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 |
|---|---|---|---|---|
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | not published | not published | $0.31 – $0.67 | 4 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | not published | not published | $1.50 – $2.89 | 4 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | not published | not published | $0.12 – $0.24 | 4 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | not published | not published | $14.73 – $28.36 | 4 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | not published | not published | $21.07 – $42.90 | 4 |
| Galactokinase - sendout CPT 82759 | not published | not published | $21.48 – $43.74 | 4 |
| Galactose transferase test CPT 82776 | not published | not published | $11.74 – $23.90 | 4 |
| Galectin-3 CPT 82777 | not published | not published | $40.00 – $90.10 | 4 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | not published | not published | $32.97 – $70.43 | 5 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | not published | not published | $40.11 – $85.99 | 5 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $622.42 – $1,350.18 | 5 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $4.05 – $7,407.53 | 4 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $372.17 – $1,607.17 | 5 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $534.91 – $1,641.46 | 5 |
| Gallium illuccix 1 millicure HCPCS A9596 | not published | not published | $511.55 – $2,003.62 | 5 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $840.48 – $1,677.83 | 5 |
| Gallium nitrate injection HCPCS J1457 | not published | not published | $2.08 – $2.71 | 3 |
| Galsulfase injection HCPCS J1458 | not published | not published | $462.99 – $896.93 | 4 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $167.06 – $942.43 | 5 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $48.42 – $94.24 | 5 |
| Gammaglobulin iga CPT 82784 | not published | not published | $9.30 – $18.94 | 4 |
| Gammaglobulin ige CPT 82785 | not published | not published | $16.46 – $33.52 | 4 |
| Gamma glutamyltransferase CPT 82977 | not published | not published | $7.20 – $14.66 | 4 |
| Gammagraft HCPCS Q4111 | not published | not published | $7.14 – $13.87 | 4 |
| Gammaplex injection HCPCS J1557 | not published | not published | $54.57 – $105.68 | 5 |
| Gamunex-c/gammaked HCPCS J1561 | not published | not published | $48.03 – $93.91 | 5 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | not published | not published | $32.01 – $84.71 | 4 |
| Ganciclovir long act implant HCPCS J7310 | not published | not published | $8,601.28 – $16,960.00 | 3 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $35.09 – $71.45 | 4 |
| Gardner vag dna quant CPT 87512 | not published | not published | $41.76 – $85.03 | 4 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $6.71 – $13.66 | 4 |
| Gastric emptying imag study CPT 78265 | not published | not published | $43.35 – $92.83 | 5 |
| Gastric emptying imag study CPT 78266 | not published | not published | $46.26 – $102.22 | 5 |
| Gastric motility studies CPT 91020 | not published | not published | $68.38 – $144.80 | 5 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $26.13 – $55.97 | 5 |
| Gastrin test CPT 82938 | not published | not published | $17.69 – $36.02 | 4 |
| Gastroduodenostomy CPT 43810 | not published | not published | $950.41 – $2,071.37 | 5 |
| Gastroesophageal reflux study CPT 78262 | not published | not published | $30.82 – $64.38 | 5 |
| Gastroesophageal reflux test CPT 91034 | not published | not published | $46.51 – $98.96 | 5 |
| Gastrointestinal repair CPT 43360 | not published | not published | $2,056.08 – $4,512.12 | 5 |
| Gastrointestinal repair CPT 43361 | not published | not published | $2,506.28 – $5,473.24 | 5 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $1,256.60 – $2,736.96 | 5 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $1,224.48 – $2,669.85 | 5 |
| Gastro/jejuno tube, std HCPCS B4087 | not published | not published | $35.83 – $70.82 | 3 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $1,827.72 – $3,981.40 | 5 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $578.85 – $1,250.53 | 5 |
| Gated heart multiple CPT 78473 | not published | not published | $65.30 – $137.20 | 5 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | not published | not published | $2.69 – $6.74 | 4 |
| Gauze >16 <=48 sq in w/bordr HCPCS A6220 | not published | not published | $2.88 – $7.21 | 4 |
| Gauze <=16 in no w/sal without b HCPCS A6222 | not published | not published | $2.37 – $5.93 | 4 |
| Gauze <= 16 sq in w/border HCPCS A6219 | not published | not published | $1.06 – $2.65 | 4 |
