MRI lower back without contrast at Chelsea Hospital. CPT 72148.
What Chelsea Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$2,970cash price (self-pay)
$4,569list price
$133–$4,569range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross - Sc | BCBS Trad / Trust | $199 |
| Blue Cross - TX | BCBS Trad / Trust | $199 |
| Blue Cross - Tn | BCBS Trad / Trust | $199 |
| Blue Cross - Ut (Regence) | BCBS Trad / Trust | $199 |
| Blue Cross - In (Anthem) | BCBS Trad / Trust | $199 |
| Blue Cross - NY (Excellus) | BCBS Trad / Trust | $199 |
| Blue Cross - Vt | BCBS Trad / Trust | $199 |
| Blue Shield - NY Highmark Western | BCBS Trad / Trust | $199 |
| Blue Shield - NY Highmark Northeastern | BCBS Trad / Trust | $199 |
| Blue Care Network Advantage | Bcn Medicare Advantage | $234 |
| Asr Health Benefits | Hap Ahlic | $754 |
| Wc Mitchell Frankenmuth | Workers Comp | $1,206 |
| Wc Asu Risk Mgt | Workers Comp | $1,206 |
| Wc Meijers | Workers Comp | $1,206 |
| Wc Zurich | Workers Comp | $1,206 |
| Wc Tristar | Workers Comp | $1,206 |
| Wc Sentry | Workers Comp | $1,206 |
| Wc Advantage | Workers Comp | $1,206 |
| Wc Fcci | Workers Comp | $1,206 |
| Aetna | Aetna Dominos PPO | $2,134 |
| Health Choices | Cofinity PPO | $3,038 |
| Sisco Benefits | Cofinity PPO | $3,038 |
| Mutual Of Omaha | Cofinity PPO | $3,038 |
| Benefit Administrative Systems,LLC | Cofinity PPO | $3,038 |
| Humana | Cofinity PPO | $3,038 |
| Intercare | Cofinity PPO | $3,038 |
| Administrative Concepts | Cofinity PPO | $3,038 |
| Luminare Health | Cofinity PPO | $3,038 |
| American Republic | Cofinity PPO | $3,038 |
| American Family | Cofinity PPO | $3,038 |
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