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 |
|---|---|---|---|---|
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $199.03 – $443.96 | 8 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $35.51 – $73.89 | 8 |
| Microwave bronch, 3d, ebus HCPCS C9751 | not published | not published | $3,629.88 – $3,738.78 | 5 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $627.55 | $627.55 | $9.72 – $206.32 | 9 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $80.06 | $80.06 | $0.14 – $0.74 | 6 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | $292.79 | $292.79 | $0.21 – $275.22 | 6 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $32.23 – $67.10 | 8 |
| Mifepristone 200 mg ta HCPCS S0190 | not published | not published | $36.55 – $122.69 | 3 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $94.22 | $94.22 | $1.39 – $88.57 | 6 |
| Milwaukee type superstructur HCPCS L1230 | not published | not published | $568.80 – $1,508.92 | 7 |
| Minocycline hydrochloride HCPCS J2265 | not published | not published | $2.44 – $5.43 | 8 |
| Minoxidil, 10 mg HCPCS S0139 | not published | not published | $0.47 – $1.36 | 2 |
| Miroderm HCPCS Q4175 | not published | not published | $62.86 – $136.50 | 4 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | $15,838.56 | $15,838.56 | $65.71 – $14,888.25 | 9 |
| Misoprostol, oral, 200 mcg HCPCS S0191 | not published | not published | $1.02 – $3.39 | 3 |
| Mitochondrial gene CPT 81440 | not published | not published | $3,324.00 – $6,965.08 | 7 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $1,776.48 | $1,776.48 | $24.50 – $1,669.89 | 9 |
| Mitomycin instillation HCPCS J9281 | not published | not published | $295.30 – $615.49 | 8 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | not published | not published | $29.60 – $120.24 | 8 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $2,572.90 – $5,602.69 | 8 |
| Mlh1 gene CPT 81288 | $500.05 | $500.05 | $185.94 – $470.05 | 9 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $202.40 – $424.12 | 7 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $675.40 – $1,415.24 | 7 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $301.28 – $693.38 | 7 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $20.88 – $45.62 | 9 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $5.85 – $12.20 | 8 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $1,016.42 – $2,187.26 | 8 |
| Mnl appl strs jt radiography CPT 77071 | $815.90 | $815.90 | $52.03 – $643.75 | 9 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $79.14 – $170.13 | 8 |
| Mnl prep&insj i-artic rx dev CPT 20704 | not published | not published | $140.62 – $305.01 | 8 |
| Mnl prep&insj imed rx dev CPT 20702 | not published | not published | $134.71 – $290.09 | 8 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $188.92 – $408.04 | 8 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $422.19 – $932.66 | 8 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $233.93 – $735.62 | 9 |
| Mnt subs tx for change dx HCPCS G0270 | $113.40 | $113.40 | $26.72 – $77.91 | 9 |
| Mobility cart pneum vad, rep HCPCS Q0502 | not published | not published | $609.46 – $1,605.25 | 7 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $111.68 – $242.65 | 8 |
| Modification of contact lens CPT 92325 | not published | not published | $42.15 – $91.51 | 8 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $1,257.06 – $2,730.86 | 8 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $543.66 – $1,176.67 | 8 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $98.05 | $98.05 | $5.80 – $92.17 | 9 |
| Molded inner boot HCPCS L2280 | not published | not published | $444.60 – $1,179.44 | 7 |
| Molded socket shin sach foot HCPCS L5100 | not published | not published | $2,648.56 – $7,026.02 | 7 |
| Mold sckt ext knee shin sach HCPCS L5150 | not published | not published | $3,405.67 – $9,034.45 | 7 |
| Mold socket ank hgt with toe f HCPCS L5010 | not published | not published | $1,161.10 – $3,080.12 | 7 |
| Mold socket bent knee shin s HCPCS L5160 | not published | not published | $3,993.82 – $10,594.63 | 7 |
| Molecular pathology interpr HCPCS G0452 | not published | not published | $3.19 – $88.02 | 8 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $11.35 – $22.42 | 8 |
| Mon cable elec/pneum vad rep HCPCS Q0486 | not published | not published | $274.28 – $722.40 | 7 |
| Monitor cable elec vad, rep HCPCS Q0485 | not published | not published | $329.51 – $867.91 | 7 |
