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 |
|---|---|---|---|---|
| Revision of mitral valve CPT 33420 | not published | not published | $1,324.73 – $2,889.47 | 5 |
| Revision of mitral valve CPT 33422 | not published | not published | $1,518.41 – $3,311.04 | 5 |
| Revision of neck muscle CPT 21700 | not published | not published | $328.87 – $720.51 | 5 |
| Revision of neck muscle CPT 21720 | not published | not published | $510.35 – $1,108.20 | 5 |
| Revision of neck muscle CPT 21725 | not published | not published | $526.62 – $1,121.09 | 5 |
| Revision of neck muscle/rib CPT 21705 | not published | not published | $488.86 – $1,074.32 | 5 |
| Revision of nose CPT 30120 | not published | not published | $405.74 – $990.68 | 6 |
| Revision of nose CPT 30430 | not published | not published | $1,031.83 – $2,196.08 | 5 |
| Revision of nose CPT 30435 | not published | not published | $1,282.85 – $2,734.25 | 5 |
| Revision of nose CPT 30450 | not published | not published | $1,671.12 – $3,566.59 | 5 |
| Revision of nose CPT 30460 | not published | not published | $792.81 – $1,691.10 | 5 |
| Revision of nose CPT 30462 | not published | not published | $1,519.57 – $3,247.33 | 5 |
| Revision of pelvis CPT 27158 | not published | not published | $1,331.13 – $2,853.53 | 5 |
| Revision of penis CPT 54300 | not published | not published | $616.57 – $1,309.50 | 5 |
| Revision of penis CPT 54304 | not published | not published | $712.30 – $1,514.20 | 5 |
| Revision of penis CPT 54420 | not published | not published | $670.26 – $1,424.73 | 5 |
| Revision of penis CPT 54430 | not published | not published | $611.29 – $1,297.30 | 5 |
| Revision of penis CPT 54435 | not published | not published | $399.06 – $845.23 | 5 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $1,769.59 – $3,778.07 | 5 |
| Revision of pharyngeal walls CPT 42894 | not published | not published | $2,242.65 – $4,790.02 | 5 |
| Revision of pulmonary artery CPT 33788 | not published | not published | $1,396.61 – $3,065.01 | 5 |
| Revision of pulmonary valve CPT 33474 | not published | not published | $1,982.14 – $4,352.83 | 5 |
| Revision of radius CPT 25350 | not published | not published | $656.25 – $1,393.55 | 5 |
| Revision of radius CPT 25355 | not published | not published | $739.88 – $1,577.91 | 5 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $572.20 – $1,224.10 | 5 |
| Revision of scrotum CPT 55175 | not published | not published | $352.46 – $745.57 | 5 |
| Revision of scrotum CPT 55180 | not published | not published | $658.40 – $1,398.97 | 5 |
| Revision of spinal shunt CPT 63744 | not published | not published | $674.43 – $1,421.35 | 5 |
| Revision of testis CPT 54660 | not published | not published | $346.73 – $732.71 | 5 |
| Revision of thigh muscles CPT 27430 | not published | not published | $716.72 – $1,531.14 | 5 |
| Revision of toe CPT 28312 | not published | not published | $346.62 – $1,051.72 | 6 |
| Revision of tricuspid valve CPT 33468 | not published | not published | $2,219.24 – $4,884.90 | 5 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $2,170.91 – $4,756.12 | 5 |
| Revision of ulna CPT 25360 | not published | not published | $638.60 – $1,357.64 | 5 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $722.03 – $1,546.74 | 5 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $718.99 – $1,529.13 | 5 |
| Revision of upper arm CPT 24940 | not published | not published | $1,883.22 – $2,238.09 | 3 |
| Revision of ureter CPT 50700 | not published | not published | $879.96 – $1,871.41 | 5 |
| Revision of urethra CPT 53450 | not published | not published | $394.17 – $833.70 | 5 |
| Revision of urethra CPT 53460 | not published | not published | $439.12 – $932.66 | 5 |
| Revision of urethra CPT 57220 | not published | not published | $331.96 – $711.02 | 5 |
| Revision of urinary tract CPT 51820 | not published | not published | $1,029.96 – $2,189.97 | 5 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $685.22 – $1,506.75 | 5 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $807.49 – $1,719.57 | 5 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $724.62 – $1,544.03 | 5 |
| Revision tips CPT 37183 | not published | not published | $345.13 – $10,934.77 | 6 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $1,525.78 – $3,273.09 | 5 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $1,645.76 – $3,532.68 | 5 |
| Revitalon 1 square cm HCPCS Q4157 | not published | not published | $178.13 – $391.70 | 3 |
