healthcosts.net
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 |
|---|---|---|---|---|
| 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 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 |
| Allergy Skin Testing CPT 95004 | not published | not published | $3.48 – $8.04 | 5 |
| Ankle X-ray CPT 73610 | not published | not published | $8.00 – $16.94 | 5 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | not published | not published | $115.19 – $224.22 | 6 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | not published | not published | $125.93 – $238.36 | 6 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | not published | not published | $127.31 – $248.63 | 6 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | not published | not published | $154.37 – $286.53 | 6 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $568.45 – $1,232.25 | 5 |
| Blood Clotting (PT/INR) Test CPT 85610 | $52.00 | $52.00 | $4.29 – $48.88 | 5 |
| Blood Clotting (PTT) Test CPT 85730 | not published | not published | $6.01 – $12.24 | 4 |
| Blood Count (CBC) Test CPT 85025 | not published | not published | $7.77 – $15.82 | 4 |
| Blood Count (CBC) Test (without differential) CPT 85027 | not published | not published | $6.47 – $13.17 | 4 |
| Blood Culture Test CPT 87040 | not published | not published | $10.32 – $10.32 | 3 |
| Bone Density Scan (DEXA) CPT 77080 | not published | not published | $8.97 – $18.98 | 5 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | not published | not published | $66.71 – $142.25 | 5 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | not published | not published | $53.95 – $115.73 | 5 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | not published | not published | $53.95 – $115.73 | 5 |
| Brain MRI (with and without contrast) CPT 70553 | not published | not published | $103.67 – $220.00 | 5 |
| Brain MRI (with contrast) CPT 70552 | not published | not published | $80.55 – $171.99 | 5 |
| Brain MRI (without contrast) CPT 70551 | not published | not published | $66.71 – $142.94 | 5 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | not published | not published | $143.63 – $950.85 | 6 |
| C-Section Delivery (full care) CPT 59510 | not published | not published | $2,490.33 – $5,501.71 | 5 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | not published | not published | $99.13 – $209.70 | 5 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | not published | not published | $82.27 – $175.41 | 5 |
| CT Angiogram of the Head CPT 70496 | not published | not published | $78.93 – $168.55 | 5 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | not published | not published | $90.71 – $193.02 | 5 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | not published | not published | $82.60 – $176.09 | 5 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | not published | not published | $78.60 – $167.87 | 5 |
| Cardiac Stress Test CPT 93015 | not published | not published | $70.94 – $146.40 | 5 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | not published | not published | $35.66 – $76.61 | 5 |
| Carpal Tunnel Release Surgery CPT 64721 | not published | not published | $428.26 – $906.21 | 6 |
| Cataract Surgery CPT 66984 | not published | not published | $518.82 – $1,234.26 | 5 |
| Chest CT scan (with and without contrast) CPT 71270 | not published | not published | $56.44 – $133.32 | 5 |
| Chest CT scan (with contrast) CPT 71260 | not published | not published | $52.66 – $119.83 | 5 |
| Chest CT scan (without contrast) CPT 71250 | not published | not published | $48.76 – $112.29 | 5 |
| Chest X-ray CPT 71046 | not published | not published | $9.95 – $21.03 | 5 |
| Chest X-ray (single view) CPT 71045 | not published | not published | $8.33 – $17.61 | 5 |
| Cholesterol (Lipid) Test CPT 80061 | not published | not published | $13.39 – $27.26 | 4 |
| Circumcision (newborn) CPT 54150 | not published | not published | $90.45 – $286.53 | 6 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $86.85 – $654.68 | 6 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $188.30 – $834.57 | 6 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | $237.61 – $873.75 | 6 |
| Cystoscopy (Bladder Scope) CPT 52000 | not published | not published | $75.57 – $461.94 | 6 |
| Diabetes (HbA1c) Test CPT 83036 | not published | not published | $9.71 – $19.77 | 4 |
| Diagnostic Mammogram (both breasts) CPT 77066 | not published | not published | $44.98 – $96.75 | 5 |
| Diagnostic Mammogram (one breast) CPT 77065 | not published | not published | $36.54 – $78.45 | 5 |
| EKG (Electrocardiogram) CPT 93000 | $180.25 | $180.25 | $13.78 – $32.55 | 5 |
| ER Visit (level 1, minor) CPT 99281 | not published | not published | $10.69 – $40.24 | 5 |
