CPT70552

How Much Does an MRI Brain With Contrast Cost in Maine?

Mri brain stem w/dye

$438Hospital outpatient total2026 Medicare, physician + facility

Under 2026 Medicare rates, an MRI brain with contrast costs up to about $438 in total at a hospital outpatient department, counting both the physician and the facility (national rates). Outside a hospital, at an independent imaging center, lab or office, Medicare's full rate in Maine averages $258, from $251 in Rest of Maine to $266 in Southern Maine.

Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers. For example 04008.
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Maine Medicare physician rate (2026)

-4.0% vs national

Average of 2 localities. Office range $250.82–$265.54.

Maine (Hospital)
$79.79
Physician reading only
Private plan est.
$336–$516
~130–200% of Medicare
Cash / self-pay est.
$207–$387
~80–150% of Medicare

What the whole procedure costs

The office rate above is what an imaging center, lab or office is paid for the whole test. In a hospital, the facility bills its own fee and the physician bills only the reading. These are 2026 national Medicare amounts.

Physician reading alone
$82
Only 19% of the hospital total

Medicare may pay the facility separately for this code or package it into another service on the same day, so treat the facility share as an upper bound. For a test like this the physician in a hospital bills only the reading (the professional component); outside a hospital one global fee covers the whole test, shown in the office rate above. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.

Your ZIP in Maine

Enter a ZIP code for your part of Maine, whether the Portland area, Lewiston-Auburn, Augusta, Bangor, the midcoast, or Aroostook County in the far north.

What MRI brain with contrast costs at hospitals near you

Everything above is a national average. The hospital you pick in Maine moves the bill more than anything else you control.

Locked

Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

For example 04008.

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What these numbers are

Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery center rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again. In Maine the office and hospital physician lines for this CPT differ by $178.39.

National vs Maine

National office$268.88
National hospital (physician)$81.83
Maine vs national4% below the national office rate of $268.88

Where Maine ranks for this CPT

Rank (lowest physician fee first)#22 of 51
Lowest stateArkansas ($237.78)
Highest stateAlaska ($309.58)

CPT 70552 by Maine locality

LocalityOffice
southern maine$265.54
rest of maine$250.82

PE GPCI ranges from 0.920 to 0.991 in Maine. That index is why the same CPT is not one price statewide.

MRI Brain With Contrast and how Maine is priced

Maine is priced as a single statewide locality with indices close to, and in parts below, the national average, so Portland and the far northern county towns share one fee schedule. CMS has never needed to subdivide a state where even the largest metro is modest by national standards. The uniform pricing belies enormous differences in access between the populous southern coast and the vast interior. For Mainers, the published statewide rates are what Medicare approves everywhere from Kittery to Fort Kent.

Maine is among the most rural states in the country and has the oldest median age, a combination that concentrates specialty care in Portland and, to a lesser degree, Bangor and Lewiston. Residents of western and northern Maine can face hours of driving for procedures, and some in the far south use Boston hospitals for complex care. Consolidation has left a small number of systems covering most of the state.

This procedure: A brain MRI with contrast adds an IV injection of gadolinium dye partway through the scan to highlight areas with increased blood flow or a disrupted blood-brain barrier, such as tumors, infections, or active inflammation. The experience matches a standard brain MRI, lying still in the scanner for 30 to 45 minutes, plus a small IV placed in your arm. The dye is generally well tolerated and passes in your urine within a day.

What Is MRI Brain With Contrast?

A brain MRI with contrast adds an IV injection of gadolinium dye partway through the scan to highlight areas with increased blood flow or a disrupted blood-brain barrier, such as tumors, infections, or active inflammation. The experience matches a standard brain MRI, lying still in the scanner for 30 to 45 minutes, plus a small IV placed in your arm. The dye is generally well tolerated and passes in your urine within a day.

What Affects the Cost

  • –The gadolinium contrast agent itself is billed as a separate supply line, with newer agents costing more.
  • –The IV placement and injection may add administration charges depending on the biller.
  • –Some facilities require a recent kidney function blood test before giving contrast, adding a lab charge.
  • –Facility choice, hospital versus freestanding center, remains the dominant price variable for any MRI.
  • –The radiologist's professional fee for a contrast study is higher than for a non-contrast scan.

Questions to Ask Before Booking

  • 1.Does my authorization specifically cover a contrast study, not just a plain MRI?
  • 2.Is the contrast agent billed separately, and how much does it add?
  • 3.Do I need a kidney function test first, and who bills for that?
  • 4.Why is contrast-only being ordered rather than the combined without-then-with protocol?
  • 5.What is the total at a freestanding center versus the hospital, including the radiologist fee?

MRI Brain With Contrast in Maine: questions

Under 2026 Medicare rates, an MRI brain with contrast costs up to about $438 in total at a hospital outpatient department, counting both the physician and the facility (national rates). Outside a hospital, at an independent imaging center, lab or office, Medicare's full rate in Maine averages $258, from $251 in Rest of Maine to $266 in Southern Maine. Enter a ZIP for the exact Maine locality.

Yes. CMS splits Maine into 2 payment localities. For this CPT the office physician fee spans $14.72 from the lowest to highest locality. Enter a ZIP code for your part of Maine, whether the Portland area, Lewiston-Auburn, Augusta, Bangor, the midcoast, or Aroostook County in the far north.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $52 for the office physician line or $16 for the hospital physician line in Maine. Medigap may cover that 20%. This is not the hospital facility fee.

It depends on where the test is done. At an independent imaging center, lab or office, $258.18 is Medicare's full rate in Maine, covering the test and the reading. In a hospital outpatient department the physician is paid only for the reading (about $79.79) and the hospital is paid separately, which brings the national total to up to about $438. Maine ranks #22 of 51 states on the non-hospital rate (4% below the national office rate of $268.88).

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.