MRI lower back without contrast at Northern Light Sebasticook Valley Hospital. CPT 72148.
What Northern Light Sebasticook Valley Hospital publishes for this service, straight from its standard-charges file, last updated March 30, 2026.
Outpatient / ER
$85.68cash price (self-pay)
$1,051list price
$65.29–$1,849range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | MCR Advantage | $95.76 |
| Anthem | MCR Advantage | $95.76 |
| Martin's Point | MCR Advantage | $95.76 |
| UHC | MCR Advantage | $95.76 |
| Wellcare | MCR Advantage | $95.76 |
| Aetna | Commercial | $192 |
| CHO | Commercial | $207 |
| UHC | Commercial | $214 |
| Harvard | Commercial | $228 |
| Anthem | Commercial | $234 |
| Anthem | Enhanced Pathways | $234 |
| Cigna | Commercial | $292 |
Inpatient
$85.68cash price (self-pay)
$1,051list price
$164–$1,849range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Commercial | $683 |
| Anthem | Enhanced Pathways | $683 |
| UHC | Commercial | $762 |
| Cigna | Commercial | $784 |
| Aetna | Commercial | $788 |
| CHO | Commercial | $1,051 |
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All common services at Northern Light Sebasticook Valley Hospital