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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
$76.7
Median
$235.42
Max
$1,746.93
Range multiplier
22.8×

By payer (26 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS418$29$693.6$1,169.1440.3×
UnitedHealthcare415$29$175.99$2,780.7995.9×
Aetna411$29$209.48$2,258.9377.9×
Humana47$29$214.13$235.428.1×
Cigna45$650$650$2,449.443.8×
Medicare33$29$31$235.428.1×
community health options33$76.27$78.53$78.61.0×
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$31$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$87$871.0×
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$2,381.4$2,381.4$2,381.41.0×
vhn11$2,721.6$2,721.6$2,721.61.0×
vhn - link11$3,061.8$3,061.8$3,061.81.0×
vhn - plus11$2,619.54$2,619.54$2,619.541.0×
gateway - tier 211$2,721.6$2,721.6$2,721.61.0×
gateway - tier 311$1,871.1$1,871.1$1,871.11.0×
vhn - secondary payors11$3,231.9$3,231.9$3,231.91.0×
gateway - tier 111$3,231.9$3,231.9$3,231.91.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
RUMFORD HOSPITALRUMFORDME10$2,415.63$700$29$76.8$899.54
BRIDGTON HOSPITALBRIDGTONME10$2,415.63$748$30.31$76.7$899.63
CENTRAL MAINE MEDICAL CENTERLEWISTONME15$2,415.63$235$76.27$235.42$1,126.65
FRANKLIN MEMORIAL HOSPITALFARMINGTONME16$3,402$1,190.7$167.99$1,746.93$3,231.9
REDINGTON-FAIRVIEW GENERAL HOSPITALSKOWHEGANME0$2,621$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.