MRI lower back without contrast at HSS East Side Outpatient Center. CPT 72148.
What HSS East Side Outpatient Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$400cash price (self-pay)
$400list price
$53.19–$2,268range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC | Medicare Managed Care | $53.19 |
| Fidelis | Medicaid Managed Care | $56.02 |
| Fidelis | Essential Plans 3,4 | $59.14 |
| Fidelis | Essential Plans 1,2 | $59.14 |
| Metro Plus | Medicaid Managed Care | $74.70 |
| Metro Plus | Essential Plans 3,4 | $74.70 |
| Emblem | Medicare Managed Care | $75.98 |
| Metro Plus | Essential Plans 1,2 | $77.81 |
| Emblem | Commercial | $100 |
| Emblem | City of NY Plans | $100 |
| Anthem NY | Exchange | $103 |
| UHC | Commercial | $119 |
| NYSHIP | Commercial | $121 |
| Anthem NY | Commercial | $121 |
| Horizon | Commercial | $125 |
| CIGNA | Commercial | $157 |
| Aetna | Commercial | $180 |
| Luminare - Cigna [1362] | Luminare - Cigna [136200] | $1,071 |
| Nalc [1090] | Nalc [109000] | $1,071 |
| Daniel H Cook - Cigna [1339] | Daniel H Cook - Cigna [133900] | $1,071 |
| Cigna [1035] | Cigna [103500] | $1,071 |
| Cigna [1035] | Cigna International [103507] | $1,071 |
| Oxford [1096] | Oxford Liberty [109604] | $1,505 |
| Oxford [1096] | Oxford Freedom Plan Select [109602] | $1,505 |
| Oxford [1096] | Oxford POS [109606] | $1,505 |
| United Healthcare [1107] | United Healthcare HMO [110701] | $1,672 |
| United Healthcare [1107] | United Healthcare POS [110706] | $1,672 |
| United Healthcare [1107] | All Savers [110715] | $1,672 |
| United Healthcare [1107] | United Healthcare Choice [110705] | $1,672 |
| Harvard Pilgrim [1057] | Harvard Pilgrim NY [105701] | $2,020 |
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