MRI lower back without contrast at Upper Valley Medical Center. CPT 72148.
What Upper Valley Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,048cash price (self-pay)
$2,048list price
$234–$722range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare Hmo | Aetna Medicare | $234 |
| Medicare Hmo | Humana Medicare | $239 |
| Medicare Hmo | Communicare Advantage I-Snp | $241 |
| Medicare Hmo | Buckeye Medicare Advantage | $246 |
| Medicare Hmo | Devoted Health Plans | $248 |
| Uhc | United Healthcare | $273 |
| Uhc | United Healthcare All Savers | $273 |
| Uhc | United Healthcare Choice Plus | $273 |
| Uhc | United Healthcare Golden Rule | $273 |
| Uhc | United Healthcare Ppo | $273 |
| Uhc | United Healthcare River Valley | $273 |
| Uhc | United Healthcare Surest | $273 |
| Uhc | United Medical Resources | $273 |
| Anthem | Anthem Marketplace-Exchange Plans | $337 |
| Contracted Commercial | Caresource Marketplace | $351 |
| Anthem | Anthem Blue Connection High Performance Network | $541 |
| Medical Mutual | Medical Mutual Of Ohio | $575 |
| Anthem | Anthem Bcbs | $722 |
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