▸ Hospital · ME · CCN 201310
Bridgton Hospital
BRIDGTON HOSPITAL, BRIDGTON, ME, 04009-
25 bedsCritical Access Hospitals2
Compliance grade
A
100/100
Procedures tracked
129
of 209 target codes
Payers
13
with negotiated rates
Rates published
1,612
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 | — | $13,952 | $16,467 | $16,467 | $16,467 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 8 | $314.69 | $97 | $30.31 | $76.7 | $314.69 |
| ED visit level 2 | CPT | 99282 | 11 | $523.13 | $162 | $30.31 | $76.7 | $523.13 |
| ED visit level 3 | CPT | 99283 | 11 | $1,074.06 | $332 | $30.31 | $76.7 | $1,074.06 |
| ED visit level 4 | CPT | 99284 | 11 | $1,961.88 | $608 | $30.31 | $76.7 | $1,961.88 |
| ED visit level 5 | CPT | 99285 | 11 | $3,182.19 | $986 | $30.31 | $76.7 | $3,182.19 |
| Critical care, first hour | CPT | 99291 | 9 | $5,241.25 | $1,624 | $30.31 | $31 | $90.7 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 11 | $1,950.31 | $604 | $30.31 | $77.62 | $958.04 |
| CT head with contrast | CPT | 70460 | 3 | $2,340.31 | $725 | $650 | $1,107.56 | $1,230.63 |
| CT head with and without contrast | CPT | 70470 | 7 | $2,818.13 | $873 | $30.31 | $650 | $1,517.07 |
| CT neck with contrast | CPT | 70491 | 9 | $2,634.06 | $816 | $30.31 | $77.62 | $1,441.98 |
| MRI brain without contrast | CPT | 70551 | 11 | $2,178.75 | $675 | $30.31 | $76.7 | $1,908.19 |
| MRI brain with contrast | CPT | 70552 | 3 | $2,251.88 | $698 | $900 | $2,062.25 | $2,251.88 |
| MRI brain with and without contrast | CPT | 70553 | 10 | $3,143.44 | $974 | $30.31 | $76.7 | $2,949.2 |
| Chest X-ray single view | CPT | 71045 | 3 | $319.06 | $98 | $43.68 | $59.15 | $146.64 |
| Chest X-ray 2 views | CPT | 71046 | 5 | $319.06 | $98 | $63.6 | $90 | $197.38 |
| Chest X-ray 3 views | CPT | 71047 | 2 | $319.06 | $98 | $101.93 | $138.02 | $248.2 |
| CT chest without contrast | CPT | 71250 | 10 | $2,460.63 | $762 | $30.31 | $76.7 | $1,064.73 |
| CT chest with contrast | CPT | 71260 | 10 | $3,165.31 | $981 | $30.31 | $76.7 | $1,526.93 |
| CT chest with and without contrast | CPT | 71270 | 3 | $3,931.56 | $1,218 | $650 | $1,681.81 | $1,868.7 |
| MRI chest without contrast | CPT | 71550 | 3 | $2,893.44 | $896 | $900 | $1,906.22 | $2,363.21 |
| MRI chest with contrast | CPT | 71551 | 3 | $2,698.75 | $836 | $900 | $2,340.82 | $2,566.27 |
| MRI chest with and without contrast | CPT | 71552 | 3 | $3,750.94 | $1,162 | $900 | $2,949.2 | $3,209.23 |
| Lumbosacral spine X-ray | CPT | 72100 | 10 | $705.63 | $218 | $30.31 | $70.15 | $248.2 |
| CT cervical spine without contrast | CPT | 72125 | 9 | $2,131.88 | $660 | $30.31 | $77.62 | $1,064.73 |
| CT thoracic spine without contrast | CPT | 72128 | 8 | $2,050 | $635 | $30.31 | $60.85 | $1,064.73 |
| CT lumbar spine without contrast | CPT | 72131 | 8 | $2,379.69 | $737 | $30.31 | $78.53 | $1,064.73 |
| MRI cervical spine without contrast | CPT | 72141 | 10 | $2,406.88 | $746 | $30.31 | $31 | $1,906.22 |
| MRI thoracic spine without contrast | CPT | 72146 | 8 | $2,612.81 | $809 | $30.31 | $488.35 | $1,906.22 |
| MRI lumbar spine without contrast | CPT | 72148 | 11 | $2,668.44 | $827 | $30.31 | $77.62 | $1,906.22 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 3 | $2,657.81 | $823 | $900 | $2,106.72 | $2,340.82 |
| MRI cervical spine with and without contrast | CPT | 72156 | 7 | $3,089.38 | $957 | $30.31 | $1,387.68 | $2,951.23 |
