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 |
|---|---|---|---|---|
| Tissue culture placenta CPT 88235 | not published | not published | $150.30 – $306.04 | 4 |
| Tissue culture skin/biopsy CPT 88233 | not published | not published | $140.73 – $286.55 | 4 |
| Tissue culture tumor CPT 88239 | not published | not published | $147.52 – $300.38 | 4 |
| Tissue exam koh skin/hair/nails CPT 87220 | not published | not published | $4.27 – $8.69 | 4 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | not published | not published | $102.85 – $223.98 | 3 |
| Tissue transglutaminase iga CPT 86364 | not published | not published | $6.54 – $23.48 | 4 |
| Tixagev and cilgav inj HCPCS M0220 | not published | not published | $148.92 – $306.45 | 3 |
| Tl-201 thallium diag per mci HCPCS A9505 | not published | not published | $33.31 – $73.14 | 5 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $766.88 – $1,651.11 | 5 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $985.81 – $2,071.37 | 5 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $861.78 – $1,859.21 | 5 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $1,152.56 – $2,488.89 | 5 |
| Tlso 2mod symphis-xipho pre HCPCS L0458 | not published | not published | $828.44 – $2,085.46 | 4 |
| Tlso 2 piece rigid shell HCPCS L0491 | not published | not published | $713.41 – $1,795.91 | 4 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | not published | not published | $932.46 – $2,347.33 | 4 |
| Tlso 3mod sacro-scap pre HCPCS L0462 | not published | not published | $1,159.84 – $2,919.73 | 4 |
| Tlso 3 piece rigid shell HCPCS L0492 | not published | not published | $469.46 – $1,181.81 | 4 |
| Tlso corset front HCPCS L0970 | not published | not published | $101.71 – $256.03 | 4 |
| Tlso flex trnk sj-t9 pre ots HCPCS L0455 | not published | not published | $262.28 – $518.52 | 4 |
| Tlso full corset HCPCS L0974 | not published | not published | $200.75 – $505.36 | 4 |
| Tlso r fram soft ant pre cst HCPCS L0466 | not published | not published | $383.58 – $965.61 | 4 |
| Tlso r fram soft pre ots HCPCS L0467 | not published | not published | $294.16 – $581.52 | 4 |
| Tlso rig fram pelvic pre cst HCPCS L0468 | not published | not published | $495.64 – $1,247.70 | 4 |
| Tlso rig fram pelvic pre ots HCPCS L0469 | not published | not published | $374.81 – $740.95 | 4 |
| Tlso rigid frame pre subclav HCPCS L0470 | not published | not published | $703.92 – $1,772.00 | 4 |
| Tlso rigid lined custom fab HCPCS L0482 | not published | not published | $1,546.47 – $3,893.01 | 4 |
| Tlso rigid lined pre one pie HCPCS L0488 | not published | not published | $932.46 – $2,347.33 | 4 |
| Tlso rigid plastic cust fab HCPCS L0484 | not published | not published | $2,108.63 – $5,308.17 | 4 |
| Tlso rigid plastic custom fa HCPCS L0480 | not published | not published | $1,482.06 – $3,730.85 | 4 |
| Tlso rigid plastic pre one HCPCS L0490 | not published | not published | $262.79 – $661.52 | 4 |
| Tlso trnk sj-t9 pre cst HCPCS L0454 | not published | not published | $322.16 – $811.00 | 4 |
| Tmvr w/prosthetic ring 33426 CPT 33426 | not published | not published | $2,167.26 – $4,750.03 | 5 |
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | not published | not published | $2,217.17 – $4,857.11 | 5 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | $460.34 – $984.85 | 5 |
| Tobramycin comp unit HCPCS J7685 | not published | not published | $49.82 – $121.32 | 2 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | not published | not published | $2.39 – $4.91 | 4 |
| Tobramycin non-comp unit HCPCS J7682 | not published | not published | $17.04 – $31.76 | 4 |
| Tobramycin peak therapeutic drug level CPT 80200 | not published | not published | $16.13 – $32.84 | 4 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | not published | not published | $5.79 – $11.61 | 5 |
| Tocilizumab for covid-19 HCPCS Q0249 | not published | not published | $6.77 – $12.62 | 5 |
| Toe joint transfer CPT 26556 | not published | not published | $3,217.78 – $6,923.06 | 5 |
| Toe X-ray (both feet) CPT 73660 | not published | not published | $6.05 – $12.87 | 5 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | not published | not published | $15.39 – $57.63 | 5 |
| Tomosynthesis breast screen bilateral CPT 77063 | not published | not published | $23.57 – $57.63 | 5 |
| Tone decay hearing test CPT 92563 | not published | not published | $34.91 – $70.49 | 5 |
| Tongue and neck surgery CPT 41135 | not published | not published | $2,052.56 – $4,379.95 | 5 |
| Tongue base vol reduction CPT 41530 | not published | not published | $364.75 – $1,755.21 | 6 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | not published | not published | $107.02 – $364.27 | 6 |
| Tongue jaw & neck surgery CPT 41155 | not published | not published | $2,817.92 – $6,024.28 | 5 |
| Tongue mouth jaw surgery CPT 41150 | not published | not published | $2,082.32 – $4,444.33 | 5 |
