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CT thoracic spine without contrast

CPT 72128 · negotiated-rate distribution across hospitals in ME

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Hospitals
5
Min
$60.85
Median
$690.16
Max
$1,063.46
Range multiplier
17.5×

By payer (24 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS417$31.00$512.27$1,064.7334.3×
UnitedHealthcare413$29.00$103.15$1,692.8458.4×
Humana36$31.00$97.64$124.734.0×
Aetna26$91.78$578.65$1,375.1415.0×
Cigna45$650.00$650.00$1,491.122.3×
Medicare33$29.00$31.00$103.153.6×
harvard pilgrim33$730.31$730.39$757.581.0×
Medicaid33$30.31$30.31$112.433.7×
sentara health plan13$102.52$121.33$1,284.0212.5×
WellCare22$31.00$67.08$103.153.3×
martins point11$103.15$103.15$103.151.0×
First Health11$124.73$124.73$124.731.0×
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×
connecticare11$1,449.70$1,449.70$1,449.701.0×
vhn11$1,656.80$1,656.80$1,656.801.0×
vhn - link11$1,863.90$1,863.90$1,863.901.0×
vhn - plus11$1,594.67$1,594.67$1,594.671.0×
vhn - secondary payors11$1,967.45$1,967.45$1,967.451.0×
gateway - tier 211$1,656.80$1,656.80$1,656.801.0×
gateway - tier 311$1,139.05$1,139.05$1,139.051.0×
gateway - tier 111$1,967.45$1,967.45$1,967.451.0×
vhn - ultra11$1,284.02$1,284.02$1,284.021.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Rumford HospitalRumfordME6$2,050.00$594.00$29.00$690.16$963.52
Bridgton HospitalBridgtonME8$2,050.00$635.00$30.31$60.85$1,064.73
Franklin Memorial HospitalFarmingtonME16$2,071.00$724.85$91.78$1,063.46$1,967.45
Central Maine Medical CenterLewistonME13$2,050.00$103.00$103.15$103.15$757.58
Redington-Fairview General HospitalSkowheganME0$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.