MRI lower back without contrast at Overlook Medical Center. CPT 72148.
What Overlook Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$323cash price (self-pay)
$4,390list price
$228–$4,390range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Carisk Worker'S Comp [5501] | Omc Carisk Imaging | $260 |
| Aarp Medicare Comp [5039] | Omc United Medicare | $280 |
| Aetna Ahs Employee [5306] | Omc Aetna Ahs Employee | $280 |
| Aetna Assure Premier Plus [5422] | Omc Aetna Medicare | $280 |
| Aetna Assure Premier Plus Ip Splits [5466] | Omc Aetna Medicare | $280 |
| Aetna Mcare Supplemental [5041] | Omc Aetna Medicare | $280 |
| Aetna Medicare [5003] | Omc Aetna Medicare | $280 |
| Aetna Medicare [5003] | Omc Aetna Nnj Prime | $280 |
| Aetna Medicare Ip Splits [5470] | Omc Aetna Medicare | $280 |
| Ambetter [5432] | Omc Ambetter Wellcare Of Nj | $280 |
| Amerihealth Administrators Supplemental [5512] | Omc Amerihealth Medic | $280 |
| Amerihealth Medigap [5049] | Omc Amerihealth Medicare | $280 |
| Anthem Bcbsny Medicare [5312] | Omc Horizon Braven | $280 |
| Anthem Bcbsny Medicare Ip Splits [5476] | Omc Horizon Braven | $280 |
| Anthem Medicare Pffs [5052] | Omc Horizon Braven | $280 |
| Anthem Medicare Pffs Ip Splits [5474] | Omc Horizon Braven | $280 |
| Champva [5354] | Omc Tricare Contract | $280 |
| Cigna Medicare Ip Splits [5478] | Omc Cigna Medicare | $280 |
| Amerihealth Caritas Vip Care [5313] | Omc Amerihealth Caritas | $283 |
| Amerihealth Caritas Vip Care Ip Splits [5460] | Omc Amerihealth Carita | $283 |
| Apwu Healthcare [5053] | United Tertiary | $376 |
| Aetna Centrastate Employee [5425] | Omc Aetna Htc | $393 |
| Aetna [5002] | Omc Aetna Htc | $393 |
| Cigna Local Plus [5340] | Omc Cigna Local Plus | $499 |
| Aetna [5002] | Omc Aetna Whole Health | $536 |
| Centivo [5405] | Omc Centivo Health Plan | $575 |
| Allied Benefit Systems [5046] | Omc Cigna PPO | $587 |
| Centivo [5405] | Omc Cigna PPO | $587 |
| Cigna Behavioral Health PPO [5323] | Omc Cigna PPO | $587 |
| Cigna Great West [5305] | Omc Cigna Oap | $587 |
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