PENOBSCOT BAY MEDICAL CENTER
Hospital
Procedure Prices at PENOBSCOT BAY MEDICAL CENTER
Blood Draw From Vein Using Needle
CPT 36415
$3.11
Lab Test - Complete Blood Cell Count
CPT 85025
$7.67
Lab Test - Comprehensive Metabolic Panel
CPT 80053
$11
EKG Tracing
CPT 93005
$48.28
Outpatient Clinic Visit
CPT 99213
$50.26
Therapeutic Exercises
CPT 97110
$66.53
Therapeutic Activities
CPT 97530
$66.53
Individual Psychotherapy Session
CPT 90837
$71.37
Chest X-Ray (1 view)
CPT 71045
$83.14
Chest X-Ray (2 views)
CPT 71046
$83.14
ER Visit — Low-Moderate Complexity
CPT 99283
$84.23
ER Visit — Moderate Complexity
CPT 99284
$84.23
ER Visit — High Complexity
CPT 99285
$84.23
Screening Mammogram (bilateral)
CPT 77067
$94.44
Diagnostic Mammogram (unilateral)
CPT 77065
$111.17
Diagnostic Mammogram (bilateral)
CPT 77066
$114.77
Thoracic Spine X-Ray
CPT 72072
$120.81
CT Chest
CPT 71250
$122.86
Abdominal Ultrasound
CPT 76700
$122.98
Abdominal Ultrasound — Limited
CPT 76705
$122.98
Colonoscopy w/ Biopsy
CPT 45380
$199.53
Echocardiogram w/ Doppler
CPT 93306
$247.15
MRI Brain w/o Contrast
CPT 70551
$251.28
MRI Joint of Lower Extremity
CPT 73721
$255.71
Retroperitoneal Ultrasound
CPT 76770
$304.11
CT Abdomen & Pelvis
CPT 74177
$312.84
MRI Brain w/ Contrast
CPT 70553
$410.16
OB Ultrasound
CPT 76805
$520.4
Injection of Drug Into Spinal Nerve Root With Imaging Guidance
CPT 64483
$561.02
Upper GI Endoscopy w/ Biopsy
CPT 43239
$662.81
Colonoscopy
CPT 45378
$860.65
Cataract Surgery — Complex
CPT 66982
$2,617.28
Cataract Surgery
CPT 66984
$2,617.28
Knee Arthroscopy
CPT 29881
$2,774.45
Repair of Shoulder Rotator Cuff Using Arthroscope
CPT 29827
$8,697.85
Knee Replacement
CPT 27447
$9,058.4
Hip Replacement
CPT 27130
$12,610.48
Inguinal Hernia Repair
CPT 49505
$14,505.98
Laparoscopic Cholecystectomy
CPT 47562
$19,134.05
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Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.