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 |
|---|---|---|---|---|
| Plmt access bil tree sm bwl CPT 47541 | not published | not published | $313.41 – $2,202.37 | 9 |
| Plmt biliary drainage cath CPT 47534 | not published | not published | $344.90 – $2,416.96 | 9 |
| Plmt nephroureteral catheter CPT 50433 | $4,959.15 | $4,959.15 | $239.06 – $2,138.12 | 9 |
| Plmt ureteral stent prq CPT 50694 | $7,385.25 | $7,385.25 | $250.11 – $2,108.58 | 9 |
| Plug insert indwelling 16f HCPCS L8511 | not published | not published | $67.70 – $179.58 | 7 |
| Pm device progr eval dual CPT 93280 | $161.95 | $161.95 | $35.17 – $127.78 | 9 |
| Pm device progr eval multi CPT 93281 | not published | not published | $36.09 – $82.02 | 8 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $207.31 – $434.40 | 7 |
| Pmp22 gene dup/delet CPT 81324 | not published | not published | $758.36 – $1,588.76 | 7 |
| Pmp22 gene full sequence CPT 81325 | not published | not published | $104.11 – $1,612.48 | 7 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $46.60 – $97.61 | 7 |
| Pm phone r-strip device eval CPT 93293 | not published | not published | $13.32 – $27.79 | 8 |
| Pms2 gene dup/delet variants CPT 81319 | not published | not published | $203.50 – $426.34 | 7 |
| Pms2 gene full seq analysis CPT 81317 | not published | not published | $676.50 – $1,417.29 | 7 |
| Pms2 known familial variants CPT 81318 | not published | not published | $214.70 – $693.38 | 7 |
| Pne flu hepb cov home admin HCPCS M0201 | not published | not published | $25.74 – $74.39 | 7 |
| Pneum full leg splnt pre ots HCPCS L4370 | not published | not published | $224.00 – $594.22 | 7 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $86.36 – $243.50 | 9 |
| #pnh-flow cytometry interp CPT 88187 | not published | not published | $34.41 – $71.85 | 8 |
| Pn soln nos 10 grams lipids HCPCS B4185 | not published | not published | $34.13 – $34.13 | 1 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $219.40 | $219.40 | $26.07 – $43.24 | 9 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $44,440.33 | $44,440.33 | $120.47 – $8,951.57 | 9 |
| Polycentric hinge pair HCPCS L6600 | not published | not published | $177.84 – $471.77 | 7 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | not published | not published | $127.90 – $266.37 | 8 |
| Polysom any age 1-3> param CPT 95808 | not published | not published | $78.30 – $163.36 | 8 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $5,972.40 | $5,972.40 | $117.50 – $3,765.94 | 9 |
| Polyvalent mult org ea ag ia CPT 87451 | not published | not published | $10.51 – $21.69 | 7 |
| Porfimer sodium injection HCPCS J9600 | not published | not published | $4,609.73 – $24,955.27 | 8 |
| Portable 02 contents, gas HCPCS E0443 | not published | not published | $71.53 – $124.83 | 6 |
| Portable 02 contents, liquid HCPCS E0444 | not published | not published | $71.53 – $124.83 | 6 |
| Positional change of finger CPT 26555 | not published | not published | $1,336.36 – $2,836.59 | 8 |
| Positional nystagmus test CPT 92532 | not published | not published | $23.19 – $36.61 | 3 |
| Post-coital mucous exam HCPCS Q0115 | not published | not published | $15.70 – $52.20 | 7 |
| Post d/c phone follow up HCPCS G0544 | not published | not published | $47.84 – $100.31 | 6 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $699.89 – $1,534.53 | 8 |
| Postop applicat rigid dsg on HCPCS L6388 | not published | not published | $555.73 – $1,474.22 | 7 |
| Postop app non-wgt bear dsg HCPCS L5450 | not published | not published | $386.25 – $1,024.63 | 7 |
| Postop app non-wgt bear dsg HCPCS L5460 | not published | not published | $567.90 – $1,506.51 | 7 |
| Postop dress & 1 cast chg bk HCPCS L5400 | not published | not published | $1,141.05 – $3,026.94 | 7 |
| Postop dsg & 1 cast chg ak/d HCPCS L5420 | not published | not published | $1,441.10 – $3,822.89 | 7 |
| Postop dsg ak ea add cast ch HCPCS L5430 | not published | not published | $499.16 – $1,324.15 | 7 |
| Postop dsg bk ea add cast ch HCPCS L5410 | not published | not published | $435.72 – $1,155.86 | 7 |
| Postop dsg cast chg elb dis/ HCPCS L6382 | not published | not published | $1,449.65 – $3,845.58 | 7 |
| Postop dsg cast chg wrst/elb HCPCS L6380 | not published | not published | $1,112.32 – $2,950.69 | 7 |
| Postop ea cast chg & realign HCPCS L6386 | not published | not published | $428.80 – $1,137.49 | 7 |
| Post-operative body jacket HCPCS L1310 | not published | not published | $1,701.85 – $4,514.62 | 7 |
| Post-op hip abduct custom fa HCPCS L1685 | not published | not published | $1,411.37 – $3,744.02 | 7 |
| Post op service lvrs min 6 HCPCS G0305 | not published | not published | $513.54 – $528.94 | 5 |
| Postpartum Care Only CPT 59430 | not published | not published | $165.94 – $513.33 | 9 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | $706.57 – $1,553.51 | 8 |
