CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Central Maine Medical Center

Billing Code: 72131 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$98
about 0.9× the $107 Medicare rate · typically $98–$210
modeled estimate · not a bill or quote
What this hospital charges insurers
$103
About the fair price
about $5 over the fair price · 1.0× Medicare
Medicare pays $107 Fair price $98 This hospital $103 Cash price $103 Hospital's list price $2,380

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

One of the lower prices — 5 of 8 other ME hospitals charge more for the same procedure.

Cheapest $91 Priciest $137

Black dot = this hospital, among the 9 ME hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, lower back (lumbar spine) is about $98 (about 0.9× the $107 Medicare rate). Central Maine Medical Center charges insurers about $103, or about $103 in cash — about the fair price. Located in Lewiston, ME.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $103 96%
Blue Cross Blue Shieldmajor $103 - $494 96%
Aetnamajor $103 96%
Cignamajor $650 609%
Humanamajor $103 96%
Harvard Pilgrim $752 704%
WellCare $103 96%
+ 1 smaller / regional plan $103
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 300 Main Street, Lewiston, ME 04240
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals