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 tgrp testosterone free CPT 84402 | $107.85 | $107.85 | $25.47 – $101.38 | 9 |
| Mayo tgrp testosterone total CPT 84403 | $62.30 | $62.30 | $25.81 – $58.56 | 9 |
| Mayo thiopurine s-methyltransferase CPT 84433 | not published | not published | $10.67 – $46.46 | 7 |
| Mayo thyroglobulin CPT 84432 | $44.60 | $44.60 | $16.06 – $41.92 | 9 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $88.90 | $88.90 | $10.18 – $83.57 | 9 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $86.80 | $86.80 | $12.39 – $81.59 | 9 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $69.05 | $69.05 | $12.30 – $117.86 | 9 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $75.65 | $75.65 | $51.28 – $71.11 | 9 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | not published | not published | $13.79 – $29.67 | 7 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $33.85 | $33.85 | $13.54 – $31.82 | 9 |
| Mayo vasoactive intestinal peptide CPT 84586 | $266.00 | $266.00 | $30.28 – $250.04 | 9 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $108.95 | $108.95 | $20.24 – $102.41 | 9 |
| Mayo vitamin b3 (niacin) CPT 84591 | $44.35 | $44.35 | $17.06 – $41.69 | 9 |
| Mayo vitamin k CPT 84597 | $35.65 | $35.65 | $13.72 – $33.51 | 9 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $79.15 | $79.15 | $13.25 – $74.40 | 9 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $789.12 – $1,708.05 | 8 |
| Mcoln1 gene CPT 81290 | $158.10 | $158.10 | $39.31 – $148.61 | 9 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $486.53 – $1,059.41 | 8 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $521.81 – $1,133.97 | 8 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $553.20 – $1,201.06 | 8 |
| Mcrscp xm hair pluck/clipped CPT 96902 | not published | not published | $19.62 – $41.76 | 5 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $881.92 – $2,741.39 | 9 |
| Md inr test revie inter mgmt HCPCS G0250 | not published | not published | $8.41 – $17.62 | 8 |
| Md service required for pmd HCPCS G0372 | not published | not published | $8.41 – $17.62 | 8 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $17.68 – $37.28 | 8 |
| Measure kidney pressure CPT 50396 | $376.00 | $376.00 | $110.82 – $296.66 | 9 |
| Measurement post void urine by ultrasound CPT 51798 | $124.20 | $124.20 | $9.92 – $23.72 | 9 |
| Measure ureter pressure CPT 50686 | not published | not published | $84.39 – $276.90 | 9 |
| Mecasermin injection HCPCS J2170 | not published | not published | $14.23 – $149.99 | 3 |
| Mech hip extension assist HCPCS L5855 | not published | not published | $292.80 – $776.74 | 7 |
| Mechlorethamine hcl inj HCPCS J9230 | not published | not published | $265.70 – $321.72 | 3 |
| #mec-opiates CPT 80356 | not published | not published | $15.90 – $50.16 | 3 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $75.45 – $314.32 | 7 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $527.87 – $1,106.12 | 7 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $11.04 – $251.45 | 7 |
| Med genetics&genetic counseling svcs each 30 min CPT 96041 | not published | not published | $105.07 – $105.07 | 1 |
| Medial canthopexy CPT 21280 | not published | not published | $564.03 – $1,202.42 | 8 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $372.33 – $811.33 | 8 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $286.25 – $622.22 | 8 |
| Medical services after hrs CPT 99050 | not published | not published | $21.52 – $36.61 | 3 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $513.54 – $2,002.23 | 8 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | not published | not published | $0.54 – $0.78 | 4 |
| Med serv 10pm-8am 24 hr fac CPT 99053 | not published | not published | $34.70 – $36.61 | 2 |
| Med serv eve/wkend/holiday CPT 99051 | not published | not published | $7.43 – $36.61 | 3 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | not published | not published | $0.20 – $0.67 | 2 |
| Meg evoked each addl CPT 95967 | not published | not published | $164.13 – $344.99 | 8 |
| Meg evoked single CPT 95966 | not published | not published | $190.24 – $399.89 | 8 |
| Meg spontaneous CPT 95965 | not published | not published | $392.18 – $818.79 | 8 |
