MRI lower back without contrast at Bellevue Hospital Center. CPT 72148.
What Bellevue Hospital Center publishes for this service, straight from its standard-charges file, last updated September 5, 2026.
Outpatient / ER
$244cash price (self-pay)
$1,593list price
$1.00–$1,787range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | MEDICARE ADVANTAGE | $179 |
| Emblem | Hip_ghi_chp | $216 |
| Fidelis | MAP | $257 |
| Anthem | Medicare Advantage | $286 |
| Senior Whole Health | MLTC | $292 |
| Amidacare | Managed Medicaid | $298 |
| Centerlight | PACE | $298 |
| Elderplan | MAP_Medicare Advantage_MLTC | $298 |
| Emblem | Medicare Advantage | $358 |
| ANTHEM | Small Group EPO_PPO | $506 |
| ANTHEM | Blue Access Small Group | $506 |
| ANTHEM | Blue Access Large Group | $522 |
| Anthem HealthPlus | EXCHANGE | $551 |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | $551 |
| Carelon | Managed Medicaid_HARP_CHP | $551 |
| Carelon | Commercial_Essential Plans | $551 |
| Carelon | GHI BMP | $551 |
| Affinity | HARP_Managed Medicaid | $562 |
| Carelon (Amida Care) | Managed Medicaid | $562 |
| Anthem | EPO | $564 |
| Anthem | PPO | $564 |
| Anthem | HMO | $564 |
| Anthem | Indemnity | $564 |
| Affinity | CHP | $579 |
| Anthem HealthPlus | CHP | $607 |
| EMBLEM | HARP_Managed Medicaid | $689 |
| MetroPlus | Essential Plan 200-250 | $714 |
| MetroPlus | Essential Plan 1-2 | $714 |
| MetroPlus | Essential Plan 3-4 | $714 |
| EMBLEM | Essential Plan 1-2 | $744 |
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