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 |
|---|---|---|---|---|
| Xray endovasc thor ao repr CPT 75956 | not published | not published | $301.98 – $662.88 | 5 |
| Xray endovasc thor ao repr CPT 75957 | not published | not published | $258.96 – $569.36 | 5 |
| X-ray exam entire spi 4/5 vw CPT 72083 | not published | not published | $16.44 – $35.23 | 5 |
| X-ray exam entire spi 6/> vw CPT 72084 | not published | not published | $19.25 – $40.49 | 5 |
| X-ray exam of arm infant CPT 73092 | not published | not published | $7.35 – $15.60 | 5 |
| X-ray exam of femur 1 CPT 73551 | not published | not published | $7.68 – $16.27 | 5 |
| X-ray exam of jaw joint CPT 70328 | not published | not published | $8.33 – $17.61 | 5 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $24.65 – $52.14 | 5 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $8.33 – $17.61 | 5 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $16.45 – $34.57 | 5 |
| X-ray exam of penis CPT 74445 | not published | not published | $49.59 – $107.08 | 5 |
| X-ray exam of perineum CPT 74775 | not published | not published | $28.22 – $60.15 | 5 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $7.68 – $16.27 | 5 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $13.73 – $29.14 | 5 |
| X-ray exam of teeth CPT 70300 | not published | not published | $4.76 – $10.75 | 5 |
| X-ray exam of teeth CPT 70310 | not published | not published | $7.68 – $16.27 | 5 |
| X-ray exam si joints CPT 72200 | not published | not published | $8.00 – $16.93 | 5 |
| X-ray exam thorac spine4/>vw CPT 72074 | not published | not published | $11.24 – $23.72 | 5 |
| X-ray eye detection foreign body (both sides) CPT 70030 | not published | not published | $8.33 – $16.94 | 5 |
| X-ray fallopian tube CPT 74742 | not published | not published | $27.57 – $59.47 | 5 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $8.33 – $18.77 | 5 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | not published | not published | $12.76 – $27.00 | 5 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | not published | not published | $14.38 – $31.10 | 5 |
| X-ray joint survey 1 view CPT 77077 | not published | not published | $15.68 – $33.21 | 5 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | not published | not published | $7.35 – $15.60 | 5 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | not published | not published | $10.27 – $21.74 | 5 |
| X-ray male genital tract CPT 74440 | not published | not published | $17.09 – $35.44 | 5 |
| X-ray mandible ltd <4 views CPT 70100 | not published | not published | $8.33 – $17.61 | 5 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $21.77 – $33.16 | 3 |
| X-ray nose to rectum for foreign body child CPT 76010 | not published | not published | $8.33 – $17.61 | 5 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $20.22 – $43.91 | 5 |
| X-ray optic foramina CPT 70190 | not published | not published | $10.28 – $21.69 | 5 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $150.34 – $331.45 | 5 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $171.57 – $373.46 | 5 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | not published | not published | $23.46 – $49.63 | 5 |
| X-ray ribs 2 views left CPT 71100 | not published | not published | $10.27 – $21.74 | 5 |
| X-ray sella turcica CPT 70240 | not published | not published | $8.65 – $18.98 | 5 |
| X-ray sinus tract/fistula/abscess CPT 76080 | not published | not published | $23.55 – $50.08 | 5 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $26.27 – $59.95 | 5 |
| X-ray small intestine follow-through study CPT 74248 | not published | not published | $31.67 – $66.42 | 4 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | not published | not published | $9.95 – $21.03 | 5 |
| X-ray surgical specimen CPT 76098 | not published | not published | $14.38 – $30.50 | 5 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | not published | not published | $11.90 – $26.32 | 5 |
| X-ray upper gi delay w/kub CPT 74241 | not published | not published | $66.33 – $66.33 | 1 |
| X-ray upper gi&small intest CPT 74245 | not published | not published | $87.36 – $87.36 | 1 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $26.60 – $56.94 | 5 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $247.37 – $525.30 | 4 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $68.57 – $171.89 | 5 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $1,479.00 – $3,542.99 | 3 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $12.91 – $26.29 | 4 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.29 – $2.65 | 5 |
| Yersinia antibody CPT 86793 | not published | not published | $13.19 – $26.86 | 4 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $56,824.55 – $96,369.62 | 5 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $253.52 – $470.75 | 3 |
| Ziconotide injection HCPCS J2278 | not published | not published | $9.04 – $17.37 | 5 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $1.51 – $2.91 | 4 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $1.55 – $2.71 | 2 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $51.31 – $104.48 | 4 |
| Zika virus igm antibody CPT 86794 | not published | not published | $16.85 – $34.31 | 4 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | not published | not published | $1.40 – $3.48 | 4 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $496.95 | $496.95 | $8.08 – $467.13 | 6 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $7.09 – $12.83 | 5 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | not published | not published | $33.56 – $33.56 | 2 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | not published | not published | $5.73 – $13.32 | 4 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $238.19 – $337.52 | 3 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $109.62 – $393.50 | 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.