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 |
|---|---|---|---|---|
| Iron stain peripheral blood CPT 85536 | not published | not published | $6.88 – $14.01 | 4 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | not published | not published | $0.22 – $0.45 | 4 |
| Irradiation of blood product each unit reference CPT 86945 | not published | not published | $29.94 – $37.99 | 3 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | not published | not published | $23.44 – $52.61 | 5 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $180.58 – $387.02 | 5 |
| Irrigation syringe HCPCS A4322 | not published | not published | $3.39 – $8.47 | 4 |
| Irrigation tray HCPCS A4320 | not published | not published | $5.94 – $14.84 | 4 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $23.88 – $111.78 | 6 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $76.50 – $146.79 | 5 |
| Island pedicle flap graft CPT 15740 | not published | not published | $809.27 – $1,962.09 | 6 |
| IV cipaglucosidase alfa-atga HCPCS G0138 | not published | not published | $173.61 – $173.61 | 2 |
| Ivc venogram s&i CPT 75825 | not published | not published | $49.88 – $106.41 | 5 |
| IV Fluids (each additional hour) CPT 96361 | not published | not published | $11.63 – $25.94 | 5 |
| IV Fluids (first hour) CPT 96360 | not published | not published | $30.26 – $73.25 | 5 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $101.41 – $202.44 | 3 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | not published | not published | $18.48 – $40.38 | 5 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $38.98 – $80.65 | 5 |
| IV Medicine Infusion (additional drug) CPT 96367 | not published | not published | $26.65 – $60.14 | 5 |
| IV Medicine Infusion (each additional hour) CPT 96366 | not published | not published | $19.46 – $41.74 | 5 |
| IV Medicine Infusion (first hour) CPT 96365 | not published | not published | $58.05 – $138.26 | 5 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $99.29 – $214.19 | 5 |
| IV Push Injection (each additional drug) CPT 96375 | not published | not published | $14.25 – $32.13 | 5 |
| IV Push Injection (first drug) CPT 96374 | not published | not published | $34.07 – $75.30 | 5 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $22.05 – $47.35 | 5 |
| Ivp w/wo kub w/wo tomography CPT 74400 | not published | not published | $21.84 – $47.35 | 5 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $128.07 – $244.91 | 5 |
| Jak2 targeted sequence analysis CPT 81279 | not published | not published | $105.05 – $377.10 | 4 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $516.55 – $1,098.71 | 5 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $576.96 – $1,231.94 | 5 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | not published | not published | $10.92 – $23.79 | 5 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | not published | not published | $11.57 – $24.47 | 5 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $224.07 – $478.53 | 5 |
| John cunningham antibody CPT 86711 | not published | not published | $16.89 – $34.39 | 4 |
| J-tube placement CPT 44015 | not published | not published | $129.21 – $283.99 | 5 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | not published | not published | $1,321.57 – $3,326.87 | 4 |
| Kafo dbl solid stirrup without j HCPCS L2030 | not published | not published | $1,071.87 – $2,698.27 | 4 |
| Kafo fem fx cast molded to p HCPCS L2128 | not published | not published | $2,034.60 – $5,121.80 | 4 |
| Kafo fem fx cast semi-rigid HCPCS L2134 | not published | not published | $1,058.19 – $2,663.82 | 4 |
| Kafo fem fx cast thermoplas HCPCS L2126 | not published | not published | $1,277.87 – $3,216.85 | 4 |
| Kafo femoral fx cast rigid HCPCS L2136 | not published | not published | $1,182.79 – $2,977.49 | 4 |
| Kafo femoral fx cast soft HCPCS L2132 | not published | not published | $751.72 – $1,892.34 | 4 |
| Kafo pla sin up w/wo k/a cus HCPCS L2034 | not published | not published | $1,858.72 – $4,679.05 | 4 |
| Kafo plas sing free knee mol HCPCS L2037 | not published | not published | $1,976.29 – $4,975.03 | 4 |
| Kafo plastic pediatric size HCPCS L2035 | not published | not published | $163.68 – $412.00 | 4 |
| Kafo sing fre stirr thi/calf HCPCS L2000 | not published | not published | $1,024.69 – $2,579.50 | 4 |
| Kafo sng/dbl mechanical act HCPCS L2005 | not published | not published | $3,806.44 – $9,582.13 | 4 |
| Kafo sng solid stirrup without j HCPCS L2010 | not published | not published | $931.37 – $2,344.58 | 4 |
| Kafo without joint multi-axis an HCPCS L2038 | not published | not published | $1,696.43 – $4,270.52 | 4 |
