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Lumbosacral spine X-ray

CPT 72100 · negotiated-rate distribution across hospitals in ME

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Hospitals
5
Min
$63.7
Median
$103.15
Max
$353.9
Range multiplier
5.6×

By payer (26 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS420$29$134.07$512.2717.7×
UnitedHealthcare415$29$90.7$515.7817.8×
Aetna411$29$91.78$418.9814.4×
Humana47$29$93.96$103.153.6×
Cigna45$63.4$63.7$454.327.2×
Medicare33$29$31$103.153.6×
harvard pilgrim33$248.17$248.2$257.441.0×
Medicaid33$30.31$30.31$112.433.7×
sentara health plan13$36.49$102.52$391.2210.7×
WellCare33$29$31$103.153.6×
community health options22$76.27$77.4$78.531.0×
martins point11$103.15$103.15$103.151.0×
vhn - ultra11$391.22$391.22$391.221.0×
connecticare11$441.7$441.7$441.71.0×
Multiplan11$87$87$871.0×
Self-Pay (Cash)11$103.15$103.15$103.151.0×
workers compensation11$174.45$174.45$174.451.0×
TRICARE11$103.15$103.15$103.151.0×
vhn11$504.8$504.8$504.81.0×
vhn - link11$567.9$567.9$567.91.0×
vhn - plus11$485.87$485.87$485.871.0×
gateway - tier 111$599.45$599.45$599.451.0×
gateway - tier 211$504.8$504.8$504.81.0×
gateway - tier 311$347.05$347.05$347.051.0×
First Health11$37.51$37.51$37.511.0×
vhn - secondary payors11$599.45$599.45$599.451.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
BRIDGTON HOSPITALBRIDGTONME10$705.63$218$30.31$70.15$248.2
RUMFORD HOSPITALRUMFORDME9$705.63$204$29$63.7$248.17
FRANKLIN MEMORIAL HOSPITALFARMINGTONME16$631$220.85$35.81$353.9$599.45
CENTRAL MAINE MEDICAL CENTERLEWISTONME15$705.63$103$63.4$103.15$493.64
REDINGTON-FAIRVIEW GENERAL HOSPITALSKOWHEGANME0$391$293.25

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.