MRI lower back without contrast at Wynn Hospital. CPT 72148.
What Wynn Hospital publishes for this service, straight from its standard-charges file, last updated August 7, 2026.
Outpatient / ER
$1,528cash price (self-pay)
$2,546list price
$272–$1,910range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| MEDICARE [400001] | Medicare | $298 |
| HUMANA MEDICARE ADVANTAGE [450013] | Humana Medicare Advantage | $298 |
| MEDICARE RAILROAD ALTERNATE [400004] | Medicare | $298 |
| MEDICARE ALTERNATE [400002] | Medicare | $298 |
| UNITED HEALTHCARE MEDICARE [450021] | UHC Medicare Advantage | $301 |
| AETNA MEDICARE ADVANTAGE [450001] | Aetna Medicare Advantage | $304 |
| TRINITY HEALTH PLAN NEW YORK MEDICARE [450050] | Medigold | $304 |
| WELLCARE MEDICARE [450023] | WellCare Medicare Advantage | $307 |
| Access Compliance [109956] | Hb Mvhs Voucher | $325 |
| MEDICAID NY [300033] | Medicaid | $505 |
| MEDICAID PENDING [309998] | Medicaid | $505 |
| Wellcare Medicaid [350022] | Hb Mvhs Wellcare Medicaid | $505 |
| EMBLEM HEALTH MEDICAID [350059] | Misc Medicaid MCO | $505 |
| UNITED HEALTHCARE MEDICAID [350013] | UHC Medicaid | $505 |
| FIDELIS HARP [350063] | Fidelis HARP | $505 |
| UNITED HEALTHCARE MEDICAID [350013] | UHC Essential Plan | $505 |
| MEDICAID OUT OF STATE [309999] | Medicaid | $505 |
| BLUE CROSS NY EXCELLUS MEDICAID [350081] | Excellus BCBS Medicaid | $505 |
| BLUE CROSS NY EXCELLUS MEDICAID [350081] | Excellus BCBS Medicaid HMO | $505 |
| CDPHP MEDICAID [350076] | CDPHP Medicaid | $505 |
| BLUE CROSS NY EXCELLUS [200041] | Excellus BCBS Medicaid | $505 |
| MEDICAID ALTERNATE [350064] | Medicaid | $505 |
| MOLINA HEALTHCARE OF NEW YORK INC LTC [350084] | Misc Medicaid MCO | $505 |
| FIDELIS LTC [350070] | Fidelis HARP | $505 |
| EXCELLUS HMO MEDICAID APG [350082] | Excellus BCBS Medicaid | $505 |
| MEDICAID HMO MISC. [359999] | Misc Medicaid MCO | $505 |
| EXCELLUS HMO MEDICAID APG [350082] | Excellus BCBS Medicaid HMO | $505 |
| MVP MEDICAID [350080] | MVP Medicaid | $505 |
| UNITED HEALTHCARE ALTERNATE [100260] | UHC Empire Plan | $664 |
| FIDELIS ESSENTIAL [350062] | Fidelis Essential Plan | $1,061 |
Inpatient
$1,528cash price (self-pay)
$2,546list price
$272–$1,910range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BLUE CROSS NY EXCELLUS MEDICAID [350081] | Excellus BCBS Medicaid | $673 |
| BLUE CROSS NY EXCELLUS [200041] | Excellus BCBS Medicaid | $673 |
| EXCELLUS HMO MEDICAID APG [350082] | Excellus BCBS Medicaid | $673 |
| UNITED HEALTHCARE ALTERNATE [100260] | UHC Empire Plan | $1,018 |
| WELLPATH [500030] | WellPath | $1,528 |
| HUMANA [100052] | Humana HMO/POS | $1,655 |
| MVP [100257] | MVP and Cigna Commercial | $1,803 |
| CIGNA [100009] | MVP and Cigna Commercial | $1,803 |
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