▸ Hospital · ME · CCN 201306
Rumford Hospital
420 FRANKLIN STREET, RUMFORD, ME, 04276
25 bedsCritical Access Hospitals2
Compliance grade
A
100/100
Procedures tracked
126
of 209 target codes
Payers
13
with negotiated rates
Rates published
1,591
last crawl 2026-05-22
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 1 | — | $14,571 | $16,467 | $16,467 | $16,467 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 3 | $548.75 | $159 | $29 | $29 | $30.31 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 10 | $314.69 | $91 | $29 | $54.46 | $314.69 |
| ED visit level 2 | CPT | 99282 | 11 | $523.13 | $151 | $29 | $76.8 | $523.13 |
| ED visit level 3 | CPT | 99283 | 11 | $1,074.06 | $311 | $29 | $76.8 | $1,074.06 |
| ED visit level 4 | CPT | 99284 | 11 | $1,961.88 | $568 | $29 | $76.8 | $1,961.88 |
| ED visit level 5 | CPT | 99285 | 11 | $3,182.19 | $922 | $29 | $76.8 | $3,182.19 |
| Critical care, first hour | CPT | 99291 | 7 | $5,241.25 | $1,519 | $29 | $29 | $90.7 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 11 | $1,950.31 | $565 | $29 | $77.7 | $866.97 |
| CT head with contrast | CPT | 70460 | 6 | $2,340.31 | $678 | $29 | $743.73 | $1,113.65 |
| CT head with and without contrast | CPT | 70470 | 6 | $2,818.13 | $817 | $29 | $1,001.02 | $1,372.87 |
| CT neck with contrast | CPT | 70491 | 9 | $2,634.06 | $763 | $29 | $29.66 | $1,304.92 |
| MRI brain without contrast | CPT | 70551 | 10 | $2,178.75 | $631 | $29 | $53.56 | $1,726.81 |
| MRI brain with contrast | CPT | 70552 | 3 | $2,251.88 | $653 | $900 | $1,906.48 | $2,118.32 |
| MRI brain with and without contrast | CPT | 70553 | 10 | $3,143.44 | $911 | $29 | $53.56 | $2,668.87 |
| Chest X-ray single view | CPT | 71045 | 3 | $319.06 | $92 | $42.82 | $53.53 | $146.62 |
| Chest X-ray 2 views | CPT | 71046 | 5 | $319.06 | $92 | $76.8 | $90.7 | $197.36 |
| Chest X-ray 3 views | CPT | 71047 | 2 | $319.06 | $92 | $99.92 | $124.9 | $248.17 |
| CT chest without contrast | CPT | 71250 | 9 | $2,460.63 | $713 | $29 | $53.56 | $963.52 |
| CT chest with contrast | CPT | 71260 | 10 | $3,165.31 | $917 | $29 | $76.8 | $1,381.79 |
| CT chest with and without contrast | CPT | 71270 | 3 | $3,931.56 | $1,140 | $650 | $1,521.96 | $1,691.07 |
| MRI chest without contrast | CPT | 71550 | 3 | $2,893.44 | $839 | $900 | $1,725.03 | $2,362.97 |
| MRI chest with contrast | CPT | 71551 | 3 | $2,698.75 | $782 | $900 | $2,118.32 | $2,566 |
| MRI chest with and without contrast | CPT | 71552 | 3 | $3,750.94 | $1,087 | $900 | $2,668.87 | $3,208.9 |
| Lumbosacral spine X-ray | CPT | 72100 | 9 | $705.63 | $204 | $29 | $63.7 | $248.17 |
| CT cervical spine without contrast | CPT | 72125 | 8 | $2,131.88 | $618 | $29 | $76.8 | $963.52 |
| CT thoracic spine without contrast | CPT | 72128 | 6 | $2,050 | $594 | $29 | $690.16 | $963.52 |
| CT lumbar spine without contrast | CPT | 72131 | 7 | $2,379.69 | $690 | $29 | $363.4 | $963.52 |
| MRI cervical spine without contrast | CPT | 72141 | 10 | $2,406.88 | $697 | $29 | $76.8 | $1,725.03 |
| MRI thoracic spine without contrast | CPT | 72146 | 8 | $2,612.81 | $757 | $29 | $900 | $1,725.03 |
| MRI lumbar spine without contrast | CPT | 72148 | 10 | $2,668.44 | $773 | $29 | $53.56 | $1,725.03 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 3 | $2,657.81 | $770 | $900 | $1,906.48 | $2,118.32 |
