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 |
|---|---|---|---|---|
| CT angio pelvis CPT 72191 | not published | not published | $80.96 – $173.11 | 5 |
| Cta upper extremity w &/or without contrast left CPT 73206 | not published | not published | $80.96 – $172.65 | 5 |
| CT bone density axial CPT 77078 | not published | not published | $11.24 – $23.79 | 5 |
| CT colonography dx CPT 74261 | not published | not published | $102.92 – $231.44 | 5 |
| CT colonography dx w/dye CPT 74262 | not published | not published | $113.41 – $241.05 | 5 |
| CT colonography screening CPT 74263 | not published | not published | $108.41 – $219.32 | 5 |
| CT guidance for needle placement CPT 77012 | not published | not published | $56.19 – $142.01 | 5 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | not published | not published | $52.42 – $111.36 | 5 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $232.17 – $232.17 | 2 |
| CT guid parench tis ablat CPT 77013 | not published | not published | $172.99 – $369.27 | 5 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | not published | not published | $26.27 – $55.58 | 5 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | not published | not published | $115.03 – $243.31 | 5 |
| CT hrt w/3d image CPT 75572 | not published | not published | $78.39 – $167.41 | 5 |
| CT limited or localized follow-up study CPT 76380 | not published | not published | $42.91 – $93.31 | 5 |
| Ctlso a-p-l control molded HCPCS L0700 | not published | not published | $1,998.85 – $5,031.80 | 4 |
| Ctlso a-p-l control with inter HCPCS L0710 | not published | not published | $2,156.60 – $5,428.94 | 4 |
| Ctlso axilla sling HCPCS L1010 | not published | not published | $65.91 – $165.95 | 4 |
| Ctlso milwauke initial model HCPCS L1000 | not published | not published | $2,279.70 – $5,738.81 | 4 |
| CT lwr extremity w/o&w/dye CPT 73702 | not published | not published | $54.60 – $117.10 | 5 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | not published | not published | $123.73 – $724.70 | 6 |
| CT scan for localization CPT 77011 | not published | not published | $58.63 – $123.35 | 5 |
| CT scan for therapy guide CPT 77014 | not published | not published | $43.73 – $90.14 | 5 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | not published | not published | $90.71 – $193.02 | 5 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | not published | not published | $82.60 – $176.09 | 5 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | not published | not published | $78.60 – $167.87 | 5 |
| CT t-spine w /wo contrast CPT 72130 | not published | not published | $57.41 – $121.89 | 5 |
| CT uppr extremity w/o&w/dye CPT 73202 | not published | not published | $54.60 – $117.78 | 5 |
| Cuffs adj lock with active con HCPCS L3740 | not published | not published | $1,240.90 – $3,123.80 | 4 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $165.85 – $1,272.00 | 3 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $165.85 – $1,323.08 | 3 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $697.85 – $1,533.56 | 6 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $602.90 – $1,363.96 | 6 |
| Culture aerobic additional method definitive id each CPT 87077 | not published | not published | $8.08 – $16.45 | 4 |
| Culture afb any source CPT 87116 | not published | not published | $10.80 – $21.99 | 4 |
| Culture anaerobic additional method definitive id each CPT 87076 | not published | not published | $8.08 – $16.45 | 4 |
| Culture anaerobic except blood CPT 87075 | not published | not published | $9.47 – $19.28 | 4 |
| Culture bacteria anaerobic CPT 87073 | not published | not published | $9.66 – $19.67 | 4 |
| Culture bacterial urine HCPCS P7001 | not published | not published | $22.30 – $36.61 | 3 |
| Culture bact stool aero addl path ea CPT 87046 | not published | not published | $9.44 – $19.22 | 4 |
| Culture body fluid CPT 87070 | not published | not published | $8.62 – $17.55 | 4 |
| Culture fungi definitive id mold CPT 87107 | not published | not published | $10.32 – $10.32 | 3 |
| Culture fungi definitive id yeast CPT 87106 | not published | not published | $10.32 – $10.32 | 3 |
| Culture fungi other (except blood) CPT 87102 | not published | not published | $8.41 – $17.12 | 4 |
| Culture fungi skin/hair/nail CPT 87101 | not published | not published | $7.71 – $15.70 | 4 |
| Culture mycobacteria definitive id each isolate CPT 87118 | not published | not published | $14.61 – $29.75 | 4 |
| Culture mycoplasma any source CPT 87109 | not published | not published | $15.39 – $31.34 | 4 |
| Culture of specimen by kit CPT 87084 | not published | not published | $12.71 – $55.12 | 4 |
| Culture quantitative aerobic other source CPT 87071 | not published | not published | $9.89 – $20.14 | 4 |
