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 |
|---|---|---|---|---|
| Inj cefazolin sodium, hikma HCPCS J0688 | not published | not published | $0.91 – $2.08 | 4 |
| Inj cefazolin (wg crit care) HCPCS J0687 | not published | not published | $1.00 – $1.00 | 2 |
| Inj. cefepime hcl (baxter) HCPCS J0701 | not published | not published | $5.64 – $11.06 | 3 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | not published | not published | $5.13 – $9.51 | 3 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | not published | not published | $2.17 – $4.17 | 5 |
| Inj ceftolozane tazobactam HCPCS J0695 | not published | not published | $7.37 – $14.01 | 5 |
| Inj., cerliponase alfa 1 mg HCPCS J0567 | not published | not published | $105.77 – $217.04 | 3 |
| Inj. cetirizine hcl 0.5mg HCPCS J1201 | not published | not published | $14.96 – $28.75 | 5 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | not published | not published | $86.51 – $492.09 | 5 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | not published | not published | $89.80 – $89.80 | 2 |
| Inj, clevidipine butyrate HCPCS C9248 | not published | not published | $2.88 – $6.96 | 4 |
| Inj, clindamycin (baxter) HCPCS J0737 | not published | not published | $1.75 – $4.24 | 3 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | not published | not published | $37.83 – $352.71 | 6 |
| Inj., copanlisib, 1 mg HCPCS J9057 | not published | not published | $87.56 – $178.29 | 3 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | not published | not published | $912.08 – $2,011.79 | 5 |
| Inj, crovalimab-akkz, 10 mg HCPCS J1307 | not published | not published | $551.51 – $551.51 | 2 |
| Inj cutaquig 100 mg HCPCS J1551 | not published | not published | $13.89 – $26.51 | 4 |
| Inj cuvitru, 100 mg HCPCS J1555 | not published | not published | $15.92 – $30.40 | 5 |
| Inj cyclophos dr.reddy's 5mg HCPCS J9072 | not published | not published | $3.72 – $9.00 | 4 |
| Inj cyclophosphamd auromedic HCPCS J9071 | not published | not published | $0.78 – $3.38 | 5 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | not published | not published | $1.16 – $1.89 | 3 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | not published | not published | $4.21 – $4.21 | 2 |
| Inj, daptomycin (baxter) HCPCS J0874 | not published | not published | $0.07 – $0.14 | 3 |
| Inj, daptomycin (hospira) HCPCS J0877 | not published | not published | $0.06 – $0.12 | 3 |
| Inj daptomycin (xellia) HCPCS J0873 | not published | not published | $0.04 – $0.06 | 4 |
| Inj daxibotulinumtoxina-lanm HCPCS J0589 | not published | not published | $3.11 – $3.11 | 2 |
| Inj, decitabine (sun pharma) HCPCS J0893 | not published | not published | $0.78 – $2.04 | 3 |
| Inj delandistrogene mox rokl HCPCS J1413 | not published | not published | $3,324,571.90 – $6,515,840.00 | 3 |
| Inj. denosumab-bbdz, 1 mg HCPCS Q5136 | not published | not published | $27.54 – $27.54 | 2 |
| Inj diclofenac sodium 0.5mg HCPCS J1130 | not published | not published | $0.21 – $0.21 | 2 |
| Inj disk cerv-thor ea lev CPT 62291 | not published | not published | $135.23 – $594.28 | 6 |
| Inj, docetaxel (beizray) 1mg HCPCS J9174 | not published | not published | $52.47 – $52.47 | 2 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | not published | not published | $4.14 – $4.14 | 2 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $62.68 – $169.62 | 6 |
| Inj, durolane 1 mg HCPCS J7318 | not published | not published | $6.14 – $12.58 | 5 |
| Inj dx for sinogram CPT 20501 | not published | not published | $34.04 – $271.77 | 6 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | not published | not published | $78.54 – $427.88 | 5 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | not published | not published | $64.10 – $443.30 | 6 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $48.88 – $93.81 | 5 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $427.34 – $860.31 | 5 |
| Injection, cangrelor HCPCS C9460 | not published | not published | $19.47 – $38.87 | 4 |
| Injection, caplacizumab-yhdp HCPCS C9047 | not published | not published | $764.26 – $1,525.66 | 2 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | not published | not published | $53.77 – $159.33 | 6 |
| Injection, casimersen, 10 mg HCPCS J1426 | not published | not published | $163.20 – $325.79 | 3 |
| Injection, cimetidine hydroc HCPCS S0023 | not published | not published | $2.44 – $4.07 | 2 |
| Injection, daratumumab 10 mg HCPCS J9145 | not published | not published | $61.71 – $117.43 | 5 |
| Injection, delafloxacin HCPCS C9462 | not published | not published | $0.48 – $0.96 | 2 |
| Injection, doxercalciferol HCPCS J1270 | not published | not published | $0.33 – $1.61 | 4 |
| Injection during cath supravalvular aortography CPT 93567 | not published | not published | $33.89 – $99.96 | 5 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $18.84 – $41.95 | 5 |
