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 |
|---|---|---|---|---|
| Macro exam dissect molec study ea CPT 88387 | $118.75 | $118.75 | $7.16 – $84.34 | 9 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $4.27 – $8.82 | 7 |
| Macroscopic exam parasite CPT 87169 | $11.95 | $11.95 | $4.31 – $11.23 | 9 |
| Magnesium CPT 83735 | $46.65 | $46.65 | $6.70 – $43.85 | 9 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $187.97 | $187.97 | $0.50 – $99.25 | 6 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $73.28 – $153.18 | 8 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $20.14 – $43.85 | 3 |
| Malaria antibody CPT 86750 | not published | not published | $13.19 – $27.64 | 7 |
| Male sling procedure CPT 53440 | not published | not published | $724.56 – $1,534.53 | 8 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $2,816.25 – $6,115.78 | 8 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $342.86 – $761.17 | 8 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $418.34 – $886.56 | 8 |
| Manipulation of hip joint CPT 27275 | not published | not published | $177.05 – $384.99 | 8 |
| Manipulation of spine CPT 22505 | not published | not published | $124.57 – $310.44 | 8 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $75.24 – $228.71 | 9 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | not published | $2.60 – $5.01 | 4 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $0.67 – $6.71 | 3 |
| Man's shoe oxford brace HCPCS L3225 | not published | not published | $80.27 – $212.92 | 7 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $5.07 – $10.62 | 7 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $110.19 – $325.73 | 8 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $128.04 – $278.57 | 8 |
| Map tachycard site(s) CPT 93609 | not published | not published | $121.67 – $509.48 | 8 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $45.94 – $97.65 | 8 |
| Marker biop eviva buckle ss HCPCS A4648 | $848.10 | $848.10 | $60.50 – $74.59 | 6 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | not published | not published | $11,379.91 – $11,721.31 | 5 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $1,072.59 – $2,320.78 | 8 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $105.91 – $214.17 | 2 |
| Mastectomy form HCPCS L8020 | not published | not published | $190.19 – $504.54 | 7 |
| Mastectomy partial CPT 19301 | not published | not published | $628.40 – $1,356.27 | 8 |
| Mast mod rad CPT 19307 | not published | not published | $1,121.25 – $2,420.42 | 8 |
| Mastoidectomy CPT 69501 | not published | not published | $686.68 – $1,447.11 | 8 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $910.01 – $1,918.85 | 8 |
| Mastoids complete CPT 70130 | $456.50 | $456.50 | $15.84 – $360.18 | 9 |
| Mastoid surgery revision CPT 69603 | not published | not published | $1,244.18 – $2,614.27 | 8 |
| Mastopexy CPT 19316 | not published | not published | $759.93 – $1,630.79 | 8 |
| Mast radical CPT 19305 | not published | not published | $1,089.13 – $2,351.29 | 8 |
| Mast rad urban type CPT 19306 | not published | not published | $1,162.57 – $2,507.86 | 8 |
| Mast simple complete CPT 19303 | not published | not published | $911.74 – $1,970.36 | 8 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $93.25 – $168.10 | 4 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | not published | not published | $1,870.00 – $4,609.96 | 3 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | not published | not published | $18.55 – $40.63 | 3 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $35.09 – $73.19 | 7 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $27.29 – $56.93 | 7 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $42.84 – $89.48 | 7 |
| Maxillofacial fixation CPT 21100 | not published | not published | $342.63 – $1,194.34 | 9 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $32.55 | $32.55 | $14.46 – $30.60 | 9 |
| Mayo aathr protein s free CPT 85306 | $80.45 | $80.45 | $15.32 – $75.62 | 9 |
| Mayo activated protein c resistance assay CPT 85307 | not published | not published | $15.32 – $31.85 | 7 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $347.35 | $347.35 | $18.56 – $326.51 | 9 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $210.40 | $210.40 | $13.47 – $197.78 | 9 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $207.10 | $207.10 | $11.21 – $194.67 | 9 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $31.90 | $31.90 | $14.78 – $29.99 | 9 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $99.00 | $99.00 | $20.35 – $117.86 | 9 |
