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CT cervical spine without contrast

CPT 72125 · negotiated-rate distribution across hospitals in ME

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Hospitals
5
Min
$76.8
Median
$103.15
Max
$1,473.23
Range multiplier
19.2×

By payer (26 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS418$29$502.96$1,064.7336.7×
UnitedHealthcare415$29$100.57$2,345.1280.9×
Aetna411$29$91.78$1,905.0265.7×
Humana25$93.96$99.59$125.041.3×
Cigna45$650$650$2,065.683.2×
Medicare33$29$31$103.153.6×
harvard pilgrim33$733.11$733.19$760.491.0×
Medicaid33$30.31$30.31$112.433.7×
sentara health plan13$102.52$121.63$1,778.7817.4×
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$1,778.78$1,778.78$1,778.781.0×
connecticare11$2,008.3$2,008.3$2,008.31.0×
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$2,295.2$2,295.2$2,295.21.0×
vhn - link11$2,582.1$2,582.1$2,582.11.0×
vhn - plus11$2,209.13$2,209.13$2,209.131.0×
gateway - tier 111$2,725.55$2,725.55$2,725.551.0×
gateway - tier 211$2,295.2$2,295.2$2,295.21.0×
gateway - tier 311$1,577.95$1,577.95$1,577.951.0×
First Health11$125.04$125.04$125.041.0×
vhn - secondary payors11$2,725.55$2,725.55$2,725.551.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
BRIDGTON HOSPITALBRIDGTONME9$2,131.88$660$30.31$77.62$1,064.73
RUMFORD HOSPITALRUMFORDME8$2,131.88$618$29$76.8$963.52
FRANKLIN MEMORIAL HOSPITALFARMINGTONME16$2,869$1,004.15$91.78$1,473.23$2,725.55
CENTRAL MAINE MEDICAL CENTERLEWISTONME15$2,131.88$103$76.27$103.15$760.49
REDINGTON-FAIRVIEW GENERAL HOSPITALSKOWHEGANME0$1,308$981

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.