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 |
|---|---|---|---|---|
| Apply srs headframe add-on CPT 61800 | not published | not published | $138.09 – $306.37 | 8 |
| Apply surf ldr radionuclide CPT 77789 | not published | not published | $58.93 – $122.69 | 8 |
| App mdlty 1+hubbrd tnk ea 15 CPT 97036 | not published | not published | $33.36 – $71.85 | 8 |
| App mltpln uni xtrnl fix 1st CPT 20696 | not published | not published | $1,123.68 – $2,388.57 | 8 |
| App mltpln uni xtrnl fix xch CPT 20697 | not published | not published | $1,548.94 – $3,440.52 | 8 |
| App skn cll ssp f/n/g/hf 1st CPT 15017 | not published | not published | $1,770.40 – $1,823.51 | 5 |
| App skn cl ssp agrft t/a/l 1 CPT 15015 | not published | not published | $1,770.40 – $1,823.51 | 5 |
| App topical fluoride varnish CPT 99188 | not published | not published | $9.64 – $22.48 | 4 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | $1,885.55 | $1,885.55 | $1.72 – $1,772.42 | 9 |
| Aprotonin, 10,000 kiu HCPCS J0365 | not published | not published | $2.65 – $5.43 | 3 |
| #aptt mix-1:1 incubated CPT 87532 | not published | not published | $35.09 – $73.19 | 7 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $585.20 | $585.20 | $5.80 – $550.09 | 9 |
| Aqmbf pet rest & rx stress CPT 78434 | not published | not published | $27.96 – $58.30 | 8 |
| Aquaporin-4 antibody cba each CPT 86052 | not published | not published | $5.80 – $25.08 | 7 |
| Aquaporin-4 antibody elisa CPT 86051 | not published | not published | $5.55 – $24.16 | 7 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $202.25 | $202.25 | $35.89 – $150.11 | 9 |
| Aquatic exercise - group charge CPT 97150 | $225.40 | $225.40 | $17.44 – $95.39 | 9 |
| Aqueous shunt eye w/graft CPT 66180 | not published | not published | $1,086.86 – $2,287.57 | 8 |
| Aqueous shunt eye without graft CPT 66179 | not published | not published | $1,030.48 – $2,172.36 | 8 |
| Architect ecm px fx 1 sq cm HCPCS Q4147 | not published | not published | $147.22 – $308.41 | 3 |
| Arch supp att to shoe long/m HCPCS L3090 | not published | not published | $37.82 – $100.31 | 7 |
| Arch supp att to shoe metata HCPCS L3080 | not published | not published | $29.51 – $78.29 | 7 |
| Arch suprt att to sho longit HCPCS L3070 | not published | not published | $29.51 – $78.29 | 7 |
| Arformoterol non-comp unit HCPCS J7605 | not published | not published | $1.46 – $2.96 | 4 |
| Argatroban dialysis (accord) HCPCS J0892 | not published | not published | $0.43 – $12.74 | 5 |
| Argatroban dialysis, auromed HCPCS J0899 | not published | not published | $1.64 – $4.22 | 5 |
| Argatroban esrd dialysis 1mg HCPCS J0884 | $1,932.44 | $1,932.44 | $1.59 – $1,816.49 | 7 |
| Argatroban nonesrd (accord) HCPCS J0891 | not published | not published | $0.43 – $8.80 | 8 |
| Argatroban nonesrd (auromed) HCPCS J0898 | not published | not published | $1.45 – $3.98 | 8 |
| Argatroban nonesrd use 1mg HCPCS J0883 | not published | not published | $0.74 – $5.87 | 8 |
| Ar gene charac alleles CPT 81204 | not published | not published | $137.00 – $287.07 | 7 |
| Ar gene full gene sequence CPT 81173 | not published | not published | $301.35 – $631.46 | 7 |
| Ar gene known famil variant CPT 81174 | not published | not published | $185.20 – $388.07 | 7 |
| Aripiprazole 441 mg/1.6 ml inj HCPCS J1944 | $5,702.81 | $5,702.81 | $3.04 – $5,360.64 | 9 |