| Mayo alpha 1 antitrypsin CPT 82103 | $30.90 | $30.90 | $13.44 – $29.05 | 9 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $69.90 | $69.90 | $15.08 – $65.71 | 9 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | not published | not published | $13.00 – $13.00 | 1 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $36.70 | $36.70 | $10.12 – $117.86 | 9 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $645.30 | $645.30 | $121.63 – $606.58 | 9 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $530.45 | $530.45 | $91.66 – $498.62 | 9 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $460.55 | $460.55 | $137.00 – $432.92 | 9 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $3,221.10 | $3,221.10 | $19.91 – $3,027.83 | 9 |
| Mayo androstenedione CPT 82157 | $199.25 | $199.25 | $29.28 – $187.30 | 9 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $35.85 | $35.85 | $14.60 – $33.70 | 9 |
| Mayo antithrombin iii antigen CPT 85301 | not published | not published | $10.81 – $22.36 | 7 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $89.15 | $89.15 | $15.05 – $83.80 | 9 |
| Mayo avwpr vw factor activity CPT 85397 | $80.25 | $80.25 | $30.86 – $75.44 | 9 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $378.85 | $378.85 | $16.89 – $139.54 | 9 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $8.10 | $8.10 | $6.39 – $117.86 | 9 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $20.35 | $20.35 | $10.18 – $19.13 | 9 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $520.00 | $520.00 | $144.84 – $488.80 | 9 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $637.70 | $637.70 | $214.62 – $599.44 | 9 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | not published | not published | $12.90 – $27.03 | 7 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | not published | not published | $10.50 – $50.16 | 3 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $33.00 | $33.00 | $13.19 – $31.02 | 9 |
| Mayo brcmg brucella antibody igm CPT 86622 | not published | not published | $8.93 – $18.71 | 7 |
| Mayo c1 esterase inhibitor CPT 83883 | $57.60 | $57.60 | $13.60 – $54.14 | 9 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $56.60 | $56.60 | $13.42 – $117.86 | 9 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $43.15 | $43.15 | $16.87 – $40.56 | 9 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | not published | not published | $17.43 – $56.12 | 7 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $317.75 | $317.75 | $122.22 – $298.69 | 9 |
| Mayo ceruloplasmin CPT 82390 | $18.90 | $18.90 | $10.74 – $17.77 | 9 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $390.70 | $390.70 | $14.12 – $367.26 | 9 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $32.20 | $32.20 | $12.88 – $30.27 | 9 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $12.40 | $12.40 | $9.78 – $12.17 | 9 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $13.30 | $13.30 | $10.49 – $13.06 | 9 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $255.85 | $255.85 | $17.44 – $119.98 | 9 |
| Mayo chromium CPT 82495 | $42.50 | $42.50 | $20.28 – $39.95 | 9 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $84.60 | $84.60 | $12.20 – $117.86 | 9 |
| Mayo coccidioides antibody CPT 86635 | $29.85 | $29.85 | $11.47 – $28.06 | 9 |
| Mayo cocou cortisone urine CPT 82542 | $468.75 | $468.75 | $15.24 – $440.63 | 9 |
| Mayo cortisol free CPT 82530 | $38.90 | $38.90 | $16.71 – $36.57 | 9 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $83.30 | $83.30 | $20.27 – $78.30 | 9 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $49.35 | $49.35 | $12.12 – $46.39 | 9 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | not published | not published | $23.04 – $23.04 | 1 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $31.35 | $31.35 | $15.93 – $117.86 | 9 |
| Mayo cyanide CPT 82600 | not published | not published | $19.40 – $40.65 | 7 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | not published | not published | $55.18 – $114.56 | 8 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $19.80 | $19.80 | $13.25 – $18.61 | 9 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $49.90 | $49.90 | $25.27 – $46.91 | 9 |
| Mayo dihydrotestosterone CPT 82642 | $106.45 | $106.45 | $29.28 – $100.06 | 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.