| Gauze > 48 in no w/sal without b HCPCS A6224 | not published | not published | $4.00 – $10.00 | 4 |
| Gba gene CPT 81251 | not published | not published | $47.25 – $96.21 | 4 |
| Gc stocking full lngth 18-30 HCPCS A6536 | not published | not published | $72.01 – $142.35 | 4 |
| Gc stocking full lngth 30-40 HCPCS A6537 | not published | not published | $75.03 – $168.76 | 4 |
| Gc stocking full lngth 40+ HCPCS A6538 | not published | not published | $75.03 – $197.59 | 4 |
| Gc stocking thighlngth 18-30 HCPCS A6533 | not published | not published | $53.42 – $105.60 | 4 |
| Gc stocking thighlngth 30-40 HCPCS A6534 | not published | not published | $61.00 – $120.58 | 4 |
| Gc stocking thighlngth 40+ HCPCS A6535 | not published | not published | $58.52 – $138.83 | 4 |
| Gc stocking waistlngth 18-30 HCPCS A6539 | not published | not published | $95.29 – $188.37 | 4 |
| Gc stocking waistlngth 30-40 HCPCS A6540 | not published | not published | $113.61 – $224.59 | 4 |
| Gc stocking waistlngth 40+ HCPCS A6541 | not published | not published | $134.58 – $266.05 | 4 |
| Gefitinib oral HCPCS J8565 | not published | not published | $108.45 – $143.39 | 3 |
| Gel cap app device for trach HCPCS L8515 | not published | not published | $58.74 – $147.85 | 4 |
| Gel cap for trach voice pros HCPCS L8512 | not published | not published | $2.01 – $5.05 | 4 |
| Gel-one HCPCS J7326 | not published | not published | $497.29 – $1,003.44 | 5 |
| Gel-syn injection 0.1 mg HCPCS J7328 | not published | not published | $0.49 – $1.61 | 4 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | not published | not published | $3.30 – $7.02 | 4 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $226.28 – $434.67 | 5 |
| General health panel CPT 80050 | not published | not published | $49.96 – $63.91 | 2 |
| Genetic counseling 30 min CPT 96040 | not published | not published | $58.50 – $105.07 | 5 |
| Genetic tstg severe inh cond CPT 81443 | not published | not published | $2,448.56 – $4,985.76 | 4 |
| Genioplasty augmentation CPT 21120 | not published | not published | $488.92 – $1,281.07 | 6 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $811.85 – $1,751.33 | 5 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $517.77 – $1,220.68 | 6 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $717.46 – $1,525.72 | 5 |
| Genome re-evaluation CPT 81427 | not published | not published | $1,909.97 – $4,759.92 | 4 |
| Genome sequence analysis CPT 81425 | not published | not published | $3,819.94 – $10,244.53 | 4 |
| Genome sequence analysis CPT 81426 | not published | not published | $2,709.95 – $5,518.00 | 4 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | not published | not published | $2.07 – $5.25 | 4 |
| Gentamicin peak therapeutic drug level CPT 80170 | not published | not published | $16.38 – $33.35 | 4 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $5.13 – $9.92 | 5 |
| G-esoph reflx tst w/electrod CPT 91035 | not published | not published | $76.45 – $162.00 | 5 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $135.39 – $359.14 | 5 |
| Ghs abscess perianal iandd CPT 46050 | not published | not published | $98.23 – $457.43 | 6 |
| Ghs abscess postoperative iandd complex CPT 10180 | not published | not published | $171.20 – $508.84 | 6 |
| Ghs acetylcholinesterase, rbc CPT 82482 | not published | not published | $9.81 – $19.98 | 4 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | not published | not published | $17.11 – $34.84 | 4 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | not published | not published | $102.26 – $208.22 | 4 |
| Ghs analysis neurostim without reprogramming CPT 95970 | not published | not published | $17.52 – $36.61 | 6 |
| Ghs antibodies (torch) igm CPT 86694 | not published | not published | $14.39 – $29.30 | 4 |
| Ghs aspiration bladder - needle CPT 51100 | not published | not published | $36.52 – $142.62 | 6 |
| Ghs bladder cath - complex-foley CPT 51703 | not published | not published | $71.78 – $288.46 | 6 |
| Ghs bleeding time (ivy) CPT 85002 | not published | not published | $4.82 – $9.81 | 4 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | not published | not published | $51.82 – $213.29 | 6 |
| Ghs central line insert < age 5, failed CPT 36555 | not published | not published | $78.92 – $359.77 | 6 |
| Ghs change cysto/gastrost CPT 43762 | not published | not published | $34.64 – $434.31 | 6 |
| Ghs chemo >8 hrs CPT 96416 | not published | not published | $118.17 – $272.73 | 5 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $155.91 – $351.58 | 5 |
| Ghs chemo IV push, ea addtl CPT 96411 | not published | not published | $50.97 – $112.99 | 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.