| MRI lumbar spine with contrast | CPT | 72158 | 7 | $3,257.5 | $1,009 | $30.31 | $900 | $2,951.23 |
| CT pelvis without contrast | CPT | 72192 | 6 | $2,225 | $689 | $30.31 | $650 | $1,064.73 |
| CT pelvis with contrast | CPT | 72193 | 6 | $2,424.38 | $751 | $30.31 | $906.54 | $1,528.46 |
| Shoulder X-ray | CPT | 73030 | 11 | $537.5 | $166 | $30.31 | $76.7 | $219.99 |
| Humerus X-ray | CPT | 73060 | 7 | $517.19 | $160 | $30.31 | $76.7 | $205.85 |
| Hand X-ray 3 views | CPT | 73130 | 10 | $513.44 | $159 | $30.31 | $70.15 | $245.33 |
| MRI upper extremity joint without contrast | CPT | 73221 | 3 | $2,668.44 | $827 | $900 | $1,715.58 | $1,906.22 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 3 | $3,750.94 | $1,162 | $900 | $2,733.38 | $2,951.23 |
| Knee X-ray 1-2 views | CPT | 73560 | 8 | $219.38 | $68 | $30.31 | $53.85 | $219.38 |
| Ankle X-ray 3 views | CPT | 73610 | 11 | $483.44 | $149 | $30.31 | $76.7 | $239.73 |
| MRI lower extremity joint without contrast | CPT | 73721 | 3 | $2,882.5 | $893 | $900 | $1,715.58 | $1,906.22 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 3 | $3,750.94 | $1,162 | $900 | $2,726.73 | $2,949.2 |
| CT abdomen without contrast | CPT | 74150 | 6 | $2,172.19 | $673 | $31 | $681.73 | $1,064.73 |
| CT abdomen with contrast | CPT | 74160 | 7 | $3,446.56 | $1,068 | $30.31 | $650 | $1,633.62 |
| CT abdomen with and without contrast | CPT | 74170 | 9 | $3,903.13 | $1,209 | $30.31 | $53.85 | $1,866.73 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 10 | $2,415.63 | $748 | $30.31 | $76.7 | $899.63 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 11 | $3,459.06 | $1,072 | $30.31 | $77.62 | $1,914.83 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 8 | $3,903.13 | $1,209 | $30.31 | $76.7 | $2,162.96 |
| MRI abdomen without contrast | CPT | 74181 | 3 | $1,936.56 | $600 | $900 | $1,715.58 | $1,906.22 |
| MRI abdomen with and without contrast | CPT | 74183 | 3 | $3,609.06 | $1,118 | $900 | $2,656.08 | $2,951.23 |
| Abdominal ultrasound complete | CPT | 76700 | 11 | $1,398.13 | $433 | $30.31 | $63.6 | $665.51 |
| Abdominal ultrasound limited | CPT | 76705 | 11 | $671.88 | $208 | $30.31 | $70.15 | $504.8 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 11 | $1,185.94 | $367 | $30.31 | $71.07 | $623.23 |
| Obstetric ultrasound first trimester | CPT | 76801 | 4 | $967.5 | $299 | $30.31 | $442.49 | $600.69 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 2 | $1,121.88 | $347 | $420.36 | $525.46 | $752.93 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 2 | $1,164.38 | $360 | $497.78 | $622.24 | $747.33 |
| Transvaginal ultrasound | CPT | 76830 | 10 | $718.13 | $222 | $30.31 | $78.53 | $718.13 |
| Pelvic ultrasound complete | CPT | 76856 | 10 | $1,180.63 | $365 | $30.31 | $78.53 | $620.43 |
| Scrotal ultrasound | CPT | 76870 | 8 | $1,040 | $322 | $30.31 | $77.62 | $595.02 |
| Diagnostic mammography unilateral | CPT | 77065 | 11 | $501.88 | $155 | $30.31 | $81.91 | $501.88 |
| Diagnostic mammography bilateral | CPT | 77066 | 9 | $753.44 | $233 | $30.31 | $93.93 | $753.44 |
| Screening mammography bilateral | CPT | 77067 | 12 | $667.5 | $206 | $30.31 | $77.62 | $667.5 |
