▸ Hospital · ME · CCN 200024
Central Maine Medical Center
300 MAIN STREET, LEWISTON, ME, 04240-4500
187 bedsAcute Care Hospitals2
Compliance grade
A
100/100
Procedures tracked
135
of 209 target codes
Payers
15
with negotiated rates
Rates published
2,796
last crawl 2026-05-22
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 11 | — | $11,671 | $9,756.31 | $11,671 | $25,240 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 11 | $548.75 | $175 | $175.13 | $175.13 | $548.75 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 15 | $314.69 | $83 | $76.27 | $83.2 | $314.69 |
| ED visit level 2 | CPT | 99282 | 15 | $523.13 | $151 | $76.27 | $151.49 | $523.13 |
| ED visit level 3 | CPT | 99283 | 15 | $1,074.06 | $269 | $76.27 | $269.34 | $1,074.06 |
| ED visit level 4 | CPT | 99284 | 15 | $1,961.88 | $411 | $76.27 | $411.71 | $1,961.88 |
| ED visit level 5 | CPT | 99285 | 15 | $3,182.19 | $587 | $76.27 | $587.61 | $2,812.13 |
| Critical care, first hour | CPT | 99291 | 12 | $5,241.25 | $815 | $76.3 | $815.04 | $3,900.54 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 15 | $1,950.31 | $103 | $76.27 | $103.15 | $650 |
| CT head with contrast | CPT | 70460 | 13 | $2,340.31 | $173 | $173.07 | $173.07 | $868.74 |
| CT head with and without contrast | CPT | 70470 | 13 | $2,818.13 | $173 | $78.5 | $173.07 | $1,038.4 |
| CT neck with contrast | CPT | 70491 | 15 | $2,634.06 | $173 | $76.27 | $173.07 | $1,091.04 |
| MRI brain without contrast | CPT | 70551 | 15 | $2,178.75 | $235 | $76.27 | $235.42 | $1,161.24 |
| MRI brain with contrast | CPT | 70552 | 13 | $2,251.88 | $344 | $344.22 | $344.22 | $1,708.21 |
| MRI brain with and without contrast | CPT | 70553 | 15 | $3,143.44 | $344 | $76.27 | $344.22 | $1,933.49 |
| Chest X-ray single view | CPT | 71045 | 13 | $319.06 | $85 | $78.5 | $85.87 | $319.06 |
| Chest X-ray 2 views | CPT | 71046 | 14 | $319.06 | $85 | $63.4 | $85.87 | $319.06 |
| Chest X-ray 3 views | CPT | 71047 | 12 | $319.06 | $85 | $85.87 | $85.87 | $319.06 |
| CT chest without contrast | CPT | 71250 | 15 | $2,460.63 | $103 | $76.27 | $103.15 | $751.78 |
| CT chest with contrast | CPT | 71260 | 14 | $3,165.31 | $173 | $76.27 | $173.07 | $1,023.81 |
| CT chest with and without contrast | CPT | 71270 | 13 | $3,931.56 | $173 | $173.07 | $173.07 | $1,254.82 |
| MRI chest without contrast | CPT | 71550 | 13 | $2,893.44 | $235 | $235.42 | $235.42 | $2,451.2 |
| MRI chest with contrast | CPT | 71551 | 13 | $2,698.75 | $773 | $773.49 | $773.49 | $2,698.75 |
| MRI chest with and without contrast | CPT | 71552 | 13 | $3,750.94 | $344 | $344.22 | $344.22 | $3,328.72 |
| Lumbosacral spine X-ray | CPT | 72100 | 15 | $705.63 | $103 | $63.4 | $103.15 | $493.64 |
| CT cervical spine without contrast | CPT | 72125 | 15 | $2,131.88 | $103 | $76.27 | $103.15 | $760.49 |
| CT thoracic spine without contrast | CPT | 72128 | 13 | $2,050 | $103 | $103.15 | $103.15 | $757.58 |
| CT lumbar spine without contrast | CPT | 72131 | 14 | $2,379.69 | $103 | $76.27 | $103.15 | $751.78 |
| MRI cervical spine without contrast | CPT | 72141 | 15 | $2,406.88 | $235 | $76.27 | $235.42 | $1,126.65 |
| MRI thoracic spine without contrast | CPT | 72146 | 14 | $2,612.81 | $235 | $76.27 | $235.42 | $1,126.65 |
| MRI lumbar spine without contrast | CPT | 72148 | 15 | $2,668.44 | $235 | $76.27 | $235.42 | $1,126.65 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 14 | $2,657.81 | $344 | $76.27 | $344.22 | $1,708.21 |
| MRI cervical spine with and without contrast | CPT | 72156 | 15 | $3,089.38 | $344 | $76.27 | $344.22 | $1,945.18 |
