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 |
|---|---|---|---|---|
| Shoe clubfoot wedge HCPCS L3380 | not published | not published | $46.04 – $115.90 | 4 |
| Shoe dennis browne splint bo HCPCS L3640 | not published | not published | $40.17 – $101.10 | 4 |
| Shoe heel new leather standa HCPCS L3455 | not published | not published | $37.82 – $95.19 | 4 |
| Shoe heel new rubber standar HCPCS L3460 | not published | not published | $31.87 – $80.23 | 4 |
| Shoe heel pad & depress for HCPCS L3480 | not published | not published | $57.88 – $145.69 | 4 |
| Shoe heel sach cushion type HCPCS L3450 | not published | not published | $98.07 – $246.89 | 4 |
| Shoe heel thomas extend to b HCPCS L3470 | not published | not published | $57.88 – $145.69 | 4 |
| Shoe heel thomas with wedge HCPCS L3465 | not published | not published | $54.34 – $136.77 | 4 |
| Shoe lift elev heel/sole neo HCPCS L3310 | not published | not published | $75.61 – $190.34 | 4 |
| Shoe metatarsal bar between HCPCS L3410 | not published | not published | $86.23 – $217.08 | 4 |
| Shoe metatarsal bar wedge ro HCPCS L3400 | not published | not published | $37.82 – $95.19 | 4 |
| Shoe outflare wedge HCPCS L3390 | not published | not published | $46.04 – $115.90 | 4 |
| Shoe post-op mens m HCPCS L3260 | not published | not published | $25.09 – $40.18 | 2 |
| Shoe sole wedge between sole HCPCS L3370 | not published | not published | $46.04 – $115.90 | 4 |
| Shoe sole wedge outside sole HCPCS L3360 | not published | not published | $33.08 – $83.28 | 4 |
| Shoe wedge sach HCPCS L3340 | not published | not published | $79.18 – $199.34 | 4 |
| Sho heel count plast reinfor HCPCS L3430 | not published | not published | $148.86 – $374.72 | 4 |
| Sho insert w arch toe filler HCPCS L5000 | not published | not published | $479.03 – $1,205.88 | 4 |
| Sho lift taper to metatarsal HCPCS L3300 | not published | not published | $48.43 – $121.93 | 4 |
| Shortening of hand tendon CPT 26479 | not published | not published | $653.95 – $1,395.59 | 5 |
| Shortening of thigh bone CPT 27465 | not published | not published | $1,189.67 – $2,547.86 | 5 |
| Shorten/lengthen thighs CPT 27468 | not published | not published | $1,277.78 – $2,736.96 | 5 |
| Shorten radius or ulna CPT 25390 | not published | not published | $745.03 – $1,583.35 | 5 |
| Shorten radius & ulna CPT 25392 | not published | not published | $972.39 – $2,078.13 | 5 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $61.20 | $61.20 | $13.89 – $32.09 | 5 |
| Shoulder abduction joint pai HCPCS L6640 | not published | not published | $265.56 – $668.53 | 4 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | not published | not published | $8.65 – $20.37 | 5 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $1,021.95 – $2,186.57 | 5 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | not published | not published | $8.33 – $17.61 | 5 |
| Shoulder flexion-abduction j HCPCS L6645 | not published | not published | $302.66 – $761.91 | 4 |
| Shoulder harness HCPCS L5699 | not published | not published | $228.68 – $575.65 | 4 |
| Shoulder lock actuator HCPCS L6647 | not published | not published | $483.26 – $1,216.55 | 4 |
| 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 prosthesis removal CPT 23334 | not published | not published | $1,018.39 – $2,166.92 | 5 |
| Shoulder prosthesis removal CPT 23335 | not published | not published | $1,207.45 – $2,587.15 | 5 |
| Shoulder universal joint HCPCS L6650 | not published | not published | $349.94 – $880.92 | 4 |
| Shoulder X-ray CPT 73030 | not published | not published | $8.65 – $18.31 | 5 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | not published | not published | $7.03 – $15.56 | 5 |
| Shrinker prosth above knee HCPCS L8460 | not published | not published | $72.70 – $183.01 | 4 |
| Shrinker prosth below knee HCPCS L8440 | not published | not published | $44.59 – $112.26 | 4 |
| Shrinker upper limb HCPCS L8465 | not published | not published | $48.59 – $122.31 | 4 |
| Shunt as-aort to pulm art CPT 33755 | not published | not published | $1,211.73 – $2,648.16 | 5 |
| Shunt central w/prostc graft CPT 33764 | not published | not published | $1,211.73 – $2,648.16 | 5 |
| Shunt desc aorta to pulm art CPT 33762 | not published | not published | $1,171.79 – $2,568.18 | 5 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $2,800.00 | $2,800.00 | $294.00 – $658.00 | 3 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | not published | not published | $21.73 – $45.98 | 5 |