| Monitor elec vad, rep HCPCS Q0483 | not published | not published | $17,575.62 – $46,292.53 | 7 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $10,350.00 | $10,350.00 | $1,900.70 – $2,264.46 | 6 |
| Monovisc inj per dose HCPCS J7327 | not published | not published | $528.58 – $1,116.22 | 8 |
| Monthly tx for dmht 20mins HCPCS G0553 | not published | not published | $29.38 – $61.69 | 6 |
| Mopath procedure level 1 CPT 81400 | not published | not published | $30.98 – $134.02 | 7 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $123.91 – $315.01 | 7 |
| Mopath procedure level 5 CPT 81404 | $2,878.15 | $2,878.15 | $274.83 – $2,705.46 | 9 |
| Mopath procedure level 6 CPT 81405 | $783.55 | $783.55 | $301.35 – $736.54 | 9 |
| Mopath procedure level 7 CPT 81406 | $707.20 | $707.20 | $282.88 – $664.77 | 9 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $846.27 – $1,773.12 | 7 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $1,239.09 – $4,190.83 | 7 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $297.67 | $297.67 | $3.24 – $23.22 | 6 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | not published | not published | $4.55 – $8.03 | 4 |
| Morphine 500 mg HCPCS S0093 | not published | not published | $7.74 – $359.91 | 2 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $233.80 | $233.80 | $10.48 – $217.92 | 6 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | not published | not published | $39.52 – $82.02 | 8 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | not published | not published | $40.83 – $84.72 | 8 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $577.70 | $577.70 | $36.18 – $44.67 | 9 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $629.64 – $1,267.28 | 8 |
| Motion analysis video/3d CPT 96000 | not published | not published | $80.59 – $168.10 | 8 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $102.22 – $214.87 | 8 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $2.50 – $5.43 | 8 |
| Mouth piece HCPCS A4617 | not published | not published | $3.44 – $9.07 | 7 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $274.11 – $717.64 | 9 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $23.91 – $49.47 | 8 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $951.35 | $951.35 | $61.17 – $333.83 | 9 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $32.24 – $67.10 | 8 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $61.27 – $141.98 | 8 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $72.34 – $315.01 | 7 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $20.05 – $42.01 | 7 |
| M.pneumon dna quant CPT 87582 | not published | not published | $66.25 – $634.12 | 7 |
| Mpsv4 vaccine subq CPT 90733 | not published | not published | $137.95 – $195.28 | 3 |
| MRA abdomen post contrast CPT 74185 | $2,514.50 | $2,514.50 | $81.45 – $1,829.41 | 9 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $2,872.50 | $2,872.50 | $81.68 – $1,813.87 | 9 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $4,290.45 | $4,290.45 | $82.10 – $1,820.58 | 9 |
| MRA pelvis CPT 72198 | $2,509.10 | $2,509.10 | $81.78 – $1,818.41 | 9 |
| MRA spinal canal CPT 72159 | $4,285.25 | $4,285.25 | $82.01 – $3,381.06 | 9 |
| MRA upper extremity post contrast-bil CPT 73225 | $2,587.35 | $2,587.35 | $77.08 – $2,041.42 | 9 |
| Mr elastography CPT 76391 | not published | not published | $50.24 – $105.07 | 8 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | not published | not published | $1,110.65 – $2,471.94 | 6 |
| MRI brain w/dye CPT 70558 | not published | not published | $161.65 – $337.55 | 8 |
| MRI brain without dye CPT 70557 | not published | not published | $146.13 – $305.01 | 8 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $151.54 – $319.93 | 8 |
| MRI breast c- unilateral CPT 77046 | $3,340.50 | $3,340.50 | $65.85 – $2,635.65 | 9 |
| MRI breast c-+ w/cad uni CPT 77048 | $3,340.50 | $3,340.50 | $96.30 – $2,635.65 | 9 |
| MRI breast without cont bi CPT 77047 | $3,325.65 | $3,325.65 | $72.95 – $2,367.00 | 9 |
| MRI breast w IV cont bi CPT 77049 | $3,325.65 | $3,325.65 | $105.37 – $2,447.20 | 9 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $379.80 | $379.80 | $106.36 – $299.66 | 9 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $599.20 | $599.20 | $117.93 – $472.77 | 9 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $1,204.75 | $1,204.75 | $134.97 – $950.55 | 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.