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 |
|---|---|---|---|---|
| Speech evaluation complex CPT 70371 | not published | not published | $40.25 – $83.36 | 5 |
| Speech recep thresh CPT 92555 | not published | not published | $29.67 – $58.97 | 5 |
| Speech Therapy Session (one-on-one) CPT 92507 | $132.90 | $132.90 | $75.09 – $155.22 | 5 |
| Sperm antibody test CPT 89325 | not published | not published | $10.67 – $21.73 | 4 |
| Sperm evaluation test CPT 89329 | not published | not published | $19.59 – $39.89 | 4 |
| Sperm identification CPT 89257 | not published | not published | $51.71 – $51.71 | 2 |
| Sperm isolation complex CPT 89261 | not published | not published | $14.88 – $51.71 | 3 |
| Sperm isolation simple CPT 89260 | not published | not published | $14.88 – $51.71 | 3 |
| Sperm washing 58323 CPT 58323 | not published | not published | $11.23 – $28.91 | 6 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $665.44 – $1,422.02 | 5 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $710.53 – $1,524.38 | 5 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $101.39 – $223.68 | 5 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $226.34 – $253.51 | 3 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | not published | not published | $80.30 – $426.60 | 5 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $12,453.02 – $12,453.02 | 2 |
| Spine X-ray (single view, one level) CPT 72020 | not published | not published | $7.35 – $15.60 | 5 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $130.15 – $277.90 | 5 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $79.99 – $170.12 | 5 |
| Spleen imaging CPT 78185 | not published | not published | $15.44 – $32.68 | 5 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $1,072.68 – $2,335.01 | 5 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $2,145.79 – $4,697.15 | 5 |
| Splicing of ureters CPT 50770 | not published | not published | $1,091.30 – $2,323.51 | 5 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | not published | not published | $408.51 – $1,028.36 | 4 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | not published | not published | $45.45 – $114.39 | 4 |
| Splint finger 4 prong foam sm HCPCS A4570 | not published | not published | $12.69 – $23.72 | 2 |
| Splint finger fold over sm HCPCS L3924 | not published | not published | $100.99 – $254.24 | 4 |
| Splint finger frog med HCPCS L3927 | not published | not published | $29.54 – $74.36 | 4 |
| Splint fing stax assort 1-7in HCPCS Q4049 | not published | not published | $2.09 – $5.23 | 4 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | not published | not published | $100.99 – $254.24 | 4 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $660.67 – $1,635.71 | 6 |
| Split blood or products CPT 86985 | not published | not published | $26.26 – $165.85 | 3 |
| Split flat caliper stirr & p HCPCS L2230 | not published | not published | $68.29 – $171.90 | 4 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $123.03 – $398.33 | 6 |
| Spontaneous nystagmus study CPT 92531 | not published | not published | $22.75 – $31.17 | 3 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $92.51 – $230.01 | 4 |
| Spring-ass rot wrst with latch HCPCS L6623 | not published | not published | $668.75 – $1,683.49 | 4 |
| Sputum specimen collection CPT 89220 | not published | not published | $18.54 – $31.48 | 4 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $940.43 – $3,825.00 | 5 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $1,285.21 – $2,853.53 | 5 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $955.63 – $2,111.36 | 5 |
| Srs cran les complex addl CPT 61799 | not published | not published | $274.10 – $618.15 | 5 |
| Srs cran les simple addl CPT 61797 | not published | not published | $198.56 – $447.35 | 5 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $99.49 – $357.15 | 4 |
| Srs linear based CPT 77372 | not published | not published | $912.52 – $2,081.47 | 4 |
| Srs multisource CPT 77371 | not published | not published | $1,143.18 – $2,327.74 | 4 |
| Srs spinal lesion CPT 63620 | not published | not published | $1,053.29 – $2,333.00 | 5 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $228.35 – $513.77 | 5 |
| Staggered spondaic word test CPT 92572 | not published | not published | $51.21 – $108.45 | 5 |
| Staging lapro hodgkins disease/lymphoma 49220 CPT 49220 | not published | not published | $1,658.84 – $1,849.23 | 2 |
| Stainless steel any wrist HCPCS L6630 | not published | not published | $272.44 – $685.83 | 4 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $158.65 | $158.65 | $106.70 – $223.00 | 5 |
