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Maine

Cost of a Chest CT Scan Visit
in Maine

Reviewed by Momentary Medical Group West PC

Maine's rural healthcare infrastructure serves a state where 60% of residents live in rural areas, creating unique access patterns for specialized imaging services. Chest CT Scan procedures in Maine typically cost patients between $93 and $439, with most patients paying around $255 out-of-pocket depending on their insurance coverage and facility choice. The state maintains over 1,700 active providers offering chest imaging services across its hospitals and imaging centers, giving patients multiple options for care.

Average

$262

Median

$255

Lowest

$93

Highest

$439

Providers

1,705

National avg: $302Maine: $262

13% below national average

Compare Similar Procedures

How does ct chest compare to related procedures in Maine?

ProcedureCPTLowMedianHighProviders
MRI Brain

MRI of the brain with and without contrast

70553$178$445$1,0231,697
MRI Knee

MRI of the knee without contrast

73721$105$292$7011,696
MRI Lumbar Spine

MRI of the lumbar spine without contrast

72148$116$256$6591,700
CT Abdomen & Pelvis

CT scan of abdomen and pelvis with contrast

74177$140$457$6561,566

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 71260CT chest with contrast). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 71260 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 71260 (CT chest with contrast), as mandated by the CMS Price Transparency Rule.

What CPT 71260 covers: the provider's professional fee for ct chest. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Why Chest CT Scan Visit Costs Vary Across Maine

Maine's healthcare costs run approximately 12% above the national average, driven by the state's rural geography and limited provider competition. The state's aging population and seasonal resident influx create unique demand patterns that affect imaging availability and pricing throughout the year.

Urban vs. Rural Provider Availability

Greater Portland and Bangor offer multiple imaging options with competitive pricing, while rural counties like Aroostook and Washington may have limited facilities requiring longer travel times. Rural imaging centers often charge less than urban hospital-based departments but may have older equipment or longer wait times. Some rural residents travel to New Hampshire or Massachusetts for specialized imaging, especially for complex procedures requiring advanced technology.

Facility Type and Overhead Costs

MaineHealth and Northern Light Health dominate the state's hospital systems, with their imaging departments typically charging premium rates due to higher overhead and facility fees. Independent imaging centers like those in the Portland metro area often provide the same quality scans at 20-30% lower costs. Many rural hospitals contract with traveling radiologists, which can affect both cost and turnaround time for scan interpretations.

Insurance Market Competition in Maine

With Anthem, Harvard Pilgrim, and UHC controlling most of the market, insurers have significant leverage in negotiating rates with imaging providers. The limited competition means fewer pricing pressures compared to states with more diverse insurer markets. Rural areas often have even less insurer choice, with some counties having only one or two plan options on the marketplace.

Physician Supply and Demand in Maine

Maine's 1,700+ chest imaging providers represent a relatively robust network given the state's small population, though distribution is heavily concentrated in southern and central regions. The state faces ongoing challenges recruiting radiologists to rural areas, sometimes creating bottlenecks for scan interpretations. Seasonal population swings in coastal areas can strain imaging capacity during summer months, potentially affecting both availability and pricing.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Chest CT Scan Costs in Maine

What is the average cost of a Chest CT Scan visit in Maine without insurance?

Without insurance, chest CT scans in Maine typically range from $93 to $439, with most patients paying around $255. These prices reflect negotiated rates that insurers pay, so uninsured patients may face higher list prices initially. However, many facilities offer self-pay discounts of 20-40% when you pay upfront, bringing costs closer to these insured rates.

Does Maine Medicaid cover Chest CT Scan visits?

Yes, Maine's expanded Medicaid program covers chest CT scans when medically necessary and ordered by a qualified physician. Prior authorization may be required for non-emergency scans, and you'll typically pay nothing out-of-pocket for covered procedures. The expansion in 2019 brought coverage to over 70,000 additional Mainers who previously lacked access to these imaging services.