| Aripiprazole injection HCPCS J0400 | not published | not published | $0.67 – $0.76 | 3 |
| Arm CT Scan (with contrast, both arms) CPT 73201 | $2,262.10 | $2,262.10 | $52.85 – $1,009.33 | 9 |
| Arm CT Scan (without contrast, both arms) CPT 73200 | $1,876.10 | $1,876.10 | $45.43 – $814.56 | 9 |
| Arm or Leg Ultrasound (limited, left side) CPT 76882 | $589.30 | $589.30 | $30.97 – $50.24 | 9 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $3,047.50 | $3,047.50 | $5.86 – $1,507.50 | 9 |
| Artacent ac 1 sq cm HCPCS Q4190 | not published | not published | $314.30 – $584.47 | 4 |
| Artacent wound, per sq cm HCPCS Q4169 | not published | not published | $176.06 – $5,804.36 | 4 |
| Art byp aor celiac msn and renal 35631 CPT 35631 | not published | not published | $1,672.07 – $3,666.91 | 8 |
| Art byp aortofemoral 35647 CPT 35647 | not published | not published | $1,391.37 – $3,049.42 | 8 |
| Art byp aortoiliac 35637 CPT 35637 | not published | not published | $1,501.50 – $3,298.84 | 8 |
| Art bypass aorsubcl/carot/innom 35626 CPT 35626 | not published | not published | $1,459.87 – $3,182.95 | 8 |
| Art bypass aortobifemoral 35646 CPT 35646 | not published | not published | $1,541.70 – $3,378.83 | 8 |
| Art bypass aortobi-iliac 35638 CPT 35638 | not published | not published | $1,583.08 – $3,469.66 | 8 |
| Art bypass axillary-femoral 35621 CPT 35621 | not published | not published | $992.80 – $2,175.73 | 8 |
| Art bypass axill-fem-femoral 35654 CPT 35654 | not published | not published | $1,238.82 – $2,714.59 | 8 |
| Art bypass carotid-subclavian 35606 CPT 35606 | not published | not published | $1,065.88 – $2,334.34 | 8 |
| Art bypass common ipsi carotid 35601 CPT 35601 | not published | not published | $1,276.39 – $2,797.28 | 8 |
| Art bypass fem-ant-post tib/prl 35666 CPT 35666 | not published | not published | $1,168.15 – $2,552.60 | 8 |
| Art bypass femoral-femoral 35661 CPT 35661 | not published | not published | $983.92 – $2,152.68 | 8 |
| Art bypass femoral-popliteal 35656 CPT 35656 | not published | not published | $971.62 – $2,128.29 | 8 |
| Art bypass iliofemoral 35665 CPT 35665 | not published | not published | $1,063.96 – $2,329.60 | 8 |
| Art bypass subclav-subclavian 35612 CPT 35612 | not published | not published | $950.62 – $2,084.92 | 8 |
| Art byp axillary-axillary 35650 CPT 35650 | not published | not published | $926.93 – $2,034.75 | 8 |
| Art byp grft aor/carot/innom CPT 35526 | not published | not published | $1,587.41 – $3,451.35 | 8 |
| Art byp grft aorcel/aormesen CPT 35531 | not published | not published | $1,762.70 – $3,874.98 | 8 |
| Art byp grft aortbifemoral 35540 CPT 35540 | not published | not published | $2,205.60 – $4,851.02 | 8 |
| Art byp grft aortobi-iliac 35538 CPT 35538 | not published | not published | $2,109.86 – $4,639.55 | 8 |
| Art byp grft aortofemoral CPT 35539 | not published | not published | $1,979.97 – $4,353.52 | 8 |
| Art byp grft aortoiliac CPT 35537 | not published | not published | $1,883.43 – $4,140.69 | 8 |
| Art byp grft aortorenal CPT 35560 | not published | not published | $1,542.96 – $3,390.35 | 8 |
| Art byp grft axillary-axilry CPT 35518 | not published | not published | $1,035.77 – $2,275.37 | 8 |
| Art byp grft axill-brachial CPT 35522 | not published | not published | $1,060.31 – $2,328.24 | 8 |
