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CT chest without contrast
CPT 71250 · negotiated-rate distribution across hospitals in ME
Hospitals
5
Min
$53.56
Median
$103.15
Max
$1,274.51
Range multiplier
23.8×
By payer (26 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Anthem BCBS | 4 | 18 | $29.00 | $502.96 | $1,064.73 | 36.7× |
| UnitedHealthcare | 4 | 15 | $29.00 | $100.57 | $2,028.79 | 70.0× |
| Aetna | 4 | 11 | $29.00 | $91.78 | $1,648.05 | 56.8× |
| Humana | 4 | 7 | $29.00 | $95.69 | $127.85 | 4.4× |
| Cigna | 4 | 5 | $650.00 | $650.00 | $1,787.04 | 2.7× |
| Medicare | 3 | 3 | $29.00 | $31.00 | $103.15 | 3.6× |
| harvard pilgrim | 3 | 3 | $724.71 | $724.79 | $751.78 | 1.0× |
| Medicaid | 3 | 3 | $30.31 | $30.31 | $112.43 | 3.7× |
| sentara health plan | 1 | 3 | $102.52 | $124.37 | $1,538.84 | 15.0× |
| WellCare | 3 | 3 | $29.00 | $31.00 | $103.15 | 3.6× |
| community health options | 2 | 2 | $76.27 | $77.40 | $78.53 | 1.0× |
| martins point | 1 | 1 | $103.15 | $103.15 | $103.15 | 1.0× |
| vhn - ultra | 1 | 1 | $1,538.84 | $1,538.84 | $1,538.84 | 1.0× |
| connecticare | 1 | 1 | $1,737.40 | $1,737.40 | $1,737.40 | 1.0× |
| Multiplan | 1 | 1 | $87.00 | $87.00 | $87.00 | 1.0× |
| Self-Pay (Cash) | 1 | 1 | $103.15 | $103.15 | $103.15 | 1.0× |
| workers compensation | 1 | 1 | $174.45 | $174.45 | $174.45 | 1.0× |
| TRICARE | 1 | 1 | $103.15 | $103.15 | $103.15 | 1.0× |
| vhn | 1 | 1 | $1,985.60 | $1,985.60 | $1,985.60 | 1.0× |
| vhn - link | 1 | 1 | $2,233.80 | $2,233.80 | $2,233.80 | 1.0× |
| vhn - plus | 1 | 1 | $1,911.14 | $1,911.14 | $1,911.14 | 1.0× |
| gateway - tier 1 | 1 | 1 | $2,357.90 | $2,357.90 | $2,357.90 | 1.0× |
| gateway - tier 2 | 1 | 1 | $1,985.60 | $1,985.60 | $1,985.60 | 1.0× |
| gateway - tier 3 | 1 | 1 | $1,365.10 | $1,365.10 | $1,365.10 | 1.0× |
| First Health | 1 | 1 | $127.85 | $127.85 | $127.85 | 1.0× |
| vhn - secondary payors | 1 | 1 | $2,357.90 | $2,357.90 | $2,357.90 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Bridgton Hospital | Bridgton | ME | 10 | $2,460.63 | $762.00 | $30.31 | $76.70 | $1,064.73 |
| Rumford Hospital | Rumford | ME | 9 | $2,460.63 | $713.00 | $29.00 | $53.56 | $963.52 |
| Franklin Memorial Hospital | Farmington | ME | 16 | $2,482.00 | $868.70 | $91.78 | $1,274.51 | $2,357.90 |
| Central Maine Medical Center | Lewiston | ME | 15 | $2,460.63 | $103.00 | $76.27 | $103.15 | $751.78 |
| Redington-Fairview General Hospital | Skowhegan | ME | 0 | $1,308.00 | $981.00 | — | — | — |
Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.