How do I find an affordable Chest CT Scan near me in Maine?

Compare prices between independent imaging centers and hospital-based facilities, as independents often charge 20-30% less for identical procedures. Ask about self-pay discounts if you're uninsured, and consider community health centers in rural areas that may offer sliding fee scales. Traveling to nearby New Hampshire facilities might also provide cost savings for those near the border.

What is the difference in cost between an initial consultation and a follow-up visit?

Chest CT scans are typically ordered by other physicians, so direct specialist consultations vary depending on whether you're seeing a pulmonologist or other specialist. Initial consultations generally cost more than follow-up visits, with the imaging procedure itself having a separate fee. The $93-$439 range applies to the CT scan regardless of whether it's your first or follow-up imaging study.

Can I use an HSA or FSA to pay for a Chest CT Scan visit in Maine?

Yes, chest CT scans are qualified medical expenses that you can pay for using HSA or FSA funds when ordered by a physician for diagnostic purposes. This includes both the imaging procedure and any related consultation fees with specialists. Keep all receipts and documentation showing the medical necessity of the scan for your HSA/FSA records.

How does telemedicine affect the cost of seeing a Chest CT Scan in Maine?

While the actual CT scan must be performed in-person at an imaging facility, telemedicine can reduce costs for initial consultations and follow-up appointments to discuss results. Many Maine specialists offer telehealth visits at lower rates than in-person consultations, especially useful for rural patients who would otherwise travel long distances. Some radiologists also provide remote second opinions on scans, which can be more affordable than additional in-person specialist visits.

Click a state to compare costs

Average Visit Cost

$131
$2,723

Office visit (CPT 71260)

Compare With Other States

RankStateAverage
1North Dakota
Range: $118$7,881
$2,723
2Minnesota
Range: $80$7,881
$2,711
3Wisconsin
Range: $73$863
$363
4Georgia
Range: $61$699
$319
5Wyoming
Range: $54$598
$287
6Nevada
Range: $80$453
$272
7Maine
Range: $93$439
$262
8Nebraska
Range: $108$415
$246
9Hawaii
Range: $67$348
$243
10New Mexico
Range: $52$505
$242
11Iowa
Range: $73$424
$237
12Vermont
Range: $49$516
$236
13North Carolina
Range: $60$443
$233
14New Hampshire
Range: $67$446
$232
15Massachusetts
Range: $64$454
$230
16Rhode Island
Range: $54$454
$226
17Alaska
Range: $54$449
$224
18District of Columbia
Range: $49$454
$223
19Colorado
Range: $55$441
$218
20Utah
Range: $54$374
$212
21California
Range: $25$521
$210
22Indiana
Range: $54$411
$206
23New York
Range: $42$443
$205
24Washington
Range: $54$384
$203
25Michigan
Range: $57$356
$195
26Illinois
Range: $64$346
$192
27Tennessee
Range: $61$333
$188
28Pennsylvania
Range: $50$389
$185
29West Virginia
Range: $64$317
$184
30Virginia
Range: $41$371
$182
31Idaho
Range: $54$321
$182
32New Jersey
Range: $41$371
$181
33Connecticut
Range: $54$389
$179
34Texas
Range: $54$345
$178
35South Carolina
Range: $54$339
$178
36Kansas
Range: $59$324
$178
37Oregon
Range: $70$291
$177
38South Dakota
Range: $134$222
$175
39Alabama
Range: $48$332
$173
40Delaware
Range: $61$273
$170
41Louisiana
Range: $48$288
$169
42Kentucky
Range: $54$335
$169
43Arkansas
Range: $61$278
$164
44Montana
Range: $54$263
$163
45Maryland
Range: $24$335
$161
46Mississippi
Range: $48$307
$160
47Missouri
Range: $64$265
$159
48Oklahoma
Range: $51$298
$154
49Ohio
Range: $41$298
$154
50Arizona
Range: $54$267
$145
51Florida
Range: $35$297
$131
CT Chest in Other States