MRI lower back without contrast at Saint Michael's Medical Center. CPT 72148.
What Saint Michael's Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$276cash price (self-pay)
$4,538list price
$221–$3,630range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Tricare | Tricare | $221 |
| UHC - Adhoc | UHC - Adhoc All Payer | $230 |
| UHC - Adhoc | UHC - Adhoc Oxford | $230 |
| Aetna | Aetna Medicare | $277 |
| Amerihealth | Amerihealth HMO Medicare | $277 |
| Horizon | Horizon Medicare | $277 |
| Horizon | Horizon NJ Health Duals (FIDESNP) | $277 |
| Humana | HUMANA MILITARY TRICARE | $277 |
| New Jersey Out of State | New Jersey Out of State | $277 |
| Traditional Medicare | Traditional Medicare | $277 |
| UHC | UHC Medicare (02-01-2023 to 12-31-2026) | $277 |
| Wellpoint Amerigroup | Wellpoint Amerigroup Medicare | $277 |
| Wellcare | Wellcare Medicare | $285 |
| Clover Health | Clover Medicare | $288 |
| Curana | Curana | $291 |
| UHC | UHC All Payer Commercial (02-01-2023 to 12-31-2026) | $345 |
| UHC | UHC Oxford Commercial (02-01-2023 to 12-31-2026) | $345 |
| Wellcare | Wellcare Insurance Exchange | $374 |
| Employer Direct Healthcare | Employer Direct Healthcare | $387 |
| Naphcare | Naphcare Medicare | $429 |
| Cigna | Cigna Commercial | $442 |
| Fairprice Healthcare Holdings - Fphh | Fairprice Healthcare Holdings - | $443 |
| Coventry | Coventry Auto | $553 |
| Coventry | Coventry Workers comp | $553 |
| Horizon | Horizon BCBS Of NJ HMO POS | $566 |
| Horizon | Horizon BCBS Of NJ Indemnity | $566 |
| Horizon | Horizon BCBS Of NJ PPO | $566 |
| Aetna | Aetna Commercial | $587 |
| Aetna | Aetna Medical Rental Network | $587 |
| Amerihealth | AmeriHealth HMO | $766 |
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