MRI lower back without contrast at Maimonides Medical Center. CPT 72148.
What Maimonides Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$195cash price (self-pay)
$1,854list price
$14.49–$905range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Emblem Health - HIP | Medicare Advantage HMO | $14.49 |
| United Healthcare | Essential Plan 3-4 | $33.45 |
| United Community Plan | Medicaid HMO | $35.21 |
| United Healthcare | Essential Plan 1-2 | $35.21 |
| Anthem Health Plus | Essential Plan 1-2 | $41.95 |
| Anthem Health Plus | Medicaid HMO | $41.95 |
| Fidelis | Medicare Advantage HMO | $44.48 |
| Emblem Health - HIP | Medicaid HMO | $59.14 |
| Healthfirst | Essential Plan | $61.02 |
| Healthfirst | Medicaid HMO | $61.02 |
| Anthem | Medicare Advantage PPO | $61.72 |
| Anthem Health Plus | Medicare Advantage HMO | $61.72 |
| Fidelis | Medicaid HMO | $62.25 |
| Emblem Health - HIP | Essential Plan 1-2 | $62.25 |
| Emblem Health - HIP | Essential Plan 3-4 | $62.25 |
| Fidelis | Child Health Plus | $62.25 |
| Metroplus | Medicaid HMO | $62.25 |
| Fidelis | Essential Plan 1-2 | $65.36 |
| Fidelis | Essential Plan 3-4 | $65.36 |
| Elderplan | Medicare Advantage HMO | $71.35 |
| Metroplus | Essential Plan 1-2 | $73.58 |
| Aetna | Medicare Advantage PPO | $74.74 |
| Anthem Health Plus | Medicare Advantage PPO | $74.74 |
| Emblem Health - HIP VIP | Medicare Advantage HMO | $74.74 |
| Centers Plan for Healthy Living | Medicare Advantage HMO | $76.27 |
| Emblem Health - GHI | Commercial PPO | $76.27 |
| Molina | Medicaid HMO | $76.27 |
| Emblem Health - HIP | Commercial HMO | $78.73 |
| Aetna | Commercial HMO | $107 |
| Aetna | Commercial PPO | $107 |
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