MRI lower back without contrast at Community Memorial Hospital. CPT 72148.
What Community Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 24, 2026.
Outpatient / ER
$2,834cash price (self-pay)
$3,543list price
$115–$2,657range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare B NY Upstate JK | Default | $115 |
| Blue Cross Blue Shield NY Utica Watertown MCD Rep | Default | $886 |
| Blue Cross Blue Shield NY Utica Watertown Med Adv | Default | $903 |
| Fidelis Medicare Advantage MCR Adv | Default | $903 |
| Medicare A NY JK | Default | $903 |
| Blue Cross Blue Shield of NY Utica Watertown | Default | $2,657 |
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