| MRI cervical spine with and without contrast | CPT | 72156 | 4 | $3,089.38 | $895 | $30.31 | $2,136.55 | $2,670.71 |
| MRI lumbar spine with contrast | CPT | 72158 | 7 | $3,257.5 | $944 | $29 | $1,384.75 | $2,670.71 |
| CT pelvis without contrast | CPT | 72192 | 7 | $2,225 | $645 | $29 | $90.7 | $963.52 |
| CT pelvis with contrast | CPT | 72193 | 7 | $2,424.38 | $703 | $29 | $340.16 | $1,528.31 |
| Shoulder X-ray | CPT | 73030 | 10 | $537.5 | $155 | $29 | $70.25 | $219.97 |
| Humerus X-ray | CPT | 73060 | 9 | $517.19 | $149 | $29 | $63.7 | $205.83 |
| Hand X-ray 3 views | CPT | 73130 | 11 | $513.44 | $148 | $29 | $76.8 | $245.3 |
| MRI upper extremity joint without contrast | CPT | 73221 | 3 | $2,668.44 | $773 | $900 | $1,552.52 | $1,725.03 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 3 | $3,750.94 | $1,087 | $900 | $2,592.99 | $2,670.71 |
| Knee X-ray 1-2 views | CPT | 73560 | 10 | $219.38 | $63 | $29 | $69.74 | $219.38 |
| Ankle X-ray 3 views | CPT | 73610 | 10 | $483.44 | $140 | $29 | $70.25 | $239.7 |
| MRI lower extremity joint without contrast | CPT | 73721 | 3 | $2,882.5 | $835 | $900 | $1,552.52 | $1,725.03 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 3 | $3,750.94 | $1,087 | $900 | $2,586.43 | $2,668.87 |
| CT abdomen without contrast | CPT | 74150 | 7 | $2,172.19 | $629 | $29 | $681.69 | $963.52 |
| CT abdomen with contrast | CPT | 74160 | 7 | $3,446.56 | $999 | $29 | $650 | $1,519.84 |
| CT abdomen with and without contrast | CPT | 74170 | 10 | $3,903.13 | $1,131 | $29 | $76.8 | $1,722.87 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 10 | $2,415.63 | $700 | $29 | $76.8 | $899.54 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 11 | $3,459.06 | $1,003 | $29 | $77.7 | $1,914.63 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 7 | $3,903.13 | $1,131 | $29 | $340.16 | $2,162.74 |
| MRI abdomen without contrast | CPT | 74181 | 3 | $1,936.56 | $561 | $900 | $1,552.52 | $1,725.03 |
| MRI abdomen with and without contrast | CPT | 74183 | 3 | $3,609.06 | $1,046 | $900 | $2,403.63 | $2,670.71 |
| Abdominal ultrasound complete | CPT | 76700 | 8 | $1,398.13 | $405 | $29 | $29.66 | $665.44 |
| Abdominal ultrasound limited | CPT | 76705 | 11 | $671.88 | $194 | $29 | $70.25 | $504.75 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 9 | $1,185.94 | $343 | $29 | $47.01 | $623.16 |
| Obstetric ultrasound first trimester | CPT | 76801 | 6 | $967.5 | $280 | $30.31 | $320.34 | $600.63 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 4 | $1,121.88 | $325 | $30.31 | $475.52 | $752.85 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 2 | $1,164.38 | $337 | $450.48 | $563.1 | $747.25 |
| Transvaginal ultrasound | CPT | 76830 | 9 | $718.13 | $208 | $29 | $70.25 | $718.13 |
| Pelvic ultrasound complete | CPT | 76856 | 10 | $1,180.63 | $342 | $29 | $63.7 | $620.36 |
| Scrotal ultrasound | CPT | 76870 | 10 | $1,040 | $301 | $29 | $63.7 | $594.96 |
| Diagnostic mammography unilateral | CPT | 77065 | 9 | $501.88 | $145 | $29 | $78.6 | $501.88 |
| Diagnostic mammography bilateral | CPT | 77066 | 11 | $753.44 | $218 | $29 | $71.15 | $753.44 |
| Screening mammography bilateral | CPT | 77067 | 12 | $667.5 | $193 | $29 | $77.7 | $667.5 |
