MRI lower back without contrast at White Plains Hospital. CPT 72148.
What White Plains Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
—cash price (self-pay)
$4,232list price
$149–$29,019range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Emblem | HIP HMO | $149 |
| HealthFirst | Essential Plan 3 & 4 | $199 |
| Wellcare | Medicare | $265 |
| Aetna | Medicare | $295 |
| Emblem | Medicare | $298 |
| Fidelis | Medicare | $298 |
| Point Comfort | Point Comfort | $298 |
| Veterans Affair | Community Care | $298 |
| VillageCareMAX | Medicare | $298 |
| VNSNY Choice | Medicare | $298 |
| Anthem | Medicare | $298 |
| HealthFirst | Medicare | $298 |
| UHC | Medicare | $304 |
| Elderplan | Medicare | $306 |
| Centerlight | PACE | $307 |
| Partners Health Plan | Partners Health | $313 |
| Hamaspik | Medicare | $322 |
| Longevity | Medicare | $325 |
| Centerlight | Medicare | $328 |
| Humana | Medicare | $328 |
| Emblem | Select Care | $357 |
| Molina Healthcare of NY Affinity | Essential Plan 1 & 2 | $411 |
| Oscar | Commercial | $471 |
| Emblem | HIP_Medicaid FHP & CHP | $505 |
| Molina Healthcare of NY Affinity | Essential Plan 200-250 | $658 |
| Northwell | Northwell | $801 |
| UHC | Compass | $967 |
| UHC | Oxford | $967 |
| Cigna | Commercial | $1,515 |
| Emblem | HIP -Commerical EPO, PPO | $1,971 |
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