| ER Visit (level 2) CPT 99282 | not published | not published | $39.41 – $84.05 | 5 |
| ER Visit (level 3) CPT 99283 | not published | not published | $66.61 – $143.02 | 5 |
| ER Visit (level 4) CPT 99284 | not published | not published | $113.44 – $243.33 | 5 |
| ER Visit (level 5, high severity) CPT 99285 | not published | not published | $164.37 – $352.47 | 5 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | not published | not published | $65.10 – $141.55 | 5 |
| Established Patient Office Visit (level 1) CPT 99211 | $53.20 | $53.20 | $8.33 – $44.97 | 6 |
| Established Patient Office Visit (level 2) CPT 99212 | $99.65 | $99.65 | $33.52 – $109.21 | 6 |
| Established Patient Office Visit (level 3) CPT 99213 | $164.85 | $164.85 | $57.73 – $175.39 | 6 |
| Established Patient Office Visit (level 4) CPT 99214 | $243.55 | $243.55 | $92.46 – $247.35 | 6 |
| Established Patient Office Visit (level 5) CPT 99215 | $328.45 | $328.45 | $136.93 – $348.21 | 6 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $54.15 – $359.14 | 6 |
| Foot X-ray CPT 73630 | not published | not published | $7.68 – $16.27 | 5 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $622.42 – $1,350.18 | 5 |
| Hand X-ray CPT 73130 | not published | not published | $8.00 – $16.94 | 5 |
| Head CT scan (with and without contrast) CPT 70470 | not published | not published | $57.41 – $122.59 | 5 |
| Head CT scan (with contrast) CPT 70460 | not published | not published | $51.03 – $109.55 | 5 |
| Head CT scan (without contrast) CPT 70450 | not published | not published | $38.49 – $81.87 | 5 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $495.79 – $1,072.28 | 5 |
| Hip X-ray CPT 73502 | not published | not published | $10.27 – $21.74 | 5 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | not published | not published | $33.30 – $71.12 | 5 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $601.82 – $1,280.36 | 5 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $525.97 – $1,118.36 | 5 |
| Knee MRI (with and without contrast) CPT 73723 | not published | not published | $97.62 – $206.51 | 5 |
| Knee MRI (with contrast) CPT 73722 | not published | not published | $73.53 – $157.11 | 5 |
| Knee MRI (without contrast) CPT 73721 | not published | not published | $61.31 – $131.27 | 5 |
| Knee X-ray CPT 73564 | not published | not published | $10.60 – $22.36 | 5 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | not published | not published | $30.58 – $65.85 | 5 |
| Liver Function Test CPT 80076 | not published | not published | $8.17 – $16.64 | 4 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | not published | not published | $57.08 – $122.36 | 5 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | not published | not published | $54.93 – $117.78 | 5 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | not published | not published | $44.98 – $96.75 | 5 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | not published | not published | $104.00 – $220.00 | 5 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | not published | not published | $80.98 – $172.44 | 5 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | not published | not published | $67.03 – $143.39 | 5 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | not published | not published | $10.27 – $21.74 | 5 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $1,486.65 – $3,239.21 | 5 |
| Lung Function Test (Spirometry) CPT 94010 | not published | not published | $7.68 – $16.27 | 5 |
| Metabolic Blood Panel (Basic) CPT 80048 | not published | not published | $8.46 – $17.23 | 4 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | not published | not published | $10.56 – $21.50 | 4 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | not published | not published | $57.08 – $121.89 | 5 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | not published | not published | $54.93 – $117.78 | 5 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | not published | not published | $44.98 – $102.90 | 5 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | not published | not published | $104.00 – $220.00 | 5 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | not published | not published | $81.30 – $172.44 | 5 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | not published | not published | $67.03 – $143.39 | 5 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | not published | not published | $81.20 – $173.36 | 5 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | not published | not published | $67.68 – $144.76 | 5 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | not published | not published | $54.28 – $115.73 | 5 |
| New Patient Office Visit (level 2) CPT 99202 | $310.90 | $310.90 | $44.66 – $139.42 | 6 |
