Gynecology
Hysteroscopy with sampling of the uterine lining
CPT 58558
$14,943
negotiated rate
Blue Cross$14,943
Medicare $3,200Nearby hospitals $10,85638% above nearby hospitals
17 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Short Term Acute Care HospitalVoluntary Non-Profit - Private
Pen Bay Medical Center
MaineHealth · Rockport, ME
6 Glen Cove Drive, Rockport, ME 04856(207) 921-8000
41
In-network payers
140
Disclosed rate categories
99
Beds
4
Care quality
About this hospital
Pen Bay Medical Center is a 99-bed voluntary non-profit - private hospital in Rockport, ME, affiliated with MaineHealth. Below you'll find publicly disclosed negotiated rates and facility details, including 41 in-network payers and 140 disclosed rate categories.
CCN (Medicare provider number)
200063
NPI
1982645305
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
99
Care Quality
4
Insurance Accepted
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneDean Health Plan
Prices for common services
The 24 services Pen Bay Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
Vaginal delivery, hospital stay
MS-DRG 807
$12,961
negotiated rate
Blue Cross$12,961
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$375 - $2,737
from 4 insurers · median $2,107
Aetna$375
Insurer A*$1,896
Insurer B*$2,319
Insurer C*$2,737
Medicare $345Nearby hospitals $1,58533% above nearby hospitals
Common here, based on CMS Medicare volume
Childbirth · Inpatient
Cesarean delivery, hospital stay
MS-DRG 788
$17,150
negotiated rate
Blue Cross$17,150
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Mammography
Screening mammography, bilateral
CPT 77067
$155 - $797
from 4 insurers · median $526
UnitedHealthcare$570
Insurer A*$155
Insurer B*$483
Insurer C*$797
Medicare $89Nearby hospitals $39234% above nearby hospitals
Common here, based on CMS Medicare volume
Medicine & Surgery
Laparoscopic cholecystectomy
CPT 47562
$27,421
negotiated rate
Blue Cross$27,421
Medicare $5,975Nearby hospitals $19,86938% above nearby hospitals
29 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CT head or brain without contrast
CPT 70450
$99 - $1,601
from 4 insurers · median $928
Aetna$99
Insurer A*$500
Insurer B*$1,357
Insurer C*$1,601
Medicare $103Nearby hospitals $49588% above nearby hospitals
Common here, based on CMS Medicare volume
X-ray and bone density
Chest X-ray, two views
CPT 71046
$25 - $520
from 4 insurers · median $298
Aetna$25
Insurer A*$156
Insurer B*$441
Insurer C*$520
Medicare $86Nearby hospitals $313In line with nearby hospitals
Common here, based on CMS Medicare volume
Cardiology and vascular testing
Complete echocardiogram with Doppler and color flow
CPT 93306
$234 - $2,577
from 4 insurers · median $1,263
Cigna$1,159
Insurer A*$234
Insurer B*$1,367
Insurer C*$2,577
Medicare $540Nearby hospitals $1,55219% below nearby hospitals
Common here, based on CMS Medicare volume
Gynecology
Laparoscopic hysterectomy with tube or ovary removal, uterus up to 250 g
CPT 58571
$48,931
negotiated rate
Blue Cross$48,931
Medicare $10,507Nearby hospitals $36,99832% above nearby hospitals
Typical for a hospital with this service line
Digestive procedures
Laparoscopic repair of an initial inguinal hernia
CPT 49650
$27,421
negotiated rate
Blue Cross$27,421
Medicare $5,975Nearby hospitals $19,86938% above nearby hospitals
29 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CT angiography of chest blood vessels
CPT 71275
$310 - $3,378
from 2 insurers · median $1,844
Aetna$310
Insurer A*$3,378
Medicare $173Nearby hospitals $94495% above nearby hospitals
Common here, based on CMS Medicare volume
CT imaging
CT of the abdomen and pelvis, without contrast
