MRI lower back without contrast at HSS Westchester Outpatient Center. CPT 72148.
What HSS Westchester Outpatient Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$400cash price (self-pay)
$2,489list price
$53.19–$2,268range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC | Commercial | $119 |
| United Healthcare [1107] | Unitedhealthcare Essential 3 And 4 [110714] | $682 |
| United Healthcare [1107] | Unitedhealthcare Essential Group 1 [110713] | $682 |
| Wellfleet [1361] | Wellfleet - Cigna [136100] | $964 |
| Cigna [1035] | Cigna [103500] | $964 |
| Luminare - Cigna [1362] | Luminare - Cigna [136200] | $964 |
| Apwu [1016] | Apwu [101600] | $964 |
| Nalc [1090] | Nalc [109000] | $964 |
| Daniel H Cook - Cigna [1339] | Daniel H Cook - Cigna [133900] | $964 |
| Cigna [1035] | Cigna Indemnity [103505] | $964 |
| Cigna [1035] | Cigna HMO [103503] | $964 |
| Cigna [1035] | Cigna EPO [103502] | $964 |
| United Healthcare [1107] | United Healthcare Compass [110707] | $1,056 |
| United Healthcare [1107] | United Healthcare Exchange [110711] | $1,056 |
| Cigna [1035] | Cigna International [103507] | $1,071 |
| Oxford [1096] | Oxford HMO [109605] | $1,242 |
| Oxford [1096] | Oxford POS [109606] | $1,242 |
| Oxford [1096] | Oxford [109600] | $1,242 |
| United Healthcare [1107] | United Healthcare Select [110703] | $1,379 |
| United Healthcare [1107] | United Healthcare Select Plus [110710] | $1,379 |
| Student Resources [1103] | Student Resources [110300] | $1,379 |
| United Healthcare [1107] | United Healthcare POS [110706] | $1,379 |
| United Healthcare [1107] | United Healthcare Choice [110705] | $1,379 |
| United Healthcare [1107] | United Healthcare EPO [110704] | $1,379 |
| United Healthcare [1107] | United Healthcare Surest - Choice Plus [110 | $1,379 |
| United Healthcare [1107] | United Healthcare Choice Plus [110709] | $1,379 |
| United Healthcare [1107] | United Healthcare Surest - Options PPO [110 | $1,667 |
| Harvard Pilgrim [1057] | Harvard Pilgrim [105700] | $1,667 |
| United Healthcare [1107] | United Healthcare PPO [110702] | $1,667 |
| United Healthcare [1107] | All Savers [110715] | $1,672 |
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