| MRI lumbar spine with contrast | CPT | 72158 | 14 | $3,257.5 | $344 | $76.27 | $344.22 | $1,939.3 |
| CT pelvis without contrast | CPT | 72192 | 13 | $2,225 | $103 | $78.5 | $103.15 | $748.8 |
| CT pelvis with contrast | CPT | 72193 | 14 | $2,424.38 | $173 | $76.27 | $173.07 | $1,585.37 |
| Shoulder X-ray | CPT | 73030 | 15 | $537.5 | $85 | $63.4 | $85.87 | $410.95 |
| Humerus X-ray | CPT | 73060 | 13 | $517.19 | $85 | $76.27 | $85.87 | $410.95 |
| Hand X-ray 3 views | CPT | 73130 | 15 | $513.44 | $85 | $63.4 | $85.87 | $410.95 |
| MRI upper extremity joint without contrast | CPT | 73221 | 14 | $2,668.44 | $235 | $78.5 | $235.42 | $1,272.39 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 14 | $3,750.94 | $344 | $87 | $344.22 | $2,609.18 |
| Knee X-ray 1-2 views | CPT | 73560 | 15 | $219.38 | $85 | $63.4 | $85.87 | $219.38 |
| Ankle X-ray 3 views | CPT | 73610 | 15 | $483.44 | $85 | $63.4 | $85.87 | $410.95 |
| MRI lower extremity joint without contrast | CPT | 73721 | 14 | $2,882.5 | $235 | $78.5 | $235.42 | $1,269.49 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 13 | $3,750.94 | $344 | $344.22 | $344.22 | $2,597.49 |
| CT abdomen without contrast | CPT | 74150 | 13 | $2,172.19 | $103 | $103.15 | $103.15 | $740.02 |
| CT abdomen with contrast | CPT | 74160 | 13 | $3,446.56 | $173 | $87.2 | $173.07 | $1,576.59 |
| CT abdomen with and without contrast | CPT | 74170 | 13 | $3,903.13 | $173 | $78.5 | $173.07 | $1,787.2 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 15 | $2,415.63 | $235 | $76.27 | $235.42 | $1,126.65 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 15 | $3,459.06 | $344 | $76.27 | $344.22 | $1,986.13 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 13 | $3,903.13 | $344 | $78.5 | $344.22 | $2,243.5 |
| MRI abdomen without contrast | CPT | 74181 | 13 | $1,936.56 | $235 | $235.42 | $235.42 | $1,167.12 |
| MRI abdomen with and without contrast | CPT | 74183 | 14 | $3,609.06 | $344 | $78.5 | $344.22 | $2,149.91 |
| Abdominal ultrasound complete | CPT | 76700 | 14 | $1,398.13 | $103 | $76.27 | $103.15 | $690.28 |
| Abdominal ultrasound limited | CPT | 76705 | 15 | $671.88 | $103 | $63.4 | $103.15 | $523.59 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 13 | $1,185.94 | $103 | $76.27 | $103.15 | $646.43 |
| Obstetric ultrasound first trimester | CPT | 76801 | 14 | $967.5 | $103 | $76.27 | $103.15 | $623.06 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 12 | $1,121.88 | $103 | $103.15 | $103.15 | $780.96 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 12 | $1,164.38 | $235 | $235.42 | $235.42 | $1,126.65 |
| Transvaginal ultrasound | CPT | 76830 | 15 | $718.13 | $103 | $63.4 | $103.15 | $718.13 |
| Pelvic ultrasound complete | CPT | 76856 | 15 | $1,180.63 | $103 | $63.4 | $103.15 | $643.53 |
| Scrotal ultrasound | CPT | 76870 | 15 | $1,040 | $103 | $63.4 | $103.15 | $617.18 |
| Diagnostic mammography unilateral | CPT | 77065 | 15 | $501.88 | $79 | $63.4 | $79.18 | $501.88 |
| Diagnostic mammography bilateral | CPT | 77066 | 15 | $753.44 | $101 | $63.4 | $101.51 | $753.44 |
| Screening mammography bilateral | CPT | 77067 | 15 | $667.5 | $83 | $63.4 | $83.79 | $297.79 |
| Transthoracic echocardiogram complete | CPT | 93306 | 15 | $3,168.75 | $539 | $76.27 | $539.15 | $2,580.21 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 11 | — | $16,342 | $13,768 | $16,342 | $45,061 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 13 | — | $8,731 | $7,038.3 | $8,731.75 | $26,264 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 12 | — | $6,253 | $4,763.95 | $6,253.16 | $18,457 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 11 | — | $12,933 | $11,188 | $12,933 | $31,605 |
