MRI lower back without contrast at Holyoke Medical Center. CPT 72148.
What Holyoke Medical Center publishes for this service, straight from its standard-charges file, last updated May 1, 2026.
Outpatient / ER
$1,735cash price (self-pay)
$1,735list price
$11.66–$2,702range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare Insurance Company | Aarp Medicare Advantage | $48.67 |
| Palmetto Gba | All Plans | $50.33 |
| Noridian Healthcare Solutions, Llc | All Plans | $51.96 |
| Novitas Solutions, Inc. | All Plans | $52.25 |
| National Government Services, Inc. | All Plans | $55.38 |
| National Government Services, Inc. | Medicare Extension | $55.61 |
| Commonwealth Care Alliance, Inc | H2001000 | $56.82 |
| United Healthcare Insurance Company | Verizon | $57.50 |
| Unitedhealthcare Insurance Company | Ma Dual H2226-001-000 | $59.18 |
| Commonwealth Care Alliance, Inc | H3001000 | $63.92 |
| Diversified Administration Corporation | All Plans | $64.71 |
| Health New England, Inc. | All Plans | $67.64 |
| Tufts Health Plan Medicare Preferred | All Plans | $67.92 |
| Optum Va Ccn Region 1 | All Plans | $68.25 |
| Blue Cross And Blue Shield Of Mass | All Plans | $71.59 |
| Unitedhealthcare Insurance Company | Ma Mmp One Care - H9239-001 | $72.31 |
| Total Health Plan, Inc. | All Plans | $73.82 |
| United Healthcare Insurance Company | Choyc+ | $78.72 |
| Fchp | All Plans | $82.06 |
| Aetna | Ppo - Medicare (Aetna) | $82.50 |
| Umr | All Plans | $86.66 |
| Blue Benefit Administrators Of Massachusetts | All Plans | $88.34 |
| Health Plans, Inc. | All Plans | $94.51 |
| Health New England Advisory Services | All Plans | $95.24 |
| Aetna | Aetna Commercial | $199 |
| Bmchp | Bmchp Masshealth Aco | $245 |
| Fallon | Fallon Masshealth Aco | $245 |
| Tufts Health Plan | Tufts Health Plan Usfhp | $286 |
| United Healthcare | Uhc Harvard Pilgrim | $350 |
| Harvard Pilgrim | Harvard Pilgrim Commercial | $355 |
Inpatient
$1,735cash price (self-pay)
$1,735list price
$1,215–$1,284range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna Behavioral Health | Evernorth Bh | $1,215 |
| Magellan | Magellan Mass | $1,215 |
| Magellan | Magellan Swh | $1,215 |
| Mass General Brigham Commercial | Mass General Brigham Commercial | $1,232 |
| Cigna | Cigna Commercial | $1,275 |
| Fallon | Fallon Commercial | $1,284 |
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