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 |
|---|---|---|---|---|
| Synch audio-only new high 60 CPT 98011 | $324.80 | $324.80 | $243.60 – $243.60 | 1 |
| Synch audio-only new low 30 CPT 98009 | $156.80 | $156.80 | $117.60 – $117.60 | 1 |
| Synch audio-only new mod 45 CPT 98010 | $247.10 | $247.10 | $185.33 – $185.33 | 1 |
| Synch audio-only new sf 15 CPT 98008 | $90.30 | $90.30 | $67.73 – $67.73 | 1 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $10.29 – $20.10 | 3 |
| Synthetic sentence id test CPT 92576 | not published | not published | $37.99 – $86.76 | 5 |
| Synvisc or synvisc-one HCPCS J7325 | not published | not published | $8.82 – $17.04 | 5 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | not published | not published | $4.40 – $8.96 | 4 |
| T3 (triiodothyronine) free CPT 84481 | not published | not published | $16.94 – $34.49 | 4 |
| T3 (triiodothyronine) total CPT 84480 | not published | not published | $14.18 – $28.87 | 4 |
| T4 (thyroxine) free CPT 84439 | not published | not published | $9.02 – $18.37 | 4 |
| T4 (thyroxine) total CPT 84436 | not published | not published | $6.87 – $13.99 | 4 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.55 – $1.06 | 4 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $1.73 – $3.32 | 4 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | not published | not published | $0.24 – $0.53 | 4 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $248.74 – $477.88 | 5 |
| Tacrolimus therapeutic drug level CPT 80197 | not published | not published | $13.26 – $27.96 | 4 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $13.60 – $26.08 | 5 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $2,050.07 – $4,421.28 | 5 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $1,895.09 – $4,085.78 | 5 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $1,166.77 – $2,524.13 | 5 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | not published | not published | $8.00 – $16.94 | 5 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $66.59 – $128.32 | 5 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $72.40 – $130.07 | 3 |
| Talymed HCPCS Q4127 | not published | not published | $67.32 – $131.56 | 3 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $0.29 – $3.38 | 2 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $70.80 – $665.59 | 6 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $56.23 – $410.53 | 6 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | not published | not published | $0.43 – $0.67 | 2 |
| Target gsa panel hmtlmph neop CPT 81450 | not published | not published | $759.53 – $1,546.55 | 4 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $2,919.60 – $5,944.89 | 4 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $597.91 – $1,217.46 | 4 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,567.49 – $1,567.49 | 2 |
| Tas congenital car anomal CPT 33741 | not published | not published | $678.53 – $1,490.48 | 4 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $124.20 – $428.52 | 6 |
| Tavr perq femoral CPT 33361 | not published | not published | $1,093.92 – $2,575.49 | 5 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.30 – $0.77 | 5 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $137.00 – $278.96 | 4 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $38.86 – $82.02 | 4 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $9.30 – $19.65 | 4 |
| Tbs techl calculation only CPT 77091 | not published | not published | $26.73 – $56.93 | 4 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $2.83 – $5.42 | 4 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $100.00 – $203.62 | 4 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | not published | not published | $61.98 – $126.20 | 4 |
| Tc-99m apcitide diag HCPCS A9504 | not published | not published | $416.38 – $1,030.36 | 5 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $809.51 – $2,678.93 | 5 |
| Tc-99m bicisate HCPCS A9557 | not published | not published | $451.87 – $3,630.73 | 5 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $667.15 – $141,809.99 | 4 |
| Tc-99m diag per dose HCPCS A4641 | not published | not published | $141,809.99 – $141,809.99 | 1 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $42.50 – $86.54 | 5 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $1,040.32 – $3,637.08 | 5 |