| Transthoracic echocardiogram complete | CPT | 93306 | 9 | $3,168.75 | $918 | $29 | $29 | $90.7 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 1 | — | $9,863 | $23,708 | $23,708 | $23,708 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 2 | — | $6,276 | $6,276.87 | $9,093.64 | $11,910 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 1 | — | $4,259 | $8,068.38 | $8,068.38 | $8,068.38 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 2 | — | $9,863 | $9,863.66 | $14,143 | $18,423 |
| COPD w MCC | MS-DRG | 190 | 3 | — | $7,397 | $7,397.74 | $7,730.65 | $13,059 |
| COPD w CC | MS-DRG | 191 | 2 | — | $5,828 | $6,090.81 | $8,014.46 | $9,938.11 |
| COPD w/o CC/MCC | MS-DRG | 192 | 1 | — | $4,707 | $7,568.53 | $7,568.53 | $7,568.53 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 4 | — | $6,276 | $6,276.87 | $6,276.87 | $9,500.74 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 2 | — | $4,931 | $4,931.83 | $6,170.6 | $7,409.37 |
| AMI discharged alive w MCC | MS-DRG | 280 | 1 | — | $9,191 | $18,911 | $18,911 | $18,911 |
| AMI discharged alive w CC | MS-DRG | 281 | 1 | — | $5,156 | $10,835 | $10,835 | $10,835 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 1 | — | $3,810 | $8,524.61 | $8,524.61 | $8,524.61 |
| Heart failure & shock w MCC | MS-DRG | 291 | 6 | — | $8,518 | $8,518.61 | $8,518.61 | $15,135 |
| Heart failure & shock w CC | MS-DRG | 292 | 2 | — | $6,501 | $6,501.05 | $8,254.95 | $10,009 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 2 | — | $4,707 | $4,707.65 | $5,690.11 | $6,672.56 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 3 | — | $7,621 | $7,621.92 | $7,621.92 | $14,194 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 3 | — | $5,156 | $5,156 | $5,388.03 | $8,673.15 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 1 | — | $4,035 | $6,673.74 | $6,673.74 | $6,673.74 |
| GI hemorrhage w CC | MS-DRG | 378 | 1 | — | $6,501 | $11,561 | $11,561 | $11,561 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 1 | — | $4,483 | $7,431.77 | $7,431.77 | $7,431.77 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 2 | — | $5,604 | $5,604.35 | $7,397.52 | $9,190.69 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 1 | — | $9,639 | $18,482 | $18,482 | $18,482 |
| Kidney/UTI w MCC | MS-DRG | 689 | 2 | — | $8,518 | $8,518.61 | $11,099 | $13,679 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 1 | — | $6,276 | $9,543.18 | $9,543.18 | $9,543.18 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 3 | — | $10,760 | $10,760 | $11,245 | $22,900 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 4 | — | $7,621 | $7,621.92 | $7,621.92 | $12,064 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 12 | $226.56 | $65 | $8.46 | $66.1 | $90.7 |
| General health panel | CPT | 80050 | 1 | $720.63 | $208 | $463.15 | $463.15 | $463.15 |
| Electrolyte panel | CPT | 80051 | 5 | $118.13 | $34 | $7.01 | $57.32 | $70.93 |
| Comprehensive metabolic panel | CPT | 80053 | 12 | $336.88 | $97 | $10.56 | $70.25 | $106.95 |
| Lipid panel | CPT | 80061 | 12 | $247.5 | $71 | $13.39 | $70.25 | $135.56 |
| Renal function panel | CPT | 80069 | 11 | $217.19 | $62 | $8.68 | $47.01 | $87.83 |
