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 |
|---|---|---|---|---|
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $677.07 – $1,462.68 | 5 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $1,489.84 – $3,239.21 | 5 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $151.50 – $418.25 | 6 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $132.07 – $330.86 | 6 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $0.81 – $2.69 | 4 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $81.99 | $81.99 | $6.11 – $77.07 | 6 |
| Drop lock knee HCPCS L2182 | not published | not published | $108.71 – $273.67 | 4 |
| Drop lock retainer each HCPCS L2785 | not published | not published | $30.51 – $76.81 | 4 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $299.36 | $299.36 | $116.41 – $260.54 | 3 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | not published | not published | $12.36 – $24.13 | 3 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | not published | not published | $11.79 – $23.84 | 4 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | not published | not published | $7.84 – $17.23 | 3 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | not published | not published | $25.89 – $33.21 | 2 |
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | not published | not published | $12.15 – $30.38 | 4 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | not published | not published | $188.43 – $188.43 | 1 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | not published | not published | $16.91 – $32.50 | 3 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | not published | not published | $49.53 – $93.89 | 3 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | not published | not published | $168.78 – $168.78 | 1 |
| Drug admin & hemodynmic meas CPT 93463 | not published | not published | $91.33 – $193.85 | 5 |
| Drug assay caffeine CPT 80155 | not published | not published | $25.72 – $78.54 | 4 |
| Drug assay posaconazole CPT 80187 | not published | not published | $15.37 – $55.20 | 4 |
| Drug assay rufinamide CPT 80210 | not published | not published | $15.37 – $55.20 | 4 |
| Drug assay vedolizumab CPT 80280 | not published | not published | $21.88 – $78.54 | 4 |
| Drug assay voriconazole CPT 80285 | not published | not published | $15.37 – $55.20 | 4 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $10.58 – $37.95 | 4 |
| Drug of abuse screen urine CPT 80305 | not published | not published | $12.60 – $25.66 | 4 |
| Drug screening tapentadol CPT 80372 | not published | not published | $12.64 – $36.25 | 2 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $27.11 – $55.20 | 4 |
| Drug/substance nos 4-6 CPT 80376 | not published | not published | $22.37 – $36.25 | 2 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $198.74 – $404.67 | 4 |
| Drug test def 1-7 classes HCPCS G0480 | not published | not published | $106.56 – $233.00 | 4 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $246.92 – $502.78 | 4 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $156.59 – $318.85 | 4 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $62.14 – $126.53 | 4 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $17.14 – $34.90 | 4 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | not published | not published | $62.14 – $126.53 | 4 |
| Drvvt confirm - quest CPT 85597 | not published | not published | $8.49 – $17.98 | 3 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $242.89 – $565.37 | 6 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | not published | not published | $140.74 – $749.11 | 5 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $193.95 – $549.31 | 6 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $163.99 – $470.93 | 6 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $191.25 – $534.53 | 6 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $260.60 – $685.50 | 6 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $528.19 – $1,263.72 | 4 |
| Ductogram sgl duct CPT 77053 | not published | not published | $16.32 – $34.57 | 5 |
| Duodenal exclusion CPT 48547 | not published | not published | $1,664.46 – $3,637.08 | 5 |
| Duodenal motility study CPT 91022 | not published | not published | $68.38 – $144.80 | 5 |
| Duplex scan bilateral study 93985 CPT 93985 | not published | not published | $35.18 – $75.24 | 4 |
| Duplex scan unilateral study 93986 CPT 93986 | not published | not published | $21.37 – $46.77 | 4 |
| Dup scan/hemodialysis access 93990 CPT 93990 | not published | not published | $19.33 – $46.77 | 5 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | not published | not published | $22.14 – $47.44 | 5 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | not published | not published | $34.91 – $75.91 | 5 |
| Duragen 1x1 5ea/bx HCPCS C9354 | not published | not published | $19.38 – $19.38 | 1 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $80.71 – $154.67 | 5 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $13.52 – $29.05 | 5 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $63.98 – $152.27 | 4 |
| Dx aly aud oi snd prcsr each CPT 92623 | not published | not published | $16.78 – $39.20 | 4 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $123.34 – $527.46 | 6 |
| Dx bronchoscope/lavage 31624 CPT 31624 | not published | not published | $125.19 – $490.85 | 6 |
| Dx bronchoscope/wash 31622 CPT 31622 | not published | not published | $123.34 – $480.57 | 6 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $14.78 – $75.91 | 5 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $48.21 – $530.68 | 6 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $72.96 – $712.50 | 6 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $36.65 – $451.66 | 6 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $57.18 – $391.27 | 6 |
| Dx intraop epcar Ultrasound chd i&r CPT 76989 | not published | not published | $33.37 – $71.17 | 4 |
| Dx intraop epicar car Ultrasound chd CPT 76987 | not published | not published | $89.45 – $190.47 | 4 |
| Dx intraop thoracic aorta Ultrasound CPT 76984 | not published | not published | $28.83 – $62.35 | 4 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $148.70 – $317.22 | 5 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $149.35 – $317.89 | 5 |
| Dx ntrop epcr Ultrasound chd img acq CPT 76988 | not published | not published | $56.50 – $121.32 | 4 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $110.36 – $277.54 | 6 |
| Dynamic fine wire emg CPT 96003 | not published | not published | $22.45 – $37.74 | 5 |
| Dynamic surface emg CPT 96002 | not published | not published | $20.45 – $42.70 | 5 |
| Ear and throat examination CPT 92502 | not published | not published | $91.88 – $193.17 | 5 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $62.33 – $279.47 | 6 |
| Ear cartilage graft CPT 21235 | not published | not published | $552.19 – $1,429.48 | 6 |
| Ear irrigation 69209 CPT 69209 | not published | not published | $15.27 – $32.54 | 5 |
| Ear protector evaluation CPT 92596 | not published | not published | $37.99 – $156.56 | 5 |
| Ecallantide injection HCPCS J1290 | not published | not published | $539.33 – $1,048.09 | 5 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $6.37 – $13.56 | 5 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | not published | not published | $6.43 – $12.21 | 4 |
| Ecg < 30 days transmission & analysis CPT 93271 | not published | not published | $88.84 – $325.22 | 4 |
| Ecg external < 48 hours recording CPT 93225 | not published | not published | $17.56 – $50.10 | 4 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | not published | not published | $33.60 – $70.79 | 4 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | not published | not published | $11.34 – $24.39 | 4 |
| Ecg external >7 days up to 15 days recording CPT 93246 | not published | not published | $11.34 – $24.39 | 4 |
| Ecg record/review CPT 93268 | not published | not published | $164.65 – $391.86 | 5 |
| Ecg/review interpret only CPT 93272 | not published | not published | $22.81 – $48.94 | 5 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | not published | not published | $65.10 – $141.55 | 5 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | not published | not published | $23.46 – $49.63 | 5 |
| Echocardiography doppler color flow mapping CPT 93325 | not published | not published | $2.92 – $6.18 | 5 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | not published | not published | $764.65 – $764.65 | 2 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | not published | not published | $345.64 – $345.64 | 2 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | not published | not published | $6.70 – $14.23 | 5 |
| Echo exam of eye CPT 76516 | not published | not published | $21.66 – $44.74 | 5 |
| Echo exam of eye CPT 76519 | not published | not published | $29.14 – $60.88 | 5 |
| Echo exam of eye CPT 76529 | not published | not published | $29.99 – $64.38 | 5 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $3.49 – $15.60 | 5 |
| Echo exam of fetal heart CPT 76825 | not published | not published | $75.16 – $161.01 | 5 |
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.