MRI lower back without contrast at Plaistow Emergency Room. CPT 72148.
What Plaistow Emergency Room publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$8,431cash price (self-pay)
$8,431list price
$261–$8,010range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AmeriHealth Caritas | MCD | $261 |
| Well Sense Health Plan | MCD | $632 |
| Anthem | BlueChoice | $673 |
| Harvard Pilgrim | INDIVIDUAL | $741 |
| Anthem | FEP | $774 |
| Anthem | PPO | $774 |
| Anthem | HMO | $780 |
| Anthem | POS | $780 |
| Harvard Pilgrim | ELEVATE | $815 |
| Harvard Pilgrim | HMO | $926 |
| Harvard Pilgrim | POS | $926 |
| United | FreedomBenefitPlans | $1,771 |
| Maine Community Health | Individual | $2,636 |
| Maine Community Health | SmallGroup | $2,636 |
| United | AllPayerAppendix | $3,541 |
| Harvard Pilgrim | PPO | $3,795 |
| Maine Community Health | LargeGroup | $4,468 |
| Tufts Health Plan | POS | $4,823 |
| Tufts Health Plan | HMO | $4,968 |
| Tufts Health Plan | PPO | $4,968 |
| Aetna | HMO | $5,017 |
| United | OptionsPPO | $5,118 |
| Aetna | EPO | $5,632 |
| Aetna | POS | $5,632 |
| Aetna | PPO | $5,632 |
| CorVel | WorkersComp | $6,071 |
| EverNorth | COMM | $6,745 |
| Healthcare Value Mgmt | COMM | $7,082 |
| First Health | PPO | $7,167 |
| Oxford Health Plans | COMM | $8,010 |
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