Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Payer comparison · CPT 78452 · MACHIAS, ME

78452 — Ht Muscle Image Spect Mult

What each payer pays DOWN EAST COMMUNITY HOSPITAL (CCN 201311) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$6,258 All-payer median here
$5,333 Cash / self-pay here
11 payer/plan-name variants
← This hospital National rates for 78452 →
Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan Median negotiated vs all-payer median Rate rows
   
WellCare Health Plans $7,111 13.6% 1
Humana $7,111 13.6% 1
Harvard Pilgrim Health Care $6,507 4.0% 1
Cigna Healthcare $6,414 2.5% 1
Martin's Point Health Care, Inc. $6,400 2.3% 1
Patients Advocates $6,400 2.3% 1
UnitedHealthcare $6,115 -2.3% 1
Aetna $5,938 -5.1% 1
Community Health Options $5,888 -5.9% 1
Anthem (Elevance Health) $4,434 -29.1% 2
Partners Direct Health $3,556 -43.2% 1

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.