MRI lower back without contrast at HSS West Side Outpatient Center. CPT 72148.
What HSS West Side Outpatient Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$400cash price (self-pay)
$2,551list price
$53.19–$2,268range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC | Commercial | $119 |
| Blue Cross Blue Shield NY [1022] | BCBS NY Exchange [102200] | $505 |
| United Healthcare [1107] | Unitedhealthcare Essential Group 1 [110713] | $682 |
| Apwu [1016] | Apwu [101600] | $964 |
| Wellfleet [1361] | Wellfleet - Cigna [136100] | $964 |
| Trustmark - Cigna [1343] | Trustmark - Cigna [134300] | $964 |
| Cigna [1035] | Cigna [103500] | $964 |
| Cigna [1035] | Local 831 [103508] | $964 |
| Qualcare [1101] | Qualcare [110100] | $964 |
| Cigna [1035] | Cigna Great West [103506] | $964 |
| Daniel H Cook - Cigna [1339] | Daniel H Cook - Cigna [133900] | $964 |
| Nalc [1090] | Nalc [109000] | $964 |
| United Healthcare [1107] | United Healthcare Exchange [110711] | $1,056 |
| United Healthcare [1107] | United Healthcare Compass [110707] | $1,056 |
| Cigna [1035] | Cigna International [103507] | $1,071 |
| Allied Benefit System - Cigna Network [1337] | Allied Benefit System - | $1,071 |
| Blue Cross Blue Shield NY [1022] | BCBS Individual Network [102218] | $1,261 |
| Oxford [1096] | Oxford Freedom [109601] | $1,505 |
| United Healthcare [1107] | United Healthcare EPO [110704] | $1,672 |
| Geha [1053] | Geha - Unitedhealthcare [105301] | $1,672 |
| United Healthcare [1107] | United Healthcare Choice Plus [110709] | $1,672 |
| United Healthcare [1107] | United Healthcare POS [110706] | $1,672 |
| United Healthcare [1107] | United Healthcare Select [110703] | $1,672 |
| United Healthcare [1107] | All Savers [110715] | $1,672 |
| Blue Cross Blue Shield Nj [1023] | BCBS Nj PPO [102302] | $1,872 |
| Blue Cross Blue Shield Nj [1023] | BCBS Nj [102301] | $1,872 |
| United Healthcare [1107] | United Healthcare Surest - Options PPO [110 | $2,020 |
| United Healthcare [1107] | United Healthcare Indemnity [110708] | $2,020 |
| Emblem Health [1043] | Emblem Health Ghi [104304] | $2,098 |
| Emblem Health [1043] | Emblem Hip City Plan [104315] | $2,098 |
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