MRI lower back without contrast at Westchester Medical Center. CPT 72148.
What Westchester Medical Center publishes for this service, straight from its standard-charges file, last updated July 28, 2026.
Outpatient / ER
$6,405cash price (self-pay)
$6,405list price
$207–$6,405range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Beacon Medicare | Beacon Medicare | $296 |
| Blue Cross Medicare | Blue Cross Medicare | $296 |
| Cdphp Medicare | Cdphp Medicare | $296 |
| Fidelis Medicare | Fidelis Medicare | $296 |
| Tricare | Tricare | $298 |
| Emblem Ghi/Hip Medicare | Emblem Ghi/Hip Medicare | $302 |
| Affinity By Molina Mcr | Affinity By Molina Mcr | $311 |
| Oxford Exchange | Oxford Exchange | $373 |
| UHC Commercial | UHC Commercial | $373 |
| UHC Compass | UHC Compass | $373 |
| UHC Empire | UHC Empire | $373 |
| UHC Exchange | UHC Exchange | $373 |
| Beacon Commercial | Beacon Commercial | $385 |
| Aetna | Aetna | $417 |
| Aetna Hp Network | Aetna Hp Network | $467 |
| Cigna PPO | Cigna PPO | $496 |
| Aetna Employee | Aetna Employee | $518 |
| Emblem Select Care (Exchange) | Emblem Select Care (Exchange) | $575 |
| Fidelis Exchange | Fidelis Exchange | $578 |
| Emblem Ghi/Hip PPO | Emblem Ghi/Hip PPO | $676 |
| Emblem Ghi/Hip HMO/EPO/POS | Emblem Ghi/Hip HMO/EPO/POS | $1,091 |
| Emblem Ghi/Hip PPO/Cbp | Emblem Ghi/Hip PPO/Cbp | $1,285 |
| Mvp Exchange | Mvp Exchange | $1,585 |
| Blue Cross Connection/Exchange | Blue Cross Connection/Exchange | $1,764 |
| Mvp HMO/PPO | Mvp HMO/PPO | $1,864 |
| SELF-PAY - CC 30% | SELF-PAY - CC 30 PerCent | $1,922 |
| Blue Cross Small Group | Blue Cross Small Group | $2,115 |
| Blue Cross Commercial/Healthy NY | Blue Cross Commercial/Healthy NY | $2,348 |
| Self-Pay | Self-Pay | $2,632 |
| Self-Pay - Cc 50% | Self-Pay - Cc 50 | $3,203 |
Inpatient
$6,405cash price (self-pay)
$6,405list price
$1,922–$6,405range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| SELF-PAY - CC 30% | SELF-PAY - CC 30 PerCent | $1,922 |
| Self-Pay - Cc 50% | Self-Pay - Cc 50 | $3,203 |
| Multiplan | Multiplan | $4,484 |
| Consolidated Health | Consolidated Health | $4,804 |
| Emblem Leased Network | Emblem Leased Network | $5,444 |
| Phcs | Phcs | $5,444 |
| Medigap | Medigap | $6,405 |
| NON CONTRACTED (100% POC) | NON CONTRACTED (100 PerCent POC) | $6,405 |
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