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Maine

Cost of a Knee MRI Visit
in Maine

Reviewed by Momentary Medical Group West PC

Maine's rural geography and limited specialist availability drive Knee MRI costs approximately 33% above national averages, creating significant price variation across the state. Patients typically pay between $105 and $701 for a Knee MRI, with a median out-of-pocket cost of $292 based on negotiated insurance rates from over 1,696 active providers statewide. Browse all available Knee MRI providers across Maine to find the most affordable option for your specific insurance plan.

Average

$366

Median

$292

Lowest

$105

Highest

$701

Providers

1,696

National avg: $268Maine: $366

36% above national average

Compare Similar Procedures

How does mri knee compare to related procedures in Maine?

ProcedureCPTLowMedianHighProviders
MRI Brain

MRI of the brain with and without contrast

70553$178$445$1,0231,697
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
CT Chest

CT scan of the chest with contrast

71260$93$255$4391,705

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 73721MRI any joint of lower extremity without 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 73721 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 73721 (MRI any joint of lower extremity without contrast), as mandated by the CMS Price Transparency Rule.

What CPT 73721 covers: the provider's professional fee for mri knee. 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 Knee MRI Visit Costs Vary Across Maine

Maine's healthcare costs run approximately 33% above national averages for Knee MRI services, driven by the state's rural geography, limited provider competition, and seasonal population fluctuations that strain medical infrastructure. The concentration of imaging facilities in southern Maine creates access challenges and price premiums for patients in Aroostook County and other remote regions.

Urban vs. Rural Provider Availability

Portland and Bangor metro areas offer competitive Knee MRI pricing with multiple imaging centers and hospital-based facilities, while rural counties like Washington and Piscataquis often have limited options requiring long-distance travel. Northern Maine residents frequently travel 2-3 hours for specialized imaging, with some facilities offering mobile MRI units during peak summer months. This geographic disparity creates a two-tier pricing system favoring urban patients.

Facility Type and Overhead Costs

MaineHealth and Northern Light Health dominate the state's imaging market, with hospital-based outpatient centers typically charging premium rates compared to independent facilities. Standalone imaging centers in southern Maine offer more competitive pricing but have limited geographic reach, leaving rural patients dependent on higher-cost hospital systems. Equipment maintenance costs in remote areas also contribute to elevated pricing throughout the state.

Insurance Market Competition in Maine

Anthem Blue Cross Blue Shield holds the largest market share, followed by Harvard Pilgrim Health Care and UnitedHealthcare, creating a relatively concentrated insurance market with limited pricing pressure. The state's small population and rural geography make it challenging for national insurers to achieve economies of scale, resulting in higher negotiated rates for imaging services. This limited competition particularly affects individual market plans and small group coverage options.

Physician Supply and Demand in Maine

With over 1,696 active Knee MRI providers statewide, Maine maintains adequate imaging capacity relative to its population, though geographic distribution heavily favors southern counties. The state's aging population and active outdoor recreation culture create consistent demand for knee imaging services, particularly during ski season and summer hiking months. This seasonal demand pattern allows imaging centers to maintain higher pricing despite adequate overall provider supply.

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 — Knee MRI Costs in Maine

What is the average cost of a Knee MRI visit in Maine without insurance?

Without insurance, Knee MRI costs in Maine range from $105 to $701, with a median price of $292 based on negotiated rates from over 1,600 providers statewide. Self-pay patients can often negotiate discounts of 20-40% off standard rates, particularly at independent imaging centers. Many facilities offer payment plans to help manage these costs, especially in rural areas where seasonal employment affects patient finances.

Does Maine Medicaid cover Knee MRI visits?

Yes, Maine's expanded Medicaid program (MaineCare) covers medically necessary Knee MRI services for eligible adults. Prior authorization may be required, and providers typically need to document conservative treatment attempts before approving advanced imaging. Coverage includes both the MRI scan and radiologist interpretation, though appointment availability may be limited at some facilities that accept MaineCare patients.

