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 |
|---|---|---|---|---|
| Description not available HCPCS S0013 | not published | not published | $13.40 – $26.76 | 3 |
| Design custom breast implant CPT 19396 | not published | not published | $135.75 – $524.90 | 6 |
| Design mlc device for imrt CPT 77338 | not published | not published | $219.30 – $454.81 | 5 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | not published | not published | $3.89 – $12.05 | 5 |
| Desoxycorticosterone CPT 82633 | not published | not published | $30.98 – $63.08 | 4 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $351.31 – $780.82 | 5 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | not published | not published | $1,376.99 – $3,042.65 | 5 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $998.19 – $2,208.28 | 5 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $84.78 – $273.04 | 6 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $114.43 – $348.85 | 6 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $131.64 – $398.33 | 6 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $93.21 – $290.39 | 6 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $101.98 – $322.52 | 6 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $117.03 – $365.56 | 6 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $68.53 – $193.38 | 6 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $85.10 – $287.83 | 6 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $106.86 – $345.65 | 6 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $118.00 – $373.92 | 6 |
| Destroy cervthor facet jnt 64633 CPT 64633 | not published | not published | $184.14 – $844.84 | 6 |
| Destroy cth facet jnt addl 64634 CPT 64634 | not published | not published | $63.46 – $492.76 | 6 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $149.60 – $418.89 | 6 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | not published | not published | $53.53 – $131.06 | 6 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $203.20 – $539.02 | 6 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $128.87 – $373.92 | 6 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $81.95 – $257.62 | 6 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $350.15 – $866.68 | 6 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $268.14 – $668.17 | 6 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $509.00 – $1,231.61 | 6 |
| Destruction 2-14 lesions 17003 CPT 17003 | not published | not published | $1.95 – $12.85 | 6 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $129.80 – $512.04 | 6 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $175.31 – $1,072.91 | 6 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $133.64 – $465.78 | 6 |
| Destruction benign lesions < 14 lesions CPT 17110 | not published | not published | $67.45 – $220.36 | 6 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $183.57 – $495.35 | 6 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | not published | not published | $55.78 – $462.58 | 6 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | not published | not published | $184.25 – $851.92 | 6 |
| Destruction ciliary body CPT 66700 | not published | not published | $374.43 – $868.61 | 6 |
| Destruction ciliary body CPT 66720 | not published | not published | $394.99 – $900.09 | 6 |
| Destruction ciliary body CPT 66740 | not published | not published | $374.43 – $843.56 | 6 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $137.60 – $504.98 | 6 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $124.24 – $855.76 | 6 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $144.08 – $302.61 | 6 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $132.29 – $405.40 | 6 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $161.72 – $473.50 | 6 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $126.44 – $400.90 | 6 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $147.75 – $455.51 | 6 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $104.70 – $280.76 | 6 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $168.44 – $431.74 | 6 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $95.18 – $323.80 | 6 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $668.29 – $1,421.35 | 5 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $177.54 – $479.93 | 6 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $111.32 – $325.73 | 6 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $94.35 – $267.91 | 6 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $30.03 – $61.15 | 4 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $43.67 – $88.92 | 4 |
| Determination venous press CPT 93770 | not published | not published | $10.41 – $16.85 | 5 |
| Determine refractive state CPT 92015 | not published | not published | $25.54 – $45.38 | 6 |
| Developmental screen/score/document 96110 CPT 96110 | $79.90 | $79.90 | $13.03 – $28.41 | 5 |
| Devel tst phys/qhp 1st hr CPT 96112 | $307.55 | $307.55 | $115.66 – $250.11 | 6 |
| Device ablt adv novasure HCPCS C1886 | $205.20 | $205.20 | $86.10 – $192.70 | 3 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $1,200.00 | $1,200.00 | $504.00 – $1,128.00 | 3 |
| Device intraute mirena HCPCS J7298 | not published | not published | $1,123.73 – $2,355.46 | 3 |
| Dev interrog remote 1/2/mlt CPT 93295 | not published | not published | $34.28 – $85.37 | 5 |
| Devise bowel pouch CPT 44316 | not published | not published | $1,318.87 – $2,877.94 | 5 |
| Devlopment test interpt&rep HCPCS G0451 | not published | not published | $11.34 – $23.72 | 5 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $307.55 | $307.55 | $47.86 – $115.64 | 6 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | not published | not published | $8.97 – $19.67 | 5 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $98.22 – $282.52 | 5 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $1.17 – $2.34 | 3 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $7.74 | $7.74 | $0.07 – $7.28 | 6 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | not published | not published | $0.11 – $0.22 | 4 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $195.36 – $394.94 | 5 |
| Dexamethasone panel CPT 80420 | not published | not published | $131.02 – $329.62 | 4 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $0.64 – $1.18 | 3 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | not published | not published | $32.08 – $174.97 | 5 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $17.77 – $158.60 | 3 |
| Dextran 75 infusion HCPCS J7110 | not published | not published | $14.52 – $14.52 | 2 |
| Dextroamphetamine HCPCS S0160 | not published | not published | $0.67 – $1.05 | 2 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | not published | not published | $1.16 – $2.18 | 4 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | not published | not published | $7.89 – $15.74 | 3 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | not published | not published | $1.68 – $3.46 | 4 |
| Dextrose 5 % IV bolus HCPCS J7070 | not published | not published | $3.36 – $6.92 | 4 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | not published | not published | $22.23 – $45.26 | 4 |
| Diabetes (HbA1c) Test CPT 83036 | not published | not published | $9.71 – $19.77 | 4 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | not published | not published | $8.65 – $36.63 | 4 |
| Diabetic custom molded shoe HCPCS A5501 | not published | not published | $211.99 – $529.86 | 4 |
| Diabetic shoe with wedge HCPCS A5504 | not published | not published | $34.00 – $90.10 | 4 |
| Diabetic shoe w/off set heel HCPCS A5506 | not published | not published | $34.00 – $90.10 | 4 |
| Diabetic shoe w/roller/rockr HCPCS A5503 | not published | not published | $34.00 – $90.10 | 4 |
| Diab manage trn ind/group HCPCS G0109 | not published | not published | $15.17 – $31.87 | 5 |
| Diab shoe for density insert HCPCS A5500 | not published | not published | $70.68 – $176.68 | 4 |
| Diab shoe w/metatarsal bar HCPCS A5505 | not published | not published | $34.00 – $90.10 | 4 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $158.44 – $342.38 | 5 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $312.17 – $673.74 | 5 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $88.95 – $289.12 | 6 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $117.25 – $400.26 | 6 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $39.78 – $227.44 | 6 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | not published | not published | $68.27 – $117.57 | 3 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | not published | not published | $77.27 – $100.87 | 3 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $48.06 – $173.46 | 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.