| Culture screening strep group a CPT 87081 | not published | not published | $6.63 – $13.50 | 4 |
| Culture type pulse field gel CPT 87152 | not published | not published | $7.74 – $15.76 | 4 |
| Culture typing added method CPT 87158 | not published | not published | $7.74 – $15.76 | 4 |
| Culture typing glc/hplc CPT 87143 | not published | not published | $12.52 – $25.49 | 4 |
| Culture typing immunologic CPT 87147 | not published | not published | $5.18 – $10.55 | 4 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | not published | not published | $123.69 – $444.01 | 4 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | not published | not published | $35.09 – $71.45 | 4 |
| Culture urine each isolate CPT 87088 | not published | not published | $8.09 – $16.47 | 4 |
| Culture virus isolation CPT 87250 | not published | not published | $19.56 – $39.83 | 4 |
| Curette/treat cornea CPT 65435 | not published | not published | $66.71 – $158.04 | 6 |
| Curette/treat cornea CPT 65436 | not published | not published | $354.70 – $745.57 | 6 |
| Cus elbo skt in for con/atyp HCPCS L6696 | not published | not published | $1,224.27 – $3,081.93 | 4 |
| Cus elbo skt in not con/atyp HCPCS L6697 | not published | not published | $1,224.27 – $3,081.93 | 4 |
| Custom glove for term device HCPCS L6895 | not published | not published | $705.86 – $1,776.91 | 4 |
| Custom shape cover ak HCPCS L5705 | not published | not published | $1,032.71 – $2,599.68 | 4 |
| Custom shape cover bk HCPCS L5704 | not published | not published | $563.30 – $1,418.05 | 4 |
| Custom shape cvr hip disart HCPCS L5707 | not published | not published | $1,353.28 – $3,406.71 | 4 |
| Custom shape cvr knee disart HCPCS L5706 | not published | not published | $1,007.29 – $2,535.68 | 4 |
| Cv line/pic reposition CPT 36597 | not published | not published | $55.96 – $211.36 | 6 |
| Cv stress test i&r only 93018 CPT 93018 | not published | not published | $13.52 – $28.60 | 5 |
| Cv stress test/supervision only 93016 CPT 93016 | not published | not published | $20.01 – $42.77 | 5 |
| Cyanocobalamin unsat binding capacity CPT 82608 | not published | not published | $14.32 – $29.16 | 4 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $53.30 | $53.30 | $1.11 – $50.10 | 6 |
| Cyclic citrullinated peptide antibody CPT 86200 | not published | not published | $12.95 – $26.37 | 4 |
| Cyclophosphamide 100 mg inj HCPCS J9070 | not published | not published | $17.94 – $29.92 | 3 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | not published | not published | $0.62 – $1.77 | 3 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | not published | not published | $0.62 – $1.65 | 4 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | not published | not published | $24.39 – $84.74 | 4 |
| Cyclosporine 2 hour CPT 80158 | not published | not published | $18.05 – $36.75 | 4 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | not published | not published | $0.80 – $1.77 | 4 |
| Cyclosporine oral 100 mg HCPCS J7502 | not published | not published | $2.19 – $4.42 | 4 |
| Cygnus matrix, per sq cm HCPCS Q4199 | not published | not published | $273.20 – $610.17 | 3 |
| Cygnus, per sq cm HCPCS Q4170 | not published | not published | $46.16 – $108.98 | 3 |
| Cymetra injectable HCPCS Q4112 | not published | not published | $872.08 – $872.08 | 2 |
| Cyp2c19 gene com variants CPT 81225 | not published | not published | $291.36 – $593.27 | 4 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $174.81 – $355.95 | 4 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $450.91 – $918.14 | 4 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $174.81 – $355.95 | 4 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $174.81 – $355.95 | 4 |
| Cystatin c CPT 82610 | not published | not published | $18.52 – $37.71 | 4 |
| Cystic fibrosis cftr CPT 81223 | not published | not published | $499.00 – $1,016.06 | 4 |
| Cystine urine quantitative CPT 82131 | not published | not published | $22.98 – $46.79 | 4 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $452.76 – $964.51 | 5 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | not published | not published | $14.38 – $31.10 | 5 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $8,949.76 – $8,949.76 | 2 |
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $155.03 – $155.03 | 2 |
| Cysto, litho, vacuum kidney HCPCS C9761 | not published | not published | $8,949.76 – $8,949.76 | 2 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $99.11 – $212.15 | 5 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $848.26 – $1,813.11 | 5 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $706.04 – $1,514.20 | 5 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $155.03 – $5,157.71 | 4 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $156.70 – $865.41 | 6 |
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.