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 |
|---|---|---|---|---|
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $856.68 – $1,850.40 | 5 |
| Lso corset front HCPCS L0972 | not published | not published | $91.58 – $230.56 | 4 |
| Lso flex no ri stays pre ots HCPCS L0628 | not published | not published | $63.45 – $125.43 | 4 |
| Lso full corset HCPCS L0976 | not published | not published | $152.10 – $382.91 | 4 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | not published | not published | $150.44 – $378.71 | 4 |
| Lso sag-coronal panel custom HCPCS L0638 | not published | not published | $1,225.15 – $3,084.13 | 4 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $898.49 – $1,776.22 | 4 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $122.50 – $242.17 | 4 |
| Lso sagit rigid panel prefab HCPCS L0635 | not published | not published | $870.42 – $2,191.13 | 4 |
| Lso sagittal rigid panel cus HCPCS L0636 | not published | not published | $1,402.00 – $3,529.33 | 4 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | not published | not published | $266.38 – $670.58 | 4 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | not published | not published | $216.91 – $428.80 | 4 |
| Lso s/c shell/panel custom HCPCS L0640 | not published | not published | $972.04 – $2,446.98 | 4 |
| Lso s/c shell/panel prefab HCPCS L0639 | not published | not published | $1,087.69 – $2,738.12 | 4 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $21.99 – $44.78 | 4 |
| Lubricant per ounce HCPCS A4402 | not published | not published | $1.51 – $4.44 | 4 |
| Lumbar bolster pad HCPCS L1030 | not published | not published | $56.61 – $142.51 | 4 |
| Lumbar derotation pad HCPCS L1240 | not published | not published | $75.12 – $189.08 | 4 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $37.84 – $83.03 | 5 |
| Lumbar or lumbar rib pad HCPCS L1040 | not published | not published | $69.43 – $174.77 | 4 |
| Lumbar sling HCPCS L1090 | not published | not published | $81.57 – $205.35 | 4 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $1,486.65 – $3,239.21 | 5 |
| Lumizyme injection HCPCS J0221 | not published | not published | $197.28 – $379.00 | 5 |
| Lung Function Test Before and After an Inhaler CPT 94060 | not published | not published | $9.62 – $25.16 | 5 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $2.48 – $10.75 | 5 |
| Lung Function Test (Spirometry) CPT 94010 | not published | not published | $7.68 – $16.27 | 5 |
| Lung perfusion imaging CPT 78580 | not published | not published | $32.97 – $70.43 | 5 |
| Lung transplant double CPT 32853 | not published | not published | $4,164.20 – $9,127.25 | 5 |
| Lung transplant single CPT 32851 | not published | not published | $2,978.50 – $6,534.00 | 5 |
| Lung transplant with bypass CPT 32852 | not published | not published | $3,212.91 – $7,030.82 | 5 |
| Lung transplant with bypass CPT 32854 | not published | not published | $4,399.48 – $9,662.73 | 5 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $1,353.26 – $2,957.23 | 5 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $200.01 – $383.27 | 5 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $39.97 – $76.81 | 5 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $285.07 – $569.08 | 5 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $232.14 – $463.42 | 5 |
| Lvad shower bag heartmate HCPCS Q0501 | not published | not published | $478.70 – $1,196.51 | 4 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $23.70 – $110.51 | 6 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | not published | $276.08 – $695.00 | 4 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $20.05 – $40.83 | 4 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $674.95 – $1,442.36 | 5 |
| Lymphatics/lymph node imaging CPT 78195 | not published | not published | $52.64 – $112.96 | 5 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $36.56 – $74.44 | 4 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $49.03 – $99.83 | 4 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $95.10 – $385.88 | 4 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $47.59 – $96.90 | 4 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $40.09 – $85.40 | 5 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $52.98 – $113.66 | 5 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $36.87 – $78.45 | 5 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $49.48 – $108.15 | 5 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $145.80 – $623.19 | 6 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $148.96 – $357.21 | 6 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $192.48 – $497.26 | 6 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $15.53 – $30.12 | 3 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $7.09 – $55.10 | 5 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $4.27 – $8.69 | 4 |
| Macroscopic exam parasite CPT 87169 | not published | not published | $4.31 – $8.78 | 4 |
| Magnesium CPT 83735 | not published | not published | $6.70 – $13.64 | 4 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $17.51 | $17.51 | $0.50 – $16.46 | 6 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $72.55 – $155.06 | 5 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $20.14 – $40.01 | 2 |
| Malaria antibody CPT 86750 | not published | not published | $13.19 – $26.86 | 4 |
| Male sling procedure CPT 53440 | not published | not published | $717.39 – $1,525.05 | 5 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $2,788.37 – $6,080.54 | 5 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $360.54 – $748.98 | 5 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $418.89 – $905.54 | 5 |
| Manipulation of hip joint CPT 27275 | not published | not published | $179.62 – $380.24 | 5 |
| Manipulation of spine CPT 22505 | not published | not published | $140.33 – $266.38 | 5 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $76.04 – $228.71 | 6 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | not published | $2.60 – $8.69 | 4 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $0.67 – $6.71 | 3 |
| Man's shoe oxford brace HCPCS L3225 | not published | not published | $80.27 – $202.05 | 4 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $5.07 – $10.32 | 4 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $109.10 – $343.65 | 5 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $126.77 – $277.23 | 5 |
| Map tachycard site(s) CPT 93609 | not published | not published | $120.47 – $537.50 | 5 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $47.05 – $90.35 | 5 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | not published | not published | $11,379.91 – $11,379.91 | 2 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $1,061.97 – $2,314.69 | 5 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $105.91 – $214.19 | 2 |
| Mastectomy form HCPCS L8020 | not published | not published | $190.19 – $478.79 | 4 |
| Mastectomy partial CPT 19301 | not published | not published | $622.18 – $1,350.86 | 5 |
| Mast mod rad CPT 19307 | not published | not published | $1,110.15 – $2,409.58 | 5 |
| Mastoidectomy CPT 69501 | not published | not published | $679.88 – $1,454.56 | 5 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $901.00 – $1,931.05 | 5 |
| Mastoids complete CPT 70130 | not published | not published | $15.68 – $33.16 | 5 |
| Mastoid surgery revision CPT 69603 | not published | not published | $1,233.34 – $2,620.37 | 5 |
| Mastopexy CPT 19316 | not published | not published | $758.53 – $1,617.23 | 5 |
| Mast radical CPT 19305 | not published | not published | $1,078.35 – $2,347.23 | 5 |
| Mast rad urban type CPT 19306 | not published | not published | $1,151.06 – $2,494.30 | 5 |
| Mast simple complete CPT 19303 | not published | not published | $902.71 – $1,957.48 | 5 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $93.25 – $200.20 | 3 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | not published | not published | $1,870.00 – $4,479.64 | 3 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | not published | not published | $18.55 – $36.90 | 3 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $35.09 – $71.45 | 4 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $27.29 – $55.57 | 4 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $42.84 – $87.23 | 4 |
| Maxillofacial fixation CPT 21100 | not published | not published | $352.39 – $1,194.34 | 6 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | not published | not published | $14.46 – $29.44 | 4 |
| Mayo aathr protein s free CPT 85306 | not published | not published | $15.32 – $31.19 | 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.