MRI lower back without contrast at Canton-Potsdam Hospital. CPT 72148.
What Canton-Potsdam Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,233cash price (self-pay)
$3,436list price
$105–$505range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Champus-Tricare | Commercial | $105 |
| Aetna | Medicare Advantage | $117 |
| United Healthcare | Medicare Advantage | $117 |
| United Healthcare | Medicare Advantage Dual | $117 |
| Cdphp | Medicare Advantage | $117 |
| Fidelis Care New York | Medicare Advantage | $119 |
| Wellcare | Medicare Advantage Dual | $119 |
| Wellcare | Medicare Advantage | $119 |
| Humana | Medicare Advantage | $123 |
| Fidelis Care New York | Medicaid | $418 |
| Cdphp | Medicaid | $505 |
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