| Melphalan oral 2 mg HCPCS J8600 | not published | not published | $9.34 – $12.00 | 3 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | not published | not published | $305.58 – $520.59 | 4 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | not published | not published | $132.88 – $283.51 | 4 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | not published | not published | $21.82 – $56.79 | 3 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | not published | not published | $129.08 – $360.14 | 4 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | not published | not published | $31,905.54 – $127,119.59 | 3 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | not published | not published | $339.63 – $379.65 | 3 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | not published | not published | $67.56 – $145.13 | 4 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | not published | not published | $78.34 – $117.70 | 4 |
| Menacwy-tt menb-fhbp vacc im CPT 90623 | not published | not published | $483.52 – $483.52 | 1 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $1,598.22 – $3,428.99 | 8 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $70.08 | $70.08 | $6.02 – $65.88 | 6 |
| Meperidine/promethazine inj HCPCS J2180 | not published | not published | $3.79 – $15.59 | 3 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $9,072.42 | $9,072.42 | $29.96 – $8,528.07 | 9 |
| Mercaptopurine 50 mg HCPCS S0108 | not published | not published | $2.91 – $5.43 | 2 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $127.63 | $127.63 | $0.32 – $65.44 | 6 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $236.45 – $506.32 | 8 |
| Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364 | not published | not published | $18.39 – $18.39 | 1 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $244.00 | $244.00 | $1.37 – $229.36 | 6 |
| Metabolic Blood Panel (Basic) CPT 80048 | $196.30 | $196.30 | $8.46 – $184.52 | 9 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $204.95 | $204.95 | $10.56 – $192.65 | 9 |
| Metabolic panel ionized ca CPT 80047 | not published | not published | $13.41 – $28.48 | 7 |
| Metal frame recipro hip & ca HCPCS L2628 | not published | not published | $1,738.66 – $4,612.26 | 7 |
| Metatarsal joint implant HCPCS L8641 | not published | not published | $442.50 – $1,173.84 | 7 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | not published | not published | $0.85 – $3.19 | 4 |
| Methadone injection HCPCS J1230 | $24.85 | $24.85 | $17.02 – $23.36 | 6 |
| Methadone oral 5mg HCPCS S0109 | not published | not published | $0.31 – $0.67 | 3 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | not published | not published | $5.42 – $12.97 | 4 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $3.42 | $3.42 | $0.24 – $3.21 | 6 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $120.09 | $120.09 | $2.50 – $19.82 | 6 |
| Methotrexate therapeutic drug level CPT 80204 | $84.75 | $84.75 | $18.56 – $79.67 | 9 |
| Methyl aminolevulinate, top HCPCS J7309 | not published | not published | $83.69 – $83.69 | 2 |
| Methyldopate hcl injection HCPCS J0210 | not published | not published | $19.66 – $42.40 | 3 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $1,711.63 | $1,711.63 | $7.86 – $1,441.52 | 9 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $305.29 | $305.29 | $19.60 – $286.97 | 6 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $1,658.49 | $1,658.49 | $1.31 – $1,558.98 | 7 |
| Methylphenidate CPT 80360 | $235.30 | $235.30 | $10.84 – $221.18 | 9 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $87.30 | $87.30 | $0.23 – $2.21 | 6 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $228.81 | $228.81 | $0.12 – $123.99 | 9 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $429.24 | $429.24 | $0.26 – $23.48 | 9 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | not published | not published | $0.93 – $2.03 | 4 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $37.13 | $37.13 | $0.02 – $34.90 | 7 |
| Metyrapone panel CPT 80436 | not published | not published | $91.16 – $191.02 | 7 |
| Mgmt promoter methylation analysis CPT 81287 | not published | not published | $96.77 – $260.94 | 7 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $1,460.07 | $1,460.07 | $0.42 – $857.79 | 6 |
| Microalbumin urine screen CPT 82044 | not published | not published | $6.23 – $12.89 | 7 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $16.45 – $84.05 | 7 |
| Microdissection laser CPT 88380 | not published | not published | $50.24 – $104.37 | 8 |
| Microdissection manual CPT 88381 | $148.90 | $148.90 | $22.16 – $93.69 | 9 |
| Microfluid analy tears CPT 83861 | not published | not published | $22.48 – $46.77 | 7 |
| Microprcsr cu combo vad, rep HCPCS Q0482 | not published | not published | $4,266.39 – $11,237.25 | 7 |
| Microsatellite instability CPT 81301 | $493.20 | $493.20 | $348.56 – $463.61 | 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.