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 |
|---|---|---|---|---|
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $9.64 – $20.20 | 7 |
| Mayo efpo chloride stool CPT 82438 | not published | not published | $5.00 – $10.16 | 7 |
| Mayo estriol CPT 82677 | $66.20 | $66.20 | $24.18 – $62.23 | 9 |
| Mayo estrone CPT 82679 | $154.00 | $154.00 | $24.95 – $144.76 | 9 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $78.75 | $78.75 | $16.34 – $74.03 | 9 |
| Mayo everolimus therapeutic drug level CPT 80169 | not published | not published | $11.57 – $28.48 | 7 |
| Mayo factor ii CPT 85210 | $155.65 | $155.65 | $12.98 – $146.31 | 9 |
| Mayo factor v CPT 85220 | $113.55 | $113.55 | $17.65 – $106.74 | 9 |
| Mayo factor vii CPT 85230 | $113.55 | $113.55 | $17.90 – $106.74 | 9 |
| Mayo factor viii vw factor antigen CPT 85246 | $116.20 | $116.20 | $22.94 – $109.23 | 9 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $140.80 | $140.80 | $22.94 – $132.35 | 9 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $93.95 | $93.95 | $22.94 – $88.31 | 9 |
| Mayo factor x CPT 85260 | $139.50 | $139.50 | $17.90 – $131.13 | 9 |
| Mayo factor xi CPT 85270 | $217.55 | $217.55 | $17.90 – $204.50 | 9 |
| Mayo fat/lipids feces quantitative CPT 82710 | $55.65 | $55.65 | $16.80 – $52.31 | 9 |
| Mayo fbl culture fungi blood CPT 87103 | $124.25 | $124.25 | $14.30 – $116.80 | 9 |
| Mayo fdp/fsp paracoagulation CPT 85366 | not published | not published | $11.95 – $168.60 | 7 |
| Mayo ffspg allergen clam igg CPT 86001 | $20.35 | $20.35 | $7.82 – $19.13 | 9 |
| Mayo fibrinogen antigen CPT 85385 | not published | not published | $13.49 – $30.30 | 7 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $32.20 | $32.20 | $21.04 – $30.27 | 9 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $915.00 | $915.00 | $9.59 – $11.42 | 6 |
| Mayo hemosiderin qualitative urine CPT 83070 | $40.80 | $40.80 | $4.75 – $38.35 | 9 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $91.20 | $91.20 | $35.09 – $85.73 | 9 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | not published | not published | $35.09 – $73.19 | 7 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $35.85 | $35.85 | $13.79 – $33.70 | 9 |
| Mayo hla typing a/b/c single antigen CPT 86812 | not published | not published | $25.81 – $54.08 | 7 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $26.40 | $26.40 | $8.89 – $24.82 | 9 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $40.15 | $40.15 | $13.52 – $37.74 | 9 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $88.50 | $88.50 | $27.17 – $83.19 | 9 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $149.40 | $149.40 | $17.27 – $140.44 | 9 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $14.50 | $14.50 | $11.44 – $15.44 | 9 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $31.75 | $31.75 | $20.81 – $29.85 | 9 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $62.00 | $62.00 | $20.81 – $58.28 | 9 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | not published | not published | $35.09 – $73.53 | 6 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $84.05 | $84.05 | $16.07 – $79.01 | 9 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $120.75 | $120.75 | $11.98 – $113.51 | 9 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $123.05 | $123.05 | $35.09 – $115.67 | 9 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $91.25 | $91.25 | $16.89 – $85.78 | 9 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | not published | not published | $35.09 – $73.19 | 7 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | not published | not published | $35.09 – $73.53 | 6 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $377.80 | $377.80 | $42.84 – $355.13 | 9 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $416.50 | $416.50 | $72.19 – $117.12 | 9 |
| Mayo infliximab therapeutic drug level CPT 80230 | $347.35 | $347.35 | $18.56 – $326.51 | 9 |
| Mayo inhab inhibin a CPT 86336 | $62.85 | $62.85 | $15.59 – $59.08 | 9 |
| Mayo insft insulin free CPT 83527 | not published | not published | $12.95 – $27.11 | 7 |
| Mayo insulin antibodies CPT 86337 | $65.35 | $65.35 | $21.41 – $61.43 | 9 |
| Mayo iodine CPT 83789 | $96.70 | $96.70 | $24.11 – $90.90 | 9 |
| Mayo itraconazole therapeutic drug level CPT 80189 | not published | not published | $13.04 – $56.81 | 7 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $202.30 | $202.30 | $13.04 – $190.16 | 9 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $29.90 | $29.90 | $13.25 – $28.11 | 9 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $61.00 | $61.00 | $12.79 – $57.34 | 9 |