| COPD w MCC | MS-DRG | 190 | 11 | — | $9,472 | $7,772.65 | $9,472.51 | $23,457 |
| COPD w CC | MS-DRG | 191 | 11 | — | $7,459 | $5,946.11 | $7,459.37 | $18,482 |
| COPD w/o CC/MCC | MS-DRG | 192 | 11 | — | $5,930 | $4,479.48 | $5,930.69 | $11,601 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 13 | — | $7,177 | $5,675.49 | $7,177.21 | $19,599 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 11 | — | $5,828 | $4,309.91 | $5,828.02 | $11,357 |
| AMI discharged alive w MCC | MS-DRG | 280 | 11 | — | $13,247 | $11,361 | $13,248 | $28,986 |
| AMI discharged alive w CC | MS-DRG | 281 | 12 | — | $8,038 | $6,380.08 | $8,038.14 | $25,565 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 12 | — | $6,547 | $5,018.66 | $6,547.48 | $21,250 |
| Heart failure & shock w MCC | MS-DRG | 291 | 11 | — | $10,811 | $9,030.95 | $10,812 | $28,178 |
| Heart failure & shock w CC | MS-DRG | 292 | 11 | — | $7,505 | $5,960.65 | $7,505 | $15,341 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 11 | — | $5,352 | $3,797.73 | $5,352.68 | $10,228 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 11 | — | $10,204 | $8,346.43 | $10,205 | $31,861 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 14 | — | $6,643 | $5,116.94 | $6,643.31 | $20,341 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 12 | — | $5,353 | $3,872.48 | $5,353.44 | $13,321 |
| GI hemorrhage w CC | MS-DRG | 378 | 11 | — | $8,506 | $6,823.74 | $8,506.63 | $22,804 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 12 | — | $5,842 | $4,406.81 | $5,842.47 | $18,336 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 13 | — | $6,977 | $5,400.71 | $6,977.19 | $20,180 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 11 | — | $12,971 | $10,554 | $12,971 | $33,903 |
| Kidney/UTI w MCC | MS-DRG | 689 | 11 | — | $9,872 | $8,100.03 | $9,872.55 | $20,966 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 11 | — | $7,204 | $5,555.06 | $7,204.59 | $19,406 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 13 | — | $15,821 | $13,580 | $15,822 | $46,860 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 12 | — | $8,830 | $7,135.89 | $8,830.62 | $23,092 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 15 | $226.56 | $8 | $8.22 | $8.46 | $87.2 |
| General health panel | CPT | 80050 | 2 | $720.63 | — | $78.5 | $170.33 | $262.15 |
| Electrolyte panel | CPT | 80051 | 14 | $118.13 | $7 | $6.81 | $7.01 | $87.2 |
| Comprehensive metabolic panel | CPT | 80053 | 15 | $336.88 | $10 | $10.26 | $10.56 | $87.2 |
| Lipid panel | CPT | 80061 | 15 | $247.5 | $13 | $13.01 | $13.39 | $87.2 |
| Renal function panel | CPT | 80069 | 15 | $217.19 | $8 | $8.44 | $8.68 | $87.2 |
| Hepatic function panel | CPT | 80076 | 15 | $286.56 | $8 | $7.94 | $8.17 | $87.2 |
| Urinalysis non-automated | CPT | 81002 | 12 | $68.75 | $3 | $3.38 | $3.48 | $18.26 |
| Urinalysis automated | CPT | 81003 | 14 | $63.13 | $2 | $2.19 | $2.25 | $87.2 |
| Glucose quantitative | CPT | 82947 | 15 | $83.13 | $3 | $3.82 | $3.93 | $87.2 |
| Hemoglobin A1c | CPT | 83036 | 15 | $176.88 | $9 | $9.44 | $9.71 | $87.2 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 15 | $264.38 | $16 | $16.33 | $16.8 | $88.15 |
| Complete blood count with automated differential | CPT | 85025 | 14 | $117.81 | $7 | $7.55 | $7.77 | $87.2 |
