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 |
|---|---|---|---|---|
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $1,441.17 – $3,092.80 | 8 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $1,851.30 – $3,966.49 | 8 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $1,690.29 – $3,623.51 | 8 |
| Radical resection of elbow CPT 24149 | not published | not published | $1,135.28 – $2,444.83 | 8 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $1,261.95 – $2,696.28 | 8 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $994.97 – $2,141.18 | 8 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $1,370.37 – $2,957.25 | 8 |
| Radiesse injection HCPCS Q2026 | not published | not published | $333.42 – $625.97 | 6 |
| Radiofq trsmtr for implt neu HCPCS L8683 | not published | not published | $4,884.12 – $12,956.39 | 7 |
| Radiof trsmtr implt scrl neu HCPCS L8684 | not published | not published | $645.58 – $1,712.58 | 7 |
| Radiology port images(s) CPT 77417 | not published | not published | $12.74 – $33.21 | 8 |
| Radiotherapy dose plan imrt CPT 77301 | not published | not published | $413.13 – $861.48 | 8 |
| Radium ra223 dichl ther/uci HCPCS A9606 | not published | not published | $159.32 – $346.27 | 8 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $3,467.40 | $3,467.40 | $35.59 – $1,006.13 | 9 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $4,240.60 | $4,240.60 | $44.76 – $2,777.32 | 9 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $2,573.55 | $2,573.55 | $80.80 – $2,030.53 | 9 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $3,467.40 | $3,467.40 | $48.04 – $1,185.24 | 9 |
| Radphm lcl tumor plr sgl day CPT 78800 | $1,120.50 | $1,120.50 | $29.25 – $598.54 | 9 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | not published | $20.41 – $42.70 | 8 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $1,478.38 – $3,171.42 | 8 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $1,077.93 – $2,324.17 | 8 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $1,266.26 – $2,725.43 | 8 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $981.56 – $2,109.31 | 8 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $688.14 – $1,454.57 | 8 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $1,266.58 – $2,732.22 | 8 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $715.14 – $1,553.51 | 8 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $1,013.94 – $2,181.16 | 8 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $1,286.61 – $2,764.74 | 8 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $912.92 – $1,956.13 | 8 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $3,513.31 | $3,513.31 | $68.19 – $3,302.51 | 9 |
| Range of motion measurements CPT 95852 | not published | not published | $5.27 – $34.70 | 9 |
| Ranibizumab injection HCPCS J2778 | not published | not published | $91.11 – $245.08 | 8 |
| Rapid desensitization CPT 95180 | not published | not published | $99.23 – $266.62 | 9 |
| Rapid Strep Test CPT 87880 | $49.15 | $49.15 | $16.53 – $46.20 | 9 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $2,604.21 | $2,604.21 | $349.73 – $2,447.96 | 9 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $57,190.10 | $57,190.10 | $221.21 – $14,661.46 | 9 |
| Rb82 rubidium HCPCS A9555 | not published | not published | $389.10 – $1,116.13 | 9 |
| Rbc count only automated CPT 85041 | not published | not published | $3.02 – $6.10 | 7 |
| Rbc deglycerolized each unit HCPCS P9039 | not published | not published | $197.62 – $673.35 | 6 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $46.00 – $435.81 | 7 |
| Rbc irradiated each unit HCPCS P9038 | not published | not published | $117.05 – $153.70 | 6 |
| Rbc mechanical fragility CPT 85547 | not published | not published | $8.60 – $18.02 | 7 |
| Rbc o2 co2 reduced HCPCS P9027 | not published | not published | $487.10 – $529.06 | 6 |
| Rbc osmotic fragility CPT 85555 | not published | not published | $7.47 – $15.59 | 7 |
| Rbc serum pretx incubj drugs CPT 86975 | not published | not published | $37.57 – $397.79 | 7 |
| Rcm img acquisj&i&r 1st les CPT 96931 | not published | not published | $68.22 – $338.89 | 8 |
| Rcm img acquisj&i&r ea addl CPT 96934 | not published | not published | $34.12 – $239.26 | 8 |
| Rcm img acquisj only 1st les CPT 96932 | not published | not published | $40.94 – $251.47 | 8 |
| Rcm img acquisj only ea addl CPT 96935 | not published | not published | $20.48 – $154.54 | 8 |
