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 |
|---|---|---|---|---|
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | not published | not published | $201.44 – $433.79 | 5 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | not published | not published | $642.14 – $1,487.96 | 6 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | not published | not published | $788.39 – $1,929.33 | 6 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | not published | not published | $683.59 – $1,680.04 | 6 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | not published | not published | $626.39 – $1,572.76 | 6 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | not published | not published | $487.09 – $1,235.47 | 6 |
| Trnsplj pd lvr&bwl cd154+cll CPT 81560 | not published | not published | $294.96 – $1,304.65 | 4 |
| Trnspl rej kdn mrna qpcr 139 CPT 81558 | not published | not published | $3,240.00 – $3,240.00 | 2 |
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | not published | not published | $1,013.73 – $2,205.57 | 5 |
| Troponin quantitative CPT 84484 | not published | not published | $12.47 – $25.39 | 4 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $530.96 – $2,323.51 | 5 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | not published | not published | $367.93 – $3,193.05 | 6 |
| Truskin, per sq centimeter HCPCS Q4167 | not published | not published | $102.80 – $246.26 | 3 |
| Truss addition to std pad wa HCPCS L8320 | not published | not published | $67.13 – $168.96 | 4 |
| Truss add to std pad scrotal HCPCS L8330 | not published | not published | $62.41 – $157.09 | 4 |
| Truss double with standard pad HCPCS L8310 | not published | not published | $126.26 – $317.87 | 4 |
| Truss single with standard pad HCPCS L8300 | not published | not published | $79.98 – $201.32 | 4 |
| Tte w or without contr, cont ecg HCPCS C8930 | not published | not published | $764.65 – $764.65 | 2 |
| Tte w or without fol w/con,stres HCPCS C8928 | not published | not published | $764.65 – $764.65 | 2 |
| Tte w or without fol w/cont, com HCPCS C8921 | not published | not published | $764.65 – $764.65 | 2 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | not published | not published | $764.65 – $764.65 | 2 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $353.47 – $762.52 | 5 |
| Tube drain vert dev st 5-40f HCPCS A5200 | not published | not published | $12.57 – $31.42 | 4 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | not published | not published | $52.29 – $130.70 | 4 |
| Tube trach disp innr can 6 xlt HCPCS A4623 | not published | not published | $7.28 – $18.22 | 4 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | not published | not published | $52.78 – $131.91 | 4 |
| Tubing (oxygen) per foot HCPCS A4616 | not published | not published | $0.06 – $0.16 | 4 |
| Tubular dressing HCPCS A6457 | not published | not published | $1.26 – $3.16 | 4 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $93.78 – $143.87 | 5 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $1,084.83 – $2,347.90 | 5 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $1,010.15 – $2,184.56 | 5 |
| Twelve volt battery utah/equ HCPCS L7364 | not published | not published | $477.36 – $1,201.68 | 4 |
| Tx atrial fib pulm vein isol CPT 93656 | not published | not published | $856.93 – $2,139.15 | 5 |
| Tx closed distal humerus fx CPT 24999 | not published | not published | $232.17 – $232.17 | 2 |
| Tx closed hip disl traumatic without anes CPT 27250 | not published | not published | $165.74 – $363.97 | 5 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | not published | not published | $566.92 – $1,225.82 | 6 |
| Tx closed tib shaft fx without manip CPT 27750 | not published | not published | $232.17 – $699.01 | 6 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $105.68 – $309.02 | 6 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $68.48 – $210.09 | 6 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $879.16 – $1,947.32 | 5 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $834.55 – $1,847.69 | 5 |
| Tx l/r atrial fib addl CPT 93657 | not published | not published | $277.76 – $809.89 | 5 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | not published | not published | $722.34 – $1,531.14 | 5 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | not published | not published | $496.26 – $1,049.23 | 5 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | not published | not published | $540.07 – $1,138.03 | 5 |
| Tx open nsl fx uncomp CPT 21325 | not published | not published | $430.77 – $911.65 | 5 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | $615.25 – $1,303.41 | 5 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | not published | not published | $583.20 – $1,234.96 | 5 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $433.79 – $956.38 | 5 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | not published | not published | $192.40 – $421.45 | 6 |
