Spring Harbor Hospital
123 Andover Rd, Westbrook, ME · MaineHealth · · NPI 1598798787
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | not published | not published | $29.28 – $59.62 | 4 |
| 17-hydroxypregnenolone CPT 84143 | not published | not published | $22.81 – $46.45 | 4 |
| 17-ketosteroids CPT 83586 | not published | not published | $12.80 – $26.06 | 4 |
| 1pc ost pch drain hgh output HCPCS A4435 | not published | not published | $6.41 – $16.00 | 4 |
| 1 pc ost pouch w filter HCPCS A5056 | not published | not published | $5.20 – $12.99 | 4 |
| 1 pc ost pou w built-in conv HCPCS A5057 | not published | not published | $10.68 – $26.67 | 4 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | not published | not published | $87.45 – $186.39 | 5 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | not published | not published | $841.54 – $1,794.81 | 5 |
| 1st psyc collab care mgmt CPT 99492 | not published | not published | $89.53 – $295.53 | 6 |
| 1st/sbsq psyc collab care CPT 99494 | not published | not published | $38.50 – $114.36 | 6 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $20.38 – $73.14 | 4 |
| 24 hr ambulatory b/p monitor CPT 93786 | not published | not published | $22.14 – $57.00 | 4 |
| 2d tee w or without fol w/con,in HCPCS C8925 | not published | not published | $764.65 – $764.65 | 2 |
| 2d tte w or without fol w/con,co HCPCS C8923 | not published | not published | $764.65 – $764.65 | 2 |
| 2nd order venous cath CPT 36012 | not published | not published | $159.98 – $1,577.89 | 6 |
| 2vhpv vaccine 3 dose im CPT 90650 | not published | not published | $148.50 – $210.24 | 2 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $151.43 – $151.43 | 2 |
| 3d bn img algor drvd fr MRI HCPCS G0566 | not published | not published | $151.43 – $151.43 | 2 |
| 3d ech img cgen car anomal CPT 93319 | not published | not published | $21.93 – $106.65 | 5 |
| 3-d radiotherapy plan CPT 77295 | not published | not published | $219.30 – $454.13 | 5 |
| 3d recon without postprocess indpndt CPT 76376 | not published | not published | $8.97 – $18.98 | 5 |
| 4-bar link above knee w/swng HCPCS L5614 | not published | not published | $1,570.57 – $3,953.67 | 4 |
| 5% dextrose and 0.45% saline HCPCS S5010 | not published | not published | $8.06 – $9.83 | 2 |
| 5% dextrose with potassium HCPCS S5012 | not published | not published | $4.85 – $9.41 | 2 |
| 5' nucleotidase - sendout CPT 83915 | not published | not published | $11.15 – $22.70 | 4 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | not published | not published | $18.99 – $75.73 | 5 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | not published | not published | $98.84 – $210.09 | 6 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | not published | not published | $105.55 – $219.72 | 6 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | not published | not published | $111.98 – $228.08 | 6 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | not published | not published | $90.57 – $188.88 | 6 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | not published | not published | $98.84 – $201.10 | 6 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | not published | not published | $98.84 – $200.44 | 6 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | not published | not published | $111.98 – $219.08 | 6 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | not published | not published | $132.66 – $256.35 | 6 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $2,843.98 – $6,247.96 | 5 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | not published | not published | $43.16 – $82.30 | 5 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | not published | not published | $12.01 – $24.45 | 4 |
| Abciximab injection HCPCS J0130 | not published | not published | $1,170.57 – $1,429.07 | 3 |
| Abd aorta w/runoff s&i CPT 75630 | not published | not published | $62.29 – $187.07 | 5 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $1,129.07 – $2,453.64 | 5 |
| Abd/low ext cath 1st CPT 36245 | not published | not published | $215.49 – $2,345.01 | 6 |
| Abd/low ext cath 2nd CPT 36246 | not published | not published | $227.89 – $1,579.18 | 6 |
| Abd/low ext cath 3rd CPT 36247 | not published | not published | $271.37 – $2,682.94 | 6 |
| Abd/low ext cath addl CPT 36248 | not published | not published | $44.59 – $220.36 | 6 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | not published | not published | $51.66 – $110.22 | 5 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | not published | not published | $35.89 – $76.38 | 5 |
| Abdominal CT scan (with and without contrast) CPT 74170 | not published | not published | $62.93 – $134.71 | 5 |
| Abdominal CT scan (with contrast) CPT 74160 | not published | not published | $57.41 – $122.59 | 5 |
| Abdominal CT scan (without contrast) CPT 74150 | not published | not published | $53.63 – $115.05 | 5 |