| Mayo legionella antibody CPT 86713 | $44.75 | $44.75 | $15.30 – $42.07 | 9 |
| Mayo leptospira antibody igm CPT 86720 | not published | not published | $13.79 – $33.88 | 7 |
| Mayo lipoprotein electrophoresis CPT 83700 | $91.50 | $91.50 | $11.26 – $86.01 | 9 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $52.50 | $52.50 | $15.49 – $49.35 | 9 |
| Mayo manganese CPT 83785 | $89.15 | $89.15 | $26.65 – $83.80 | 9 |
| Mayo metanephrines plasma CPT 83835 | $16.00 | $16.00 | $12.62 – $17.45 | 9 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $60.35 | $60.35 | $13.12 – $117.86 | 9 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $76.75 | $76.75 | $8.85 – $72.15 | 9 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $47.85 | $47.85 | $18.40 – $44.98 | 9 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $40.40 | $40.40 | $14.55 – $37.98 | 9 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $296.60 | $296.60 | $18.64 – $278.80 | 9 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $248.15 | $248.15 | $61.95 – $233.26 | 9 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | not published | not published | $89.12 – $388.07 | 7 |
| Mayo muramidase CPT 85549 | not published | not published | $18.75 – $39.29 | 7 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $1,367.10 | $1,367.10 | $18.40 – $1,285.07 | 9 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | not published | not published | $18.05 – $37.82 | 7 |
| Mayo myoglobin CPT 83874 | $42.55 | $42.55 | $12.92 – $40.00 | 9 |
| Mayo nickel CPT 83885 | $139.90 | $139.90 | $24.51 – $131.51 | 9 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $31.35 | $31.35 | $17.00 – $117.86 | 9 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | not published | not published | $13.80 – $50.16 | 3 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $31.35 | $31.35 | $14.18 – $117.86 | 9 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $39.75 | $39.75 | $21.21 – $37.37 | 9 |
| Mayo organic acids qualitative each specimen CPT 83919 | $188.60 | $188.60 | $16.45 – $177.28 | 9 |
| Mayo oxalate 24 hour urine CPT 83945 | $98.85 | $98.85 | $14.45 – $92.92 | 9 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | not published | not published | $11.53 – $24.16 | 7 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $17.85 | $17.85 | $14.08 – $16.78 | 9 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $55.75 | $55.75 | $12.05 – $43.99 | 9 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $150.75 | $150.75 | $35.09 – $141.71 | 9 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | not published | not published | $7.41 – $37.68 | 7 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $82.20 | $82.20 | $13.76 – $77.27 | 9 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $88.75 | $88.75 | $8.44 – $83.43 | 9 |
| Mayo pregnenolone CPT 84140 | $61.40 | $61.40 | $20.67 – $57.72 | 9 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | not published | not published | $16.59 – $34.57 | 7 |
| Mayo proinsulin CPT 84206 | $170.80 | $170.80 | $26.69 – $160.55 | 9 |
| Mayo psaft prostate specific antigen free CPT 84154 | $94.90 | $94.90 | $18.39 – $89.21 | 9 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $376.30 | $376.30 | $18.40 – $353.72 | 9 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | not published | not published | $13.36 – $27.79 | 7 |
| Mayo receptor assay transferrin soluble CPT 84238 | not published | not published | $36.57 – $76.59 | 7 |
| Mayo renin CPT 84244 | $40.15 | $40.15 | $21.99 – $37.74 | 9 |
| Mayo repu protein electrophoresis urine CPT 84166 | $51.65 | $51.65 | $17.26 – $40.75 | 9 |
| Mayo selenium CPT 84255 | $60.55 | $60.55 | $25.53 – $56.92 | 9 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | not published | not published | $15.50 – $32.48 | 7 |
| Mayo serotonin CPT 84260 | $109.15 | $109.15 | $30.98 – $102.60 | 9 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $50.35 | $50.35 | $19.35 – $47.33 | 9 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $114.90 | $114.90 | $11.57 – $108.01 | 9 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $137.65 | $137.65 | $108.61 – $129.39 | 6 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $26.55 | $26.55 | $4.27 – $24.96 | 9 |
| Mayo tau phosphorylated 217 each CPT 84393 | $215.90 | $215.90 | $170.35 – $202.95 | 6 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | not published | not published | $208.92 – $437.78 | 7 |
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.