| Hepatic function panel | CPT | 80076 | 11 | $286.56 | $83 | $8.17 | $63.7 | $90.7 |
| Urinalysis non-automated | CPT | 81002 | 9 | $68.75 | $19 | $3.48 | $29 | $32.26 |
| Urinalysis automated | CPT | 81003 | 10 | $63.13 | $18 | $2.25 | $29 | $90.7 |
| Glucose quantitative | CPT | 82947 | 7 | $83.13 | $24 | $3.93 | $32.07 | $76.8 |
| Hemoglobin A1c | CPT | 83036 | 12 | $176.88 | $51 | $9.71 | $63.7 | $98.16 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 12 | $264.38 | $76 | $16.8 | $70.25 | $169.92 |
| Complete blood count with automated differential | CPT | 85025 | 11 | $117.81 | $34 | $7.77 | $62.9 | $90.7 |
| Complete blood count without differential | CPT | 85027 | 11 | $103.13 | $29 | $6.47 | $52.37 | $90.7 |
| Urine culture identification | CPT | 87088 | 12 | $183.13 | $53 | $8.09 | $64.6 | $90.7 |
| Tissue exam by pathologist level IV | CPT | 88305 | 3 | $462.19 | $134 | $76.8 | $90 | $409.57 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 1 | $175.63 | $50 | $76.8 | $76.8 | $76.8 |
| Office visit, established patient, 5 min | CPT | 99211 | 3 | $137.5 | $39 | $29 | $29 | $30.31 |
| surgery | ||||||||
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 1 | — | $21,072 | $54,188 | $54,188 | $54,188 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 1 | — | $10,760 | $28,261 | $28,261 | $28,261 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 1 | — | $6,052 | $19,840 | $19,840 | $19,840 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 1 | — | $7,173 | $19,942 | $19,942 | $19,942 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 1 | — | $4,931 | $16,101 | $16,101 | $16,101 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 1 | — | $15,468 | $40,166 | $40,166 | $40,166 |
| Major joint replacement w MCC | MS-DRG | 469 | 1 | — | $7,397 | $35,758 | $35,758 | $35,758 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 1 | — | $4,259 | $22,740 | $22,740 | $22,740 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 1 | — | $13,674 | $34,333 | $34,333 | $34,333 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 1 | — | $9,639 | $24,692 | $24,692 | $24,692 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 1 | — | $6,949 | $19,228 | $19,228 | $19,228 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 1 | — | $6,276 | $34,040 | $34,040 | $34,040 |
| OR procedure for obesity w CC | MS-DRG | 620 | 1 | — | $3,362 | $18,866 | $18,866 | $18,866 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 1 | — | $2,690 | $17,783 | $17,783 | $17,783 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 1 | — | $3,362 | $14,627 | $14,627 | $14,627 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 1 | — | $10,312 | $24,157 | $24,157 | $24,157 |
Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.
Payer mix (top 13)
| Payer | Codes covered | Median rate |
|---|---|---|
| harvard pilgrim | 78 | $690.44 |
| Anthem BCBS | 77 | $420.1 |
| Medicaid | 69 | $30.31 |
| Cigna | 67 | $650 |
| Medicare | 67 | $29 |
| UnitedHealthcare | 66 | $29 |
| Aetna | 56 | $76.8 |
| Humana | 53 | $29 |
| WellCare | 52 | $29 |
| workers compensation | 43 | $15,135 |
| community health options | 35 | $78.6 |
| Multiplan | 21 | $90 |
| Self-Pay (Cash) | 17 | $8.46 |
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