| Complete blood count without differential | CPT | 85027 | 15 | $103.13 | $6 | $6.29 | $6.47 | $87.2 |
| Urine culture identification | CPT | 87088 | 15 | $183.13 | $8 | $7.86 | $8.09 | $87.2 |
| Tissue exam by pathologist level IV | CPT | 88305 | 14 | $462.19 | $51 | $51.42 | $53.74 | $246.08 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 3 | $605.63 | — | $78.5 | $87 | $87.2 |
| Vaginal delivery only | CPT | 59409 | 11 | $9,491.56 | $3,194 | $3,194.07 | $3,194.07 | $9,491.56 |
| office | ||||||||
| Office visit, established patient, 5 min | CPT | 99211 | 1 | $137.5 | — | $87.2 | $87.2 | $87.2 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 2 | $221.25 | — | $78.5 | $82.75 | $87 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 4 | $291.56 | — | $76.27 | $82.75 | $87.2 |
| surgery | ||||||||
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 12 | — | $36,006 | $31,782 | $36,006 | $95,718 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 14 | — | $19,279 | $16,360 | $19,280 | $62,614 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 11 | — | $13,847 | $11,427 | $13,847 | $44,397 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 12 | — | $13,913 | $11,478 | $13,913 | $39,968 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 12 | — | $11,435 | $9,119.54 | $11,436 | $32,551 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 11 | — | $26,960 | $24,429 | $26,960 | $61,566 |
| Major joint replacement w MCC | MS-DRG | 469 | 11 | — | $24,116 | $22,624 | $24,117 | $66,780 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 11 | — | $15,718 | $13,050 | $15,718 | $38,133 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 12 | — | $23,197 | $20,356 | $23,197 | $77,425 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 11 | — | $16,977 | $14,361 | $16,978 | $44,945 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 11 | — | $13,452 | $10,980 | $13,452 | $43,553 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 11 | — | $23,007 | $18,871 | $23,008 | $84,264 |
| OR procedure for obesity w CC | MS-DRG | 620 | 11 | — | $13,218 | $11,053 | $13,219 | $38,443 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 13 | — | $12,520 | $10,118 | $12,520 | $36,549 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 11 | — | $10,484 | $8,296.6 | $10,484 | $28,152 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 11 | — | $16,632 | $13,524 | $16,632 | $37,027 |
| PCI single major coronary artery | CPT | 92920 | 11 | $18,444 | $5,615 | $5,615.88 | $5,615.88 | $18,444 |
| PCI with drug-eluting stent | CPT | 92928 | 12 | $27,388 | $11,390 | $76.27 | $11,391 | $27,388 |
| PCI bypass graft | CPT | 92937 | 11 | $27,936 | $11,390 | $11,391 | $11,391 | $27,936 |
| Left heart catheterization | CPT | 93452 | 11 | $16,182 | $3,198 | $3,198.82 | $3,198.82 | $15,309 |
| Coronary angiography with cath | CPT | 93455 | 11 | $16,182 | $3,198 | $3,198.82 | $3,198.82 | $15,309 |
| Coronary angiography with bypass cath | CPT | 93458 | 15 | $16,182 | $3,198 | $76.27 | $3,198.82 | $15,309 |
Payer mix (top 15)
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 134 | $103.15 |
| UnitedHealthcare | 133 | $174.1 |
| workers compensation | 130 | $582.14 |
| Anthem BCBS | 130 | $662.63 |
| Medicare | 130 | $344.22 |
| Self-Pay (Cash) | 130 | $344.22 |
| TRICARE | 130 | $344.22 |
| WellCare | 130 | $344.22 |
| Humana | 130 | $344.22 |
| martins point | 130 | $344.22 |
| Medicaid | 130 | $375.2 |
| harvard pilgrim | 90 | $751.78 |
| Cigna | 73 | $650 |
| Multiplan | 62 | $87 |
| community health options | 59 | $76.27 |