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CT abdomen and pelvis without contrast

CPT 74176 · negotiated-rate distribution across hospitals in ME

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Hospitals
5
Min
$76.70
Median
$235.42
Max
$1,746.93
Range multiplier
22.8×

By payer (26 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS418$29.00$693.60$1,169.1440.3×
UnitedHealthcare415$29.00$175.99$2,780.7995.9×
Aetna411$29.00$209.48$2,258.9377.9×
Humana47$29.00$214.13$235.428.1×
Cigna45$650.00$650.00$2,449.443.8×
Medicare33$29.00$31.00$235.428.1×
community health options33$76.27$78.53$78.601.0×
harvard pilgrim33$899.54$899.63$933.131.0×
Medicaid33$30.31$30.31$256.618.5×
sentara health plan13$171.19$233.99$2,109.2412.3×
WellCare33$29.00$31.00$235.428.1×
martins point11$235.42$235.42$235.421.0×
vhn - ultra11$2,109.24$2,109.24$2,109.241.0×
First Health11$175.99$175.99$175.991.0×
Multiplan11$87.00$87.00$87.001.0×
Self-Pay (Cash)11$235.42$235.42$235.421.0×
workers compensation11$398.14$398.14$398.141.0×
TRICARE11$235.42$235.42$235.421.0×
connecticare11$2,381.40$2,381.40$2,381.401.0×
vhn11$2,721.60$2,721.60$2,721.601.0×
vhn - link11$3,061.80$3,061.80$3,061.801.0×
vhn - plus11$2,619.54$2,619.54$2,619.541.0×
gateway - tier 211$2,721.60$2,721.60$2,721.601.0×
gateway - tier 311$1,871.10$1,871.10$1,871.101.0×
vhn - secondary payors11$3,231.90$3,231.90$3,231.901.0×
gateway - tier 111$3,231.90$3,231.90$3,231.901.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Rumford HospitalRumfordME10$2,415.63$700.00$29.00$76.80$899.54
Bridgton HospitalBridgtonME10$2,415.63$748.00$30.31$76.70$899.63
Central Maine Medical CenterLewistonME15$2,415.63$235.00$76.27$235.42$1,126.65
Franklin Memorial HospitalFarmingtonME16$3,402.00$1,190.70$167.99$1,746.93$3,231.90
Redington-Fairview General HospitalSkowheganME0$2,621.00$1,965.75

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.