| Art byp grft axill/fem/fem CPT 35533 | not published | not published | $1,364.79 – $2,997.23 | 8 |
| Art byp grft axill-femoral CPT 35521 | not published | not published | $1,114.67 – $2,446.19 | 8 |
| Art byp grft brachial-brchl CPT 35525 | not published | not published | $997.72 – $2,190.65 | 8 |
| Art byp grft brchl-ulnr-rdl CPT 35523 | not published | not published | $1,116.31 – $2,449.56 | 8 |
| Art byp grft carotid-brchial CPT 35510 | not published | not published | $1,113.86 – $2,446.19 | 8 |
| Art byp grft carotid-vertbrl CPT 35508 | not published | not published | $1,206.93 – $2,648.84 | 8 |
| Art byp grft contral carotid CPT 35509 | not published | not published | $1,277.93 – $2,807.44 | 8 |
| Art byp grft fem-femoral 35558 CPT 35558 | not published | not published | $1,110.71 – $2,430.60 | 8 |
| Art byp grft fem-popliteal 35556 CPT 35556 | not published | not published | $1,263.03 – $2,767.46 | 8 |
| Art byp grft hepatorenal CPT 35535 | not published | not published | $1,720.70 – $3,782.11 | 8 |
| Art byp grft ilioiliac CPT 35563 | not published | not published | $1,200.97 – $2,636.64 | 8 |
| Art byp grft ipsilat carotid CPT 35501 | not published | not published | $1,320.04 – $2,900.31 | 8 |
| Art byp grft splenorenal CPT 35536 | not published | not published | $1,529.79 – $3,361.20 | 8 |
| Art byp grft subclav-axilary CPT 35516 | not published | not published | $1,105.69 – $2,428.57 | 8 |
| Art byp grft subclav-brchial CPT 35512 | not published | not published | $1,092.53 – $2,399.42 | 8 |
| Art byp grft subclav-carotid CPT 35506 | not published | not published | $1,154.44 – $2,536.34 | 8 |
| Art byp grft subclav-subclav CPT 35511 | not published | not published | $1,015.41 – $2,229.96 | 8 |
| Art byp grft subclav-vertbrl CPT 35515 | not published | not published | $1,206.93 – $2,648.84 | 8 |
| Art byp ilioiliac 35663 CPT 35663 | not published | not published | $1,106.28 – $2,427.88 | 8 |
| Art byp pop-tibl-prl-other 35571 CPT 35571 | not published | not published | $1,199.10 – $2,628.51 | 8 |
| Art byp tibial-tib/peroneal CPT 35570 | not published | not published | $1,335.44 – $2,932.16 | 8 |
| Arterial blood draw/perc 36620 CPT 36620 | $1,467.10 | $1,467.10 | $41.33 – $87.44 | 9 |
| Artery by graft; iliofemoral 35565 CPT 35565 | not published | not published | $1,187.97 – $2,602.76 | 8 |
| Artery to vein shunt CPT 36835 | not published | not published | $454.39 – $981.46 | 8 |
| Artery transpose/endovas taa CPT 33889 | not published | not published | $719.95 – $1,581.99 | 8 |
| Artery-vein nonautograft CPT 36830 | not published | not published | $609.75 – $1,330.52 | 8 |
| Artery xray each vessel 7577426 CPT 75774 | $2,859.80 | $2,859.80 | $34.81 – $1,215.06 | 9 |
| Artery xray of abdomen 75726-26 CPT 75726 | $4,667.15 | $4,667.15 | $76.47 – $3,682.38 | 9 |
| Artery x-rays adrenal gland CPT 75731 | $3,975.20 | $3,975.20 | $52.20 – $3,136.43 | 9 |
| Artery x-rays adrenals CPT 75733 | $4,667.15 | $4,667.15 | $58.53 – $3,682.38 | 9 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $8,782.60 | $8,782.60 | $66.55 – $2,121.27 | 9 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $2,859.80 | $2,859.80 | $70.52 – $2,233.15 | 9 |
| Artery x-rays chest CPT 75756 | $4,667.15 | $4,667.15 | $52.05 – $3,682.38 | 9 |
| Artery x-rays lung CPT 75741 | $3,975.20 | $3,975.20 | $57.08 – $3,136.43 | 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.