MRI lower back without contrast at Elizabethtown Community Hospital. CPT 72148.
What Elizabethtown Community Hospital publishes for this service, straight from its standard-charges file, last updated April 28, 2026.
Outpatient / ER
$207cash price (self-pay)
$207list price
$123–$3,527range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Capital District Physicians' Health Plan | Essential Plans | $123 |
| Capital District Physicians' Health Plan | Managed Medicaid | $123 |
| United Healthcare | Managed Medicaid/Essential Plans | $126 |
| Empire BlueCross BlueShield | Essential Plans/Non-Aliessa Managed Medi | $162 |
| Empire BlueCross BlueShield | Managed Medicaid Aliessa | $162 |
| Humana Military | TRICARE | $201 |
| United Healthcare Empire Plan | Commercial PPO for NY State Employees | $210 |
| Fidelis Care | Child Health Plus | $252 |
| Fidelis Care | Managed Medicaid | $266 |
| Fidelis Care | Essential Plans | $283 |
| MVP | Essential Plans | $520 |
| MVP | Managed Medicaid | $520 |
| Aetna | Medicare Advantage | $818 |
| Capital District Physicians' Health Plan | Medicare Advantage | $818 |
| Empire BlueCross BlueShield | Medicare Advantage | $818 |
| Excellus BlueCross BlueShield | Medicare Advantage | $818 |
| Fidelis Care | Medicare Advantage | $818 |
| Martins Point | TRICARE Prime/Department of Defense | $818 |
| MVP | Medicare Advantage | $818 |
| United Healthcare | Medicare Advantage | $818 |
| Veterans Affairs Community Care Network | Veterans Administration | $818 |
| ChoiceCare | Medicare Advantage | $834 |
| Fidelis Care | Health Benefit Exchange Products | $850 |
| Excellus BlueCross BlueShield | Managed Medicaid/Essential Plans | $910 |
| Wellpath | FCI Ray Brook | $1,218 |
| Empire BlueCross BlueShield | Blue Access | $1,242 |
| Empire BlueCross BlueShield | HMO/POS/EPO/PPO/IND | $1,299 |
| Empire BlueCross BlueShield | Individual Network | $1,309 |
| Aetna | Commercial | $1,582 |
| Excellus BlueCross BlueShield | Commercial | $1,607 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.