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 |
|---|---|---|---|---|
| Ntrprof ph1/ntrnet/ehr 11-20 CPT 99447 | not published | not published | $34.40 – $72.52 | 8 |
| Ntrprof ph1/ntrnet/ehr 21-30 CPT 99448 | not published | not published | $51.23 – $107.77 | 8 |
| Ntrprof ph1/ntrnet/ehr 31/> CPT 99449 | not published | not published | $69.13 – $145.72 | 8 |
| Ntrprof ph1/ntrnet/ehr 5/> CPT 99451 | $62.10 | $62.10 | $31.05 – $69.13 | 9 |
| Ntrprof ph1/ntrnet/ehr 5-10 CPT 99446 | not published | not published | $17.04 – $35.92 | 8 |
| Ntrprof ph1/ntrnet/ehr rfrl CPT 99452 | not published | not published | $32.60 – $70.49 | 8 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | not published | not published | $516.70 – $706.94 | 7 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | not published | not published | $515.10 – $704.23 | 7 |
| Nuclear exam of tear flow CPT 78660 | not published | not published | $20.50 – $42.70 | 8 |
| Nuclear matrix protein 22 CPT 86386 | not published | not published | $21.78 – $45.41 | 7 |
| Nuclear rx intra-arterial CPT 79445 | not published | not published | $104.98 – $215.66 | 8 |
| Nuclear rx intra-articular CPT 79440 | not published | not published | $39.11 – $149.05 | 8 |
| Nuclear rx intracav admin CPT 79200 | not published | not published | $51.89 – $149.05 | 8 |
| Nuclear rx IV admin CPT 79101 | $1,458.85 | $1,458.85 | $52.99 – $1,151.03 | 9 |
| Nuclear Stress Test (Heart) CPT 78452 | $3,916.80 | $3,916.80 | $72.51 – $2,525.12 | 9 |
| Nuclr rx interstit colloid CPT 79300 | not published | not published | $61.30 – $120.14 | 8 |
| Nudge control elbow lock HCPCS L6637 | not published | not published | $464.17 – $1,231.34 | 7 |
| Nudt15 gene common variants CPT 81306 | not published | not published | $291.36 – $610.53 | 7 |
| Nursing fac care supervision CPT 99379 | not published | not published | $53.05 – $131.06 | 5 |
| Nursing fac care supervision CPT 99380 | not published | not published | $83.01 – $194.67 | 5 |
| Nursing facility discharge management > 30 min 99316 CPT 99316 | not published | not published | $125.77 – $263.67 | 8 |
| Nursing facility discharge management 30 min/less than 99315 CPT 99315 | not published | not published | $78.59 – $164.70 | 8 |
| Nushield 1 square cm HCPCS Q4160 | not published | not published | $97.64 – $185.68 | 4 |
| Nusinersen (pf) 12 mg/5 ml intrathecal solution HCPCS J2326 | not published | not published | $1,172.16 – $2,581.37 | 8 |
| Obecbtge autol up to 400 mil HCPCS Q2058 | not published | not published | $270,375.00 – $278,486.25 | 5 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $20,565.45 | $20,565.45 | $68.25 – $19,331.52 | 9 |
| Obltrj a-pulm sep def w/byp CPT 33814 | not published | not published | $1,411.36 – $3,069.75 | 8 |
| Observation care discharge CPT 99217 | not published | not published | $104.02 – $104.02 | 1 |
| Observation direct referral from physician office for admission HCPCS G0379 | $1,602.45 | $1,602.45 | $151.21 – $611.18 | 9 |
| Observation/inpatient hospital care hi severity 99236 CPT 99236 | $619.60 | $619.60 | $198.47 – $418.21 | 9 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | $383.30 | $383.30 | $93.23 – $196.55 | 9 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | $480.45 | $480.45 | $151.99 – $319.93 | 9 |
| Observation per hour HCPCS G0378 | $255.50 | $255.50 | $87.15 – $103.82 | 6 |
| Obstetrical care 59410 CPT 59410 | not published | not published | $1,007.28 – $2,202.18 | 8 |
| Obstetric panel inc HIV tstg CPT 80081 | not published | not published | $74.86 – $156.57 | 7 |
| Obstetrics panel CPT 80055 | not published | not published | $47.81 – $100.18 | 7 |
| Obtaining screen pap smear HCPCS Q0091 | not published | not published | $17.47 – $54.92 | 8 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | not published | not published | $54.08 – $112.52 | 8 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | $438.90 | $438.90 | $26.66 – $346.29 | 9 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $242.82 – $516.48 | 8 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $396.80 | $396.80 | $95.51 – $201.53 | 9 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $325.25 | $325.25 | $95.51 – $201.53 | 9 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $361.70 | $361.70 | $95.51 – $201.53 | 9 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $49,286.49 | $49,286.49 | $59.70 – $46,329.30 | 9 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $163.79 | $163.79 | $0.89 – $45.59 | 6 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $16,505.81 | $16,505.81 | $208.63 – $7,908.46 | 9 |
| Ocular function screen CPT 99172 | not published | not published | $6.77 – $33.41 | 3 |
| Ocular instrumnt screen bil CPT 99174 | not published | not published | $5.54 – $22.23 | 4 |
