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 |
|---|---|---|---|---|
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $442.75 | $442.75 | $55.19 – $221.01 | 9 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $684.62 – $1,678.77 | 9 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | not published | not published | $38.43 – $80.65 | 8 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $607.99 – $1,314.26 | 8 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $574.61 – $1,242.40 | 8 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $92.35 – $194.52 | 8 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $635.83 – $1,438.98 | 8 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $648.40 – $1,403.73 | 8 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,831.50 | $1,831.50 | $145.06 – $312.47 | 9 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | $24.40 | $24.40 | $12.20 – $32.54 | 9 |
| PSA (Prostate) Test CPT 84153 | $128.25 | $128.25 | $18.39 – $38.59 | 9 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $1.99 – $4.74 | 8 |
| Psychoanalysis CPT 90845 | not published | not published | $83.63 – $188.88 | 9 |
| Psychoeducation 45 min + HCPCS G0177 | $416.25 | $416.25 | $328.42 – $391.28 | 6 |
| Psychophysiological therapy CPT 90875 | not published | not published | $57.45 – $117.26 | 5 |
| Psychophysiological therapy CPT 90876 | not published | not published | $91.30 – $197.87 | 5 |
| Psychotherapy group therapy CPT 90853 | $251.05 | $251.05 | $23.35 – $53.32 | 9 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $298.00 | $298.00 | $66.54 – $150.98 | 9 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $416.25 | $416.25 | $88.16 – $199.17 | 9 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $416.25 | $416.25 | $129.66 – $263.14 | 9 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | not published | not published | $105.93 – $231.28 | 9 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | not published | not published | $72.82 – $165.12 | 9 |
| Psycl/nrpsyc tech 1st CPT 96138 | not published | not published | $31.51 – $70.49 | 8 |
| Psy evaluation of records CPT 90885 | not published | not published | $46.77 – $94.90 | 4 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $22.58 – $80.30 | 9 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | not published | not published | $17.23 – $72.60 | 9 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | not published | not published | $32.45 – $70.49 | 8 |
| Psytx complex interactive CPT 90785 | $102.60 | $102.60 | $12.32 – $28.27 | 9 |
| Psytx pt w/e&m 16-37 min CPT 90833 | $180.50 | $180.50 | $61.64 – $138.78 | 9 |
| Psytx pt w/e&m 38-52 min CPT 90836 | $282.10 | $282.10 | $78.11 – $175.39 | 9 |
| Psytx pt w/e&m 53+ min CPT 90838 | $323.95 | $323.95 | $103.59 – $229.84 | 9 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $95.85 | $95.85 | $6.05 – $90.10 | 9 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $207.90 | $207.90 | $18.77 – $116.14 | 9 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $167.35 | $167.35 | $13.88 – $93.81 | 9 |
| Pt application of modality traction mechanical CPT 97012 | $160.60 | $160.60 | $14.19 – $126.71 | 9 |
| Pt/caregiver traing home inr CPT 93792 | not published | not published | $65.34 – $139.62 | 8 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $101.88 – $628.32 | 7 |
| Pten gene full sequence CPT 81321 | not published | not published | $600.00 – $1,257.26 | 7 |
| Pten gene known fam variant CPT 81322 | not published | not published | $46.60 – $97.61 | 7 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $777.50 – $1,637.56 | 8 |
| Pt-focused hlth risk assmt CPT 96160 | not published | not published | $2.50 – $6.10 | 8 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $23.14 – $48.80 | 8 |
| Pt prgrm for implt neurostim HCPCS L8681 | not published | not published | $1,022.79 – $2,713.21 | 7 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $294.20 | $294.20 | $34.40 – $81.60 | 9 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | not published | not published | $11.76 – $25.75 | 8 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $167.35 | $167.35 | $29.21 – $89.43 | 9 |
| Pt wheelchair management each 15 minutes CPT 97542 | $167.35 | $167.35 | $30.80 – $93.77 | 9 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $582.08 – $1,257.32 | 8 |