| Tongue mouth neck surgery CPT 41153 | not published | not published | $2,266.27 – $4,834.75 | 5 |
| Tongue removal neck surgery CPT 41145 | not published | not published | $2,599.87 – $5,553.90 | 5 |
| Tongue suspension CPT 41512 | not published | not published | $641.17 – $1,356.96 | 5 |
| Tongue to lip surgery CPT 41510 | not published | not published | $440.57 – $926.55 | 5 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $248.89 – $527.34 | 5 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $262.17 – $553.76 | 5 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | not published | not published | $0.78 – $2.24 | 4 |
| Topotecan oral HCPCS J8705 | not published | not published | $113.49 – $217.53 | 4 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $39.50 – $39.50 | 2 |
| Torsion ank & half solid sti HCPCS L2375 | not published | not published | $107.72 – $271.16 | 4 |
| Torsion straight knee joint HCPCS L2380 | not published | not published | $109.55 – $275.80 | 4 |
| Tot abd hyst/par vag/pelv node sam 58200 CPT 58200 | not published | not published | $1,279.87 – $2,751.86 | 5 |
| Total hip arthroplasty CPT 27132 | not published | not published | $1,584.42 – $3,399.84 | 5 |
| Total Hip Replacement CPT 27130 | not published | not published | $1,220.81 – $2,618.35 | 5 |
| Total hysterectomy CPT 58150 | not published | not published | $964.84 – $2,075.42 | 5 |
| Total Knee Replacement CPT 27447 | not published | not published | $1,219.28 – $2,614.28 | 5 |
| Total lung lavage CPT 32997 | not published | not published | $314.23 – $669.67 | 5 |
| Total ob care failed vbac 59618 CPT 59618 | not published | not published | $2,514.94 – $5,560.68 | 5 |
| Tot contact ak/knee disart s HCPCS L5650 | not published | not published | $462.84 – $1,165.13 | 4 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $1,522.02 – $3,329.35 | 5 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | not published | not published | $1,655.14 – $3,553.03 | 5 |
| Tot disc arthrp 2ntrspc lmbr CPT 22860 | not published | not published | $379.67 – $694.75 | 4 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | not published | not published | $465.81 – $1,024.15 | 5 |
| Tot esophagectomy without thoracotomy 43107 CPT 43107 | not published | not published | $2,725.37 – $5,976.17 | 5 |
| Tot estradiol response panel CPT 80415 | not published | not published | $55.89 – $113.80 | 4 |
| Toxoplasma antibody igg CPT 86777 | not published | not published | $14.39 – $29.30 | 4 |
| Toxoplasma antibody igm CPT 86778 | not published | not published | $14.41 – $29.34 | 4 |
| Tp53 gene full gene sequence CPT 81351 | not published | not published | $364.08 – $1,306.93 | 4 |
| Tp53 gene known famil vrnt CPT 81353 | not published | not published | $174.71 – $627.15 | 4 |
| Tp53 gene trgt sequence alys CPT 81352 | not published | not published | $186.91 – $670.95 | 4 |
| Tpmt gene com vrnts CPT 81335 | not published | not published | $174.81 – $355.95 | 4 |
| Tprnl balo cntnc dev adjmt CPT 53454 | not published | not published | $34.38 – $78.62 | 4 |
| Tprnl balo cntnc dev bi CPT 53451 | not published | not published | $578.81 – $1,500.66 | 4 |
| Tprnl balo cntnc dev rmvl ea CPT 53453 | not published | not published | $88.96 – $787.60 | 4 |
| Tprnl balo cntnc dev uni CPT 53452 | not published | not published | $369.66 – $897.41 | 4 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | not published | not published | $156.10 – $5,475.08 | 6 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | not published | not published | $338.40 – $650.02 | 5 |
| Trabeculoplasty laser surg CPT 65855 | not published | not published | $195.54 – $469.64 | 6 |
| Trach care kit for new trach HCPCS A4625 | not published | not published | $6.53 – $16.35 | 4 |
| Trachelectomy (cervicectomy) 57530 CPT 57530 | not published | not published | $358.82 – $769.99 | 5 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | not published | not published | $110.32 – $332.79 | 6 |
| Tracheo-esophagoplasty cong CPT 43314 | not published | not published | $2,881.26 – $6,302.85 | 5 |
| Tracheoplasty intrathoracic CPT 31760 | not published | not published | $1,264.29 – $2,763.39 | 5 |
| Tracheostoma hmes filter HCPCS A7504 | not published | not published | $0.77 – $1.89 | 4 |
| Tracheostoma revision; simple, without flap rotation CPT 31613 | not published | not published | $405.04 – $867.58 | 5 |
| Tracheostoma stent/stud/bttn HCPCS A7524 | not published | not published | $86.05 – $215.08 | 4 |
| Tracheostomy care kit HCPCS A4629 | not published | not published | $5.17 – $12.93 | 4 |
| Trach/laryn tube plug/stop HCPCS A7527 | not published | not published | $3.98 – $9.94 | 4 |
| Train for caregiver add 15 HCPCS G0540 | $41.25 | $41.25 | $23.90 – $30.94 | 3 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | not published | not published | $52.87 – $110.48 | 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.