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 |
|---|---|---|---|---|
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $662.93 – $1,686.48 | 5 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $799.76 – $1,718.90 | 4 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $678.53 – $1,458.63 | 4 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $702.93 – $1,510.82 | 4 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $534.76 – $1,149.56 | 4 |
| Perq p-art revsc each addl CPT 33904 | not published | not published | $268.02 – $577.49 | 4 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $217.29 – $7,063.91 | 6 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $390.94 – $7,943.45 | 6 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $404.69 – $7,926.74 | 6 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | not published | not published | $82.32 – $642.47 | 6 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $526.46 – $1,115.65 | 5 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $483.28 – $1,024.15 | 5 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $175.69 – $182.89 | 2 |
| Perq transcath closure each CPT 93592 | not published | not published | $360.58 – $768.63 | 5 |
| Perq transcath closure pda CPT 93582 | not published | not published | $596.72 – $1,309.50 | 5 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $826.20 – $1,741.95 | 5 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $997.56 – $2,118.81 | 5 |
| Perq transcath septal reduxn CPT 93583 | not published | not published | $669.52 – $1,469.46 | 5 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $523.97 – $1,150.90 | 4 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $272.72 – $981.05 | 6 |
| Perq tx malar fracture CPT 21355 | not published | not published | $318.04 – $873.11 | 6 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $439.53 – $1,410.86 | 6 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $723.97 – $1,541.32 | 5 |
| Pertussis ag if CPT 87265 | not published | not published | $11.98 – $11.98 | 3 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | not published | not published | $15.43 – $29.63 | 5 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $63.39 – $125.49 | 5 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | not published | not published | $55.21 – $138.03 | 4 |
| Pessary reusable rub anytype HCPCS A4561 | not published | not published | $22.18 – $55.43 | 4 |
| Pet CT skull-mid thgh initial CPT 78815 | not published | not published | $107.99 – $229.12 | 5 |
| Pet CT whole body initial CPT 78816 | not published | not published | $108.85 – $231.86 | 5 |
| Pet fdg brain metoblic eval sb CPT 78608 | not published | not published | $65.62 – $138.34 | 5 |
| Pet image full body CPT 78813 | not published | not published | $86.69 – $184.51 | 5 |
| Pet image ltd area CPT 78811 | not published | not published | $67.78 – $144.97 | 5 |
| Pet image skull-thigh CPT 78812 | not published | not published | $85.08 – $178.94 | 5 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $96.53 – $204.65 | 5 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $388.91 – $388.91 | 2 |
| Pet scan brain perf study CPT 78609 | not published | not published | $97.91 – $144.53 | 5 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $6,000.00 | $6,000.00 | $35.28 – $78.96 | 3 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | $79.90 | $79.90 | $21.84 – $48.72 | 6 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | $104.50 | $104.50 | $30.58 – $73.19 | 6 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | $67.65 | $67.65 | $11.24 – $25.05 | 6 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $273.29 – $807.59 | 6 |
| Pharmacologic management w/psytx CPT 90863 | not published | not published | $31.96 – $48.19 | 5 |
| Ph body fluid CPT 83986 | not published | not published | $3.58 – $7.29 | 4 |
| Phencyclidine (pcp) CPT 83992 | not published | not published | $16.80 – $26.73 | 2 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $203.24 | $203.24 | $31.43 – $191.05 | 6 |
| Phenobarbital therapeutic drug level CPT 80184 | not published | not published | $15.30 – $31.15 | 4 |
| Phentolaine mesylate inj HCPCS J2760 | not published | not published | $399.33 – $853.51 | 5 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | not published | not published | $0.02 – $0.02 | 1 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $94.28 – $240.27 | 5 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | not published | not published | $0.50 – $1.22 | 4 |
