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 |
|---|---|---|---|---|
| Photosensitivity tests CPT 95056 | not published | not published | $47.37 – $107.77 | 8 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $46.45 – $96.93 | 9 |
| Phys blood bank serv reactj CPT 86078 | not published | not published | $46.77 – $97.61 | 9 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $23.70 – $96.93 | 9 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $396.80 | $396.80 | $98.13 – $206.84 | 9 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $325.25 | $325.25 | $98.13 – $206.84 | 9 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $361.70 | $361.70 | $98.13 – $206.84 | 9 |
| Physical Therapy Re-Evaluation CPT 97164 | $345.55 | $345.55 | $66.98 – $141.65 | 9 |
| Physician standby services CPT 99360 | not published | not published | $57.45 – $117.26 | 4 |
| Phys review of motion tests CPT 96004 | not published | not published | $102.11 – $214.87 | 8 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $417.43 | $417.43 | $2.85 – $98.10 | 6 |
| Pierce earlobes 69090 CPT 69090 | not published | not published | $48.58 – $62.36 | 3 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | not published | not published | $332.44 – $1,288.94 | 8 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $132.25 – $575.89 | 7 |
| Pild/placebo control clin tr HCPCS G0276 | not published | not published | $350.28 – $741.51 | 8 |
| Pillow shldr abduc inflat univ HCPCS L3960 | not published | not published | $760.38 – $2,017.09 | 7 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | not published | not published | $442.00 – $1,135.23 | 9 |
| Pin finger dislocation CPT 26776 | not published | not published | $437.00 – $948.92 | 8 |
| Pin finger fracture each CPT 26756 | $5,535.10 | $5,535.10 | $412.98 – $4,367.19 | 9 |
| Pin hand dislocation CPT 26676 | not published | not published | $495.34 – $1,075.00 | 8 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $434.96 – $944.85 | 8 |
| Pin service 60m per month HCPCS G0023 | not published | not published | $47.51 – $155.47 | 8 |
| Pinworm exam CPT 87172 | $79.80 | $79.80 | $4.27 – $75.01 | 9 |
| Pinworm examinations HCPCS Q0113 | not published | not published | $4.27 – $8.82 | 7 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $634.39 | $634.39 | $1.18 – $131.70 | 6 |
| Pituitary evaluation panel CPT 80418 | not published | not published | $579.48 – $1,213.95 | 7 |
| Place breast cath for rad CPT 19297 | not published | not published | $87.01 – $189.78 | 8 |
| Place breast rad tube/caths CPT 19298 | not published | not published | $309.69 – $1,673.62 | 9 |
| Place cath intracranial art CPT 36228 | not published | not published | $229.47 – $2,474.78 | 9 |
| Place cath xtrnl carotid CPT 36227 | not published | not published | $111.21 – $467.71 | 9 |
| Place cecostomy tube perc CPT 49442 | not published | not published | $197.24 – $1,502.08 | 9 |
| Place device/marker, non pro HCPCS C9728 | not published | not published | $1,324.26 – $1,363.98 | 5 |
| Place duod/jej tube perc CPT 49441 | not published | not published | $227.28 – $1,820.11 | 9 |
| Place endorectal app HCPCS C9725 | not published | not published | $882.39 – $908.86 | 5 |
| Place gastrostomy tube open 43832 CPT 43832 | not published | not published | $989.41 – $2,143.88 | 8 |
| Place gastrostomy tube perc CPT 49440 | not published | not published | $192.27 – $1,572.76 | 9 |
| Placement bile duct support CPT 47801 | not published | not published | $1,048.02 – $2,265.21 | 8 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $2,152.25 | $2,152.25 | $93.12 – $463.22 | 9 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $2,152.25 | $2,152.25 | $46.62 – $327.66 | 9 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $1,867.95 | $1,867.95 | $79.47 – $700.92 | 9 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $5,658.75 | $5,658.75 | $192.49 – $1,717.31 | 9 |
| Placement of drain pancreas CPT 48001 | not published | not published | $2,156.17 – $4,693.78 | 8 |
| Placement of seton CPT 46020 | not published | not published | $111.58 – $239.26 | 8 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $30,622.00 | $30,622.00 | $400.08 – $5,184.05 | 9 |
| Place ndl musc/tis for right CPT 20555 | not published | not published | $326.91 – $691.35 | 8 |
| Place needles h&n for right CPT 41019 | not published | not published | $476.54 – $1,004.51 | 8 |
| Place needles pelvic for right CPT 55920 | not published | not published | $449.02 – $945.52 | 8 |
| Place non-slctv cath thoracic arta CPT 36221 | not published | not published | $182.42 – $1,870.85 | 9 |
| Placental lactogen CPT 83632 | not published | not published | $20.22 – $42.37 | 7 |
| Place po breast cath for rad CPT 19296 | not published | not published | $197.18 – $6,922.57 | 9 |
| Place right device/marker pros CPT 55876 | not published | not published | $97.86 – $292.32 | 9 |
