MRI lower back without contrast at Northern Maine Medical Center. CPT 72148.
What Northern Maine Medical Center publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$30.00cash price (self-pay)
$663list price
$64.35–$1,209range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Tricare | Tricare | $176 |
| Martins_point | Martins Point Health Care | $176 |
| Aetna_mcradv | Aetna Medicare Advantage | $365 |
| Generations_mcradv | Generations Medicare Advantage | $365 |
| Humana_mcradv | Humana Medicare Adavantage | $365 |
| Micmac Health | Micmac Health | $365 |
| Uhc_mcradv | United Healthcare Medicare Advantage | $365 |
| Vaccn | Veterans Community Care Network | $365 |
| Wellcare | Wellcare | $365 |
| Anthem_mcradv | Anthem Medicare Advantage | $372 |
| Twin_rivers | Twin Rivers | $564 |
| Harvard_pilgrim | Harvard Pilgrim Health Care | $588 |
| Anthem | Anthem Blue Cross Blue Shield | $597 |
| Maine_comm_health | Maine Community Health Options | $610 |
| Aetna | Aetna | $617 |
| Choicecare | Choicecare-Humana | $630 |
| Multiplan | Multiplan | $630 |
| UHC | UHC | $630 |
| Cigna_ppo | Cigna PPO | $643 |
| Mainecare | Mainecare | $663 |
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