| Transthoracic echocardiogram complete | CPT | 93306 | 11 | $3,168.75 | $982 | $30.31 | $31 | $90.7 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 1 | — | $9,444 | $23,708 | $23,708 | $23,708 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 1 | — | $6,010 | $11,910 | $11,910 | $11,910 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 1 | — | $4,078 | $8,068.38 | $8,068.38 | $8,068.38 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 3 | — | $9,444 | $9,444.64 | $9,444.64 | $18,423 |
| COPD w MCC | MS-DRG | 190 | 2 | — | $7,083 | $7,083.48 | $10,071 | $13,059 |
| COPD w CC | MS-DRG | 191 | 3 | — | $5,580 | $5,549.76 | $5,580.93 | $9,938.11 |
| COPD w/o CC/MCC | MS-DRG | 192 | 1 | — | $4,507 | $7,568.53 | $7,568.53 | $7,568.53 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 4 | — | $6,010 | $6,010.23 | $6,010.23 | $9,500.74 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 3 | — | $4,722 | $4,722.32 | $4,722.32 | $7,409.37 |
| AMI discharged alive w MCC | MS-DRG | 280 | 1 | — | $8,800 | $18,911 | $18,911 | $18,911 |
| AMI discharged alive w CC | MS-DRG | 281 | 1 | — | $4,936 | $10,835 | $10,835 | $10,835 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 1 | — | $3,649 | $8,524.61 | $8,524.61 | $8,524.61 |
| Heart failure & shock w MCC | MS-DRG | 291 | 3 | — | $8,156 | $8,156.74 | $8,156.74 | $15,135 |
| Heart failure & shock w CC | MS-DRG | 292 | 2 | — | $6,224 | $6,504.99 | $8,256.92 | $10,009 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 1 | — | $4,507 | $6,672.56 | $6,672.56 | $6,672.56 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 1 | — | $7,298 | $14,194 | $14,194 | $14,194 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 2 | — | $4,936 | $4,936.97 | $6,805.06 | $8,673.15 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 2 | — | $3,863 | $3,863.72 | $5,268.73 | $6,673.74 |
| GI hemorrhage w CC | MS-DRG | 378 | 1 | — | $6,224 | $11,561 | $11,561 | $11,561 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 1 | — | $4,293 | $7,431.77 | $7,431.77 | $7,431.77 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 1 | — | $5,366 | $9,190.69 | $9,190.69 | $9,190.69 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 1 | — | $9,229 | $18,482 | $18,482 | $18,482 |
| Kidney/UTI w MCC | MS-DRG | 689 | 2 | — | $8,156 | $8,156.74 | $10,918 | $13,679 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 2 | — | $6,010 | $6,010.23 | $7,776.71 | $9,543.18 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 4 | — | $10,303 | $10,303 | $10,303 | $22,900 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 5 | — | $7,298 | $7,298.13 | $7,626.54 | $15,176 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 12 | $226.56 | $70 | $8.46 | $63.43 | $90.7 |
| General health panel | CPT | 80050 | 2 | $720.63 | $223 | $78.53 | $272.12 | $465.71 |
| Electrolyte panel | CPT | 80051 | 5 | $118.13 | $36 | $7.01 | $57.89 | $65.51 |
| Comprehensive metabolic panel | CPT | 80053 | 12 | $336.88 | $104 | $10.56 | $70.15 | $98.78 |
| Lipid panel | CPT | 80061 | 12 | $247.5 | $76 | $13.39 | $70.15 | $125.2 |
| Renal function panel | CPT | 80069 | 11 | $217.19 | $67 | $8.68 | $64.25 | $90.7 |
| Hepatic function panel | CPT | 80076 | 11 | $286.56 | $88 | $8.17 | $61.06 | $90.7 |
| Urinalysis non-automated | CPT | 81002 | 9 | $68.75 | $21 | $3.48 | $30.66 | $32.44 |
| Urinalysis automated | CPT | 81003 | 11 | $63.13 | $19 | $2.25 | $31 | $90.7 |
