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CT abdomen and pelvis with contrast

CPT 74177 · negotiated-rate distribution across hospitals in ME

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Hospitals
5
Min
$77.62
Median
$344.22
Max
$2,262.48
Range multiplier
29.2×

By payer (26 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS418$29.00$1,322.81$1,709.4858.9×
UnitedHealthcare415$29.00$291.96$3,601.46124.2×
Aetna411$29.00$306.29$2,925.58100.9×
Humana47$29.00$319.32$355.3112.3×
Cigna45$650.00$650.00$3,172.324.9×
Medicare33$29.00$31.00$344.2211.9×
community health options33$76.27$78.53$78.601.0×
harvard pilgrim33$1,914.63$1,914.83$1,986.131.0×
Medicaid33$30.31$30.31$375.2012.4×
Multiplan33$87.00$90.00$90.001.0×
sentara health plan13$284.00$342.13$2,731.729.6×
WellCare33$29.00$31.00$344.2211.9×
vhn - secondary payors11$4,185.70$4,185.70$4,185.701.0×
First Health11$291.96$291.96$291.961.0×
vhn - ultra11$2,731.72$2,731.72$2,731.721.0×
Self-Pay (Cash)11$344.22$344.22$344.221.0×
workers compensation11$582.14$582.14$582.141.0×
TRICARE11$344.22$344.22$344.221.0×
connecticare11$3,084.20$3,084.20$3,084.201.0×
vhn11$3,524.80$3,524.80$3,524.801.0×
vhn - link11$3,965.40$3,965.40$3,965.401.0×
gateway - tier 211$3,524.80$3,524.80$3,524.801.0×
gateway - tier 311$2,423.30$2,423.30$2,423.301.0×
vhn - plus11$3,392.62$3,392.62$3,392.621.0×
gateway - tier 111$4,185.70$4,185.70$4,185.701.0×
martins point11$344.22$344.22$344.221.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Rumford HospitalRumfordME11$3,459.06$1,003.00$29.00$77.70$1,914.63
Bridgton HospitalBridgtonME11$3,459.06$1,072.00$30.31$77.62$1,914.83
Central Maine Medical CenterLewistonME15$3,459.06$344.00$76.27$344.22$1,986.13
Franklin Memorial HospitalFarmingtonME16$4,406.00$1,542.10$278.69$2,262.48$4,185.70
Redington-Fairview General HospitalSkowheganME0$3,558.00$2,668.50

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.