CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Central Maine Medical Center

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $235
  • Cash Discount Price: $235
  • vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Central Maine Medical Center is $235. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $235. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.96x the Medicare baseline. Located in 300 Main Street, Lewiston, ME.
Cash / Self-Pay
$235

Average discount available for prompt cash payment at this facility.

Insurance Median
$235

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $235 (96%)
Insurance Median: $235 (96%)
Cash: $235 (96% of Medicare)
Ins. Median: $235 (96% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $235 96%
Blue Cross Blue Shield $235 - $1,127 96%
Humana $235 96%
Martins Point $235 96%
Medicare (plans) $235 96%
Self-Pay $235 96%
Tricare $235 96%
UnitedHealthcare $235 96%
Wellcare $235 96%
Medicaid / KanCare $257 105%
Workers Compensation $398 163%
Cigna $900 369%
Harvard Pilgrim $1,114 457%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

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