MRI lower back without contrast at Pen Bay Medical Center. CPT 72148.
What Pen Bay Medical Center publishes for this service, straight from its standard-charges file, last updated September 9, 2025.
Outpatient / ER
$1,277cash price (self-pay)
$1,285list price
$67.70–$1,216range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | MHACO Government | $130 |
| Anthem | Medicare Advantage | $191 |
| Aetna | Medicare Advantage | $193 |
| Wellcare | Medicare Advantage | $195 |
| Humana | Medicare Advantage | $217 |
| United Healthcare | Medicare Advantage | $217 |
| Aetna | MHACO Commercial | $269 |
| Multiplan | Commercial | $374 |
| United Healthcare | Commercial | $394 |
| Community Health Options | Commercial | $394 |
| Aetna | HMO/PPO | $690 |
| Harvard Pilgrim Healthcare | Maines Choice | $708 |
| Harvard Pilgrim Healthcare | Commercial | $733 |
| Anthem | HMO/POS/PPO/Pathway Enhanced | $744 |
| Cigna | Commercial | $1,014 |
Inpatient
$1,277cash price (self-pay)
$1,285list price
$1,007–$1,216range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Commercial | $1,014 |
| Community Health Options | Commercial | $1,018 |
| Harvard Pilgrim Healthcare | Maines Choice | $1,044 |
| Harvard Pilgrim Healthcare | Commercial | $1,094 |
| Aetna | HMO/PPO | $1,127 |
| United Healthcare | Commercial | $1,197 |
| Multiplan | Commercial | $1,208 |
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