CPT 74176
$211 - $2,250
from 4 insurers · median $1,450
Aetna$211
Insurer A*$994
Insurer B*$1,907
Insurer C*$2,250
Medicare $236Nearby hospitals $1,03740% above nearby hospitals
Common here, based on CMS Medicare volume
Digestive procedures
Colonoscopy with polyp removal
CPT 45385
$537 - $5,541
from 2 insurers · median $3,039
Blue Cross$5,541
Insurer A*$537
Medicare $1,183Nearby hospitals $3,66417% below nearby hospitals
Common here, based on CMS Medicare volume
Medicine & Surgery
Inguinal hernia repair, age 5 or older
CPT 49505
$16,586
negotiated rate
Blue Cross$16,586
Medicare $3,539Nearby hospitals $12,84329% above nearby hospitals
21 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Digestive procedures
Laparoscopic gallbladder removal with bile-duct imaging
CPT 47563
$27,421
negotiated rate
Blue Cross$27,421
Medicare $5,975Nearby hospitals $19,86938% above nearby hospitals
29 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Urology
Diagnostic examination of the bladder with a scope
CPT 52000
$270 - $3,137
from 4 insurers · median $1,385
UnitedHealthcare$1,499
Insurer A*$270
Insurer B*$1,270
Insurer C*$3,137
Medicare $689Nearby hospitals $1,25311% above nearby hospitals
173 Medicare claims in Level 2 Urology and Related Services (CMS 2024)
Nuclear imaging
Nuclear imaging of blood flow to the heart, multiple studies
CPT 78452
$542 - $3,314
from 4 insurers · median $2,533
Cigna$2,808
Insurer A*$542
Insurer B*$2,259
Insurer C*$3,314
Medicare $1,280Nearby hospitals $3,59229% below nearby hospitals
Common here, based on CMS Medicare volume
Medicine & Surgery
Cataract removal with lens insertion
CPT 66984
$10,719
negotiated rate
Blue Cross$10,719
Medicare $2,281Nearby hospitals $6,23672% above nearby hospitals
78 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Digestive procedures
Colonoscopy with biopsy
CPT 45380
$516 - $5,541
from 2 insurers · median $3,029
Blue Cross$5,541
Insurer A*$516
Medicare $1,183Nearby hospitals $3,61416% below nearby hospitals
Common here, based on CMS Medicare volume
Medicine & Surgery
Tonsillectomy and adenoidectomy, patient under age 12
CPT 42820
$27,803
negotiated rate
Blue Cross$27,803
Medicare $5,851Nearby hospitals $16,15872% above nearby hospitals
Typical for a hospital with this service line
Ultrasound
Limited ultrasound of the abdomen
CPT 76705
$78 - $883
from 4 insurers · median $588
Aetna$78
Insurer A*$429
Insurer B*$748
Insurer C*$883
Medicare $103Nearby hospitals $47125% above nearby hospitals
Common here, based on CMS Medicare volume
Childbirth · Inpatient
Vaginal birth after prior cesarean, hospital stay
MS-DRG 807
$12,961
negotiated rate
Blue Cross$12,961
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Nuclear imaging
PET/CT tumor imaging from skull base to thigh
CPT 78815
$1,749 - $6,855
from 4 insurers · median $3,174
Cigna$2,911
Insurer A*$1,749
Insurer B*$3,436
Insurer C*$6,855
Medicare $1,413Nearby hospitals $4,22925% below nearby hospitals
Common here, based on CMS Medicare volume
How the insurers pay at Pen Bay Medical Center
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 10 | 611% | 4 | 1 |
| Insurer B* | 11 | 540% | 6 | 4 |
| Insurer C* | 23 | 453% | 15 | 3 |
| Insurer D* | 13 | 73% | 0 | 12 |
How we chose these services: 7 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 5 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Pen Bay Medical Center.
Location
6 Glen Cove Drive, Rockport, ME 04856
(207) 921-8000
Comparable hospitals nearby
The nearest hospitals of similar type and size. Their rates are compared with Pen Bay Medical Center for the same insurers and services above.
