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 |
|---|---|---|---|---|
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | not published | not published | $150.49 – $322.05 | 5 |
| Obstetrical care 59410 CPT 59410 | not published | not published | $997.31 – $2,203.53 | 5 |
| Obstetric panel inc HIV tstg CPT 80081 | not published | not published | $74.86 – $152.43 | 4 |
| Obstetrics panel CPT 80055 | not published | not published | $47.81 – $97.35 | 4 |
| Obtaining screen pap smear HCPCS Q0091 | not published | not published | $17.30 – $54.92 | 5 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | not published | not published | $53.54 – $116.41 | 5 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | not published | not published | $26.40 – $98.12 | 5 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $240.42 – $519.88 | 5 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $307.85 | $307.85 | $100.75 – $206.04 | 5 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $307.85 | $307.85 | $100.75 – $206.04 | 5 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $307.85 | $307.85 | $100.75 – $206.04 | 5 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | not published | not published | $59.70 – $112.87 | 5 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | not published | not published | $0.89 – $2.16 | 4 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | not published | not published | $210.83 – $404.47 | 5 |
| Ocular function screen CPT 99172 | not published | not published | $6.78 – $37.42 | 3 |
| Ocular instrumnt screen bil CPT 99174 | not published | not published | $7.10 – $12.89 | 5 |
| Ocular instrumnt screen bil CPT 99177 | not published | not published | $5.83 – $12.89 | 5 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $197.52 – $519.11 | 6 |
| Ocular reconst transplant CPT 65780 | not published | not published | $567.72 – $1,290.01 | 5 |
| Ocular reconst transplant CPT 65781 | not published | not published | $1,264.39 – $2,665.79 | 5 |
| Ocular reconst transplant CPT 65782 | not published | not published | $1,092.73 – $2,303.17 | 5 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | not published | not published | $61.54 – $420.23 | 5 |
| Off base opioid tx, 60 m HCPCS G2087 | not published | not published | $155.50 – $824.92 | 4 |
| Off base opioid tx 70min HCPCS G2086 | not published | not published | $155.50 – $893.03 | 4 |
| Office consultation CPT 99241 | not published | not published | $62.21 – $62.42 | 2 |
| Office emergency care CPT 99058 | not published | not published | $41.12 – $43.37 | 3 |
| Off/op cnsltj new/est low 30 CPT 99243 | $332.10 | $332.10 | $124.14 – $216.52 | 6 |
| Off/op cnsltj new/est mod 40 CPT 99244 | $455.10 | $455.10 | $185.47 – $309.02 | 6 |
| Off/op consltj new/est hi 55 CPT 99245 | $592.85 | $592.85 | $195.93 – $403.47 | 6 |
| Off/op consltj new/est sf 20 CPT 99242 | $246.95 | $246.95 | $88.30 – $144.55 | 6 |
| Offset knee joint each HCPCS L2390 | not published | not published | $129.88 – $326.97 | 4 |
| Offset knee joint heavy duty HCPCS L2395 | not published | not published | $185.65 – $467.35 | 4 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $216.50 | $216.50 | $0.95 – $203.51 | 6 |
| Olanzapine long-acting inj HCPCS J2358 | not published | not published | $2.83 – $5.60 | 5 |
| Ol dig e/m svc 11-20 min CPT 99422 | not published | not published | $24.22 – $56.54 | 5 |
| Ol dig e/m svc 21+ min CPT 99423 | not published | not published | $37.86 – $89.95 | 5 |
| Ol dig e/m svc 5-10 min CPT 99421 | not published | not published | $12.11 – $28.91 | 5 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | not published | not published | $38.33 – $70.70 | 5 |
| Omental flap extra-abdom 49904 CPT 49904 | not published | not published | $1,298.44 – $2,826.43 | 5 |
| Omental flap intra-abdom 49905 CPT 49905 | not published | not published | $323.92 – $709.66 | 5 |
| Onc breast mrna 12 genes CPT 81522 | not published | not published | $2,196.92 – $7,886.20 | 4 |
| Onc breast mrna 58 genes CPT 81520 | not published | not published | $2,510.21 – $2,510.21 | 3 |
| Onc breast mrna 70 genes CPT 81521 | not published | not published | $3,873.00 – $3,873.00 | 3 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $3,873.00 – $3,873.00 | 3 |
| Onc brst mrna 70 cnt 31 gene CPT 81523 | not published | not published | $2,196.92 – $7,886.20 | 4 |
| Onc cutan mlnma mrna 31 gene CPT 81529 | not published | not published | $4,080.16 – $14,646.39 | 4 |
| Oncology colon mrna CPT 81525 | not published | not published | $1,134.48 – $6,344.80 | 4 |
| Oncology colorectal scr CPT 81528 | not published | not published | $508.87 – $1,036.16 | 4 |
| Oncology gynecologic CPT 81535 | not published | not published | $579.46 – $1,179.90 | 4 |