| Tc-99m exametazime diag HCPCS A9521 | not published | not published | $698.76 – $1,748.25 | 5 |
| Tc-99m fanolesomab diag HCPCS A9566 | not published | not published | $141,809.99 – $141,809.99 | 1 |
| Tc-99m gluceptate HCPCS A9550 | not published | not published | $141,809.99 – $141,809.99 | 1 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $328.60 – $328.60 | 2 |
| Tc-99m labeled rbc HCPCS A9560 | not published | not published | $95.27 – $230.97 | 5 |
| Tc-99m maa HCPCS A9540 | not published | not published | $21.84 – $44.47 | 5 |
| Tc-99m mebrofenin HCPCS A9537 | not published | not published | $56.42 – $136.79 | 5 |
| Tc-99m medronate HCPCS A9503 | not published | not published | $13.26 – $190.00 | 5 |
| Tc-99m mertiatide HCPCS A9562 | not published | not published | $626.65 – $1,275.98 | 4 |
| Tc-99m non-heu per study dose HCPCS Q9969 | not published | not published | $0.13 – $20.36 | 4 |
| Tc-99m oxidronate HCPCS A9561 | not published | not published | $44.88 – $108.79 | 5 |
| Tc-99m pentetate dtpa HCPCS A9539 | not published | not published | $14.59 – $31.96 | 5 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | not published | not published | $17.53 – $141,809.99 | 3 |
| Tc-99m pertechnetate per mci HCPCS A9512 | not published | not published | $1.59 – $12.87 | 3 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | not published | not published | $24.30 – $65.33 | 5 |
| Tc-99m sestamibi p study dose HCPCS A9500 | not published | not published | $94.91 – $258.70 | 5 |
| Tc-99m succimer (dmsa) HCPCS A9551 | not published | not published | $151.55 – $611.41 | 5 |
| Tc-99m sulfur colloid HCPCS A9541 | not published | not published | $142.77 – $1,453.50 | 5 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | not published | not published | $86.98 – $303.66 | 3 |
| Tc-99m tilmanocept diag HCPCS A9520 | not published | not published | $674.81 – $956.61 | 3 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $400.93 – $1,031.80 | 6 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $56.03 – $119.30 | 5 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $55.61 – $117.94 | 5 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $66.70 – $101.67 | 5 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $103.72 – $159.66 | 5 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | not published | not published | $25.02 – $95.66 | 4 |
| T cells absolute cd 4 count CPT 86361 | not published | not published | $20.00 – $54.53 | 4 |
| T cells total count CPT 86359 | not published | not published | $20.82 – $76.83 | 4 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $61.56 – $450.84 | 4 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $301.39 – $775.73 | 4 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $299.03 – $650.20 | 4 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $444.12 – $968.58 | 5 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $922.93 – $2,040.86 | 5 |
| Team conf without pat by hc pro CPT 99368 | not published | not published | $48.04 – $70.49 | 5 |
| Team conf without pat by phys CPT 99367 | not published | not published | $72.96 – $108.45 | 5 |
| Team conf w/pat by hc prof CPT 99366 | not published | not published | $54.77 – $80.65 | 6 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $208.93 – $401.34 | 5 |
| Tee w or without fol w/cont,cong HCPCS C8926 | not published | not published | $764.65 – $764.65 | 2 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $764.65 – $764.65 | 2 |
| Teflon or equal cable lining HCPCS L6665 | not published | not published | $53.10 – $133.66 | 4 |
| Telavancin injection HCPCS J3095 | not published | not published | $7.05 – $13.70 | 5 |
| Telehealth original site facility fee HCPCS Q3014 | not published | not published | $37.57 – $61.00 | 3 |
| Telethx isodose plan cplx CPT 77307 | not published | not published | $135.06 – $307.04 | 5 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $71.55 – $148.44 | 5 |
| Temozolomide HCPCS J8700 | not published | not published | $0.23 – $0.38 | 4 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $10.39 – $19.98 | 5 |
| Temperature gradient studies CPT 93740 | not published | not published | $10.41 – $16.85 | 5 |
| Temple bne implnt w/stimulat CPT 69715 | not published | not published | $2,335.54 – $2,522.40 | 2 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $30.75 – $55.45 | 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.