MRI lower back without contrast at Waldo County General Hospital. CPT 72148.
What Waldo County General Hospital publishes for this service, straight from its standard-charges file, last updated September 9, 2025.
Outpatient / ER
$2,440cash price (self-pay)
$2,440list price
$69.85–$2,299range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | MHACO Government | $130 |
| Anthem | Medicare Advantage | $190 |
| Aetna | Medicare Advantage | $219 |
| Humana | Medicare Advantage | $219 |
| United Healthcare | Medicare Advantage | $219 |
| Wellcare | Medicare Advantage | $228 |
| Aetna | HMO/PPO | $260 |
| Aetna | MHACO Commercial | $269 |
| Multiplan | Commercial | $283 |
| United Healthcare | Commercial | $298 |
| Community Health Options | Commercial | $324 |
| Harvard Pilgrim Healthcare | Commercial | $379 |
| Harvard Pilgrim Healthcare | Maine's Choice | $379 |
| Anthem | HMO/POS/PPO Pathway Enhanced | $1,023 |
| Cigna | Commercial | $2,299 |
Inpatient
$2,440cash price (self-pay)
$2,440list price
$2,045–$2,299range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Harvard Pilgrim Healthcare | Maine's Choice | $2,045 |
| Anthem | HMO/POS/PPO Pathway Enhanced | $2,172 |
| Aetna | HMO/PPO | $2,210 |
| Harvard Pilgrim Healthcare | Commercial | $2,272 |
| Multiplan | Commercial | $2,294 |
| Community Health Options | Commercial | $2,297 |
| United Healthcare | Commercial | $2,297 |
| Cigna | Commercial | $2,299 |
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