| Rcm i&r only 1st lesion CPT 96933 | not published | not published | $27.28 – $87.44 | 8 |
| Rcm i&r only ea addl lesion CPT 96936 | not published | not published | $13.64 – $84.72 | 8 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $2,111.74 – $4,502.63 | 8 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $1,627.44 – $3,468.30 | 8 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $1,458.09 – $3,106.36 | 8 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $1,501.06 – $3,154.49 | 8 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $1,567.96 – $3,294.78 | 8 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $2,066.76 – $4,386.73 | 8 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $1,864.66 – $3,955.64 | 8 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $1,731.63 – $3,673.00 | 8 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $2,681.70 – $5,698.26 | 8 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $2,474.03 – $5,255.67 | 8 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $721.75 – $1,548.78 | 8 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $878.69 – $1,881.58 | 8 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $1,047.17 – $2,231.99 | 8 |
| Realignment of knee CPT 27457 | not published | not published | $923.06 – $1,972.39 | 8 |
| Realignment of knee CPT 27455 | not published | not published | $924.28 – $1,984.61 | 8 |
| Realignment of tendons CPT 26437 | not published | not published | $646.10 – $1,371.19 | 8 |
| Realignment of thigh bone CPT 27454 | not published | not published | $1,240.49 – $2,663.76 | 8 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $1,043.81 – $2,195.39 | 8 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $1,016.18 – $2,138.45 | 8 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $1,364.33 – $2,866.41 | 8 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $1,080.13 – $2,272.67 | 8 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $1,510.75 – $3,171.42 | 8 |
| Rechanneling of artery CPT 35361 | not published | not published | $1,378.82 – $3,028.41 | 8 |
| Rechanneling of artery CPT 35306 | not published | not published | $399.99 – $881.82 | 8 |
| Rechanneling of artery CPT 35311 | not published | not published | $1,424.32 – $3,098.90 | 8 |
| Rechanneling of artery CPT 35363 | not published | not published | $1,470.46 – $3,231.08 | 8 |
| Rechanneling of artery 35305 CPT 35305 | not published | not published | $1,108.12 – $2,429.24 | 8 |
| Rechanneling of artery 35341 CPT 35341 | not published | not published | $1,248.62 – $2,735.59 | 8 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | not published | not published | $1,154.74 – $2,531.58 | 8 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | not published | not published | $1,313.99 – $2,877.26 | 8 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | not published | not published | $885.28 – $1,937.84 | 8 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | not published | not published | $1,111.77 – $2,436.01 | 8 |
| Recipient nephrectomy CPT 50340 | not published | not published | $913.59 – $1,983.25 | 8 |
| Recon, cta for surg plan HCPCS G0288 | not published | not published | $36.66 – $94.90 | 8 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $1,385.42 – $2,907.75 | 8 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $1,379.90 – $2,899.62 | 8 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $1,297.47 – $2,722.05 | 8 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $1,194.21 – $2,509.22 | 8 |
| Reconst major injured chest 32820 CPT 32820 | not published | not published | $1,254.97 – $2,823.03 | 8 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | not published | not published | $958.97 – $2,082.88 | 8 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $979.55 – $2,063.23 | 8 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $985.58 – $2,074.75 | 8 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $925.77 – $1,981.88 | 8 |
| Reconstruct bronchus CPT 31775 | not published | not published | $1,291.54 – $2,810.84 | 8 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $1,055.78 – $2,273.34 | 8 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $890.52 – $1,900.56 | 8 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $926.98 – $1,975.12 | 8 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $1,034.38 – $2,206.24 | 8 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $674.79 – $1,443.71 | 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.