| Oncology gynecologic CPT 81536 | not published | not published | $177.56 – $361.55 | 4 |
| Oncology lung CPT 81538 | not published | not published | $262.63 – $5,845.93 | 4 |
| Oncology prostate prob score CPT 81539 | not published | not published | $760.00 – $1,547.51 | 4 |
| Oncology thyroid CPT 81545 | not published | not published | $1,134.48 – $1,134.48 | 1 |
| Oncology tissue of origin CPT 81504 | not published | not published | $83.61 – $1,058.82 | 4 |
| Oncology tum unknown origin CPT 81540 | not published | not published | $1,134.48 – $7,635.75 | 4 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $208.99 – $1,826.47 | 4 |
| Onco (ovar) two proteins CPT 81500 | not published | not published | $83.61 – $530.43 | 4 |
| Oncoprotein dcp CPT 83951 | not published | not published | $64.41 – $131.15 | 4 |
| Oncoprotein her-2/neu CPT 83950 | not published | not published | $64.41 – $131.15 | 4 |
| Onc prostate 3 genes CPT 81551 | not published | not published | $1,013.09 – $4,133.49 | 4 |
| Onc prostate mrna 22 cnt gen CPT 81542 | not published | not published | $812.85 – $3,873.00 | 3 |
| Onc prostate mrna 46 genes CPT 81541 | not published | not published | $3,873.00 – $3,873.00 | 3 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $2,042.06 – $7,330.32 | 4 |
| Onc uveal mlnma mrna 15 gene CPT 81552 | not published | not published | $439.38 – $15,833.49 | 4 |
| Ondansetron 4 mg s0119 HCPCS S0119 | not published | not published | $0.46 – $29.83 | 3 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $4.05 | $4.05 | $0.01 – $3.81 | 4 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | not published | not published | $0.10 – $0.83 | 4 |
| One-way allow prorated trip HCPCS P9604 | not published | not published | $5.08 – $21.01 | 4 |
| One way chest drain valve HCPCS A7040 | not published | not published | $43.88 – $109.65 | 4 |
| Oocyte identification CPT 89254 | not published | not published | $165.85 – $165.85 | 2 |
| Oophorectomy partial or total 58943 CPT 58943 | not published | not published | $1,141.73 – $2,455.68 | 5 |
| Open ablate liver tumor cryo CPT 47381 | not published | not published | $1,380.34 – $3,011.46 | 5 |
| Open ablate liver tumor rf CPT 47380 | not published | not published | $1,349.33 – $2,940.29 | 5 |
| Open aortic tube prosth repair 34830 CPT 34830 | not published | not published | $1,578.87 – $3,497.46 | 5 |
| Open aortofemor prosth repr CPT 34832 | not published | not published | $1,697.08 – $3,759.76 | 5 |
| Open aortoiliac prosth repr 34831 CPT 34831 | not published | not published | $1,734.40 – $3,824.82 | 5 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $423.82 – $916.39 | 5 |
| Open bx of lung pleura 32098 CPT 32098 | not published | not published | $697.71 – $1,523.02 | 5 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | not published | not published | $206.60 – $457.51 | 5 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $733.35 – $1,548.77 | 5 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $650.33 – $1,371.87 | 5 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $646.29 – $1,372.54 | 5 |
| Open skull for drainage 61312 CPT 61312 | not published | not published | $1,915.48 – $4,269.46 | 5 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $279.13 – $833.28 | 6 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $560.39 – $1,229.54 | 5 |
| Open tx compl front sinus fx CPT 21344 | not published | not published | $1,328.38 – $2,835.92 | 5 |
| Open tx iliac spine uni/bil HCPCS G0412 | not published | not published | $694.52 – $1,486.41 | 5 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $516.20 – $1,095.33 | 5 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $688.23 – $1,466.76 | 5 |
| Open tx post pelvic fxcture HCPCS G0415 | not published | not published | $1,303.92 – $2,791.18 | 5 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $545.85 – $1,197.00 | 5 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $661.57 – $1,444.40 | 5 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $902.55 – $1,979.19 | 5 |
| Open tx/sternum fracture 21825 CPT 21825 | not published | not published | $526.53 – $1,130.58 | 5 |
| Open wedge/bx lung infiltr CPT 32096 | not published | not published | $740.58 – $1,607.74 | 5 |
| Open wedge bx lung nodule 32097 CPT 32097 | not published | not published | $740.33 – $1,610.45 | 5 |
| Ophthalmic biometry CPT 92136 | not published | not published | $16.91 – $60.88 | 5 |
| Ophthalmic endoscope add-on CPT 66990 | not published | not published | $83.68 – $176.23 | 5 |
| Ophthalmic mitomycin HCPCS J7315 | not published | not published | $438.60 – $875.57 | 3 |
| Ophthalmodynamometry CPT 92260 | not published | not published | $10.28 – $37.27 | 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.