MRI lower back without contrast at Haskell Memorial Hospital. CPT 72148.
What Haskell Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 15, 2026.
Outpatient / ER
$1,368cash price (self-pay)
$1,368list price
$294–$1,204range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| FirstCare | Managed Medicaid | $294 |
| United HealthCare | Managed Medicaid | $294 |
| Superior Healthplan Inc. | Managed Medicaid | $294 |
| Blue Cross Blue Shield | Advantage HMO Network | $295 |
| Humana ChoiceCare | Medicare Advantage | $342 |
| United HealthCare | Medicare Advantage | $342 |
| Blue Cross Blue Shield | Essentials Network | $590 |
| Blue Cross Blue Shield | Traditional Indemnity | $663 |
| Blue Cross Blue Shield | PPO/POS Network | $663 |
| Humana ChoiceCare | Commercial | $1,204 |
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