MRI lower back without contrast at Montefiore Mount Vernon Hospital. CPT 72148.
What Montefiore Mount Vernon Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,908cash price (self-pay)
$4,474list price
$199–$9,833range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| HealthFirst | Essential Plan 3 & 4 | $199 |
| MetroPlus | Medicaid Advantage Plus | $217 |
| MetroPlus | Default Duals | $217 |
| MetroPlus | Child Health Plus | $217 |
| MetroPlus | Essential Plan 1 & 2 | $217 |
| MetroPlus | Medicare Advantage | $257 |
| Emblem | Medicare | $298 |
| Fidelis | Medicare | $298 |
| HealthFirst | IB Dual Connection HMO D-SNP | $298 |
| HealthFirst | Medicare PPO | $298 |
| Point Comfort | Indemnity | $298 |
| UHC | Medicare | $298 |
| VillageCareMAX | Medicare | $298 |
| VNSNY Choice | Medicare | $298 |
| Anthem Healthplus | Medicare | $298 |
| MetroPlus | Exchange Products | $302 |
| Wellcare | Medicare | $304 |
| Elderplan | Medicare | $307 |
| Centerlight | PACE | $307 |
| Partners Health Plan | FIDA IDD | $313 |
| Longevity | Medicare Advantage SNP Plan | $325 |
| Humana | Humana | $328 |
| Centerlight | Medicare | $328 |
| Emblem | Select Care | $357 |
| Molina Healthcare of NY Affinity | Essential Plan 1 & 2 | $411 |
| Molina Healthcare of NY Affinity | Essential Plan 200-250 | $411 |
| Oscar | Commercial | $471 |
| Emblem | Essential Plan 3 & 4 | $505 |
| Emblem | Medicaid FHP CHP | $505 |
| Medicaid | Medicaid | $505 |
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