| Tympanic membrane repair CPT 69610 | not published | not published | $274.70 – $743.98 | 6 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $525.08 – $1,124.47 | 5 |
| Tympanometry & reflex thresh CPT 92550 | not published | not published | $21.03 – $44.06 | 5 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $128.78 – $392.54 | 6 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $1,346.95 – $2,861.00 | 5 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $1,226.21 – $2,614.28 | 5 |
| Tyms gene com variants CPT 81346 | not published | not published | $174.81 – $355.95 | 4 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $66.42 – $169.29 | 3 |
| U2af1 gene common variants CPT 81357 | not published | not published | $109.62 – $393.50 | 4 |
| Ua w/micro/comp poc CPT 81000 | not published | not published | $4.02 – $8.19 | 4 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $67.66 – $129.16 | 5 |
| Ue triple control harness HCPCS L6677 | not published | not published | $276.10 – $695.04 | 4 |
| Ugt1a1 gene analy common variants CPT 81350 | not published | not published | $54.50 – $476.47 | 4 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $2.48 – $5.42 | 5 |
| Ultrasound breast complete CPT 76641 | not published | not published | $33.30 – $70.43 | 5 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | not published | not published | $31.03 – $65.65 | 5 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | not published | not published | $20.18 – $49.17 | 5 |
| Ultrasound dx ophth b-scan CPT 76512 | not published | not published | $17.23 – $67.77 | 5 |
| Ultrasound elastography ea l target les CPT 76983 | not published | not published | $22.17 – $50.15 | 5 |
| Ultrasound elastography parenchyma CPT 76981 | not published | not published | $27.25 – $57.40 | 5 |
| Ultrasound encephalogram CPT 76506 | not published | not published | $28.76 – $62.35 | 5 |
| Ultrasound exam follow-up CPT 76970 | not published | not published | $37.05 – $40.22 | 2 |
| Ultrasound exam k transpl w/doppler CPT 76776 | not published | not published | $34.27 – $73.19 | 5 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | not published | not published | $34.82 – $75.47 | 5 |
| Ultrasound Guidance for a Needle Procedure CPT 76942 | not published | not published | $28.36 – $61.73 | 5 |
| Ultrasound guidance for vascular access CPT 76937 | not published | not published | $12.75 – $27.79 | 5 |
| Ultrasound guide intraoperative CPT 76998 | not published | not published | $43.31 – $119.15 | 5 |
| Ultrasound guide tissue ablation CPT 76940 | not published | not published | $72.29 – $200.63 | 5 |
| Ultrasound hips infant dynamic CPT 76885 | not published | not published | $33.62 – $71.82 | 5 |
| Ultrasound infant hips ltd without stress CPT 76886 | not published | not published | $28.22 – $60.15 | 5 |
| Ultrasound joint complete left CPT 76881 | not published | not published | $10.36 – $86.76 | 5 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $14.62 – $115.90 | 4 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | not published | not published | $39.49 – $96.29 | 5 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | not published | not published | $20.30 – $80.96 | 5 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | not published | not published | $86.20 – $186.39 | 5 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | not published | not published | $38.72 – $83.49 | 5 |
| Ultrasound prostate/transrectal CPT 76872 | not published | not published | $30.93 – $65.08 | 5 |
| Ultrasound spinal canal and contents CPT 76800 | not published | not published | $58.68 – $124.72 | 5 |
| Ultrasound transabd ea addl gest CPT 76812 | not published | not published | $81.01 – $176.11 | 5 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $73.20 – $155.52 | 5 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | not published | not published | $38.49 – $81.87 | 5 |
| Ultraviolet therapy CPT 97028 | not published | not published | $8.04 – $16.94 | 5 |
| Umbilical artery cath newborn 36660 CPT 36660 | not published | not published | $64.10 – $136.24 | 5 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $294.41 – $1,058.05 | 5 |
| Umbilicoplasty 15847 CPT 15847 | not published | not published | $851.06 – $1,000.43 | 3 |
| Unit mobile power mpu HCPCS Q0479 | not published | not published | $11,206.70 – $28,010.74 | 4 |
| Unlistd noninvas vasc dx std CPT 93998 | not published | not published | $23.70 – $23.70 | 2 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $23.70 – $23.70 | 2 |
| Unlisted chemotherapy px CPT 96549 | not published | not published | $0.67 – $44.66 | 3 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $224.75 – $224.75 | 2 |
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.