MRI lower back without contrast at Johnson Memorial Hospital. CPT 72148.
What Johnson Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$1,157cash price (self-pay)
$2,104list price
$264–$2,104range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Connecticut Dept Of Correction | Connecticut Dept Of Corrections | $264 |
| Connecticare Vip Medicare Advantage | Connecticare Medicare Advantage | $280 |
| Blue Cross - Ct (Anthem) Medicare Advantage | Anthem Mediblue Medicare | $280 |
| Medigold Medicare Advantage | Mount Carmel Health Plan Medicare Adv | $280 |
| United Healthcare Medicare | United Healthcare Medicare Advantage | $280 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $280 |
| Fallon Health Medicare Advantage | Fallon Medicare Advantage | $286 |
| Wellcare Medicare | Wellcare Medicare Advantage | $286 |
| Cigna Medicare Advantage | Cigna Medicare Advantage | $289 |
| Fallon Health Medicare Advantage | Fallon Navicare Medicare Advantage | $295 |
| Nippon Life Ins | Aetna | $416 |
| Gravie Admin Services | Aetna | $416 |
| Innovative Health Plan II | Innovative Health Plan | $601 |
| Claimdoc | Claimdoc | $601 |
| Centivo | Centivo | $666 |
| Blue Cross - Mo (Anthem) | Anthem | $705 |
| Blue Cross - Ne | Anthem | $705 |
| Blue Cross - IL Alternate | Anthem | $705 |
| Blue Cross - Mi | Anthem | $705 |
| Blue Cross - Ar | Anthem | $705 |
| Blue Cross - Wa (Premera) | Anthem | $705 |
| Kaiser Domestic | Anthem | $705 |
| Wellpoint | Wellpoint | $705 |
| Blue Cross - IL | Anthem | $705 |
| Blue Cross - Ia (Wellmark) | Anthem | $705 |
| Blue Shield - NY Highmark Western | Anthem | $705 |
| Blue Cross - Wi (Anthem) | Anthem | $705 |
| Blue Cross - Ok | Anthem | $705 |
| Blue Cross - Nc | Anthem | $705 |
| Blue Benefit Administrators Of Massachusetts | Anthem | $705 |
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