| Injection epidural blood patch or clot CPT 62273 | not published | not published | $107.72 – $323.80 | 6 |
| Injection estrone per 1 mg HCPCS J1435 | not published | not published | $0.24 – $0.67 | 3 |
| Injection eye drug CPT 67028 | not published | not published | $87.75 – $216.52 | 6 |
| Injection, famotidine, 20 mg HCPCS S0028 | not published | not published | $0.92 – $3.38 | 2 |
| Injection for arthrography wrist (both sides) CPT 25246 | not published | not published | $68.42 – $375.19 | 6 |
| Injection for bladder x-ray CPT 51600 | not published | not published | $40.64 – $404.10 | 6 |
| Injection for hip x-ray CPT 27095 | not published | not published | $76.76 – $588.50 | 6 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | not published | not published | $46.91 – $311.60 | 6 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $122.03 – $258.92 | 5 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $49.41 – $111.78 | 6 |
| Injection for ureter x-ray CPT 50684 | not published | not published | $48.54 – $245.43 | 6 |
| Injection for ureter x-ray CPT 50690 | not published | not published | $67.12 – $228.08 | 6 |
| Injection, fosphenytoin sodi HCPCS S0078 | not published | not published | $38.25 – $266.38 | 2 |
| Injection, fulvestrant HCPCS J9395 | not published | not published | $6.98 – $15.70 | 5 |
| Injection glatiramer acetate HCPCS J1595 | not published | not published | $58.65 – $3,253.44 | 5 |
| Injection, glucarpidase HCPCS C9293 | not published | not published | $392.50 – $783.53 | 2 |
| Injection, inclisiran, 1 mg HCPCS J1306 | not published | not published | $12.13 – $23.27 | 5 |
| Injection into brain canal CPT 61026 | not published | not published | $105.54 – $224.35 | 5 |
| Injection into brain canal CPT 61055 | not published | not published | $109.11 – $238.45 | 5 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $179.20 – $602.63 | 6 |
| Injection into spinal artery CPT 62294 | not published | not published | $861.66 – $1,979.86 | 5 |
| Injection into vocal cord CPT 31513 | not published | not published | $124.82 – $266.38 | 5 |
| Injection intraop add-on CPT 48400 | not published | not published | $97.58 – $214.19 | 5 |
| Injection, isavuconazonium HCPCS J1833 | not published | not published | $1.00 – $2.00 | 5 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $42.09 – $408.60 | 6 |
| Injection, khapzory, 0.5 mg HCPCS J0642 | not published | not published | $1.53 – $3.28 | 4 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $5.73 – $11.02 | 5 |
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $13.89 – $29.14 | 4 |
| Injection of sinus tract CPT 20500 | not published | not published | $87.35 – $239.64 | 6 |
| Injection,onabotulinumtoxina HCPCS J0585 | not published | not published | $6.13 – $12.14 | 5 |
| Injection, pentamidine iseth HCPCS S0080 | not published | not published | $99.65 – $103.70 | 2 |
| Injection, peramivir HCPCS J2547 | not published | not published | $1.62 – $3.22 | 5 |
| Injection, piperacillin sodi HCPCS S0081 | not published | not published | $1.78 – $2.71 | 2 |
| Injection px peyronie ds CPT 54200 | not published | not published | $85.57 – $226.78 | 6 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | not published | not published | $30.04 – $158.69 | 6 |
| Injection, renflexis HCPCS Q5104 | not published | not published | $25.05 – $58.74 | 5 |
| Injection, ruconest HCPCS J0596 | not published | not published | $33.51 – $64.16 | 5 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | not published | not published | $316.74 – $670.25 | 3 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | not published | not published | $60.18 – $223.58 | 6 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | not published | not published | $39.49 – $145.20 | 6 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | not published | not published | $106.43 – $475.43 | 6 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | not published | not published | $56.32 – $187.60 | 6 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | not published | not published | $100.78 – $371.99 | 6 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | not published | not published | $48.22 – $175.39 | 6 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | not published | not published | $86.93 – $342.44 | 6 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | not published | not published | $102.25 – $506.91 | 6 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | not published | not published | $94.57 – $498.55 | 6 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $148.94 – $290.65 | 5 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | not published | not published | $36.86 – $111.78 | 6 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | not published | not published | $34.62 – $101.51 | 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.