MaineHealth - Memorial Hospital — X-ray prices
← Hospital overviewVerified from MaineHealth - Memorial Hospital’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
3 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC X-RAY EXAM CHEST 1 VIEW Outpatient | 71045 CPT | $246 | $246 | $83.64 – $298 | $182 | |
| HC XRAY EXAM L-2 SPINE 4/> VIEWS Outpatient | 72110 CPT | $485 | $485 | $165 – $456 | — | |
| HC XRAY EXAM OF SHOULDER MIN 2 VIEWS Outpatient | 73030 CPT | $305 | $305 | $104 – $298 | $264 |