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 |
|---|---|---|---|---|
| Monovisc inj per dose HCPCS J7327 | not published | not published | $528.58 – $1,366.84 | 5 |
| Monthly tx for dmht 20mins HCPCS G0553 | not published | not published | $29.09 – $29.09 | 2 |
| Mopath procedure level 1 CPT 81400 | not published | not published | $35.45 – $130.24 | 4 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $141.81 – $306.10 | 4 |
| Mopath procedure level 5 CPT 81404 | not published | not published | $274.83 – $559.61 | 4 |
| Mopath procedure level 6 CPT 81405 | not published | not published | $301.35 – $613.61 | 4 |
| Mopath procedure level 7 CPT 81406 | not published | not published | $282.88 – $576.00 | 4 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $846.27 – $1,723.17 | 4 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $1,418.10 – $4,072.40 | 4 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | not published | not published | $3.24 – $8.55 | 4 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | not published | not published | $4.55 – $13.97 | 3 |
| Morphine 500 mg HCPCS S0093 | not published | not published | $7.74 – $359.92 | 2 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | not published | not published | $10.48 – $27.73 | 4 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | not published | not published | $39.13 – $87.59 | 5 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | not published | not published | $40.43 – $90.10 | 5 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | not published | not published | $38.84 – $83.94 | 5 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $629.64 – $1,208.55 | 5 |
| Motion analysis video/3d CPT 96000 | not published | not published | $79.79 – $183.46 | 5 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $101.21 – $240.73 | 5 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $2.48 – $5.42 | 5 |
| Mouth piece HCPCS A4617 | not published | not published | $3.44 – $8.61 | 4 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $276.64 – $717.64 | 6 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $23.67 – $53.28 | 5 |
| M/phmtrc alys ishquant/semiq CPT 88377 | not published | not published | $60.56 – $127.13 | 5 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $32.02 – $65.75 | 5 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $60.66 – $162.30 | 5 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $85.27 – $306.10 | 4 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $20.05 – $40.83 | 4 |
| M.pneumon dna quant CPT 87582 | not published | not published | $75.93 – $616.19 | 4 |
| Mpsv4 vaccine subq CPT 90733 | not published | not published | $137.95 – $195.28 | 3 |
| MRA abdomen post contrast CPT 74185 | not published | not published | $80.64 – $171.97 | 5 |
| MRA aorta thoracic w/wo contrast CPT 71555 | not published | not published | $80.87 – $172.20 | 5 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $345.64 – $345.64 | 2 |
| MRA chest wo IV cont HCPCS C8910 | not published | not published | $233.95 – $233.95 | 2 |
| MRA chest wwo IV cont HCPCS C8911 | not published | not published | $345.64 – $345.64 | 2 |
| MRA ext low(run-off)pst cntrst CPT 73725 | not published | not published | $81.29 – $172.65 | 5 |
| MRA pelvis CPT 72198 | not published | not published | $80.97 – $171.29 | 5 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $345.64 – $345.64 | 2 |
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $233.95 – $233.95 | 2 |
| MRA spinal canal CPT 72159 | not published | not published | $81.20 – $173.36 | 5 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $76.32 – $164.71 | 5 |
| MRA w/cont, abd HCPCS C8900 | not published | not published | $345.64 – $345.64 | 2 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $345.64 – $345.64 | 2 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $345.64 – $345.64 | 2 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $345.64 – $345.64 | 2 |
| MRA without cont, abd HCPCS C8901 | not published | not published | $233.95 – $233.95 | 2 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $233.95 – $233.95 | 2 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $233.95 – $233.95 | 2 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $233.95 – $233.95 | 2 |
| MRA without fol w/cont, abd HCPCS C8902 | not published | not published | $345.64 – $345.64 | 2 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | not published | not published | $345.64 – $345.64 | 2 |
| MRA without fol w/cont, pelvis HCPCS C8920 | not published | not published | $345.64 – $345.64 | 2 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $345.64 – $345.64 | 2 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $345.64 – $345.64 | 2 |
| Mr elastography CPT 76391 | not published | not published | $49.74 – $107.03 | 5 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | not published | not published | $1,099.65 – $1,099.65 | 2 |
| MRI brain w/dye CPT 70558 | not published | not published | $160.05 – $336.20 | 5 |
| MRI brain without dye CPT 70557 | not published | not published | $144.68 – $305.00 | 5 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $150.04 – $315.86 | 5 |
| MRI breast c- unilateral CPT 77046 | not published | not published | $65.20 – $139.50 | 5 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $95.35 – $201.70 | 5 |
| MRI breast without cont bi CPT 77047 | not published | not published | $72.23 – $154.38 | 5 |
| MRI breast w IV cont bi CPT 77049 | not published | not published | $104.33 – $220.69 | 5 |
| MRI cardiac morph & func wo IV cont CPT 75557 | not published | not published | $105.31 – $223.19 | 5 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | not published | not published | $116.76 – $246.28 | 5 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $133.63 – $282.64 | 5 |
| MRI chest without contrast CPT 71550 | not published | not published | $66.06 – $140.18 | 5 |
| MRI chest without & w/contrast CPT 71552 | not published | not published | $102.38 – $217.27 | 5 |
| MRI chest w IV cont CPT 71551 | not published | not published | $77.95 – $166.50 | 5 |
| MRI compatible system HCPCS L0859 | not published | not published | $1,151.73 – $2,899.28 | 4 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $84.22 – $179.30 | 5 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $136.44 – $289.07 | 5 |
| MRI guid ndl plc s&i CPT 77021 | not published | not published | $67.58 – $141.66 | 5 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $189.38 – $416.73 | 5 |
| MRI hyperpolarized xenon129 HCPCS C9791 | not published | not published | $1,210.28 – $2,546.27 | 3 |
| MRI loex nonjt w IV cont CPT 73719 | not published | not published | $73.20 – $156.43 | 5 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | not published | not published | $60.98 – $129.90 | 5 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | not published | not published | $97.62 – $206.51 | 5 |
| MRI orbit fac&nck w IV cont CPT 70542 | not published | not published | $73.20 – $156.43 | 5 |
| MRI tmj CPT 70336 | not published | not published | $66.38 – $141.55 | 5 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | not published | not published | $61.31 – $130.59 | 5 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | not published | not published | $97.62 – $206.51 | 5 |
| MRI upper extremity w/dye CPT 73219 | not published | not published | $73.20 – $156.43 | 5 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $345.64 – $345.64 | 2 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $172.29 – $172.29 | 2 |
| MRI without fol w/cont, breast HCPCS C8908 | not published | not published | $345.64 – $345.64 | 2 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $345.64 – $345.64 | 2 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $26.92 – $26.92 | 2 |
| Mr safety implant elec prepj CPT 76018 | not published | not published | $33.73 – $33.73 | 2 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | not published | not published | $51.47 – $51.47 | 2 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $26.36 – $26.36 | 2 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | not published | not published | $10.69 – $10.69 | 2 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $34.27 – $34.27 | 2 |
| Mr spectroscopy CPT 76390 | not published | not published | $85.22 – $134.94 | 5 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $202.24 – $434.32 | 4 |
| Msh2 gene full seq CPT 81295 | not published | not published | $202.24 – $777.22 | 4 |
| Msh2 gene known variants CPT 81296 | not published | not published | $172.67 – $687.69 | 4 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $215.52 – $484.62 | 4 |
| Msh6 gene full seq CPT 81298 | not published | not published | $383.68 – $1,306.93 | 4 |
| Msh6 gene known variants CPT 81299 | not published | not published | $214.94 – $627.15 | 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.