| Stance phase only HCPCS L5858 | not published | not published | $17,297.78 – $43,544.65 | 4 |
| Standard control cable extra HCPCS L6655 | not published | not published | $77.94 – $196.19 | 4 |
| Staph a dna amp probe CPT 87640 | not published | not published | $35.09 – $71.45 | 4 |
| Static or dynami afo pre ots HCPCS L4397 | not published | not published | $162.85 – $409.95 | 4 |
| Stationary o2 contents, gas HCPCS E0441 | not published | not published | $64.43 – $127.36 | 3 |
| Stationary o2 contents, liq HCPCS E0442 | not published | not published | $64.43 – $127.36 | 3 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | not published | not published | $99.59 – $212.71 | 5 |
| Stem cells total count CPT 86367 | not published | not published | $20.82 – $158.38 | 4 |
| Stenger test pure tone CPT 92565 | not published | not published | $21.49 – $42.70 | 5 |
| Stenger test speech CPT 92577 | not published | not published | $22.47 – $44.74 | 5 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | not published | not published | $642.31 – $21,060.65 | 6 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $193.03 | $193.03 | $36.49 – $81.66 | 3 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | not published | not published | $441.16 – $5,808.53 | 6 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | not published | not published | $189.37 – $2,395.75 | 6 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $976.17 – $2,140.49 | 5 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | not published | not published | $623.84 – $16,808.18 | 6 |
| Stereoscopic x-ray guidance HCPCS G6002 | not published | not published | $19.91 – $41.36 | 5 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $1,314.13 – $2,911.83 | 5 |
| Stereotactic radiation trmt CPT 77432 | not published | not published | $411.29 – $858.77 | 5 |
| Sterile gauze <= 16 sq in HCPCS A6402 | not published | not published | $0.12 – $0.31 | 4 |
| Sterile needle HCPCS A4215 | not published | not published | $0.20 – $0.22 | 2 |
| Sterile water/saline, 10 ml HCPCS A4216 | not published | not published | $0.49 – $1.24 | 4 |
| Sterile water/saline, 500 ml HCPCS A4217 | not published | not published | $2.95 – $3.72 | 3 |
| Sternal debridement CPT 21627 | not published | not published | $523.51 – $1,121.09 | 5 |
| Sternal pad HCPCS L1050 | not published | not published | $74.09 – $186.52 | 4 |
| St evaluate speech sound production CPT 92522 | $154.65 | $154.65 | $108.55 – $226.38 | 5 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | not published | not published | $88.92 – $187.07 | 5 |
| Stimulants synthetic CPT 80371 | not published | not published | $14.06 – $36.25 | 2 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $532.06 – $1,187.51 | 5 |
| Stocking sup grips 4 pre ots HCPCS L0982 | not published | not published | $19.32 – $48.64 | 4 |
| Stoma absorptive cover HCPCS A5083 | not published | not published | $0.72 – $1.79 | 4 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | not published | not published | $35.24 – $74.56 | 5 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $165.85 – $165.85 | 2 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $165.85 – $165.85 | 2 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $165.85 – $165.85 | 2 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $165.85 – $165.85 | 2 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $438.57 – $978.74 | 5 |
| Straight knee joint heavy du HCPCS L2385 | not published | not published | $151.94 – $382.48 | 4 |
| Strap chin dlx f/cpap HCPCS A7036 | not published | not published | $12.37 – $26.43 | 2 |
| Strap montgmry ns 8 hl sht 7.25 x 11.25in HCPCS A4461 | not published | not published | $3.66 – $9.16 | 4 |
| Strapping of ankle and/or ft 29540 CPT 29540 | not published | not published | $16.53 – $53.96 | 6 |
| Strapping of chest CPT 29200 | not published | not published | $17.08 – $61.68 | 6 |
| Strapping of elbow or wrist 29260 CPT 29260 | not published | not published | $17.83 – $55.89 | 6 |
| Strapping of hand or finger CPT 29280 | not published | not published | $18.70 – $57.82 | 6 |
| Strapping of hip CPT 29520 | not published | not published | $17.62 – $66.81 | 6 |
| Strapping of knee CPT 29530 | not published | not published | $17.30 – $56.54 | 6 |
| Strapping of toes 29550 CPT 29550 | not published | not published | $10.48 – $37.27 | 6 |
| Strep a ag ia CPT 87430 | not published | not published | $16.81 – $34.23 | 4 |
| Strep a dna dir probe CPT 87650 | not published | not published | $20.05 – $40.83 | 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.