| Phenytoin total therapeutic drug level CPT 80185 | not published | not published | $13.25 – $26.98 | 4 |
| Phlebotomy therapeutic CPT 99195 | not published | not published | $87.60 – $195.81 | 5 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $246.38 – $853.71 | 6 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $303.35 – $1,041.22 | 6 |
| Phone e/m phys/qhp 11-20 min CPT 99442 | not published | not published | $43.96 – $174.75 | 6 |
| Phone e/m phys/qhp 21-30 min CPT 99443 | not published | not published | $65.23 – $247.35 | 6 |
| Phone e/m phys/qhp 5-10 min CPT 99441 | not published | not published | $22.69 – $108.58 | 6 |
| Phosphorus CPT 84100 | not published | not published | $4.74 – $9.65 | 4 |
| Phosphorus 24 hour urine CPT 84105 | not published | not published | $5.78 – $11.77 | 4 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $57.49 – $241.29 | 5 |
| Photochemotherapy puva CPT 96912 | not published | not published | $57.49 – $205.37 | 5 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $147.62 – $311.11 | 5 |
| Photodynamic tx addl 15 min CPT 96571 | not published | not published | $23.55 – $56.05 | 5 |
| Photodynmc tx 30 min add-on CPT 96570 | not published | not published | $50.43 – $101.00 | 5 |
| Photo patch test CPT 95052 | not published | not published | $5.45 – $12.87 | 5 |
| Photopheresis CPT 36522 | not published | not published | $91.21 – $2,564.07 | 6 |
| Photosensitivity tests CPT 95056 | not published | not published | $51.82 – $106.41 | 5 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $45.99 – $99.07 | 6 |
| Phys blood bank serv reactj CPT 86078 | not published | not published | $46.31 – $99.07 | 6 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $23.70 – $99.07 | 6 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $307.85 | $307.85 | $98.13 – $204.03 | 5 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $307.85 | $307.85 | $98.13 – $204.03 | 5 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $307.85 | $307.85 | $98.13 – $204.03 | 5 |
| Physical Therapy Re-Evaluation CPT 97164 | $109.70 | $109.70 | $67.81 – $141.66 | 5 |
| Physician standby services CPT 99360 | not published | not published | $79.27 – $117.94 | 5 |
| Phys review of motion tests CPT 96004 | not published | not published | $101.10 – $220.31 | 5 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | not published | not published | $2.85 – $5.38 | 4 |
| Pierce earlobes 69090 CPT 69090 | not published | not published | $54.97 – $63.04 | 3 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | not published | not published | $332.44 – $1,181.61 | 5 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $155.89 – $559.61 | 4 |
| Pild/placebo control clin tr HCPCS G0276 | not published | not published | $346.81 – $742.19 | 5 |
| Pillow shldr abduc inflat univ HCPCS L3960 | not published | not published | $760.38 – $1,914.13 | 4 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | not published | not published | $443.20 – $1,135.23 | 6 |
| Pin finger dislocation CPT 26776 | not published | not published | $445.41 – $940.11 | 5 |
| Pin finger fracture each CPT 26756 | not published | not published | $420.09 – $887.93 | 5 |
| Pin hand dislocation CPT 26676 | not published | not published | $504.28 – $1,064.83 | 5 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $444.01 – $934.00 | 5 |
| Pin service 60m per month HCPCS G0023 | not published | not published | $47.04 – $155.47 | 4 |
| Pinworm exam CPT 87172 | not published | not published | $4.27 – $8.69 | 4 |
| Pinworm examinations HCPCS Q0113 | not published | not published | $4.27 – $8.69 | 4 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | not published | not published | $1.18 – $2.02 | 4 |
| Pituitary evaluation panel CPT 80418 | not published | not published | $579.48 – $1,179.94 | 4 |
| Place breast cath for rad CPT 19297 | not published | not published | $86.15 – $189.10 | 5 |
| Place breast rad tube/caths CPT 19298 | not published | not published | $308.13 – $1,673.62 | 6 |
| Place cath intracranial art CPT 36228 | not published | not published | $227.20 – $2,474.78 | 6 |
| Place cath xtrnl carotid CPT 36227 | not published | not published | $110.11 – $467.71 | 6 |
| Place cecostomy tube perc CPT 49442 | not published | not published | $195.29 – $1,502.08 | 6 |
| Place device/marker, non pro HCPCS C9728 | not published | not published | $1,324.26 – $1,324.26 | 2 |
| Place duod/jej tube perc CPT 49441 | not published | not published | $225.03 – $1,820.11 | 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.