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 |
|---|---|---|---|---|
| Prep donor pancreas/venous CPT 48552 | not published | not published | $215.13 – $473.78 | 5 |
| Prep donor renal graft CPT 50325 | not published | not published | $200.30 – $407.85 | 4 |
| Prepj skn cll ssp agrft 1st CPT 15013 | not published | not published | $7,017.32 – $7,017.32 | 2 |
| Prepj tum cav iort prtl mast CPT 19294 | not published | not published | $151.14 – $331.45 | 5 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $984.67 – $984.67 | 2 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $173.92 – $381.60 | 5 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $165.28 – $361.26 | 5 |
| Prep renal graft/venous CPT 50327 | not published | not published | $197.99 – $435.16 | 5 |
| Prep skin cell susp, automtd HCPCS C8002 | not published | not published | $7,017.32 – $7,017.32 | 2 |
| Prep skin to 100cm2 other CPT 15004 | not published | not published | $246.63 – $755.54 | 6 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | $207.15 – $661.74 | 6 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | not published | $41.27 – $133.63 | 6 |
| Pressure max expiratory/inspiratory CPT 94799 | not published | not published | $151.43 – $151.43 | 2 |
| Pressure treatment esophagus CPT 43460 | not published | not published | $199.35 – $424.30 | 5 |
| Pressure velocity wire add ves CPT 93572 | not published | not published | $47.62 – $119.72 | 5 |
| Pre-tibial shell molded to p HCPCS L2340 | not published | not published | $397.73 – $1,001.22 | 4 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | not published | not published | $36.25 – $165.85 | 3 |
| Pretreat rbc absorption reference CPT 86978 | not published | not published | $36.25 – $57.49 | 3 |
| Pretreat rbc density gradient separation reference CPT 86972 | not published | not published | $42.02 – $165.85 | 3 |
| Pretreat rbc w chem/drugs reference CPT 86970 | not published | not published | $29.94 – $57.49 | 3 |
| Pretreat rbc w enzyme reference CPT 86971 | not published | not published | $24.16 – $165.85 | 3 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $362.80 | $362.80 | $155.50 – $373.92 | 6 |
| Preventive counseling group CPT 99411 | not published | not published | $9.94 – $38.54 | 6 |
| Preventive counseling group CPT 99412 | not published | not published | $16.66 – $48.19 | 6 |
| Prev med cnsl indiv apprx 15 CPT 99401 | not published | not published | $31.96 – $73.88 | 6 |
| Prev med cnsl indiv apprx 30 CPT 99402 | not published | not published | $65.17 – $120.14 | 6 |
| Prev med cnsl indiv apprx 45 CPT 99403 | not published | not published | $96.10 – $165.12 | 6 |
| Prev med cnsl indiv apprx 60 CPT 99404 | not published | not published | $129.15 – $210.73 | 6 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | not published | not published | $124.49 – $319.94 | 5 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | $80.38 – $245.43 | 6 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $159.69 – $434.94 | 6 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | not published | not published | $98.39 – $310.95 | 6 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $1,269.97 – $2,765.42 | 5 |
| Prgrmg dev eval impltbl sys CPT 93260 | not published | not published | $33.93 – $83.03 | 5 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | not published | not published | $29.63 – $62.66 | 5 |
| Prgrmg dev eval scrms ip CPT 93285 | not published | not published | $23.79 – $51.00 | 5 |
| Prgrmg eval implantable dfb CPT 93282 | not published | not published | $36.09 – $82.33 | 5 |
| Prgrmg eval implantable dfb CPT 93283 | not published | not published | $36.09 – $111.61 | 5 |
| Prgrmg eval implantable dfb CPT 93284 | not published | not published | $36.09 – $121.68 | 5 |
| Prgr stim/pace a/iv drug CPT 93623 | not published | not published | $49.92 – $303.35 | 5 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $482.80 | $482.80 | $164.66 – $384.73 | 5 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $295.95 | $295.95 | $123.47 – $263.00 | 5 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $383.60 | $383.60 | $77.94 – $191.90 | 5 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $458.20 | $458.20 | $112.34 – $238.58 | 5 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $335.20 | $335.20 | $75.14 – $158.60 | 5 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $260.15 | $260.15 | $46.48 – $99.63 | 5 |
| Prim art mech thrmbc non-intracranial CPT 37184 | not published | not published | $392.34 – $3,228.39 | 6 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | not published | not published | $147.63 – $896.25 | 6 |
