MRI lower back without contrast at Ira Davenport Memorial Hospital. CPT 72148.
What Ira Davenport Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 27, 2026.
Outpatient / ER
$1,066cash price (self-pay)
$5,332list price
$53.43–$5,332range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Empire | All Products Non MD | $147 |
| Empire | All Products MD | $175 |
| Excellus BCBS | Medicare Advantage | $256 |
| FIDELIS | Health Benefit Exchange | $256 |
| Excellus BCBS | All Products | $2,233 |
| Aetna | All Products | $4,533 |
| EMBLEM/GHI | All Products | $4,693 |
| UHC | All Products | $5,332 |
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