| Abdominal MRI (with and without contrast) CPT 74183 | not published | not published | $99.57 – $211.77 | 5 |
| Abdominal MRI (with contrast) CPT 74182 | not published | not published | $77.95 – $167.18 | 5 |
| Abdominal MRI (without contrast) CPT 74181 | not published | not published | $65.73 – $140.89 | 5 |
| Abdominal pad HCPCS L1270 | not published | not published | $75.12 – $189.08 | 4 |
| Abdominal paracentesis w/image guidance CPT 49083 | not published | not published | $100.03 – $559.59 | 6 |
| Abdominal Ultrasound (complete) CPT 76700 | not published | not published | $36.54 – $77.98 | 5 |
| Abdominal Ultrasound (limited) CPT 76705 | not published | not published | $26.60 – $56.26 | 5 |
| Abdominal X-ray (2 views) CPT 74019 | not published | not published | $10.60 – $22.42 | 5 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | not published | not published | $14.70 – $31.10 | 5 |
| Abdominal X-ray (single view) CPT 74018 | not published | not published | $8.33 – $17.61 | 5 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $1,119.81 – $2,385.18 | 5 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | not published | not published | $68.81 – $407.96 | 6 |
| Abduct control hip semi-flex HCPCS L1630 | not published | not published | $201.06 – $506.14 | 4 |
| Abduction bar jointed adjust HCPCS L2300 | not published | not published | $239.60 – $603.16 | 4 |
| Abduction bar-straight HCPCS L2310 | not published | not published | $109.48 – $275.60 | 4 |
| Abduction rotation bar shoe HCPCS L3140 | not published | not published | $82.72 – $208.22 | 4 |
| Abduct rotation bar without shoe HCPCS L3150 | not published | not published | $75.61 – $190.34 | 4 |
| Abl1 gene CPT 81170 | not published | not published | $300.00 – $610.86 | 4 |
| Ablat 1/+thyr ndul addl prq rf CPT 60661 | not published | not published | $205.01 – $205.01 | 2 |
| Ablate arrhythmia add on CPT 93655 | not published | not published | $277.43 – $811.28 | 5 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $1,247.35 – $2,723.40 | 5 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $1,753.66 – $3,830.26 | 5 |
| Ablate atria without bypass ext CPT 33255 | not published | not published | $1,483.30 – $3,235.13 | 5 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $597.74 – $1,298.67 | 5 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $1,678.74 – $3,673.67 | 5 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | not published | not published | $321.68 – $9,622.20 | 6 |
| Ablate bone tumor(s) perq CPT 20982 | not published | not published | $342.30 – $6,611.61 | 6 |
| Ablate heart dysrhythm focus CPT 93650 | not published | not published | $527.55 – $1,152.27 | 5 |
| Ablate heart dysrhythm focus CPT 33250 | not published | not published | $1,329.58 – $2,899.63 | 5 |
| Ablate heart dysrhythm focus CPT 33251 | not published | not published | $1,485.07 – $3,258.18 | 5 |
| Ablate heart dysrhythm focus CPT 33261 | not published | not published | $1,469.29 – $3,205.32 | 5 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $193.57 – $538.39 | 6 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $145.35 – $423.38 | 6 |
| Ablate pulm tumor perq crybl CPT 32994 | not published | not published | $407.62 – $9,146.78 | 6 |
| Ablate pulm tumor perq rf CPT 32998 | not published | not published | $407.29 – $5,840.01 | 6 |
| Ablation cardiac vagal inputs atrium CPT 93799 | not published | not published | $151.43 – $151.43 | 2 |
| Ablation cryo abd perit om CPT 49999 | not published | not published | $907.41 – $907.41 | 2 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | $5,646.73 – $5,646.73 | 2 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $232.17 – $232.17 | 2 |
| Ablation cryo pq liver tumor(s) CPT 47383 | not published | not published | $423.47 – $11,106.01 | 6 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $423.12 – $423.12 | 2 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $232.17 – $232.17 | 2 |
| Ablation of upper extremity nerves rf CPT 64999 | not published | not published | $285.70 – $285.70 | 2 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | not published | not published | $296.67 – $296.67 | 2 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $931.20 – $1,979.86 | 4 |
| Ablt trurl prst8 tis thrm Ultrasound CPT 55881 | not published | not published | $459.34 – $459.34 | 2 |
| Ablt trurl prst8 tis trnsdcr CPT 55882 | not published | not published | $564.20 – $564.20 | 2 |
| Abobotulinumtoxina HCPCS J0586 | not published | not published | $8.73 – $16.68 | 5 |
| Abortion CPT 59850 | not published | not published | $366.52 – $806.58 | 5 |
| Abortion (mpr) CPT 59866 | not published | not published | $218.99 – $485.31 | 5 |
| Above elbow prosth tiss shap HCPCS L6500 | not published | not published | $3,299.66 – $8,306.43 | 4 |
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.