| Prin care mgmt staff 1st 30 CPT 99426 | not published | not published | $47.04 – $119.50 | 5 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | not published | not published | $177.60 – $415.68 | 6 |
| Pr incision & drainage abscess simple/single CPT 10060 | not published | not published | $104.09 – $246.06 | 6 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | not published | not published | $122.34 – $285.26 | 6 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | not published | not published | $102.55 – $294.89 | 6 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | not published | not published | $124.73 – $539.68 | 6 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | not published | not published | $124.73 – $398.97 | 6 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | not published | not published | $11.34 – $97.02 | 6 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $589.23 – $1,247.82 | 5 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $123.28 – $309.67 | 6 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $130.06 – $272.48 | 5 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $213.24 – $720.20 | 6 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $150.21 – $1,625.44 | 6 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | not published | not published | $139.82 – $412.74 | 5 |
| Procalcitonin CPT 84145 | not published | not published | $27.22 – $55.43 | 4 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $77.95 – $131.85 | 2 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | not published | not published | $3.43 – $7.57 | 4 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $0.36 – $0.67 | 4 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $1,704.96 – $3,648.61 | 5 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $1,699.88 – $3,666.22 | 5 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $98.70 – $429.17 | 6 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $104.60 – $425.95 | 6 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $80.72 – $1,803.40 | 6 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | $45.99 – $247.35 | 6 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $79.38 – $394.47 | 6 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $84.35 – $406.69 | 6 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $99.35 – $438.80 | 6 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $97.19 – $210.12 | 5 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $69.27 – $349.50 | 6 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $94.29 – $411.82 | 6 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $109.71 – $237.24 | 5 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $91.08 – $221.46 | 3 |
| Progesterone CPT 84144 | not published | not published | $20.86 – $42.48 | 4 |
| Prolactin CPT 84146 | not published | not published | $19.38 – $39.46 | 4 |
| Prolng clin staff svc 1st hr CPT 99415 | not published | not published | $12.61 – $42.03 | 5 |
| Prolng clin staff svc ea add CPT 99416 | not published | not published | $1.09 – $19.65 | 5 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | not published | not published | $61.90 – $79.31 | 3 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | not published | not published | $40.53 – $60.33 | 5 |
| Prolng svc o/p 1st hour CPT 99354 | not published | not published | $141.72 – $232.39 | 2 |
| Prolng svc o/p ea addl 30 CPT 99355 | not published | not published | $138.46 – $175.66 | 2 |
| Prolonged IV inf, req pump HCPCS C8957 | not published | not published | $321.02 – $321.02 | 2 |
| Prolong home eval add 15m HCPCS G0318 | not published | not published | $28.44 – $60.33 | 4 |
| Prolong service without contact CPT 99358 | $349.40 | $349.40 | $143.13 – $212.74 | 6 |
| Prolong serv without contact add CPT 99359 | $65.60 | $65.60 | $69.25 – $102.71 | 5 |
| Promethazine 25 mg tablet HCPCS Q0169 | not published | not published | $0.04 – $1.36 | 3 |
| Promethazine hcl injection HCPCS J2550 | not published | not published | $3.57 – $5.95 | 4 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $206.87 – $941.22 | 6 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $206.87 – $961.59 | 6 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $830.66 – $1,781.94 | 5 |
| Prophylactic tx radius CPT 25490 | not published | not published | $696.53 – $1,485.06 | 5 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $872.99 – $1,864.63 | 5 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $715.40 – $1,525.72 | 5 |
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.