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Mainehealth Pen Bay Hospital

6 Glen Cove Drive, Rockport, ME 04856 · (207) 921-8000

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 3/5Website ↗

Price file

Prices published

File dated 2026-10-30

2,334 price rows for 68 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines

$160
cash
$4,486
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines

$1,916
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines

$2,531
cash
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cash
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cash
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cash
Chlamydia test (DNA)

CPT 87491 · lowest of 2 lines

$231
cash
—
cash
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cash
—
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines

$127
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines

$188
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines

$939
cash
—
cash
$428
cash
Family psychotherapy with the patient

CPT 90847 · lowest of 4 lines

$304
cash
Family psychotherapy without the patient

CPT 90846 · lowest of 2 lines

$256
cash
—
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 2 lines

$160
cash
Group psychotherapy

CPT 90853 · lowest of 4 lines

$70
cash
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cash
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cash
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Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines

$132
cash
Liver function panel

CPT 80076 · lowest of 2 lines

$188
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines

$2,315
cash
$1,546
cash
$1,401
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines

$1,401
cash
—
cash
$1,796
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 3 lines

$195
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 3 lines

$330
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 3 lines

$431
cash
PSA test (prostate)

CPT 84153 · lowest of 2 lines

$295
cash
$252
cash
$189
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines

$1,595
cash
—
cash
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cash
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cash
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cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 6 lines

$121
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 4 lines

$161
cash
Psychotherapy, 45 minutes

CPT 90834 · lowest of 4 lines

$243
cash
Psychotherapy, 60 minutes

CPT 90837 · lowest of 4 lines

$356
cash
—
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines

$954
cash
—
cash
Sleep study (overnight, attended)

CPT 95810 · lowest of 2 lines

$6,136
cash
$225
cash
$1,274
cash
TSH test (thyroid)

CPT 84443 · lowest of 2 lines

$191
cash
—
cash
Transvaginal ultrasound

CPT 76830 · lowest of 4 lines

$83
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines

$1,595
cash
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cash
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cash
Urinalysis with microscope

CPT 81001 · lowest of 2 lines

$101
cash
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X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines

$1,303
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.