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 |
|---|---|---|---|---|
| Upper GI Barium X-ray (barium only) CPT 74240 | not published | not published | $36.55 – $76.58 | 5 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $129.94 – $772.25 | 6 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $609.98 – $1,293.92 | 5 |
| Urea nitrogen CPT 84520 | not published | not published | $3.95 – $8.04 | 4 |
| Urea nitrogen 24 hour urine CPT 84540 | not published | not published | $5.56 – $11.32 | 4 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $7.20 – $14.66 | 4 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $5.13 – $10.45 | 4 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $164.54 – $3,450.69 | 6 |
| Ureteral reflux study CPT 78740 | not published | not published | $25.74 – $53.05 | 5 |
| Ureter endoscopy CPT 50970 | not published | not published | $346.76 – $739.49 | 5 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $330.02 – $821.08 | 6 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $441.83 – $943.49 | 5 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $335.09 – $713.73 | 5 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $331.64 – $828.78 | 6 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $295.55 – $748.47 | 6 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $435.89 – $930.62 | 5 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $332.93 – $710.33 | 5 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $1,051.53 – $2,248.94 | 5 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $1,064.25 – $2,285.53 | 5 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | not published | not published | $14.81 – $31.79 | 5 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $709.72 – $1,519.64 | 5 |
| Urethrocystography void s&i CPT 74455 | not published | not published | $14.81 – $31.79 | 5 |
| Uric acid blood CPT 84550 | not published | not published | $4.52 – $9.20 | 4 |
| Uric acid urine CPT 84560 | not published | not published | $5.08 – $10.34 | 4 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.70 – $9.57 | 4 |
| Urinalysis microscopic only CPT 81015 | not published | not published | $3.05 – $6.21 | 4 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $2.17 – $4.42 | 4 |
| Urinalysis (with microscopy) CPT 81001 | not published | not published | $3.17 – $6.45 | 4 |
| Urinalysis (without microscopy) CPT 81003 | not published | not published | $2.25 – $4.58 | 4 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $7.14 – $15.56 | 5 |
| Urinary pouch on barr w/flng HCPCS A5073 | not published | not published | $3.53 – $8.84 | 4 |
| Urinary pouch w/barrier HCPCS A5071 | not published | not published | $6.68 – $16.70 | 4 |
| Urinary reflex study CPT 51792 | not published | not published | $52.40 – $111.16 | 5 |
| Urinary suspensory HCPCS A5105 | not published | not published | $38.52 – $96.29 | 4 |
| Urine Culture Test CPT 87086 | not published | not published | $8.07 – $16.43 | 4 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $5.45 – $16.27 | 5 |
| Urine ost pouch w faucet/tap HCPCS A4428 | not published | not published | $7.24 – $18.12 | 4 |
| Urine pregnancy test CPT 81025 | not published | not published | $8.61 – $17.53 | 4 |
| Urine screen for bacteria CPT 81007 | not published | not published | $4.67 – $61.05 | 4 |
| Urine shunt to intestine CPT 50815 | not published | not published | $1,160.88 – $2,469.91 | 5 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $4.00 – $17.98 | 4 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $63.43 – $124.05 | 3 |
| Urography, antegrade CPT 74425 | not published | not published | $23.03 – $47.44 | 5 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $22.17 – $46.65 | 5 |
| Urokinase 250,000 iu inj HCPCS J3365 | not published | not published | $457.73 – $457.73 | 2 |
| Urokinase 5000 iu injection HCPCS J3364 | not published | not published | $9.16 – $9.16 | 2 |
| Use 1st target lesion CPT 76982 | not published | not published | $26.92 – $57.40 | 5 |
| User adjustable heel height HCPCS L5990 | not published | not published | $1,688.56 – $4,250.69 | 4 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | not published | not published | $12.62 – $24.01 | 5 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $153.96 – $293.07 | 5 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $12,453.02 – $12,453.02 | 2 |
| Vaccine Administration (one shot) CPT 90471 | $56.95 | $56.95 | $20.11 – $42.03 | 5 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $160.00 | $160.00 | $135.36 – $280.30 | 6 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $143.36 – $280.30 | 5 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $128.80 – $251.84 | 5 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $86.24 – $168.62 | 5 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $64.40 – $125.92 | 5 |
| Vaccine dtap < 7 years im CPT 90700 | not published | not published | $32.26 – $43.88 | 3 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $109.73 – $141.92 | 3 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $68.41 – $124.37 | 3 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $168.95 – $298.00 | 3 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $128.26 – $175.65 | 3 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $33.28 – $49.48 | 3 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | not published | not published | $13.50 – $46.10 | 3 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | not published | not published | $88.45 – $135.51 | 4 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $141.34 – $192.27 | 3 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | not published | $42.27 – $58.41 | 3 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $36.43 – $61.00 | 2 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $74.85 – $144.35 | 5 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | not published | $70.38 – $135.18 | 5 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $165.35 – $307.89 | 5 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $557.19 | $557.19 | $30.37 – $523.76 | 6 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | not published | not published | $322.04 – $585.49 | 3 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $179.39 – $254.00 | 3 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $542.14 | $542.14 | $72.25 – $509.61 | 6 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $58.62 – $106.57 | 5 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $18.05 – $28.38 | 5 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $152.18 | $152.18 | $19.57 – $143.05 | 6 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $20.65 – $40.11 | 4 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $76.14 – $148.60 | 4 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $21.40 – $38.91 | 4 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | not published | not published | $22.10 – $42.92 | 4 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $10.33 – $20.06 | 4 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $27.44 – $53.39 | 4 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $72.25 – $141.01 | 4 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $22.04 – $36.85 | 4 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $5.99 – $27.12 | 5 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | not published | not published | $250.60 – $455.60 | 3 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $213.09 – $387.41 | 3 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $187.02 – $340.00 | 3 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | not published | $176.23 – $517.15 | 3 |
| Vaccine mmr live subcutaneous CPT 90707 | not published | not published | $86.76 – $142.03 | 3 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $302.57 – $546.98 | 3 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | not published | not published | $131.13 – $256.40 | 5 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $253.60 – $495.59 | 5 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $249.26 – $487.08 | 5 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $1,805.61 | $1,805.61 | $292.95 – $1,697.27 | 6 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | not published | not published | $47.76 – $64.31 | 3 |
| Vaccine rabies im CPT 90675 | not published | not published | $312.03 – $620.02 | 5 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | not published | not published | $330.40 – $600.68 | 3 |
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.