| Keratomileusis CPT 65760 | not published | not published | $1,842.69 – $2,347.23 | 3 |
| Keratophakia CPT 65765 | not published | not published | $2,672.55 – $3,403.92 | 3 |
| Keratoprosthesis CPT 65770 | not published | not published | $1,338.21 – $2,827.77 | 5 |
| Kerecis marigen shld sq cm HCPCS A2019 | not published | not published | $510.00 – $1,175.99 | 3 |
| Ketamine and metabolite screen - quest CPT 80357 | not published | not published | $12.30 – $36.25 | 2 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $15.47 – $31.50 | 4 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | not published | not published | $8.17 – $16.64 | 4 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | not published | not published | $0.33 – $1.34 | 5 |
| Kidney endoscopy CPT 50551 | not published | not published | $275.56 – $693.86 | 6 |
| Kidney endoscopy CPT 50553 | not published | not published | $294.26 – $744.62 | 6 |
| Kidney endoscopy CPT 50570 | not published | not published | $459.02 – $980.78 | 5 |
| Kidney endoscopy CPT 50575 | not published | not published | $666.03 – $1,421.35 | 5 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $319.86 – $793.44 | 6 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $527.62 – $1,125.84 | 5 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $323.75 – $806.93 | 6 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $368.92 – $916.80 | 6 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $526.33 – $1,122.43 | 5 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $566.52 – $1,209.87 | 5 |
| Kidney function study CPT 78725 | not published | not published | $16.10 – $35.21 | 5 |
| Kidney imaging (3d) CPT 78710 | not published | not published | $53.24 – $53.24 | 1 |
| Kidney imaging morphology CPT 78700 | not published | not published | $19.89 – $42.07 | 5 |
| Kidney imag w/bld flow multi CPT 78709 | not published | not published | $61.73 – $131.48 | 5 |
| Kidney img w/bldflw sgl without rx CPT 78707 | not published | not published | $42.05 – $89.41 | 5 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | not published | not published | $33.30 – $71.12 | 5 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | not published | not published | $26.27 – $55.58 | 5 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | not published | not published | $40.92 – $102.30 | 4 |
| Kit cath f 8f w/glv + wipe ster HCPCS A4353 | not published | not published | $7.77 – $19.43 | 4 |
| Kit gene analys d816 variant CPT 81273 | not published | not published | $124.87 – $254.26 | 4 |
| Kit irrigator stoma cone 7721 HCPCS A4398 | not published | not published | $15.09 – $37.73 | 4 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | not published | not published | $25.17 – $47.26 | 3 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | not published | not published | $1,602.84 – $4,034.91 | 4 |
| Kit trach suct cls 30.5cm HCPCS A4605 | not published | not published | $18.23 – $18.23 | 1 |
| Knee Arthroscopy (Cartilage Smoothing) CPT 29877 | not published | not published | $601.82 – $1,280.36 | 5 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $501.36 – $1,065.50 | 5 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $404.05 – $1,079.34 | 6 |
| Knee Arthroscopy (Meniscus Trimming) CPT 29881 | not published | not published | $525.97 – $1,118.36 | 5 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $606.37 – $1,289.85 | 5 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $893.41 – $1,907.33 | 5 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $525.60 – $1,114.31 | 5 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $519.78 – $1,111.60 | 5 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $482.83 – $1,026.88 | 5 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $631.85 – $1,345.44 | 5 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $640.30 – $1,363.72 | 5 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $545.20 – $1,160.39 | 5 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $664.79 – $1,416.60 | 5 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $807.59 – $1,732.46 | 5 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $600.51 – $1,278.33 | 5 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $618.27 – $1,314.94 | 5 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $729.14 – $1,553.52 | 5 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $931.96 – $1,994.09 | 5 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $1,174.79 – $2,510.57 | 5 |
| Knee cap medial or lateral p HCPCS L2800 | not published | not published | $126.57 – $318.60 | 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.