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MRI lumbar spine with and without contrast

CPT 72149 · negotiated-rate distribution across hospitals in ME

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Hospitals
5
Min
$344.22
Median
$1,906.48
Max
$2,106.72
Range multiplier
6.1×

By payer (25 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS416$249.15$1,702.06$2,340.829.4×
UnitedHealthcare28$261.02$1,003.77$2,713.7710.4×
Aetna26$306.29$1,017.05$2,204.487.2×
Humana25$261.02$332.36$355.311.4×
Cigna45$900.00$900.00$2,390.402.7×
sentara health plan13$253.90$342.13$2,058.408.1×
harvard pilgrim33$1,646.73$1,646.89$1,708.211.0×
martins point11$344.22$344.22$344.221.0×
Medicaid11$375.20$375.20$375.201.0×
Medicare11$344.22$344.22$344.221.0×
Self-Pay (Cash)11$344.22$344.22$344.221.0×
TRICARE11$344.22$344.22$344.221.0×
vhn11$2,656.00$2,656.00$2,656.001.0×
vhn - link11$2,988.00$2,988.00$2,988.001.0×
vhn - plus11$2,556.40$2,556.40$2,556.401.0×
vhn - secondary payors11$3,154.00$3,154.00$3,154.001.0×
vhn - ultra11$2,058.40$2,058.40$2,058.401.0×
WellCare11$344.22$344.22$344.221.0×
workers compensation11$582.14$582.14$582.141.0×
community health options11$76.27$76.27$76.271.0×
connecticare11$2,324.00$2,324.00$2,324.001.0×
First Health11$261.02$261.02$261.021.0×
gateway - tier 111$3,154.00$3,154.00$3,154.001.0×
gateway - tier 211$2,656.00$2,656.00$2,656.001.0×
gateway - tier 311$1,826.00$1,826.00$1,826.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Central Maine Medical CenterLewistonME14$2,657.81$344.00$76.27$344.22$1,708.21
Bridgton HospitalBridgtonME3$2,657.81$823.00$900.00$2,106.72$2,340.82
Rumford HospitalRumfordME3$2,657.81$770.00$900.00$1,906.48$2,118.32
Franklin Memorial HospitalFarmingtonME16$3,320.00$1,162.00$249.15$1,714.62$3,154.00
Redington-Fairview General HospitalSkowheganME0$268.00$201.00

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.