MRI lower back without contrast at Glens Falls Hospital. CPT 72148.
What Glens Falls Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$581cash price (self-pay)
$1,188list price
$74.36–$1,206range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CDPHP | All Products-Labcorp | $190 |
| CDPHP | All Products-High Deductible Plan | $190 |
| Aetna Government Program | Medicare Advantage | $216 |
| BCBS_Empire HealthChoice | Medicare Advantage | $252 |
| CDPHP | Medicare Advantage | $252 |
| Blue Shield | Medicare Advantage | $262 |
| MVP Commercial | Individual_Student Health Plan | $463 |
| MVP Commercial | Small_Large Group_CIGNA | $485 |
| Blue Shield | HMO_POS | $516 |
| Blue Shield | Indemnity | $516 |
| Blue Shield | PPO | $516 |
| BCBS_Empire HealthChoice | Managed Medicaid | $536 |
| CDPHP | Managed Medicaid | $536 |
| MVP | Managed Medicaid | $536 |
| Fidelis | Medicaid Managed Care | $590 |
| Aetna | Commercial | $615 |
| Fidelis | Medicare Advantage | $713 |
| BCBS_Empire HealthChoice | Q-HIP INDEX | $748 |
| BCBS_Empire HealthChoice | Q-HIP CHP | $748 |
| BCBS_Empire HealthChoice | Q-HIP HMO_EPO | $748 |
| BCBS_Empire HealthChoice | Q-HIP PPO | $772 |
| Hamaspik | Medicare Advantage | $772 |
| Hamaspik | Medicaid Managed Care | $772 |
| Nascentia Health Options | Medicare Advantage | $772 |
| MagnaCare | All Products | $891 |
| Emblem | Commercial_All Products | $950 |
| Empire Plan NYSHIP | All Products | $1,010 |
| Multiplan | PPO | $1,010 |
| United Healthcare | All Products | $1,010 |
| MVP | Essential Plan | $1,126 |
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