CMS Price Transparency Data

CT scan, pelvis

Facility: Northern Maine Medical Center

Billing Code: 72192 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$186
about 1.7× the $107 Medicare rate · typically $103–$676
modeled estimate · not a bill or quote
What this hospital charges insurers
$95
Below the fair price — a good deal
about $91 under the fair price · 0.9× Medicare
Medicare pays $107 Fair price $186 This hospital $95 Cash price $30 Hospital's list price $330

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

Lowest price of the 9 ME hospitals we have prices for — a strong deal.

Cheapest $95 Priciest $140

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, pelvis is about $186 (about 1.7× the $107 Medicare rate). Northern Maine Medical Center charges insurers about $95, or about $30 in cash — below the fair price — a good deal. Located in Fort Kent, 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 $47 - $544 44%
Blue Cross Blue Shieldmajor $48 - $516 45%
Aetnamajor $47 - $533 44%
Cignamajor $83 - $556 78%
Humanamajor $47 - $315 44%
Harvard Pilgrim $76 - $508 71%
WellCare $47 - $315 44%
+ 6 smaller / regional plans $47 - $544
Government programs also on file: Medicaid, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 194 E Main Street, Fort Kent, ME 04743
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals