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 |
|---|---|---|---|---|
| Adv prim care mgmt lvl 1 HCPCS G0556 | not published | not published | $11.78 – $11.78 | 2 |
| Adv prim care mgmt lvl 2 HCPCS G0557 | not published | not published | $28.83 – $28.83 | 2 |
| Adv prim care mgmt lvl 3 HCPCS G0558 | not published | not published | $78.82 – $78.82 | 2 |
| Aep hearing status deter i&r CPT 92651 | not published | not published | $76.73 – $168.09 | 4 |
| Aep neurodiagnostic i&r CPT 92653 | not published | not published | $78.56 – $168.78 | 4 |
| Aep thrshld est mlt freq i&r CPT 92652 | not published | not published | $105.00 – $227.75 | 4 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $2,943.42 – $7,262.49 | 5 |
| Afamitresgene autoleucel HCPCS Q2057 | not published | not published | $770,620.00 – $770,620.00 | 2 |
| _afb id by dna probe rflx ast CPT 87149 | not published | not published | $20.05 – $40.83 | 4 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $7.31 – $14.88 | 4 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | not published | not published | $115.36 – $234.90 | 4 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $137.00 – $278.96 | 4 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $274.83 – $559.61 | 4 |
| Aflibercept injection HCPCS J0178 | not published | not published | $790.04 – $1,615.77 | 5 |
| Afluria vacc, 3 yrs & >, im HCPCS Q2035 | not published | not published | $11.89 – $23.72 | 3 |
| Afo molded ankle gauntlet HCPCS L1904 | not published | not published | $557.95 – $1,404.57 | 4 |
| Afo molded plas rig ant tib HCPCS L1945 | not published | not published | $1,098.36 – $2,764.98 | 4 |
| Afo molded to patient plasti HCPCS L1940 | not published | not published | $586.80 – $1,477.18 | 4 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | not published | not published | $828.92 – $2,086.70 | 4 |
| Afo sing bar clasp attach sh HCPCS L1910 | not published | not published | $282.15 – $710.27 | 4 |
| Afo sing solid stirrup calf HCPCS L1980 | not published | not published | $422.47 – $1,063.53 | 4 |
| Afo sing upright with adjust s HCPCS L1920 | not published | not published | $413.49 – $1,040.89 | 4 |
| Afo spiral molded to pt plas HCPCS L1950 | not published | not published | $848.69 – $2,136.46 | 4 |
| Afo sprng wir drsflx calf bd HCPCS L1900 | not published | not published | $282.64 – $711.53 | 4 |
| Afo supramalleolar custom HCPCS L1907 | not published | not published | $522.69 – $1,315.81 | 4 |
| Afo tib fx cast molded to pt HCPCS L2108 | not published | not published | $1,225.55 – $3,085.13 | 4 |
| Afo tib fx cast plaster mold HCPCS L2106 | not published | not published | $806.75 – $2,030.87 | 4 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | not published | not published | $607.60 – $1,529.55 | 4 |
| Afo tibial fracture rigid HCPCS L2116 | not published | not published | $780.32 – $1,964.34 | 4 |
| Afo tibial fracture soft HCPCS L2112 | not published | not published | $503.05 – $1,266.37 | 4 |
| Afo, walk boot type, cus fab HCPCS L4631 | not published | not published | $1,534.63 – $3,835.75 | 4 |
| Afo w/ankle joint, prefab HCPCS L1971 | not published | not published | $435.40 – $1,096.07 | 4 |
| After cataract laser surgery CPT 66821 | not published | not published | $298.26 – $641.17 | 6 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $210.26 – $419.29 | 5 |
| Ag detect nos ia single CPT 87450 | not published | not published | $13.90 – $13.90 | 1 |
| Air conduction bilat CPT 92552 | not published | not published | $39.17 – $77.27 | 5 |
| Air injection into abdomen 49400 CPT 49400 | not published | not published | $84.25 – $285.90 | 6 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | not published | not published | $11.57 – $24.47 | 5 |
| Ak 4 bar ling w/hydraul swig HCPCS L5613 | not published | not published | $3,097.94 – $7,798.63 | 4 |
| Ak 4 bar link w/fric swing HCPCS L5611 | not published | not published | $2,036.70 – $5,127.09 | 4 |
| Ak/bk self-aligning unit ea HCPCS L5617 | not published | not published | $547.04 – $1,377.10 | 4 |
| Ak flex inner socket ext fra HCPCS L5651 | not published | not published | $1,518.09 – $3,821.56 | 4 |
| Ak/knee disartic acrylic soc HCPCS L5631 | not published | not published | $555.42 – $1,398.20 | 4 |
| Ak/knee disartic pelvic band HCPCS L5697 | not published | not published | $101.48 – $255.46 | 4 |
| Ak/knee disartic pelvic join HCPCS L5696 | not published | not published | $224.80 – $565.88 | 4 |
| Ak/knee disartic silesian ba HCPCS L5698 | not published | not published | $113.91 – $286.76 | 4 |
| Ak open end sach HCPCS L5321 | not published | not published | $3,280.87 – $8,259.11 | 4 |
| Ak pelvic control belt light HCPCS L5692 | not published | not published | $149.00 – $375.07 | 4 |
| Ak pelvic control belt pad/l HCPCS L5694 | not published | not published | $229.33 – $577.30 | 4 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | not published | not published | $174.08 – $438.21 | 4 |
