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 |
|---|---|---|---|---|
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | $301.39 – $310.43 | 5 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | not published | not published | $513.54 – $528.94 | 5 |
| Pre-op service lvrs complete HCPCS G0302 | not published | not published | $513.54 – $528.94 | 5 |
| Prep ak ischial direct form HCPCS L5570 | not published | not published | $2,248.15 – $5,963.80 | 7 |
| Prep ak ischial laminated HCPCS L5590 | not published | not published | $2,629.24 – $6,974.74 | 7 |
| Prep ak ischial plast molded HCPCS L5560 | not published | not published | $1,864.11 – $4,945.02 | 7 |
| Prep ak ischial thermo mold HCPCS L5580 | not published | not published | $2,331.58 – $6,185.12 | 7 |
| Preparation for bladder xray CPT 51605 | not published | not published | $36.75 – $77.95 | 8 |
| Preparation palate mold CPT 42280 | not published | not published | $105.96 – $340.51 | 9 |
| Prepare donor heart CPT 33944 | not published | not published | $275.74 – $637.97 | 8 |
| Prepare donor heart/lung CPT 33933 | not published | not published | $391.27 – $817.22 | 8 |
| Prepare donor intestine CPT 44715 | not published | not published | $391.04 – $811.29 | 8 |
| Prepare donor lung double CPT 32856 | not published | not published | $341.34 – $708.17 | 8 |
| Prepare donor lung single CPT 32855 | not published | not published | $282.90 – $586.93 | 8 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $51.71 – $53.26 | 5 |
| Prepare fecal microbiota CPT 44705 | not published | not published | $70.11 – $216.52 | 4 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $1,609.65 – $3,496.09 | 8 |
| Prepare penis study CPT 54230 | not published | not published | $76.42 – $206.23 | 9 |
| Prepare sperm duct x-ray CPT 55300 | not published | not published | $177.45 – $376.86 | 8 |
| Prep bk ptb laminated socket HCPCS L5540 | not published | not published | $1,957.26 – $5,192.11 | 7 |
| Prep bk ptb open end socket HCPCS L5535 | not published | not published | $2,058.46 – $5,460.60 | 7 |
| Prep bk ptb plaster molded HCPCS L5510 | not published | not published | $1,728.92 – $4,586.43 | 7 |
| Prep bk ptb thermopls molded HCPCS L5530 | not published | not published | $1,973.23 – $5,234.48 | 7 |
| Prep cadaver renal allograft CPT 50323 | not published | not published | $202.30 – $422.75 | 8 |
| Prep corneal endo allograft CPT 65757 | not published | not published | $158.62 – $329.09 | 8 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $354.01 – $774.05 | 8 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $252.61 – $552.40 | 8 |
| Prep donor liver 3-segment CPT 47144 | not published | not published | $496.57 – $1,030.22 | 8 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $353.46 – $772.69 | 8 |
| Prep donor liver lobe split CPT 47145 | not published | not published | $496.57 – $1,030.22 | 8 |
| Prep donor liver/venous CPT 47146 | not published | not published | $302.56 – $660.86 | 8 |
| Prep donor liver whole CPT 47143 | not published | not published | $331.06 – $700.92 | 8 |
| Prep donor pancreas CPT 48551 | not published | not published | $225.03 – $483.13 | 8 |
| Prep donor pancreas/venous CPT 48552 | not published | not published | $217.28 – $475.14 | 8 |
| Prep donor renal graft CPT 50325 | not published | not published | $202.30 – $419.72 | 8 |
| Prepj skn cll ssp agrft 1st CPT 15013 | not published | not published | $7,017.32 – $7,227.84 | 5 |
| Prepj tum cav iort prtl mast CPT 19294 | not published | not published | $152.65 – $333.47 | 8 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $984.67 – $1,014.21 | 5 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $175.66 – $382.96 | 8 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $166.93 – $363.98 | 8 |
| Prep renal graft/venous CPT 50327 | not published | not published | $199.97 – $435.83 | 8 |
| Prep skin cell susp, automtd HCPCS C8002 | not published | not published | $7,017.32 – $7,227.84 | 5 |
| Prep skin to 100cm2 other CPT 15004 | not published | not published | $249.10 – $755.54 | 9 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | $209.22 – $661.74 | 9 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | not published | $41.68 – $133.63 | 9 |
| Pressure max expiratory/inspiratory CPT 94799 | $411.05 | $411.05 | $14.00 – $200.15 | 9 |
| Pressure treatment esophagus CPT 43460 | not published | not published | $201.34 – $427.01 | 8 |
| Pressure velocity wire add ves CPT 93572 | not published | not published | $48.10 – $103.70 | 8 |
| Pre-tibial shell molded to p HCPCS L2340 | not published | not published | $397.73 – $1,055.07 | 7 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | not published | not published | $41.70 – $170.82 | 7 |