How do I find an affordable Knee MRI near me in Maine?

Compare pricing across independent imaging centers versus hospital-based facilities, as standalone centers often offer lower rates than hospital outpatient departments. Ask about self-pay discounts, prompt-payment options, and payment plans when calling facilities directly. Consider traveling to southern Maine where competition between providers may result in more competitive pricing compared to rural areas with limited options.

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

The $105-$701 range reflects the actual MRI imaging procedure costs, while consultation visits with referring physicians or specialists involve separate charges. Initial consultations with orthopedic specialists typically cost more than follow-up visits to review MRI results and discuss treatment options. Many providers in Maine offer package deals that include both the consultation and imaging study at a reduced combined rate.

Can I use an HSA or FSA to pay for a Knee MRI visit in Maine?

Yes, Knee MRI services qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). You can use these tax-advantaged funds to pay for the imaging study, radiologist fees, and any related consultation costs. Keep all receipts and documentation for tax purposes, as these expenses may also contribute toward meeting your annual deductible.

How does telemedicine affect the cost of seeing a Knee MRI in Maine?

While the MRI scan itself requires in-person imaging, telemedicine can reduce costs for initial consultations and follow-up appointments to review results. Many Maine providers offer virtual consultations at lower rates than office visits, which is particularly beneficial for rural patients who would otherwise travel long distances. Telehealth options help streamline the referral process and post-imaging care coordination throughout the state's dispersed healthcare network.

Click a state to compare costs

Average Visit Cost

$183
$447

Office visit (CPT 73721)

Compare With Other States

RankStateAverage
1Georgia
Range: $64$1,036
$447
2Wisconsin
Range: $73$1,001
$404
3Maine
Range: $105$701
$366
4Nevada
Range: $80$642
$357
5Wyoming
Range: $59$697
$336
6Massachusetts
Range: $70$590
$329
7Hawaii
Range: $75$505
$322
8Nebraska
Range: $123$504
$322
9Minnesota
Range: $83$507
$306
10Colorado
Range: $60$642
$299
11Washington
Range: $59$505
$297
12New Hampshire
Range: $77$590
$296
13Iowa
Range: $80$516
$296
14Illinois
Range: $69$595
$295
15North Carolina
Range: $65$580
$290
16Indiana
Range: $59$595
$284
17Vermont
Range: $57$617
$281
18New Mexico
Range: $57$588
$281
19West Virginia
Range: $71$425
$274
20Utah
Range: $59$504
$273
21District of Columbia
Range: $53$560
$272
22Louisiana
Range: $55$429
$270
23Rhode Island
Range: $59$537
$267
24Oregon
Range: $75$393
$265
25Virginia
Range: $45$569
$262
26New York
Range: $48$582
$262
27South Dakota
Range: $131$327
$262
28Alaska
Range: $59$527
$261
29Idaho
Range: $59$462
$255
30Michigan
Range: $62$506
$252
31Kansas
Range: $65$504
$249
32Montana
Range: $59$358
$248
33Tennessee
Range: $66$479
$247
34North Dakota
Range: $83$327
$246
35Kentucky
Range: $59$492
$242
36Missouri
Range: $69$461
$238
37Alabama
Range: $53$479
$232
38Pennsylvania
Range: $55$506
$232
39Texas
Range: $59$464
$230
40South Carolina
Range: $58$468
$230
41Delaware
Range: $63$399
$226
42California
Range: $75$505
$220
43Mississippi
Range: $52$465
$220
44Oklahoma
Range: $55$464
$219
45New Jersey
Range: $47$466
$219
46Maryland
Range: $26$457
$218
47Ohio
Range: $45$452
$214
48Connecticut
Range: $55$472
$211
49Arkansas
Range: $66$327
$192
50Florida
Range: $35$479
$191
51Arizona
Range: $59$350
$183
MRI Knee in Other States