not published | not published | $9.84 – $13.31 | 4 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $322.07 | $322.07 | $2.62 – $302.75 | 6 |
| Lipase CPT 83690 | $115.40 | $115.40 | $6.89 – $108.48 | 9 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $337.32 – $950.21 | 9 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $33.86 – $70.95 | 7 |
| Lipoprotein blood quant CPT 83704 | $148.55 | $148.55 | $34.19 – $139.64 | 9 |
| Lipoprotein direct measurement hdl CPT 83718 | $16.90 | $16.90 | $8.19 – $15.89 | 9 |
| Lipoprotein direct measurement ldl CPT 83721 | $116.10 | $116.10 | $10.50 – $109.13 | 9 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $34.19 – $71.64 | 7 |
| Lip surgery procedure CPT 40799 | $425.20 | $425.20 | $175.48 – $345.39 | 9 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $541,635.66 – $1,021,002.79 | 6 |
| Listeria monocytogenes CPT 86723 | not published | not published | $13.19 – $27.64 | 7 |
| Lith ion batt cid, ear level HCPCS L8624 | not published | not published | $150.10 – $398.17 | 7 |
| Lith ion batt cid,non-earlvl HCPCS L8623 | not published | not published | $60.20 – $159.74 | 7 |
| Lithium ion battery charger HCPCS L7368 | not published | not published | $469.73 – $1,246.09 | 7 |
| Lithium therapeutic drug level CPT 80178 | $133.20 | $133.20 | $6.61 – $125.21 | 9 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | not published | not published | $138.08 – $292.12 | 8 |
| Litt icr 1 traj 1 smpl les CPT 61736 | not published | not published | $870.47 – $2,515.32 | 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.