MRI lower back without contrast at Alice Hyde Medical Center. CPT 72148.
What Alice Hyde Medical Center publishes for this service, straight from its standard-charges file, last updated April 28, 2026.
Outpatient / ER
$88.00cash price (self-pay)
$88.00list price
$33.24–$3,854range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Managed Medicaid/Essential Plans | $46.28 |
| Fidelis Care | Health Benefit Exchange Products | $72.72 |
| United Healthcare Empire Plan | Commercial PPO for NY State Employees | $75.27 |
| Excellus BlueCross BlueShield | Managed Medicaid/Essential Plans | $80.61 |
| Capital District Physicians' Health Plan | Essential Plans | $83.84 |
| Capital District Physicians' Health Plan | Managed Medicaid | $83.84 |
| Fidelis Care | Child Health Plus | $195 |
| Fidelis Care | Managed Medicaid | $200 |
| Fidelis Care | Essential Plans | $235 |
| Excellus BlueCross BlueShield | Commercial | $452 |
| MVP | Essential Plans | $520 |
| MVP | Managed Medicaid | $520 |
| Humana Military | TRICARE | $654 |
| Aetna | Medicare Advantage | $659 |
| Capital District Physicians' Health Plan | Medicare Advantage | $659 |
| Martins Point | TRICARE Prime/Department of Defense | $659 |
| MVP | Medicare Advantage | $659 |
| United Healthcare | Medicare Advantage | $659 |
| Veterans Affairs Community Care Network | Veterans Administration | $659 |
| ChoiceCare | Medicare Advantage | $661 |
| Excellus BlueCross BlueShield | Medicare Advantage | $662 |
| Fidelis Care | Medicare Advantage | $664 |
| St. Regis | HMO | $715 |
| MVP | Individual Group Commercial | $787 |
| MVP | Small/Large Group Commercial | $948 |
| ChoiceCare | Commercial | $1,502 |
| MagnaCare | Commercial | $1,600 |
| Aetna | Commercial | $1,735 |
| Highmark BlueShield | IND/FEP/PPO/HMO | $1,796 |
| Capital District Physicians' Health Plan | Commercial | $1,892 |
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