MRI lower back without contrast at Aurelia Osborn Fox Memorial Hospital. CPT 72148.
What Aurelia Osborn Fox Memorial Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$1,354cash price (self-pay)
$5,016list price
$303–$4,665range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Emblem | Managed Medicaid | $303 |
| Fidelis | Managed Medicaid | $303 |
| Aetna | Medicare Advantage | $306 |
| BCBS | Anthem Medicare Advantage | $306 |
| BCBS | Excellus Blue HMO | $306 |
| BCBS | Excellus Blue Medicare Advantage | $306 |
| BCBS | Excellus Blue PPO | $306 |
| BCBS | Excellus Exchange | $306 |
| BCBS | Excellus HMO Blue Option Managed Medicaid | $306 |
| BCBS | Excellus Utica | $306 |
| BCBS | Highmark | $306 |
| BCBS | Highmark Medicare Advantage | $306 |
| Cdphp | Medicare Advantage | $306 |
| Emblem | Medicare Advantage | $306 |
| Fidelis | Medicare Advantage | $306 |
| Fidelis | Medicare Advantage Flex | $306 |
| Humana | Medicare Advantage | $306 |
| Mvp | Medicare Advantage | $306 |
| United Healthcare | Madicare Advantage | $306 |
| Mvp | Managed Medicaid | $314 |
| Cdphp | Managed Medicaid | $505 |
| Mvp | Managed Medicaid Essential | $1,086 |
| Cdphp | Essentials | $1,136 |
| BCBS | Anthem Exchange | $4,665 |
| BCBS | Empire | $4,665 |
| BCBS | Empire Exchange | $4,665 |
| BCBS | Empire Healthchoice | $4,665 |
| BCBS | Empire Managed Medicaid | $4,665 |
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