MRI lower back without contrast at Saint Clares Behavioral Health – Boonton. CPT 72148.
What Saint Clares Behavioral Health – Boonton publishes for this service, straight from its standard-charges file, last updated September 10, 2026.
Outpatient / ER
$276cash price (self-pay)
$1,177list price
$221–$1,000range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | HUMANA MILITARY TRICARE | $221 |
| UHC - Adhoc | UHC - Adhoc All Payer | $230 |
| UHC - Adhoc | UHC - Adhoc Oxford | $230 |
| Aetna | Aetna Medicare | $277 |
| Amerihealth | Amerihealth HMO Medicare | $277 |
| Clover Health | Clover Medicare | $277 |
| Horizon | Horizon Medicare | $277 |
| Traditional Medicare | Traditional Medicare | $277 |
| Tricare | Tricare | $277 |
| UHC | UHC Medicare | $277 |
| Wellcare | Wellcare Medicare | $277 |
| Wellpoint Amerigroup | Wellpoint Amerigroup Medicare | $277 |
| ALLY-ALIGN (fka Spartan Health Plan) | ALLY-ALIGN (fka Spartan Health | $291 |
| UHC | UHC Commercial All Payers | $345 |
| UHC | UHC Commercial Oxford | $345 |
| Wellcare | Wellcare Insurance Exchange (01-01-2022 to 12-31-2026) | $374 |
| Employer Direct Healthcare | Employer Direct Healthcare | $387 |
| Cigna | Cigna Commercial | $428 |
| Fairprice Healthcare Holdings - Fphh | Fairprice Healthcare Holdings - | $443 |
| Coventry | Coventry Auto | $553 |
| Coventry | Coventry workers comp | $553 |
| Horizon | Horizon BCBS of NJ HMO POS | $575 |
| Horizon | Horizon BCBS of NJ Indemnity | $575 |
| Horizon | Horizon BCBS of NJ PPO | $575 |
| Aetna | Aetna Commercial | $587 |
| Aetna | Aetna Medical Rental Network | $587 |
| BRIGHTON HEALTH PLAN SOLUTIONS (FKA MagnaCare) | BRIGHTON HEALTH PLAN | $709 |
| Amerihealth | Amerihealth HMO | $766 |
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All common services at Saint Clares Behavioral Health – Boonton