| Pretreat rbc absorption reference CPT 86978 | $151.15 | $151.15 | $30.30 – $59.21 | 9 |
| Pretreat rbc density gradient separation reference CPT 86972 | not published | not published | $48.72 – $170.82 | 7 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $90.40 | $90.40 | $34.16 – $59.21 | 9 |
| Pretreat rbc w enzyme reference CPT 86971 | $98.55 | $98.55 | $19.57 – $170.82 | 9 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $416.25 | $416.25 | $155.50 – $304.51 | 9 |
| Preventive counseling group CPT 99411 | not published | not published | $7.28 – $38.54 | 5 |
| Preventive counseling group CPT 99412 | not published | not published | $12.22 – $48.19 | 5 |
| Prev med cnsl indiv apprx 15 CPT 99401 | $191.65 | $191.65 | $23.44 – $128.47 | 9 |
| Prev med cnsl indiv apprx 30 CPT 99402 | $221.35 | $221.35 | $47.11 – $138.13 | 9 |
| Prev med cnsl indiv apprx 45 CPT 99403 | $253.75 | $253.75 | $70.54 – $205.95 | 9 |
| Prev med cnsl indiv apprx 60 CPT 99404 | $291.50 | $291.50 | $93.87 – $273.45 | 9 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | not published | not published | $124.73 – $319.94 | 8 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $2,482.80 | $2,482.80 | $79.06 – $245.43 | 9 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $157.45 – $434.94 | 9 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $1,357.90 | $1,357.90 | $97.66 – $310.95 | 9 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $1,282.67 – $2,781.69 | 8 |
| Prgrmg dev eval impltbl sys CPT 93260 | not published | not published | $34.27 – $77.74 | 8 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $98.55 | $98.55 | $29.93 – $77.76 | 9 |
| Prgrmg dev eval scrms ip CPT 93285 | not published | not published | $24.03 – $50.16 | 8 |
| Prgrmg eval implantable dfb CPT 93282 | not published | not published | $36.09 – $77.28 | 8 |
| Prgrmg eval implantable dfb CPT 93283 | not published | not published | $36.09 – $104.72 | 8 |
| Prgrmg eval implantable dfb CPT 93284 | not published | not published | $36.09 – $113.71 | 8 |
| Prgr stim/pace a/iv drug CPT 93623 | not published | not published | $35.92 – $127.20 | 8 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $703.15 | $703.15 | $166.31 – $351.58 | 9 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $363.10 | $363.10 | $124.70 – $262.98 | 9 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $334.65 | $334.65 | $78.72 – $167.33 | 9 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $657.30 | $657.30 | $113.46 – $328.65 | 9 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $487.25 | $487.25 | $75.89 – $243.63 | 9 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $237.55 | $237.55 | $46.94 – $118.78 | 9 |
| Prim art mech thrmbc non-intracranial CPT 37184 | not published | not published | $396.26 – $3,228.39 | 9 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | not published | not published | $149.11 – $896.25 | 9 |
| Prin care mgmt staff 1st 30 CPT 99426 | not published | not published | $47.51 – $119.50 | 9 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $616.80 | $616.80 | $176.52 – $301.93 | 9 |
| Pr incision & drainage abscess simple/single CPT 10060 | $425.20 | $425.20 | $101.17 – $246.06 | 9 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $1,064.90 | $1,064.90 | $122.50 – $285.26 | 9 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $950.80 | $950.80 | $100.74 – $294.89 | 9 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | not published | not published | $124.73 – $539.68 | 9 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | not published | not published | $124.73 – $398.97 | 9 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $567.10 | $567.10 | $11.45 – $97.02 | 9 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $580.43 – $1,260.70 | 8 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $4,244.00 | $4,244.00 | $1,065.15 – $1,269.00 | 6 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $121.93 – $309.67 | 9 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $128.67 – $274.50 | 8 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $211.52 – $720.20 | 9 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $150.14 – $1,625.44 | 9 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | not published | not published | $139.82 – $412.74 | 8 |
| Procalcitonin CPT 84145 | $75.60 | $75.60 | $27.22 – $71.06 | 9 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $77.95 – $131.85 | 2 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $64.98 | $64.98 | $3.04 – $61.08 | 6 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $0.36 – $0.67 | 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.