CT scan of chest and spine without contrast dye at Mayo Regional Hospital

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Ct chest spine w/o dye

Dover Foxcroft, ME

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How this price compares nationally

Mayo Regional Hospital’s median price of $105 is 69% below the median hospital's median price ($334), higher than 5% of the 2,605 hospitals reporting CPT 72128. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72128 at Mayo Regional Hospital

Negotiated rates from the hospital’s own file: 5 payers, 27 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Aetna mcr advantage facility · case rate · outpatient	$51.40	$51.40	$51.40 – $51.40
2	UnitedHealthcare mcr advantage facility · case rate · outpatient	$51.40	$51.40	$51.40 – $51.40
3	WellCare mcr advantage facility · case rate · outpatient	$51.40	$51.40	$51.40 – $51.40
4	Anthem mcr advantage facility · case rate · outpatient	$51.90	$51.90	$51.90 – $51.90
5	Aetna mcr advantage professional · fee schedule · outpatient	$59.52	$59.52	$43.82 – $75.22
6	Anthem mcr advantage professional · fee schedule · outpatient	$59.52	$59.52	$43.82 – $75.22
7	UnitedHealthcare mcr advantage professional · fee schedule · outpatient	$59.52	$59.52	$43.82 – $75.22
8	WellCare mcr advantage professional · fee schedule · outpatient	$60.71	$60.71	$44.70 – $76.72
9	Aetna commercial professional · fee schedule · outpatient	$104.17	$104.17	$76.69 – $131.64
10	UnitedHealthcare commercial professional · fee schedule · outpatient	$119.04	$119.04	$119.04 – $119.04
11	Anthem commercial professional · fee schedule · outpatient	$123.94	$123.94	$87.86 – $160.01
12	Cigna commercial professional · fee schedule · outpatient	$150.16	$150.16	$104.73 – $195.58
13	Aetna commercial facility · fee schedule · outpatient	$319.69	$319.69	$319.69 – $319.69
14	Anthem commercial facility · case rate · outpatient	$489.60	$489.60	$489.60 – $489.60
15	Aetna mcr advantage facility · percent of total billed charges · outpatientfrom % of charges	$573.30	$573.30	$573.30 – $573.30
16	Anthem mcr advantage facility · percent of total billed charges · outpatientfrom % of charges	$573.30	$573.30	$573.30 – $573.30
17	UnitedHealthcare mcr advantage facility · percent of total billed charges · outpatientfrom % of charges	$573.30	$573.30	$573.30 – $573.30
18	WellCare mcr advantage facility · percent of total billed charges · outpatientfrom % of charges	$573.30	$573.30	$573.30 – $573.30
19	Cigna commercial facility · case rate · outpatient	$576.03	$576.03	$576.03 – $576.03
20	Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges	$887.25	$887.25	$887.25 – $887.25
21	Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges	$887.25	$887.25	$887.25 – $887.25
22	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$940.48	$940.48	$940.48 – $940.48
23	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$1,018	$1,018	$1,018 – $1,018
24	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$1,018	$1,018	$1,018 – $1,018
25	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$1,046	$1,046	$1,046 – $1,046

Page 1 of 2 · 27 rates

Last updated: Mar 30, 2026

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