| Ak univ multiplex sys frict HCPCS L5616 | not published | not published | $1,453.66 – $3,659.36 | 4 |
| Albumin body fluid quantitative each specimen CPT 82042 | not published | not published | $7.78 – $15.84 | 4 |
| Albumin (human), 25%, 50ml HCPCS P9047 | not published | not published | $45.90 – $101.95 | 4 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $21.23 – $40.79 | 5 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | not published | not published | $47.49 – $101.95 | 5 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $14.32 – $33.45 | 4 |
| Albumin ischemia modified CPT 82045 | not published | not published | $33.94 – $69.11 | 4 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | not published | not published | $5.78 – $11.77 | 4 |
| Albumin serum plasma or whole blood CPT 82040 | not published | not published | $4.95 – $10.08 | 4 |
| Albuterol comp con HCPCS J7610 | not published | not published | $0.49 – $1.23 | 2 |
| Albuterol comp unit HCPCS J7609 | not published | not published | $0.49 – $0.51 | 2 |
| Albuterol ipratrop non-comp HCPCS J7620 | not published | not published | $0.17 – $0.39 | 4 |
| Albuterol non-comp con HCPCS J7611 | not published | not published | $0.15 – $0.37 | 4 |
| Albuterol non-comp unit HCPCS J7613 | not published | not published | $0.04 – $0.08 | 4 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | not published | not published | $9.80 – $35.17 | 4 |
| Alcohols biomarkers 3/more CPT 80322 | not published | not published | $11.40 – $11.40 | 1 |
| Alcohol/sub misuse assess HCPCS G2011 | not published | not published | $15.89 – $33.88 | 5 |
| Alcohol/subs interv 15-30mn HCPCS G0396 | not published | not published | $28.83 – $66.18 | 5 |
| Alcohol/subs interv >30 min HCPCS G0397 | not published | not published | $59.25 – $129.46 | 5 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $1,246.98 – $5,662.50 | 5 |
| Aldosterone suppression eval CPT 80408 | not published | not published | $125.50 – $255.54 | 4 |
| Alefacept HCPCS J0215 | not published | not published | $41.64 – $52.86 | 3 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,324.34 – $4,509.57 | 5 |
| Alginate dressing <=16 sq in HCPCS A6196 | not published | not published | $8.18 – $20.44 | 4 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | not published | not published | $18.27 – $45.69 | 4 |
| Alginate drsg wound filler HCPCS A6199 | not published | not published | $5.88 – $14.66 | 4 |
| Alglucerase injection HCPCS J0205 | not published | not published | $42.03 – $63.04 | 3 |
| Alglucosidase alfa injection HCPCS J0220 | not published | not published | $206.70 – $303.11 | 3 |
| Alkaline phosphatase CPT 84075 | not published | not published | $5.18 – $10.55 | 4 |
| Allergen alpha lactalbumin ige CPT 86008 | not published | not published | $17.93 – $36.51 | 4 |
| Allergen egg white ige CPT 86003 | not published | not published | $5.22 – $10.63 | 4 |
| Allergen specific ige qual multi scrn ea CPT 86005 | not published | not published | $7.97 – $16.23 | 4 |
| Allergy injections; 2 or more 95117 CPT 95117 | not published | not published | $12.00 – $25.09 | 5 |
| Allergy injection; single 95115 CPT 95115 | not published | not published | $10.36 – $21.01 | 5 |
| Allergy Skin Testing CPT 95004 | not published | not published | $3.48 – $8.04 | 5 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $4.80 – $10.81 | 5 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $1,224.58 – $2,617.66 | 5 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | not published | not published | $17.05 – $32.76 | 3 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | not published | not published | $77.66 – $150.35 | 3 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | not published | not published | $104.67 – $201.52 | 4 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $3,986.00 | $3,986.00 | $1,674.12 – $3,746.84 | 3 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | not published | not published | $30.73 – $58.95 | 3 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | not published | not published | $151.60 – $294.78 | 4 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | not published | not published | $85.96 – $147.77 | 3 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | not published | not published | $129.93 – $477.10 | 3 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | not published | not published | $244.49 – $477.10 | 4 |
| Alloskin HCPCS Q4115 | not published | not published | $12.13 – $23.29 | 3 |
| Alloskin ac, 1 cm HCPCS Q4141 | not published | not published | $39.45 – $79.43 | 3 |
| All tstg perq&iq drugs/biol CPT 95018 | not published | not published | $6.70 – $38.54 | 6 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $3.46 – $16.71 | 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.