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MRI lower back without contrast at Brooks Memorial Hospital. CPT 72148.

What Brooks Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.

Outpatient / ER

$1,599cash price (self-pay)
$1,599list price
$112–$399range insurers pay
Insurance planNegotiated rate
Bcbs | Bcwyn Medicare Managed Care Plan$126
Univera | Medicare Managed Care Plan$131
Univera | All Commercial Plans$149
Bcbs | Highmark Hmo/Pos$155
Independent Health Association | Essential Other Commercial Plan$198
Independent Health Association | State - Medisource Other Commercial P$198
Humana | Medicare Managed Care Plan$298
Independent Health Association | All Commercial Plans$305
Wellcare | Medicare Managed Care Plan$307
Independent Health Association | Passport Ppo Medicare Managed Care Pl$353
Emblemhealth | All Commercial Plans$387
Nova Azero Health Plan | All Commercial Plans$398
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All common services at Brooks Memorial Hospital