MRI lower back without contrast at Hospital for Special Surgery Main Hospital. CPT 72148.
What Hospital for Special Surgery Main Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$400cash price (self-pay)
$3,043list price
$53.19–$2,268range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare [1107] | Unitedhealthcare Essential Group 1 [110713] | $682 |
| Fidelis Essential [1323] | Fidelis Essential [132300] | $852 |
| United Healthcare [1107] | United Healthcare Compass [110707] | $1,056 |
| United Healthcare [1107] | United Healthcare Exchange [110711] | $1,056 |
| Allied Benefit System - Cigna Network [1337] | Allied Benefit System - | $1,071 |
| Wellfleet [1361] | Wellfleet - Cigna [136100] | $1,071 |
| Apwu [1016] | Apwu [101600] | $1,071 |
| Qualcare [1101] | Qualcare [110100] | $1,071 |
| Trustmark - Cigna [1343] | Trustmark - Cigna [134300] | $1,071 |
| Cigna [1035] | Cigna EPO [103502] | $1,071 |
| Cigna [1035] | Cigna Great West [103506] | $1,071 |
| Cigna [1035] | Cigna HMO [103503] | $1,071 |
| Cigna [1035] | Cigna Indemnity [103505] | $1,071 |
| Cigna [1035] | Cigna International [103507] | $1,071 |
| Cigna [1035] | Cigna PPO [103504] | $1,071 |
| Blue Cross Blue Shield NY [1022] | BCBS Individual Network [102218] | $1,389 |
| Oxford [1096] | Oxford Liberty [109604] | $1,505 |
| Oxford [1096] | Oxford POS [109606] | $1,505 |
| Oxford [1096] | Oxford [109600] | $1,505 |
| Student Resources [1103] | Student Resources [110300] | $1,672 |
| Umr [1106] | Umr HMO [110601] | $1,672 |
| United Healthcare [1107] | All Savers [110715] | $1,672 |
| Emblem BCBS Composite [9012] | Emblem BCBS Composite [901202] | $1,701 |
| Emblem Health [1043] | Emblem Hcp [104311] | $1,701 |
| Emblem Health [1043] | Emblem Health Ghi [104304] | $1,701 |
| Emblem Health [1043] | Emblem Ghi Medical [104300] | $1,701 |
| Emblem Health [1043] | Emblem Health Hip Exchange [104302] | $1,701 |
| Emblem Health [1043] | Emblem Health Hip [104301] | $1,701 |
| Emblem Health [1043] | Emblem Hip City Plan [104315] | $1,701 |
| Emblem Health [1043] | Emblem Hip EPO [104305] | $1,701 |
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All common services at Hospital for Special Surgery Main Hospital