MRI lower back without contrast at Melrose-Wakefield Hospital Campus. CPT 72148.
What Melrose-Wakefield Hospital Campus publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$897cash price (self-pay)
$2,562list price
$115–$2,562range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Plans Inc [100262] | Hb Xr Hphc HMO Mwf | $173 |
| Health Plans Inc [100262] | Hb Xr Hphc PPO Mwf | $173 |
| Harvard Pilgrim Healthcare [100241] | Hb Xr Hphc HMO Mwf | $173 |
| Harvard Pilgrim Healthcare [100241] | Hb Xr Hphc PPO Mwf | $173 |
| Blue Cross Of Ri [100266] | Hb Xr Bcbsma PPO Ppa Mwh | $470 |
| Blue Benefits Administrators [100267] | Hb Xr Bcbsma PPO Ppa Mwh | $470 |
| Blue Cross Of MA [100274] | Hb Xr Bcbsma PPO Ppa Mwh | $470 |
| Blue Cross Of MA [100274] | Hb Xr Bcbsma HMO Mwh | $470 |
| Blue Cross Of Nh [100265] | Hb Xr Bcbsma PPO Ppa Mwh | $470 |
| Health Safety Net [500011] | Hb Xr Hsn Er Bad Debt Mwf | $531 |
| Tufts Health Plan [100263] | Hb Xr Thp Select HMO POS Mwf | $534 |
| Cigna [100009] | Hb Xr Thp PPO Mwf | $612 |
| Allied National Global Care [100107] | Hb Xr Non-Contracted 35% Of Bil | $673 |
| Benemax [100276] | Hb Xr Non-Contracted 35% Of Billed Charges Mwf | $673 |
| American Postal Workers [100089] | Hb Xr Non-Contracted 35% Of Billed | $673 |
| Allied Benefit Systems [100015] | Hb Xr Non-Contracted 35% Of Billed C | $673 |
| Amerihealth Caritas Nh [350007] | Hb Xr Non-Contracted 35% Of Billed C | $673 |
| Avmed Health Plan [100247] | Hb Xr Non-Contracted 35% Of Billed Charge | $673 |
| Assurant [100020] | Hb Xr Non-Contracted 35% Of Billed Charges Mwf | $673 |
| Carecentrix Alternate [100257] | Hb Xr Non-Contracted 35% Of Billed Ch | $673 |
| Coresource [100285] | Hb Xr Non-Contracted 35% Of Billed Charges Mwf | $673 |
| Eyemed [100290] | Hb Xr Non-Contracted 35% Of Billed Charges Mwf | $673 |
| Coverage Discovery [100306] | Hb Xr Non-Contracted 35% Of Billed Charg | $673 |
| Coventry [100010] | Hb Xr Non-Contracted 35% Of Billed Charges Mwf | $673 |
| Care One [950007] | Hb Xr Non-Contracted 35% Of Billed Charges Mwf | $673 |
| Geha [100039] | Hb Xr Non-Contracted 35% Of Billed Charges Mwf | $673 |
| Group And Pension Administrators [100043] | Hb Xr Non-Contracted 35% O | $673 |
| Ibew Local 103 [100272] | Hb Xr Non-Contracted 35% Of Billed Charges M | $673 |
| Compsych [100027] | Hb Xr Non-Contracted 35% Of Billed Charges Mwf | $673 |
| National Association Of Letter Carriers [100067] | Hb Xr Non-Contracte | $673 |
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