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CPT 81003 · negotiated-rate distribution across hospitals in ME

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Hospitals
5
Min
$2.25
Median
$31
Max
$44.94
Range multiplier
20.0×

By payer (25 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS417$2.19$18.54$3114.2×
UnitedHealthcare414$2.25$33.04$90.740.3×
Aetna49$2.25$36.26$78.534.9×
Cigna45$47.18$63.6$63.71.4×
Humana44$2.25$15.74$3113.8×
Medicare33$2.25$29$3113.8×
harvard pilgrim33$11.81$20.86$20.971.8×
Medicaid33$2.45$30.31$30.3112.4×
Self-Pay (Cash)33$2.25$2.25$2.251.0×
WellCare33$2.25$29$3113.8×
sentara health plan12$2.41$22.91$43.418.0×
Multiplan22$87$88.5$901.0×
First Health11$2.48$2.48$2.481.0×
workers compensation11$3.81$3.81$3.811.0×
TRICARE11$2.25$2.25$2.251.0×
connecticare11$49$49$491.0×
vhn11$56$56$561.0×
vhn - link11$63$63$631.0×
vhn - plus11$53.9$53.9$53.91.0×
gateway - tier 211$56$56$561.0×
gateway - tier 311$38.5$38.5$38.51.0×
vhn - secondary payors11$66.5$66.5$66.51.0×
martins point11$2.25$2.25$2.251.0×
gateway - tier 111$66.5$66.5$66.51.0×
vhn - ultra11$43.4$43.4$43.41.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
FRANKLIN MEMORIAL HOSPITALFARMINGTONME16$70$24.5$2.36$44.94$66.5
BRIDGTON HOSPITALBRIDGTONME11$63.13$19$2.25$31$90.7
RUMFORD HOSPITALRUMFORDME10$63.13$18$2.25$29$90.7
CENTRAL MAINE MEDICAL CENTERLEWISTONME14$63.13$2$2.19$2.25$87.2
REDINGTON-FAIRVIEW GENERAL HOSPITALSKOWHEGANME0$21$15.75

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.