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 |
|---|---|---|---|---|
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $114.79 – $241.29 | 4 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $42.84 – $101.10 | 5 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $99.86 – $210.67 | 5 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $101.12 – $205.90 | 4 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $61.52 – $125.27 | 4 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $35.00 – $71.27 | 4 |
| Glassia injection HCPCS J0257 | not published | not published | $5.35 – $10.36 | 5 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $23.70 – $129.46 | 5 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $37.99 – $85.40 | 5 |
| Glaucoma surgery CPT 66150 | not published | not published | $838.23 – $1,771.09 | 5 |
| Glaucoma surgery CPT 66155 | not published | not published | $837.58 – $1,770.41 | 5 |
| Glaucoma surgery CPT 66160 | not published | not published | $940.53 – $1,988.68 | 5 |
| Glaucoma surgery CPT 66170 | not published | not published | $1,044.39 – $2,205.57 | 5 |
| Glove finger flexion right lg xl HCPCS L3912 | not published | not published | $82.58 – $207.90 | 4 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $188.37 – $367.90 | 5 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | not published | not published | $123.83 – $247.58 | 5 |
| Glucagon plasma - sendout CPT 82943 | not published | not published | $14.29 – $29.10 | 4 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $46.07 – $93.81 | 4 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $50.50 – $102.83 | 4 |
| Glucagon tolerance test CPT 82946 | not published | not published | $17.77 – $36.18 | 4 |
| Glucose 1 hr post dose CPT 82950 | not published | not published | $4.75 – $9.67 | 4 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $6.05 – $12.32 | 4 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | not published | not published | $3.28 – $6.68 | 4 |
| Glucose blood quantitative CPT 82947 | not published | not published | $3.93 – $8.00 | 4 |
| Glucose body fluid CPT 82945 | not published | not published | $3.93 – $8.00 | 4 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $57.49 – $132.84 | 5 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | not published | not published | $12.87 – $26.21 | 4 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | not published | not published | $3.92 – $7.98 | 4 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | not published | not published | $0.43 – $0.96 | 4 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $27.79 – $30.15 | 3 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $11.03 – $22.66 | 5 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | not published | not published | $18.58 – $37.83 | 4 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $148.41 – $302.19 | 4 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | not published | not published | $18.52 – $37.71 | 4 |
| Gonioscopy CPT 92020 | not published | not published | $19.38 – $52.69 | 6 |
| Goniotomy CPT 65820 | not published | not published | $784.05 – $1,663.33 | 5 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $609.01 – $1,151.31 | 5 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | not published | not published | $30.40 – $58.83 | 4 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $1,309.05 – $2,397.75 | 3 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | not published | not published | $174.25 – $203.62 | 3 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $885.38 – $1,894.46 | 5 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | not published | not published | $31.11 – $31.11 | 2 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $762.88 – $2,239.82 | 3 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $4,153.00 | $4,153.00 | $1,113.00 – $2,491.00 | 3 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $285.00 | $285.00 | $119.70 – $267.90 | 3 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | not published | $39.06 – $57.88 | 4 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | not published | not published | $103.75 – $200.10 | 4 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $1,027.98 – $2,230.64 | 5 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | not published | not published | $136.32 – $275.13 | 4 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $45.00 – $88.62 | 4 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | not published | not published | $162.08 – $311.33 | 3 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | not published | not published | $97.32 – $212.15 | 3 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $2,130.00 | $2,130.00 | $17.89 – $40.04 | 3 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $1.46 – $77.95 | 3 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.30 – $0.63 | 4 |
| Granulocyte pheresis ea unit HCPCS P9050 | not published | not published | $1,345.16 – $1,345.16 | 1 |
| Great toe-hand transfer CPT 26551 | not published | not published | $3,112.26 – $6,698.69 | 5 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $151.13 – $357.21 | 6 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $483.96 – $1,155.15 | 5 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $493.98 – $1,184.06 | 5 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $139.83 – $369.42 | 5 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $460.73 – $981.45 | 4 |
| Ground mileage HCPCS A0425 | not published | not published | $8.94 – $18.20 | 2 |
| Group behave couns 2-10 HCPCS G0473 | not published | not published | $10.93 – $23.78 | 5 |
| Group health education CPT 99078 | not published | not published | $61.04 – $61.04 | 1 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $14.85 – $32.13 | 5 |
| Group train without patient HCPCS G0543 | not published | not published | $10.27 – $10.27 | 2 |
| Growth hormone antibody CPT 86277 | not published | not published | $15.74 – $32.05 | 4 |
| Growth hormone panel CPT 80428 | not published | not published | $66.70 – $135.81 | 4 |
| Growth hormone panel CPT 80430 | not published | not published | $129.33 – $263.34 | 4 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $39.89 – $153.94 | 4 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | $215.35 | $215.35 | $7.47 – $161.51 | 5 |
| Grp adapt bhv tx by tech CPT 97154 | $18.45 | $18.45 | $3.74 – $21.64 | 5 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $1,789.05 – $3,905.49 | 5 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $1,199.69 – $2,615.62 | 5 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $1,540.81 – $3,361.22 | 5 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $1,684.16 – $3,676.38 | 5 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $1,515.73 – $2,338.41 | 5 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $662.31 – $1,436.25 | 5 |
| G-tube reposition CPT 43761 | not published | not published | $96.13 – $237.71 | 6 |
| Gu dilat ureter/urethra s&i CPT 74485 | not published | not published | $37.30 – $77.95 | 5 |
| Guided cath fluid drainage 10030 CPT 10030 | not published | not published | $126.20 – $1,220.05 | 6 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | not published | not published | $527.76 – $1,328.56 | 4 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $70.35 | $70.35 | $7.98 – $17.86 | 3 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $79.57 | $79.57 | $33.42 – $74.80 | 3 |
| Guid loc target vol rad tx CPT 77387 | not published | not published | $51.73 – $246.70 | 3 |
| Gum graft CPT 41870 | not published | not published | $545.02 – $1,433.64 | 4 |
| Gw stiffened micro access kit HCPCS C1894 | $99.58 | $99.58 | $17.55 – $39.27 | 3 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $416.53 – $1,118.53 | 6 |
| Hair analysis HCPCS P2031 | not published | not published | $4.95 – $10.08 | 4 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $117.69 – $592.44 | 4 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $241.91 – $725.99 | 6 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $330.48 – $981.69 | 6 |
| Hallus-valgus nt dyn pre ots HCPCS L3100 | not published | not published | $40.17 – $101.10 | 4 |
| Halo cervical into body jack HCPCS L0820 | not published | not published | $2,563.01 – $6,452.01 | 4 |
| Halo cervical into jckt vest HCPCS L0810 | not published | not published | $3,009.62 – $7,576.27 | 4 |
| Halo cerv into milwaukee typ HCPCS L0830 | not published | not published | $3,333.28 – $8,391.06 | 4 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $99.85 | $99.85 | $6.53 – $89.45 | 6 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $6.79 | $6.79 | $1.16 – $6.38 | 6 |
| Halo repl liner/interface HCPCS L0861 | not published | not published | $200.21 – $504.00 | 4 |
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.