| New Patient Office Visit (level 3) CPT 99203 | $238.35 | $238.35 | $77.74 – $215.22 | 6 |
| New Patient Office Visit (level 4) CPT 99204 | $370.85 | $370.85 | $126.84 – $322.52 | 6 |
| New Patient Office Visit (level 5) CPT 99205 | $465.85 | $465.85 | $172.48 – $425.31 | 6 |
| Nuclear Stress Test (Heart) CPT 78452 | not published | not published | $71.79 – $152.30 | 5 |
| PSA (Prostate) Test CPT 84153 | not published | not published | $18.39 – $37.45 | 4 |
| Pelvic CT scan (with and without contrast) CPT 72194 | not published | not published | $54.93 – $117.10 | 5 |
| Pelvic CT scan (with contrast) CPT 72193 | not published | not published | $52.33 – $112.29 | 5 |
| Pelvic CT scan (without contrast) CPT 72192 | not published | not published | $49.09 – $104.98 | 5 |
| Pelvic MRI (with and without contrast) CPT 72197 | not published | not published | $99.57 – $211.77 | 5 |
| Pelvic MRI (with contrast) CPT 72196 | not published | not published | $77.95 – $167.18 | 5 |
| Pelvic MRI (without contrast) CPT 72195 | not published | not published | $66.06 – $140.89 | 5 |
| Pelvic Ultrasound (complete) CPT 76856 | not published | not published | $31.14 – $66.33 | 5 |
| Pelvic Ultrasound (limited) CPT 76857 | not published | not published | $22.49 – $48.03 | 5 |
| Postpartum Care Only CPT 59430 | not published | not published | $164.30 – $513.33 | 6 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | not published | not published | $45.31 – $96.52 | 5 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | not published | not published | $44.98 – $96.06 | 5 |
| Prenatal Care Only (4-6 visits) CPT 59425 | not published | not published | $398.77 – $1,092.19 | 6 |
| Prenatal Care Only (7+ visits) CPT 59426 | not published | not published | $731.42 – $1,998.07 | 6 |
| Rapid Strep Test CPT 87880 | not published | not published | $16.53 – $33.66 | 4 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $86.85 – $655.32 | 5 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $86.64 – $654.68 | 5 |
| Screening Mammogram CPT 77067 | not published | not published | $34.60 – $73.19 | 5 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $1,021.95 – $2,186.57 | 5 |
| Shoulder MRI (with and without contrast) CPT 73223 | not published | not published | $97.62 – $207.20 | 5 |
| Shoulder MRI (with contrast) CPT 73222 | not published | not published | $73.53 – $157.11 | 5 |
| Shoulder MRI (without contrast) CPT 73221 | not published | not published | $61.31 – $131.27 | 5 |
| Shoulder X-ray CPT 73030 | not published | not published | $8.65 – $18.31 | 5 |
| Sinus CT scan (with and without contrast) CPT 70488 | not published | not published | $57.08 – $122.59 | 5 |
| Sinus CT scan (with contrast) CPT 70487 | not published | not published | $51.03 – $108.40 | 5 |
| Sinus CT scan (without contrast) CPT 70486 | not published | not published | $38.82 – $82.56 | 5 |
| Skin Biopsy CPT 11102 | not published | not published | $35.72 – $194.03 | 6 |
| Sleep Study (Polysomnography) CPT 95810 | not published | not published | $111.70 – $235.20 | 5 |
| Thyroid (TSH) Test CPT 84443 | not published | not published | $16.80 – $34.21 | 4 |
| Thyroid Ultrasound CPT 76536 | not published | not published | $25.62 – $54.21 | 5 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $248.89 – $527.34 | 5 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $262.17 – $553.76 | 5 |
| Total Hip Replacement CPT 27130 | not published | not published | $1,220.81 – $2,618.35 | 5 |
| Total Knee Replacement CPT 27447 | not published | not published | $1,219.28 – $2,614.28 | 5 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $353.47 – $762.52 | 5 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | not published | not published | $104.00 – $220.00 | 5 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | not published | not published | $80.55 – $171.99 | 5 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | not published | not published | $67.03 – $143.39 | 5 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $115.56 – $554.44 | 6 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $129.94 – $724.70 | 6 |
| Urinalysis (with microscopy) CPT 81001 | not published | not published | $3.17 – $6.45 | 4 |
| Urinalysis (without microscopy) CPT 81003 | not published | not published | $2.25 – $4.58 | 4 |
| Urine Culture Test CPT 87086 | not published | not published | $8.07 – $16.43 | 4 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $2,253.53 – $4,947.95 | 5 |
| Vasectomy CPT 55250 | not published | not published | $222.90 – $648.25 | 6 |
| Vitamin D Test CPT 82306 | not published | not published | $29.60 – $60.27 | 4 |
| Wrist X-ray CPT 73110 | not published | not published | $8.00 – $16.94 | 5 |
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.