MRI lower back without contrast at Montefiore Medical Center. CPT 72148.
What Montefiore Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,965cash price (self-pay)
$3,005list price
$61.78–$29,357range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare | Part B - PA's & NP's | $64.83 |
| Wellcare | Medicaid - PAs & NPs | $64.83 |
| United | Empire Plan MD/Dos | $72.46 |
| BCBS | Medicare | $75.10 |
| Oscar | Medicare | $76.27 |
| Medicare | Part B | $76.27 |
| Fidelis | Medicaid and HARP | $76.27 |
| Wellcare | Medicaid Specialists | $76.27 |
| Humana | Medicare | $77.80 |
| HIP | Medicaid Essential Plan 1-4 | $80.85 |
| Affinity | Medicaid - Specialists | $81.02 |
| HIP | Medicare | $85.42 |
| Wellcare | Medicaid - OB/GYN | $87.71 |
| Wellcare | Medicare-PCPs | $89.85 |
| Wellcare | Medicare Specialists | $89.85 |
| 1199 | 1199 | $94.00 |
| Fidelis | Medicare | $101 |
| BCBS | MHS Employees | $118 |
| Oscar | Commercial | $141 |
| New York Medicaid | Medicaid | $187 |
| Multiplan | Multiplan | $207 |
| Aetna | Medicare | $222 |
| MetroPlus | Default Duals | $260 |
| MetroPlus | Medicaid Advantage Plus | $260 |
| MetroPlus | Medicare | $260 |
| UHC/Oxford | Commercial Midlevels | $289 |
| Cigna | Cigna Paraprofessionals | $317 |
| Hip | HMO/POS | $335 |
| MetroPlus | Exchange Products | $338 |
| Hip | PPO/EPO | $350 |
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