MRI lower back without contrast at Samaritan Medical Center. CPT 72148.
What Samaritan Medical Center publishes for this service, straight from its standard-charges file, last updated February 2, 2026.
Outpatient / ER
$6,078cash price (self-pay)
$6,078list price
$63.45–$5,166range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Empire | Commercial | $111 |
| Fidelis | Medicaid Managed Care/Child Health Plus and Family Health Pl | $117 |
| Fidelis | Essential Plan Program/Aliessa and Essential Plan Program-QH | $129 |
| Fidelis | Medicare Advantage/Managed Long Term Care | $150 |
| Wellcare | Medicare Advantage | $150 |
| Fidelis | Health Benefit Exchange | $165 |
| Capital District Physician's Health Plan, Inc (CDPHP) | Medicare Advan | $298 |
| Excellus | Medicare Advantage | $298 |
| Aetna | Medicare Advantage | $304 |
| United Healthcare | Medicare Advantage | $307 |
| MVP | Medicare Advantage | $313 |
| Capital District Physician's Health Plan, Inc (CDPHP) | Commercial | $451 |
| Excellus | Commercial | $863 |
| United Healthcare | Commercial | $2,500 |
| MVP | Individual Commercial (HMO, EPO/PPO) Plans | $3,975 |
| MVP | Student Health Plans | $3,975 |
| MVP | Small/Large Group Commercial (HMO, EPO/PPO, ASO) Plans | $4,619 |
| UMR | Commercial | $4,741 |
| GHI Emblem | Commercial | $5,045 |
| Aetna | Commercial | $5,166 |
Inpatient
$6,078cash price (self-pay)
$6,078list price
$4,862–$4,862range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Capital District Physician's Health Plan, Inc (CDPHP) | Commercial | $4,862 |
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