MRI lower back without contrast at Columbia Memorial Health. CPT 72148.
What Columbia Memorial Health publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$128cash price (self-pay)
$256list price
$28.91–$2,325range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | EssentialAliessa-Medicaid-CHP-HARP_MD_FAC | $72.27 |
| Blue Cross | EssentialAliessa-Medicaid-CHP-HARP_MD_NONFAC | $72.27 |
| Aetna | Medicare_NONFAC | $74.44 |
| Aetna | Medicare_FAC | $74.44 |
| Aetna | All Products_FAC | $105 |
| Aetna | All Products_NONFAC | $105 |
| CDPHP | All Products-High Deductible Plan | $201 |
| CDPHP | All Products-Labcorp | $201 |
| BCBS_Empire HealthChoice | Medicare Advantage | $252 |
| MVP | Medicare Advantage | $252 |
| Emblem | Medicare Advantage | $279 |
| BCBS_Empire HealthChoice | Blue Access Small Group | $284 |
| CDPHP | Medicare Advantage | $286 |
| Fidelis | Medicare Advantage | $286 |
| Aetna Government Program | Medicare Advantage | $295 |
| Fidelis | Health Benefit Exchange | $300 |
| BCBS_Empire HealthChoice | Blue Access Large Group | $303 |
| BCBS_Empire HealthChoice | Individual Plan | $322 |
| BCBS_Empire HealthChoice | Commercial All Products | $357 |
| Empire Plan NYSHIP | All Products | $357 |
| United Healthcare | All Products | $371 |
| Blue Shield | Medicare | $416 |
| Herrington Diversified PDH | Commercial_All Products | $429 |
| Blue Shield | Indemnity | $438 |
| Blue Shield | HMO_POS_PPO | $438 |
| Emblem | Commercial_All Products | $465 |
| BCBS_Empire HealthChoice | Managed Medicaid | $528 |
| Fidelis | Medicaid Managed Care | $528 |
| MVP Medicaid Managed | Managed Medicaid_HARP_Child Health Plus | $528 |
| CDPHP | Managed Medicaid | $538 |
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