MRI lower back without contrast at Sullivan County Community Hospital. CPT 72148.
What Sullivan County Community Hospital publishes for this service, straight from its standard-charges file, last updated June 10, 2026.
Outpatient / ER
$2,575cash price (self-pay)
$3,433list price
$117–$2,918range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana Mcaid | Humana Mcaid | $117 |
| Mdwise Mcaid - All Other Plans | Mdwise Mcaid - All Other Plans | $117 |
| Mhs Mcaid - All Other Plans | Mhs Mcaid - All Other Plans | $117 |
| Mhs Hlthy In Mcaid | Mhs Hlthy In Mcaid | $244 |
| Ambetter Comm-Exch - All Plans | Ambetter Comm-Exch - All Plans | $1,030 |
| BCBS Essential | BCBS Essential | $1,030 |
| Mdwise Mcr Adv | Mdwise Mcr Adv | $1,030 |
| Va Ccn - All Plans | Va Ccn - All Plans | $1,030 |
| BCBS Mcr Adv | BCBS Mcr Adv | $1,030 |
| Humana Mcr Adv | Humana Mcr Adv | $1,040 |
| BCBS Healthsync | BCBS Healthsync | $1,224 |
| BCBS Pathway X | BCBS Pathway X | $1,224 |
| BCBS HMO | BCBS HMO | $1,510 |
| BCBS Pathway | BCBS Pathway | $1,529 |
| BCBS PPO | BCBS PPO | $1,529 |
| BCBS Trad - All Other Plans | BCBS Trad - All Other Plans | $1,811 |
| Siho - All Plans | Siho - All Plans | $2,575 |
| Humana Comm - All Other Plans | Humana Comm - All Other Plans | $2,918 |
| UHC All Payer - All Plans | UHC All Payer - All Plans | $2,918 |
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