| Shunt subclavian to pulm art CPT 33750 | not published | not published | $1,153.57 – $2,528.19 | 5 |
| Shunt supr v/c p-art 1 lung CPT 33766 | not published | not published | $1,216.35 – $2,667.14 | 5 |
| Shunt supr v/c p-art bth lng CPT 33767 | not published | not published | $1,296.93 – $2,846.08 | 5 |
| Sialidase enzyme assay CPT 87905 | not published | not published | $12.22 – $24.88 | 4 |
| Sialography s&i CPT 70390 | not published | not published | $17.30 – $36.59 | 5 |
| Sialolithotomy 42330 CPT 42330 | not published | not published | $160.00 – $454.86 | 6 |
| Sickling rbc CPT 85660 | not published | not published | $5.51 – $11.22 | 4 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $68.75 – $551.24 | 6 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $107.05 – $229.09 | 5 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $110.70 – $943.14 | 6 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $63.88 – $559.59 | 6 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $150.37 – $4,359.13 | 6 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | $99.13 – $534.53 | 6 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $144.41 – $308.40 | 5 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $185.62 – $395.84 | 5 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $113.29 – $576.29 | 6 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $116.76 – $248.76 | 5 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $159.33 – $341.61 | 5 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $88.73 – $631.54 | 6 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | not published | not published | $11.90 – $25.09 | 5 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $73.62 – $874.40 | 6 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $0.27 – $25.76 | 2 |
| Silicon gel insert w/wo lock HCPCS L6692 | not published | not published | $590.39 – $1,486.22 | 4 |
| Sim ang w/prs cath rad emb HCPCS C8004 | not published | not published | $10,975.86 – $10,975.86 | 2 |
| Simple cystometrogram 51725 CPT 51725 | not published | not published | $70.90 – $151.82 | 5 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | not published | not published | $133.10 – $249.23 | 4 |
| Single energy x-ray study HCPCS G0130 | not published | not published | $10.60 – $21.74 | 5 |
| Single pivot hinge pair HCPCS L6605 | not published | not published | $175.60 – $442.04 | 4 |
| Single transfer toe-hand CPT 26553 | not published | not published | $3,091.36 – $6,653.96 | 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 |
| Sinus/juglr venogram s&i CPT 75860 | not published | not published | $50.78 – $107.46 | 5 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $334.68 – $812.72 | 6 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $574.74 – $1,217.32 | 5 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $498.17 – $1,060.09 | 5 |
| Sinus X-ray (complete) CPT 70220 | not published | not published | $9.95 – $24.47 | 5 |
| Sinus X-ray (limited) CPT 70210 | not published | not published | $8.00 – $16.94 | 5 |
| Sio flex pelvisacral custom HCPCS L0622 | not published | not published | $306.53 – $771.64 | 4 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | not published | not published | $133.52 – $263.97 | 4 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $53,426.66 – $106,523.17 | 5 |
| Sirolimus, oral HCPCS J7520 | not published | not published | $1.34 – $4.72 | 4 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $84.53 – $209.93 | 5 |
| Six volt bat otto bock/eq ea HCPCS L7360 | not published | not published | $255.24 – $642.54 | 4 |
| Skeletal muscle relaxant 1/2 CPT 80369 | not published | not published | $13.35 – $36.25 | 2 |
| Skel musc relaxant 3 or more CPT 80370 | not published | not published | $11.79 – $11.79 | 1 |
| Skin and muscle repair face CPT 15845 | not published | not published | $1,019.85 – $2,164.89 | 5 |
| Skin barrier with flange HCPCS A4373 | not published | not published | $6.97 – $17.41 | 4 |
| Skin Biopsy CPT 11102 | not published | not published | $35.72 – $194.03 | 6 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $645.39 – $1,626.72 | 6 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $100.36 – $336.01 | 6 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $706.64 – $1,707.04 | 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.