MRI lower back without contrast at Bertrand Chaffee Hospital. CPT 72148.
What Bertrand Chaffee Hospital publishes for this service, straight from its standard-charges file, last updated October 1, 2026.
Outpatient / ER
$85.00cash price (self-pay)
$100list price
$59.15–$1,136range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aarp/United Healthcare | Aarp/United Healthcare | $66.85 |
| Cigna Medicare | Cigna | $66.85 |
| Mutual Of Omaha | Mutual Of Omaha | $66.85 |
| Lifetime Benefits | Lifetime Benefits | $66.85 |
| Aetna Medicare | Aetna Medicare | $66.85 |
| Todays Option - Amer Prog | Todays Option - Amer Prog | $66.85 |
| Geisinger Health Plan | Geisinger Health Plan | $66.85 |
| Optimum Healthcare - Mcr | Optimum Healthcare - Mcr | $66.85 |
| Advantra-Mcr Advantage | Advantra-Mcr Advantage | $66.85 |
| Centers Plan Hlty Living | Centers Plan Hlty Living | $66.85 |
| Humana Medicare | Humana Gold | $66.85 |
| Wellcare | Wellcare | $66.85 |
| United Hc Mcr Solutions | United Hc Mcr Solutions | $66.85 |
| Mvp Medicare Advantage | Mvp Medicare Advantage | $66.85 |
| Ctrs Plan For Hlthy Livng | Ctrs Plan For Hlthy Livng | $66.85 |
| Coventry Medicare Health | Coventry Medicare Health | $66.85 |
| Fidelis Medicare | Fidelis Medicare | $66.85 |
| Univera Plus Med | Univera Plus Med | $106 |
| Univera Hc Child Health+ | Univera Hc Child Health+ | $106 |
| Univera Hc Myhealth+ | Univera Hc Myhealth+ | $106 |
| Univera Essential Plans | Univera Essential Plan | $106 |
| Univera Essential Plans | Univera Essential Plans | $106 |
| Univera Senior Choice | Univera Senior Choice | $124 |
| Univera Healthcare | Univera Healthcare | $149 |
| Blue Cross Of Western NY | Bc Of Wny HMO | $169 |
| Blue Cross Of Western NY | Bc Of Wny PPO | $169 |
| Wny BCBS Essential Plan | Wny BCBS Essential Plan | $169 |
| Iha Medisource | Iha Medisource | $184 |
| Private Pay | Private Pay | $189 |
| Senior Blue - Bc | Senior Blue - Bc | $211 |
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