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MRI lower back without contrast at Port Jervis Community Hospital. CPT 72148.

What Port Jervis Community Hospital publishes for this service, straight from its standard-charges file, last updated June 29, 2026.

Outpatient / ER

$4,342cash price (self-pay)
$4,342list price
$296–$14,689range insurers pay
Insurance planNegotiated rate
Beacon Medicare | Beacon Medicare$296
Hamaspik (Mcr) | Hamaspik (Mcr)$296
MEDICARE MANAGED 100 Percent BSC | MEDICARE MANAGED 100 Percent BSC$296
Mvp Gold (Mcr) | Mvp Gold (Mcr)$296
Tricare | Tricare$298
Medicare | Medicare$298
Emblem Ghi/Hip Medicare | Emblem Ghi/Hip Medicare$302
Affinity By Molina Mcr | Affinity By Molina Mcr$311
Health First Medicare | Health First Medicare$317
Beacon Exchange | Beacon Exchange$356
Aetna Hp Network | Aetna Hp Network$379
Beacon Commercial | Beacon Commercial$385
Emblem Select Care (Exchange) | Emblem Select Care (Exchange)$406
Aetna | Aetna$422
Aetna Employee | Aetna Employee$422
Emblem Ghi/Hip PPO | Emblem Ghi/Hip PPO$478
Cigna PPO | Cigna PPO$496
Geisinger Health Commercial/Exchange | Geisinger Health Commercial/Exc$978
SELF-PAY - CC 30% | SELF-PAY - CC 30 PerCent$1,303
Mvp Exchange | Mvp Exchange$1,645
Blue Cross Connection/Exchange | Blue Cross Connection/Exchange$1,650
Mvp HMO/PPO | Mvp HMO/PPO$1,935
Cdphp | Cdphp$2,171
Self-Pay - Cc 50% | Self-Pay - Cc 50$2,171
Self-Pay | Self-Pay$2,632
Blue Cross Small Group | Blue Cross Small Group$2,857
Blue Cross HMO | Blue Cross HMO$2,936
Magnacare Standard | Magnacare Standard$3,039
Multiplan | Multiplan$3,257
Phcs | Phcs$3,257

Inpatient

$4,342cash price (self-pay)
$4,342list price
$1,303–$3,039range insurers pay
Insurance planNegotiated rate
SELF-PAY - CC 30% | SELF-PAY - CC 30 PerCent$1,303
Cdphp | Cdphp$2,171
Self-Pay - Cc 50% | Self-Pay - Cc 50$2,171
Magnacare Standard | Magnacare Standard$3,039
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All common services at Port Jervis Community Hospital