| Pul art balloon repr percut CPT 92998 | not published | not published | $291.11 – $632.38 | 8 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $2,646.60 – $11,409.65 | 7 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $3,812.56 – $8,322.02 | 8 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $928.08 – $2,011.70 | 8 |
| Pulmonary vent imaging CPT 78579 | $963.60 | $963.60 | $21.73 – $622.95 | 9 |
| Pulse ox continuous overnight monitoring CPT 94762 | $307.70 | $307.70 | $23.68 – $204.75 | 9 |
| Pulse ox multiple CPT 94761 | $113.40 | $113.40 | $3.36 – $87.34 | 9 |
| Pulse ox single CPT 94760 | $133.65 | $133.65 | $2.10 – $42.33 | 9 |
| Punc of shunt for asp or inj CPT 61070 | $1,160.75 | $1,160.75 | $53.66 – $915.83 | 9 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $122.05 | $122.05 | $14.19 – $52.69 | 9 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $606.70 | $606.70 | $92.70 – $251.20 | 9 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $45.83 – $179.89 | 9 |
| Puncture spinal lumbar diagnostic CPT 62270 | $2,519.55 | $2,519.55 | $60.07 – $282.04 | 9 |
| Puraply 1 sq cm HCPCS Q4195 | not published | not published | $71.23 – $203.19 | 4 |
| Puraply xt 1 sq cm HCPCS Q4197 | not published | not published | $94.44 – $183.10 | 4 |
| Pvb thoracic 2nd+ inj site CPT 64462 | $1,517.65 | $1,517.65 | $45.91 – $136.85 | 9 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $77.41 – $438.80 | 9 |
| Pvb thoracic single inj site CPT 64461 | $1,950.85 | $1,950.85 | $73.83 – $258.28 | 9 |
| Pwr adpt pneum vad, rep veh HCPCS Q0504 | not published | not published | $643.23 – $1,694.18 | 7 |
| Pwr pck base combo vad, rep HCPCS Q0489 | not published | not published | $15,237.10 – $40,133.08 | 7 |
| Pyelotomy complicated CPT 50135 | not published | not published | $1,077.75 – $2,169.88 | 5 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $941.80 – $1,996.11 | 8 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $910.56 – $1,930.38 | 8 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $989.16 – $2,097.11 | 8 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $878.11 – $1,903.93 | 8 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $252.13 | $252.13 | $5.73 – $237.00 | 6 |
| Pyruvate CPT 84210 | not published | not published | $14.48 – $30.34 | 7 |
| Pyruvate kinase CPT 84220 | $139.50 | $139.50 | $9.44 – $131.13 | 9 |
| Quadrilateral brim HCPCS L2188 | not published | not published | $334.38 – $887.04 | 7 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $6.16 – $18.63 | 8 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $2,312.10 | $2,312.10 | $37.01 – $1,189.34 | 9 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,426.65 | $1,426.65 | $32.42 – $760.28 | 9 |
| Quest t3 uptake CPT 84479 | $62.10 | $62.10 | $6.47 – $58.37 | 9 |
| Quick disconn hook adapter o HCPCS L6628 | not published | not published | $539.31 – $1,430.66 | 7 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $4.26 – $493.97 | 8 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $302.67 – $746.44 | 8 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $236.67 – $495.24 | 8 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $8,124.42 | $8,124.42 | $266.44 – $1,527.41 | 9 |
| Rabies vaccine id CPT 90676 | not published | not published | $186.50 – $584.94 | 7 |
| Radial keratotomy CPT 65771 | not published | not published | $1,040.79 – $1,292.57 | 3 |
| Radiation handling CPT 77790 | not published | not published | $15.59 – $34.11 | 8 |
| Radiation physics consult CPT 77336 | not published | not published | $80.00 – $185.72 | 8 |
| Radiation therapy dose plan CPT 77300 | not published | not published | $32.14 – $67.10 | 8 |
| Radiation therapy management CPT 77431 | not published | not published | $104.50 – $222.33 | 8 |
| Radiation treatment aid(s) CPT 77332 | not published | not published | $16.75 – $45.62 | 8 |
| Radiation treatment aid(s) CPT 77333 | not published | not published | $39.03 – $81.34 | 8 |
| Radiation treatment aid(s) CPT 77334 | not published | not published | $59.26 – $123.36 | 8 |
| Radiation treatment delivery CPT 77401 | not published | not published | $38.39 – $83.38 | 8 |
| Radiation treatment delivery CPT 77402 | not published | not published | $105.98 – $248.75 | 7 |
| Radiation treatment delivery CPT 77412 | not published | not published | $254.52 – $453.45 | 7 |
| Radiation tx management x5 CPT 77427 | not published | not published | $186.77 – $393.80 | 8 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $1,742.20 – $3,719.77 | 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.