| Ocular instrumnt screen bil CPT 99177 | not published | not published | $4.29 – $11.26 | 4 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $199.50 – $519.11 | 9 |
| Ocular reconst transplant CPT 65780 | not published | not published | $573.40 – $1,194.29 | 8 |
| Ocular reconst transplant CPT 65781 | not published | not published | $1,265.85 – $2,666.46 | 8 |
| Ocular reconst transplant CPT 65782 | not published | not published | $1,092.61 – $2,303.85 | 8 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | not published | not published | $61.54 – $420.24 | 8 |
| Off base opioid tx, 60 m HCPCS G2087 | not published | not published | $155.50 – $824.92 | 8 |
| Off base opioid tx 70min HCPCS G2086 | not published | not published | $155.50 – $893.03 | 8 |
| Office consultation CPT 99241 | not published | not published | $51.61 – $51.61 | 1 |
| Office emergency care CPT 99058 | not published | not published | $30.38 – $42.70 | 3 |
| Off/op cnsltj new/est low 30 CPT 99243 | $487.25 | $487.25 | $71.89 – $151.25 | 9 |
| Off/op cnsltj new/est mod 40 CPT 99244 | $498.05 | $498.05 | $104.38 – $128.47 | 9 |
| Off/op consltj new/est hi 55 CPT 99245 | $763.95 | $763.95 | $104.25 – $297.10 | 9 |
| Off/op consltj new/est sf 20 CPT 99242 | $391.40 | $391.40 | $54.86 – $144.55 | 9 |
| Offset knee joint each HCPCS L2390 | not published | not published | $129.88 – $344.55 | 7 |
| Offset knee joint heavy duty HCPCS L2395 | not published | not published | $185.65 – $492.49 | 7 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $273.96 | $273.96 | $0.95 – $257.52 | 7 |
| Olanzapine long-acting inj HCPCS J2358 | not published | not published | $2.83 – $5.76 | 8 |
| Ol dig e/m svc 11-20 min CPT 99422 | not published | not published | $24.46 – $56.54 | 9 |
| Ol dig e/m svc 21+ min CPT 99423 | not published | not published | $38.24 – $89.95 | 9 |
| Ol dig e/m svc 5-10 min CPT 99421 | not published | not published | $12.23 – $28.91 | 9 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $6,762.82 | $6,762.82 | $38.33 – $3,178.53 | 9 |
| Omental flap extra-abdom 49904 CPT 49904 | not published | not published | $1,311.42 – $2,826.43 | 8 |
| Omental flap intra-abdom 49905 CPT 49905 | not published | not published | $327.16 – $711.00 | 8 |
| Onc breast mrna 12 genes CPT 81522 | not published | not published | $1,863.69 – $8,115.31 | 7 |
| Onc breast mrna 58 genes CPT 81520 | not published | not published | $2,510.21 – $5,259.73 | 7 |
| Onc breast mrna 70 genes CPT 81521 | not published | not published | $3,873.00 – $8,115.31 | 7 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $3,873.00 – $8,115.31 | 7 |
| Onc brst mrna 70 cnt 31 gene CPT 81523 | not published | not published | $1,863.69 – $8,115.31 | 7 |
| Onc cutan mlnma mrna 31 gene CPT 81529 | not published | not published | $3,461.27 – $15,072.24 | 7 |
| Oncology colon mrna CPT 81525 | not published | not published | $991.27 – $6,529.25 | 7 |
| Oncology colorectal scr CPT 81528 | not published | not published | $508.87 – $1,066.18 | 7 |
| Oncology gynecologic CPT 81535 | not published | not published | $579.46 – $1,213.95 | 7 |
| Oncology gynecologic CPT 81536 | not published | not published | $177.56 – $372.07 | 7 |
| Oncology lung CPT 81538 | not published | not published | $229.48 – $6,015.99 | 7 |
| Oncology prostate prob score CPT 81539 | not published | not published | $701.29 – $1,592.53 | 7 |
| Oncology thyroid CPT 81545 | not published | not published | $991.27 – $991.27 | 1 |
| Oncology tissue of origin CPT 81504 | not published | not published | $73.06 – $1,089.63 | 7 |
| Oncology tum unknown origin CPT 81540 | not published | not published | $991.27 – $7,857.74 | 7 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $182.60 – $1,879.54 | 7 |
| Onco (ovar) two proteins CPT 81500 | not published | not published | $73.06 – $545.63 | 7 |
| Oncoprotein dcp CPT 83951 | not published | not published | $64.41 – $134.88 | 7 |
| Oncoprotein her-2/neu CPT 83950 | not published | not published | $64.41 – $134.88 | 7 |
| Onc prostate 3 genes CPT 81551 | not published | not published | $859.42 – $4,253.73 | 7 |
| Onc prostate mrna 22 cnt gen CPT 81542 | not published | not published | $689.56 – $8,115.31 | 7 |
| Onc prostate mrna 46 genes CPT 81541 | not published | not published | $3,873.00 – $8,115.31 | 7 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $1,732.32 – $7,543.23 | 7 |
| Onc uveal mlnma mrna 15 gene CPT 81552 | not published | not published | $372.74 – $16,294.11 | 7 |
| Ondansetron 4 mg s0119 HCPCS S0119 | not published | not published | $0.46 – $29.82 | 3 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $3.35 | $3.35 | $0.01 – $3.15 | 6 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $81.31 | $81.31 | $0.09 – $13.08 | 6 |
| One-way allow prorated trip HCPCS P9604 | not published | not published | $4.44 – $21.69 | 4 |
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.