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 |
|---|---|---|---|---|
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | not published | not published | $68.32 – $145.73 | 5 |
| Atxn10 gene detc abnor allel CPT 81183 | not published | not published | $137.00 – $278.96 | 4 |
| Atxn1 gene detc abnor allele CPT 81178 | not published | not published | $137.00 – $278.96 | 4 |
| Atxn2 gene detc abnor allele CPT 81179 | not published | not published | $137.00 – $278.96 | 4 |
| Atxn3 gene detc abnor allele CPT 81180 | not published | not published | $137.00 – $278.96 | 4 |
| Atxn7 gene detc abnor allele CPT 81181 | not published | not published | $137.00 – $278.96 | 4 |
| Atxn8os gen detc abnor allel CPT 81182 | not published | not published | $137.00 – $278.96 | 4 |
| Aud brainstem implt programg CPT 92640 | not published | not published | $90.19 – $208.16 | 6 |
| Audiometry air + bone CPT 92553 | not published | not published | $47.35 – $93.54 | 5 |
| Audit/dast 15-30 min CPT 99408 | not published | not published | $42.84 – $65.54 | 6 |
| Audit/dast over 30 min CPT 99409 | not published | not published | $86.00 – $127.43 | 6 |
| Auditor evoke potent limit CPT 92586 | not published | not published | $158.36 – $179.51 | 2 |
| Auditory function + 15 min CPT 92621 | not published | not published | $18.08 – $41.76 | 6 |
| Auditory function 60 min CPT 92620 | not published | not published | $76.54 – $169.62 | 6 |
| Aud rehab postling hear loss CPT 92633 | not published | not published | $147.12 – $147.12 | 1 |
| Aud rehab pre-ling hear loss CPT 92630 | not published | not published | $147.12 – $147.12 | 1 |
| Augmentation cheek bone CPT 21270 | not published | not published | $717.48 – $1,969.16 | 6 |
| Augmentation lower jaw bone CPT 21125 | not published | not published | $650.75 – $4,977.19 | 6 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | $751.48 – $7,705.09 | 6 |
| Augmentation of facial bones CPT 21208 | not published | not published | $718.01 – $3,145.51 | 6 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | not published | not published | $201.36 – $5,538.06 | 6 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | not published | not published | $477.65 – $10,813.34 | 6 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $1,012.51 – $2,160.14 | 5 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $1,568.09 – $3,359.85 | 5 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | not published | not published | $282.49 – $1,711.73 | 4 |
| Autologous blood op salvage CPT 86891 | not published | not published | $144.45 – $790.63 | 3 |
| Autologous blood process CPT 86890 | not published | not published | $102.43 – $165.85 | 3 |
| Autolog prp diab wound ulcer HCPCS G0465 | not published | not published | $22.15 – $1,049.23 | 4 |
| Autolog prp not diab ulcer HCPCS G0460 | not published | not published | $244.83 – $1,770.40 | 5 |
| Automated diff wbc count CPT 85004 | not published | not published | $6.47 – $13.17 | 4 |
| Autonomic nrv adrenrg inervj CPT 95922 | not published | not published | $42.98 – $92.85 | 5 |
| Autonomic nrv parasym inervj CPT 95921 | not published | not published | $41.86 – $88.11 | 5 |
| Autonomic nrv syst funj test CPT 95923 | not published | not published | $42.07 – $88.80 | 5 |
| Autopsy (necropsy) complete CPT 88020 | not published | not published | $625.61 – $739.49 | 3 |
| Autopsy (necropsy) complete CPT 88025 | not published | not published | $605.43 – $715.77 | 3 |
| Autopsy (necropsy) complete CPT 88027 | not published | not published | $645.79 – $763.21 | 3 |
| Autopsy (necropsy) complete CPT 88028 | not published | not published | $363.26 – $429.72 | 3 |
| Autopsy (necropsy) complete CPT 88029 | not published | not published | $363.26 – $429.72 | 3 |
| Autopsy (necropsy) gross CPT 88000 | not published | not published | $363.26 – $429.72 | 3 |
| Autopsy (necropsy) gross CPT 88005 | not published | not published | $423.80 – $500.88 | 3 |
| Autopsy (necropsy) gross CPT 88007 | not published | not published | $443.98 – $524.63 | 3 |
| Autopsy (necropsy) gross CPT 88012 | not published | not published | $363.26 – $429.72 | 3 |
| Autopsy (necropsy) gross CPT 88014 | not published | not published | $333.27 – $393.80 | 3 |
| Autopsy (necropsy) gross CPT 88016 | not published | not published | $464.16 – $549.02 | 3 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | not published | not published | $92.37 – $177.76 | 5 |
| Av fistula revision CPT 36833 | not published | not published | $730.73 – $1,607.07 | 5 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $658.92 – $1,453.89 | 5 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $624.06 – $1,373.21 | 5 |
| Av fusion direct any site CPT 36821 | not published | not published | $597.37 – $1,314.24 | 5 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $660.89 – $1,446.44 | 5 |
| Avul nail plate addl CPT 11732 | not published | not published | $15.87 – $63.61 | 6 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | not published | not published | $51.37 – $222.29 | 6 |
| Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial HCPCS J9038 | not published | not published | $54.08 – $54.08 | 2 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | not published | not published | $533,076.48 – $882,445.75 | 3 |
| Axillary crutch extension HCPCS L0978 | not published | not published | $184.21 – $463.74 | 4 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $663.56 – $1,436.95 | 5 |
| Azacitidine injection HCPCS J9025 | not published | not published | $0.35 – $0.77 | 4 |
| Azathioprine 50 mg tablet HCPCS J7500 | not published | not published | $1.83 – $17.16 | 4 |
| Azathioprine parenteral HCPCS J7501 | not published | not published | $130.13 – $255.00 | 5 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | not published | not published | $2.18 – $4.62 | 4 |
| Azithromycin dihydrate, oral HCPCS Q0144 | not published | not published | $24.76 – $26.43 | 3 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | not published | not published | $2.13 – $4.95 | 3 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | not published | not published | $175.82 – $341.67 | 5 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | not published | not published | $37.44 – $111.24 | 4 |
| Baclofen eval charges CPT 97750 | not published | not published | $33.43 – $69.13 | 5 |
| Bacterial meningitis antigen CPT 86403 | not published | not published | $11.54 – $23.50 | 4 |
| Bacterial vaginosis pcr CPT 87801 | not published | not published | $70.20 – $142.94 | 4 |
| Bactericidal level serum CPT 87197 | not published | not published | $15.02 – $30.58 | 4 |
| #bac vag cand-c. albicans naa CPT 87481 | not published | not published | $35.09 – $71.45 | 4 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | not published | not published | $7.36 – $16.43 | 4 |
| Balance and Coordination Retraining (each 15 minutes) CPT 97112 | $102.10 | $102.10 | $32.10 – $68.46 | 5 |
| Balloon dilate urtrl strix CPT 50706 | not published | not published | $167.20 – $1,583.68 | 6 |
| Banding pulmonary artery CPT 33690 | not published | not published | $1,107.09 – $2,417.03 | 5 |
| Barium Enema (Colon X-ray, barium and air) CPT 74280 | not published | not published | $56.76 – $119.97 | 5 |
| Barium Enema (Colon X-ray, barium only) CPT 74270 | not published | not published | $46.60 – $98.29 | 5 |
| Barium Swallow (Esophagus X-ray) CPT 74220 | not published | not published | $27.25 – $64.94 | 5 |
| Barrier film 1.0ml wipe HCPCS A5120 | not published | not published | $0.30 – $0.30 | 1 |
| Barrier film 28ml spray no stng cavilon HCPCS A4369 | not published | not published | $2.69 – $6.74 | 4 |
| Barrier skin flat ctf 2.75in HCPCS A4408 | not published | not published | $10.97 – $27.43 | 4 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | not published | not published | $6.91 – $17.25 | 4 |
| Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft HCPCS A4414 | not published | not published | $5.47 – $13.66 | 4 |
| Barrier skn ft cx ff red 2.25 ctf new image w/tape HCPCS A4407 | not published | not published | $9.74 – $24.33 | 4 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | not published | not published | $173.16 – $372.12 | 5 |
| Bartonella dna pcr-sendout CPT 87471 | not published | not published | $35.09 – $71.45 | 4 |
| Bartonella dna quant CPT 87472 | not published | not published | $42.84 – $87.23 | 4 |
| Basic vestibular evaluation CPT 92540 | not published | not published | $28.36 – $153.86 | 5 |
| Basiliximab HCPCS J0480 | not published | not published | $4,476.27 – $8,619.28 | 5 |
| Battery chrgr 12 volt utah/e HCPCS L7366 | not published | not published | $649.85 – $1,635.90 | 4 |
| Battery chrgr six volt otto HCPCS L7362 | not published | not published | $263.81 – $664.09 | 4 |
| Battery elec/combo vad, rep HCPCS Q0496 | not published | not published | $1,405.35 – $3,512.63 | 4 |
| Battery pneum vad replacemnt HCPCS Q0503 | not published | not published | $1,218.96 – $3,046.75 | 4 |
| B cells total count CPT 86355 | not published | not published | $20.82 – $76.83 | 4 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | not published | not published | $2.87 – $5.56 | 4 |
| Bcg vaccine intravesical CPT 90586 | not published | not published | $182.95 – $277.53 | 4 |
| Bcg vaccine percut CPT 90585 | not published | not published | $182.95 – $219.44 | 3 |
| Bckdhb gene CPT 81205 | not published | not published | $94.99 – $193.42 | 4 |
| Bebtelovimab injection HCPCS M0222 | not published | not published | $346.84 – $713.69 | 4 |
| Becaplermin 0.01% gel 15 gm HCPCS S0157 | not published | not published | $26.43 – $46.23 | 2 |
| Bedside drainage bag HCPCS A4357 | not published | not published | $9.17 – $22.93 | 4 |
| Behavior counsel obesity 15min medicare g0447 HCPCS G0447 | not published | not published | $28.77 – $48.83 | 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.