| Glucose quantitative | CPT | 82947 | 12 | $83.13 | $25 | $3.93 | $32.39 | $90.7 |
| Hemoglobin A1c | CPT | 83036 | 12 | $176.88 | $54 | $9.71 | $63.6 | $90.7 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 12 | $264.38 | $81 | $16.8 | $70.15 | $156.93 |
| Complete blood count with automated differential | CPT | 85025 | 12 | $117.81 | $36 | $7.77 | $60.85 | $90.7 |
| Complete blood count without differential | CPT | 85027 | 11 | $103.13 | $31 | $6.47 | $48.36 | $90.7 |
| Urine culture identification | CPT | 87088 | 12 | $183.13 | $56 | $8.09 | $62.05 | $90.7 |
| Tissue exam by pathologist level IV | CPT | 88305 | 4 | $462.19 | $143 | $63.6 | $83.35 | $411.83 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 1 | $175.63 | $54 | $76.7 | $76.7 | $76.7 |
| Office visit, established patient, 5 min | CPT | 99211 | 3 | $137.5 | $42 | $31 | $53.85 | $90.7 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 1 | $221.25 | $68 | $76.7 | $76.7 | $76.7 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 1 | $254.06 | $78 | $76.7 | $76.7 | $76.7 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 1 | $291.56 | $90 | $76.7 | $76.7 | $76.7 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 1 | $334.69 | $103 | $76.7 | $76.7 | $76.7 |
| surgery | ||||||||
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 1 | — | $20,177 | $54,188 | $54,188 | $54,188 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 1 | — | $10,303 | $28,261 | $28,261 | $28,261 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 1 | — | $5,795 | $19,840 | $19,840 | $19,840 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 1 | — | $6,868 | $19,942 | $19,942 | $19,942 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 1 | — | $4,722 | $16,101 | $16,101 | $16,101 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 1 | — | $14,810 | $40,166 | $40,166 | $40,166 |
| Major joint replacement w MCC | MS-DRG | 469 | 1 | — | $7,083 | $35,758 | $35,758 | $35,758 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 1 | — | $4,078 | $22,740 | $22,740 | $22,740 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 1 | — | $13,093 | $34,333 | $34,333 | $34,333 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 1 | — | $9,229 | $24,692 | $24,692 | $24,692 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 1 | — | $6,654 | $19,228 | $19,228 | $19,228 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 1 | — | $6,010 | $34,040 | $34,040 | $34,040 |
| OR procedure for obesity w CC | MS-DRG | 620 | 1 | — | $3,219 | $18,866 | $18,866 | $18,866 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 1 | — | $2,575 | $17,783 | $17,783 | $17,783 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 1 | — | $3,219 | $14,627 | $14,627 | $14,627 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 1 | — | $9,873 | $24,157 | $24,157 | $24,157 |
Payer mix (top 13)
| Payer | Codes covered | Median rate |
|---|---|---|
| harvard pilgrim | 80 | $666.51 |
| Anthem BCBS | 78 | $464.23 |
| Cigna | 70 | $650 |
| Medicare | 68 | $31 |
| UnitedHealthcare | 66 | $31 |
| Aetna | 61 | $76.7 |
| Medicaid | 60 | $30.31 |
| Humana | 51 | $31 |
| WellCare | 47 | $31 |
| workers compensation | 43 | $15,135 |
| community health options | 42 | $78.53 |
| Multiplan | 30 | $90 |
| Self-Pay (Cash) | 17 | $8.46 |