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 |
|---|---|---|---|---|
| MRI chest without contrast CPT 71550 | $2,387.95 | $2,387.95 | $66.72 – $1,749.65 | 9 |
| MRI chest without & w/contrast CPT 71552 | $3,638.75 | $3,638.75 | $103.40 – $2,629.66 | 9 |
| MRI chest w IV cont CPT 71551 | $2,912.55 | $2,912.55 | $78.73 – $2,298.00 | 9 |
| MRI compatible system HCPCS L0859 | not published | not published | $1,151.73 – $3,055.23 | 7 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $85.06 – $178.26 | 8 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $137.80 – $288.75 | 8 |
| MRI guid ndl plc s&i CPT 77021 | not published | not published | $68.26 – $142.34 | 8 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $191.27 – $401.25 | 8 |
| MRI hyperpolarized xenon129 HCPCS C9791 | not published | not published | $1,210.28 – $2,620.34 | 6 |
| MRI loex nonjt w IV cont CPT 73719 | $2,560.40 | $2,560.40 | $73.93 – $2,020.16 | 9 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,217.55 | $2,217.55 | $61.59 – $1,394.48 | 9 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $3,096.20 | $3,096.20 | $98.60 – $1,930.76 | 9 |
| MRI orbit fac&nck w IV cont CPT 70542 | $3,142.05 | $3,142.05 | $73.93 – $2,479.08 | 9 |
| MRI tmj CPT 70336 | $2,374.10 | $2,374.10 | $67.04 – $1,873.16 | 9 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $2,217.55 | $2,217.55 | $61.92 – $1,664.71 | 9 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $3,071.90 | $3,071.90 | $98.60 – $2,269.09 | 9 |
| MRI upper extremity w/dye CPT 73219 | $3,237.50 | $3,237.50 | $73.93 – $2,011.59 | 9 |
| MRI w/cont, breast, bi HCPCS C8906 | $3,325.65 | $3,325.65 | $345.64 – $3,126.11 | 9 |
| Mr safety determination physician/other qhp CPT 76016 | $214.95 | $214.95 | $27.19 – $127.37 | 9 |
| Mr safety implant elec prepj CPT 76018 | $224.10 | $224.10 | $34.07 – $132.78 | 9 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | not published | not published | $51.98 – $107.77 | 6 |
| Mr safety implt pos&/immoblj CPT 76019 | $145.05 | $145.05 | $26.62 – $85.92 | 9 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $59.80 | $59.80 | $10.80 – $35.44 | 9 |
| Mr sfty med physics xm cstmz CPT 76017 | $590.15 | $590.15 | $34.61 – $349.63 | 9 |
| Mr spectroscopy CPT 76390 | $3,862.80 | $3,862.80 | $85.22 – $3,631.03 | 9 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $176.43 – $446.66 | 7 |
| Msh2 gene full seq CPT 81295 | not published | not published | $176.43 – $799.81 | 7 |
| Msh2 gene known variants CPT 81296 | not published | not published | $150.65 – $707.63 | 7 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $188.03 – $498.71 | 7 |
| Msh6 gene full seq CPT 81298 | not published | not published | $334.75 – $1,344.75 | 7 |
| Msh6 gene known variants CPT 81299 | not published | not published | $187.52 – $645.27 | 7 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $2,623.39 – $5,619.64 | 8 |
| Mthfr gene analy common variants CPT 81291 | not published | not published | $65.34 – $136.92 | 7 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $26.88 – $56.26 | 7 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $42.84 – $89.48 | 7 |
| Mucin synovial fluid CPT 83872 | not published | not published | $5.86 – $12.20 | 7 |
| Mucopolysaccharides CPT 83864 | not published | not published | $28.50 – $59.64 | 7 |
| Mucormycosis antibody CPT 86732 | not published | not published | $14.77 – $31.18 | 7 |
| Mult fam adapt bhv tx gdn CPT 97157 | not published | not published | $5.27 – $61.69 | 7 |
| Multi-axial knee/shin system HCPCS L5840 | not published | not published | $3,512.33 – $9,317.35 | 7 |
| Multi-axial rotation unit HCPCS L5986 | not published | not published | $614.98 – $1,631.40 | 7 |
| Multi den insert custom mold HCPCS A5513 | not published | not published | $43.01 – $113.32 | 7 |
| Multi den insert direct form HCPCS A5512 | not published | not published | $28.83 – $75.94 | 7 |
| Multi-durometer below knee HCPCS L5665 | not published | not published | $647.25 – $1,717.00 | 7 |
| Multi-durometer symes HCPCS L5661 | not published | not published | $769.26 – $2,040.70 | 7 |
| Multi family grp psychotherapy CPT 90849 | $416.25 | $416.25 | $28.35 – $72.60 | 9 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $32.05 – $66.43 | 8 |
| Multiple sleep latency test CPT 95805 | $4,424.30 | $4,424.30 | $54.61 – $2,613.88 | 9 |
| Multipo locking shoulder jnt HCPCS L6646 | not published | not published | $2,935.51 – $7,787.22 | 7 |
| Mumps antibody igg CPT 86735 | $60.35 | $60.35 | $13.05 – $56.73 | 9 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $1,163.33 – $2,492.94 | 8 |