| Revita, per sq cm HCPCS Q4180 | not published | not published | $393.38 – $715.85 | 3 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $1,110.88 – $2,459.73 | 5 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $1,070.20 – $2,372.30 | 5 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $971.39 – $2,080.85 | 5 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $1,061.16 – $2,274.03 | 5 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $1,802.27 – $3,935.99 | 5 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $1,336.41 – $2,847.44 | 5 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | not published | not published | $481.91 – $3,328.41 | 3 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $1,038.68 – $2,226.56 | 5 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $284.91 – $710.56 | 5 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | not published | not published | $1,548.34 – $1,633.50 | 2 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $138.24 – $467.71 | 6 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $163.87 – $702.85 | 6 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $2,147.21 – $4,777.82 | 5 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $2,152.16 – $4,781.20 | 5 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $566.96 – $1,219.36 | 4 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | not published | not published | $1,825.58 – $3,885.15 | 4 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $822.81 – $1,758.22 | 4 |
| Revsc opn/prq tib/pero stent CPT 37234 | not published | not published | $253.26 – $6,853.83 | 6 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | not published | not published | $9.95 – $19.85 | 5 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $188.02 – $911.67 | 5 |
| Rheumatoid factor qualitative CPT 86430 | not published | not published | $6.14 – $12.50 | 4 |
| Rheumatoid factor quantitative CPT 86431 | not published | not published | $5.67 – $11.55 | 4 |
| Rh ig IV CPT 90386 | not published | not published | $10.89 – $217.57 | 3 |
| Rh ig minidose im CPT 90385 | not published | not published | $33.42 – $92.85 | 3 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $1,178.27 – $2,510.57 | 5 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | not published | not published | $4.76 – $9.20 | 4 |
| Rho d immune globulin 50 mcg HCPCS J2788 | not published | not published | $23.80 – $42.03 | 4 |
| Rho(d) immune globulin h, sd HCPCS J2792 | not published | not published | $30.77 – $58.87 | 5 |
| Rho d immune globulin inj HCPCS J2790 | not published | not published | $76.03 – $153.63 | 4 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $92.77 – $203.33 | 3 |
| R hrt cath chd abnl nt cnj CPT 93594 | not published | not published | $273.67 – $567.33 | 4 |
| R hrt cath chd nml nt cnj CPT 93593 | not published | not published | $177.96 – $373.46 | 4 |
| Rhythm ecg with report CPT 93040 | not published | not published | $12.81 – $26.43 | 5 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | not published | not published | $12.22 – $26.30 | 5 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | not published | not published | $14.70 – $31.79 | 5 |
| Rib cartilage graft CPT 21230 | not published | not published | $714.09 – $1,524.38 | 5 |
| Rib gusset (elastic) each HCPCS L1280 | not published | not published | $102.36 – $257.68 | 4 |
| Riboflavin 5'phos opth<=3ml HCPCS J2787 | not published | not published | $2,116.50 – $4,225.12 | 3 |
| Rib X-ray (3 views, both sides) CPT 71110 | not published | not published | $13.19 – $28.60 | 5 |
| Right heart cath congenital CPT 93530 | not published | not published | $390.90 – $396.13 | 2 |
| Right ventric recording CPT 93603 | not published | not published | $74.29 – $225.02 | 5 |
| Rilonacept injection HCPCS J2793 | not published | not published | $24.84 – $43.37 | 3 |
| Ring barrier skin cx 1 9/16 adapt HCPCS A4411 | not published | not published | $5.67 – $14.15 | 4 |
| Ring flange plas/leather mol HCPCS L1110 | not published | not published | $268.22 – $675.20 | 4 |
| Ring flange plastic/leather HCPCS L1100 | not published | not published | $172.14 – $433.32 | 4 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $199.00 | $199.00 | $168.35 – $1,396.96 | 5 |
| Ring ostmy barr adapt 48mm HCPCS A4385 | not published | not published | $5.67 – $14.15 | 4 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | not published | not published | $14.84 – $28.81 | 5 |
| Risk ascvd tst once pr 12 mo HCPCS G0537 | not published | not published | $8.65 – $8.65 | 2 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $5,596.09 | $5,596.09 | $10.94 – $2,133.27 | 6 |
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.