| Place slctv cath carotd art uni CPT 36224 | not published | not published | $340.11 – $3,937.66 | 9 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | not published | not published | $262.19 – $2,346.28 | 9 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | not published | not published | $303.56 – $3,189.21 | 9 |
| Place slctv cath subclavian art CPT 36225 | not published | not published | $301.34 – $3,028.58 | 9 |
| Place slctv cath vertebral art uni CPT 36226 | not published | not published | $337.81 – $3,836.81 | 9 |
| Plaelet rich plasma unit HCPCS P9020 | not published | not published | $57.70 – $574.04 | 6 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | not published | not published | $40.28 – $151.72 | 6 |
| Plasma cryo redu path each HCPCS P9025 | not published | not published | $135.15 – $648.87 | 6 |
| Plasmaprotein fract,5%,250ml HCPCS P9048 | not published | not published | $53.95 – $75.93 | 8 |
| Plasma protein fract,5%,50ml HCPCS P9043 | not published | not published | $8.07 – $28.48 | 8 |
| Plasma volume multiple CPT 78111 | not published | not published | $9.08 – $21.02 | 8 |
| Plasma volume single CPT 78110 | not published | not published | $7.41 – $15.59 | 8 |
| Plas shoe insert w ank joint HCPCS L2180 | not published | not published | $122.93 – $326.11 | 7 |
| Plastic mod low ext pad/line HCPCS L2275 | not published | not published | $117.16 – $310.82 | 7 |
| Plastic mold recipro hip & c HCPCS L2627 | not published | not published | $2,034.07 – $5,395.91 | 7 |
| Plastic surgery neck CPT 15819 | not published | not published | $766.90 – $1,566.92 | 5 |
| Plast socket jts/thgh lacer HCPCS L5105 | not published | not published | $4,034.01 – $10,701.26 | 7 |
| Platelet aggregation each agent teg CPT 85576 | $12.25 | $12.25 | $9.67 – $19.65 | 9 |
| Platelet automated CPT 85049 | $79.55 | $79.55 | $4.48 – $74.78 | 9 |
| Platelet deplete of harvest CPT 38213 | not published | not published | $11.56 – $435.81 | 7 |
| Platelet pheresis each unit HCPCS P9034 | not published | not published | $397.13 – $440.40 | 6 |
| Platelet pheresis irr ea HCPCS P9036 | not published | not published | $477.97 – $605.28 | 6 |
| Platelets each unit HCPCS P9019 | not published | not published | $44.64 – $78.24 | 6 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | not published | not published | $777.49 – $800.81 | 5 |
| Platelets irradiated ea unit HCPCS P9032 | not published | not published | $80.57 – $139.85 | 6 |
| Platelets leukocytes reduced each unit HCPCS P9031 | not published | not published | $53.35 – $129.54 | 6 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | not published | not published | $128.48 – $211.55 | 6 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | not published | not published | $227.25 – $234.07 | 5 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $2,660.25 | $2,660.25 | $459.23 – $1,506.30 | 9 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $2,429.50 | $2,429.50 | $440.40 – $1,356.33 | 9 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $2,584.70 | $2,584.70 | $437.68 – $1,352.80 | 9 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $1,627.40 | $1,627.40 | $587.28 – $1,250.67 | 9 |
| Platelet survival CPT 78191 | not published | not published | $23.45 – $48.80 | 8 |
| Plating chrome/nickel pr bar HCPCS L2750 | not published | not published | $99.18 – $263.08 | 7 |
| Plcg2 gene common variants CPT 81320 | not published | not published | $291.36 – $610.53 | 7 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | not published | not published | $246.40 – $2,200.44 | 9 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | not published | not published | $190.76 – $2,668.15 | 9 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $7,385.25 | $7,385.25 | $191.51 – $1,880.50 | 9 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $7,385.25 | $7,385.25 | $320.49 – $2,532.60 | 9 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | not published | not published | $723.92 – $1,581.99 | 8 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $1,911.75 | $1,911.75 | $79.47 – $695.15 | 9 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $1,304.15 | $1,304.15 | $40.16 – $568.59 | 9 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | not published | not published | $290.09 – $637.14 | 8 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | not published | not published | $59.93 – $930.93 | 9 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | not published | not published | $46.71 – $363.00 | 9 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $1,587.90 | $1,587.90 | $39.73 – $572.43 | 9 |
| Plerixafor injection HCPCS J2562 | not published | not published | $73.30 – $172.88 | 8 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $636.30 | $636.30 | $11.35 – $404.01 | 9 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | not published | not published | $857.40 – $1,859.20 | 8 |
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.