MRI lower back without contrast at Bayonne University Hospital. CPT 72148.
What Bayonne University Hospital publishes for this service, straight from its standard-charges file, last updated August 17, 2026.
Outpatient / ER
—cash price (self-pay)
$13,500list price
$269–$6,162range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Clover | Medicare Advantage | $269 |
| Cigna | Medicare Advantage | $283 |
| Blue Cross Blue Shield of New Jersey (Horizon) | Medicare Advantage | $283 |
| Longevity Health Plan of New Jersey | Medicare Advantage | $283 |
| UnitedHealthcare | Medicare Advantage | $283 |
| Wellcare | Medicare Advantage | $283 |
| Humana | Medicare Advantage | $292 |
| UnitedHealthcare | Community & State | $325 |
| Wellpoint | Medicaid Managed Care | $358 |
| New Jersey Carpenters Health Fund | Self Funded Medical Benefit Plan | $567 |
| Cigna | Commercial | $568 |
| Blue Cross Blue Shield of New Jersey (Horizon) | NJ Health | $639 |
| Aetna | Commercial | $771 |
| Wellcare | New Jersey Medicaid/Family Care | $817 |
| EmblemHealth | Commercial | $850 |
| Aetna | Medicare Advantage | $918 |
| Blue Cross Blue Shield of New Jersey (Horizon) | Indemnity | $1,023 |
| Blue Cross Blue Shield of New Jersey (Horizon) | Managed Care | $1,023 |
| Blue Cross Blue Shield of New Jersey (Horizon) | PPO | $1,023 |
| Qualcare | PPO/HMO/WC | $2,025 |
| Oxford | Commercial | $3,513 |
| MagnaCare | PPO/Direct Plus/Exchange/WC | $4,050 |
| UnitedHealthcare | Commercial | $6,162 |
Inpatient
—cash price (self-pay)
$13,500list price
$2,025–$2,025range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Qualcare | PPO/HMO/WC | $2,025 |
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