| Potassium 24 hour urine CPT 84133 | $100.60 | $100.60 | $4.73 – $94.56 | 9 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $76.58 | $76.58 | $0.11 – $44.72 | 6 |
| Potassium hydroxide preps HCPCS Q0112 | not published | not published | $5.83 – $12.20 | 7 |
| Potassium serum/plasma/whole blood CPT 84132 | $99.25 | $99.25 | $4.76 – $93.30 | 9 |
| Pouch clsd w barr attached HCPCS A5051 | not published | not published | $2.30 – $6.03 | 7 |
| Pouch drainable w barrier at HCPCS A5061 | not published | not published | $3.92 – $10.35 | 7 |
| Pouch high output 2pc 50mm red HCPCS A4413 | not published | not published | $6.13 – $16.13 | 7 |
| Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp HCPCS A4388 | not published | not published | $4.85 – $12.76 | 7 |
| Pouch ostmy nb pouchkin ctf HCPCS A5062 | not published | not published | $2.48 – $6.54 | 7 |
| Pouch uros new (both sides) 2.75in clr HCPCS A4432 | not published | not published | $3.99 – $10.50 | 7 |
| Powder prem protct 1oz HCPCS A4371 | not published | not published | $4.05 – $10.69 | 7 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $137.00 – $287.07 | 7 |
| Pq biliary strict dil s&i CPT 74363 | $2,569.00 | $2,569.00 | $37.97 – $2,026.94 | 9 |
| Pq dr cath chg w cont s&i CPT 75984 | $1,131.05 | $1,131.05 | $36.12 – $892.40 | 9 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $15,472.40 | $15,472.40 | $450.90 – $10,765.80 | 9 |
| Pq thr inj ext pse CPT 36002 | $1,609.25 | $1,609.25 | $97.36 – $294.89 | 9 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $8,820.40 | $8,820.40 | $193.84 – $1,391.58 | 9 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $8,820.40 | $8,820.40 | $410.92 – $3,431.41 | 9 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $8,820.40 | $8,820.40 | $387.40 – $3,427.55 | 9 |
| Pralatrexate injection HCPCS J9307 | not published | not published | $289.14 – $738.87 | 8 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $846.18 | $846.18 | $88.43 – $795.41 | 6 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $3,761.65 | $3,761.65 | $677.06 – $1,449.81 | 9 |
| Pr application of long arm splint CPT 29105 | $249.70 | $249.70 | $39.16 – $163.19 | 9 |
| Pr application splint static short arm CPT 29125 | $249.70 | $249.70 | $38.62 – $131.70 | 9 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | not published | not published | $4.29 – $9.49 | 8 |
| Pr biopsy skin punch single lesion CPT 11104 | $378.65 | $378.65 | $44.79 – $241.57 | 9 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $583.20 – $1,970.43 | 9 |
| Pr correction hammertoe CPT 28285 | not published | not published | $372.47 – $1,042.73 | 9 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $77.95 | $77.95 | $11.24 – $28.27 | 9 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | not published | not published | $264.70 – $576.81 | 8 |
| Prcrd drg 6+yr without anomly CPT 33017 | not published | not published | $226.03 – $491.40 | 8 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $5,212.80 | $5,212.80 | $148.23 – $770.32 | 9 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $363.10 | $363.10 | $78.02 – $181.55 | 9 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $363.10 | $363.10 | $110.37 – $231.82 | 9 |
| Prealbumin CPT 84134 | $171.25 | $171.25 | $14.59 – $160.98 | 9 |
| Pr ecg 12 lead report only CPT 93010 | not published | not published | $7.76 – $16.26 | 8 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | not published | not published | $17.58 – $36.61 | 8 |
| Prednisolone acetate inj HCPCS J2650 | not published | not published | $0.52 – $0.52 | 2 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $8.00 | $8.00 | $0.24 – $7.52 | 6 |
| Prednisone 1 mg tablet HCPCS J7512 | $2.20 | $2.20 | $0.03 – $1.36 | 6 |
| Prefab glove for term device HCPCS L6890 | not published | not published | $178.32 – $473.04 | 7 |
| Pregabalin - sendout CPT 80366 | not published | not published | $8.25 – $50.16 | 3 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | not published | not published | $188.60 – $402.62 | 8 |
| Pregnancy associated plasma protein-a CPT 84163 | $62.85 | $62.85 | $15.05 – $59.08 | 9 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $1,453.60 | $1,453.60 | $45.76 – $729.51 | 9 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $1,453.60 | $1,453.60 | $45.43 – $553.40 | 9 |
| Pregnancy Ultrasound (limited) CPT 76815 | $607.35 | $607.35 | $29.82 – $51.00 | 9 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | not published | not published | $95.92 – $255.69 | 5 |
| Prenatal Care Only (4-6 visits) CPT 59425 | not published | not published | $402.76 – $1,092.19 | 9 |
| Prenatal Care Only (7+ visits) CPT 59426 | not published | not published | $738.73 – $1,998.07 | 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.