Mainegeneral Medical Center
Augusta, ME · 38 mi · 192 bedsView rates
Rates about the same as Pen Bay Medical Center (12 services)
Northern Light Maine Coast Hospital
Ellsworth, ME · 43 mi · 64 bedsView rates
▼ Rates typically 13% lower than Pen Bay Medical Center (21 services)
St. Joseph Hospital
Bangor, ME · 50 mi · 112 bedsView rates
▲ Rates typically 7% higher than Pen Bay Medical Center (20 services)
York Hospital
York, ME · 105 mi · 79 bedsView rates
▼ Rates typically 36% lower than Pen Bay Medical Center (21 services)
Wentworth-Douglass Hospital
Dover, NH · 110 mi · 178 bedsView rates
▲ Rates typically 54% higher than Pen Bay Medical Center (21 services)
Frisbie Memorial Hospital
Rochester, NH · 110 mi · 112 bedsView rates
▲ Rates typically 11% higher than Pen Bay Medical Center (21 services)
Maine Medical Center
Portland, MEView rates
Southern Maine Health Care - Sanford
Sanford, MEView rates
Mid Coast Hospital
Brunswick, MEView rates
Franklin Memorial Hospital
Farmington, MEView rates
Frequently asked questions
About Pen Bay Medical Center's rates and hospital price transparency.
How much does a CT scan cost at Pen Bay Medical Center?
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Pen Bay Medical Center range from $375 to $2,737 across 4 insurers. Aetna's rate is $375. The median at nearby comparable hospitals is $1,585. What a patient pays depends on their plan's deductible, coinsurance and network status.
How much does a colonoscopy cost at Pen Bay Medical Center?
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Pen Bay Medical Center range from $537 to $5,541 across 2 insurers. Blue Cross Blue Shield's rate is $5,541. The median at nearby comparable hospitals is $3,664. What a patient pays depends on their plan's deductible, coinsurance and network status.
How much does giving birth cost at Pen Bay Medical Center?
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Pen Bay Medical Center range from $12,961 to $12,961 across 1 insurers. Blue Cross Blue Shield's rate is $12,961. What a patient pays depends on their plan's deductible, coinsurance and network status.
How much does a mammogram cost at Pen Bay Medical Center?
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Pen Bay Medical Center range from $155 to $797 across 4 insurers. UnitedHealthcare's rate is $570. The median at nearby comparable hospitals is $392. What a patient pays depends on their plan's deductible, coinsurance and network status.
How many beds does Pen Bay Medical Center have?
Pen Bay Medical Center has 99 beds. Facility type: Short Term Acute Care Hospital.
Where is Pen Bay Medical Center and what is its phone number?
Pen Bay Medical Center is located at 6 Glen Cove Drive, Rockport, ME 04856. Its main phone number is (207) 921-8000.
What is Pen Bay Medical Center's CCN (Medicare provider number)?
Pen Bay Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 200063.
What is Pen Bay Medical Center's NPI number?
The National Provider Identifier (NPI) on file for Pen Bay Medical Center is 1982645305.
What health system is Pen Bay Medical Center part of?
Pen Bay Medical Center is affiliated with MaineHealth.
Which insurance plans are in network at Pen Bay Medical Center?
Pen Bay Medical Center lists 41 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
What price transparency data is available for Pen Bay Medical Center?
140 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
What is a hospital price transparency MRF?
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
What is a chargemaster review?
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
Running price transparency at a hospital like this one?
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
Publish a CMS-compliant machine-readable file
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
CMS v3 example: standard_charge_information[0]
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}- CMS template layout, in JSON or CSV
- Gross, discounted cash, payer-specific and de-identified min / max charges
- cms-hpt.txt file and homepage footer link
- Refreshed when your contracts change
Get your chargemaster right for billing and payer contracts
Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers
CodingPricingPayer contractsCompliance
- CPT, HCPCS, revenue code and modifier errors flagged line by line
- Missing, duplicate and outdated charge lines identified
- Charges set below payer allowables caught before lesser-of clauses cut payment
- Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
- Your negotiated rates benchmarked against peer hospitals for the same payers