| Muscle-skin graft leg CPT 15738 | not published | not published | $1,210.40 – $2,583.78 | 8 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $1,432.23 – $3,072.47 | 8 |
| Muscle test cran nerv unilat CPT 95867 | not published | not published | $39.90 – $83.38 | 8 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $62.25 – $130.82 | 8 |
| Muscle test larynx CPT 95865 | not published | not published | $64.36 – $155.47 | 8 |
| Muscle test one fiber CPT 95872 | not published | not published | $37.25 – $280.11 | 8 |
| Muscle transfers CPT 23397 | not published | not published | $1,093.75 – $2,344.52 | 8 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $1,230.03 – $2,648.84 | 8 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $989.99 – $2,103.21 | 8 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $726.00 – $1,559.61 | 8 |
| Mycobacteria dna amp probe CPT 87551 | not published | not published | $41.34 – $101.00 | 7 |
| Mycobacteria dna dir probe CPT 87550 | not published | not published | $20.05 – $42.01 | 7 |
| Mycobacteria dna quant CPT 87552 | not published | not published | $42.84 – $89.48 | 7 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $2.93 | $2.93 | $0.16 – $2.49 | 6 |
| Mycophenolic acid HCPCS J7518 | not published | not published | $0.37 – $0.94 | 4 |
| Mycoplasma antibody igm CPT 86738 | $17.20 | $17.20 | $13.24 – $16.17 | 9 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $438.50 | $438.50 | $175.40 – $412.19 | 9 |
| Myelogphy 2/> spine regions CPT 72270 | not published | not published | $62.88 – $132.85 | 8 |
| Myelography l-s spine CPT 72265 | not published | not published | $38.55 – $80.65 | 8 |
| Myelography neck spine CPT 72240 | not published | not published | $41.71 – $87.44 | 8 |
| Myelography thoracic spine CPT 72255 | not published | not published | $41.50 – $86.75 | 8 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $1,615.55 | $1,615.55 | $116.53 – $528.10 | 9 |
| Myelography via inj w/s&i cervical CPT 62302 | $1,615.55 | $1,615.55 | $113.37 – $487.63 | 9 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $1,615.55 | $1,615.55 | $111.74 – $485.06 | 9 |
| Myelography via inj w/s&i thoracic CPT 62303 | $1,615.55 | $1,615.55 | $113.37 – $495.99 | 9 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $77.55 | $77.55 | $11.53 – $72.90 | 9 |
| Myocardial resection 33542 CPT 33542 | not published | not published | $2,411.99 – $5,257.01 | 8 |
| Myocrd img pet 1std rst/strs CPT 78491 | not published | not published | $69.23 – $144.38 | 8 |
| Myocrd img pet 1 std w/ct CPT 78429 | not published | not published | $76.09 – $158.60 | 8 |
| Myocrd img pet 2rtracer CPT 78432 | not published | not published | $92.51 – $193.18 | 8 |
| Myocrd img pet 2rtracer CT CPT 78433 | not published | not published | $98.81 – $206.04 | 8 |
| Myocrd img pet mlt rst&strs CPT 78492 | not published | not published | $80.38 – $167.43 | 8 |
| Myocrd img pet rst&strs CT CPT 78431 | not published | not published | $84.30 – $175.56 | 8 |
| Myocrd img pet rst/strs w/ct CPT 78430 | not published | not published | $71.94 – $149.80 | 8 |
| Myomectomy abdom complex CPT 58146 | not published | not published | $1,099.17 – $2,351.29 | 8 |
| Myomectomy abdom method CPT 58140 | not published | not published | $879.13 – $1,878.18 | 8 |
| Myomectomy vag method CPT 58145 | not published | not published | $539.46 – $1,148.86 | 8 |
| Myown harv prep proc sq cm HCPCS Q4226 | not published | not published | $386.49 – $1,224.00 | 3 |
| Myringoplasty CPT 69620 | not published | not published | $478.97 – $1,438.48 | 9 |
| Nabilone oral HCPCS J8650 | not published | not published | $31.85 – $39.98 | 3 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $145.04 | $145.04 | $0.48 – $136.34 | 6 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $9.57 | $9.57 | $2.81 – $9.00 | 6 |
| Naltrexone, depot form HCPCS J2315 | not published | not published | $3.80 – $8.15 | 8 |
| Nandrolone decanoate 50 mg HCPCS J2320 | not published | not published | $3.75 – $8.13 | 3 |
| Narcosynthesis CPT 90865 | not published | not published | $116.83 – $311.60 | 9 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $402.25 | $402.25 | $61.52 – $326.75 | 9 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | $290.45 | $290.45 | $224.75 – $273.02 | 9 |
| Nasal function studies CPT 92512 | not published | not published | $26.10 – $124.00 | 9 |
| Nasal septal prosthesis HCPCS L8047 | not published | not published | $1,383.19 – $2,036.84 | 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.