MRI lower back without contrast at Brattleboro Memorial Hospital. CPT 72148.
What Brattleboro Memorial Hospital publishes for this service, straight from its standard-charges file, last updated December 29, 2025.
Outpatient / ER
$2,364cash price (self-pay)
$3,377list price
$58.28–$3,276range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerihealth-Caritas | Managed Medicaid | $165 |
| New Hampshire Healthy Families | Managed Medicaid | $165 |
| Wellsense | Managed Medicaid | $165 |
| Anthem | Individual Pathway Exchange | $186 |
| Anthem | Medicare Advantage | $186 |
| Cigna | Medicare Advantage | $186 |
| Harvard Pilgrim Health Care | Medicare Advantage | $186 |
| Martin's Point | Medicare Advantage | $186 |
| MVP Healthcare | Medicare Advantage | $186 |
| New Hampshire Healthy Families (WellCare) | Medicare Advantage | $195 |
| Wellsense | Medicare Advantage | $199 |
| United Healthcare | Medicare Advantage | $232 |
| Humana | Medicare Advantage | $232 |
| Blue Cross Blue Shield of Vermont | Medicare Advantage | $237 |
| Anthem | Group Pathway Exchange | $260 |
| Anthem | Commercial | $407 |
| Tufts Health Plan | All Commercial Plans | $564 |
| Tufts Health Plan | Managed Medicaid | $564 |
| Tufts Health Plan | Medicare Advantage | $564 |
| Harvard Pilgrim Health Care | Exchange | $1,966 |
| Harvard Pilgrim Health Care | Elevate Health | $2,567 |
| Harvard Pilgrim Health Care | Commercial | $2,938 |
| Vermont Health Plan | All Plans | $3,023 |
| Blue Cross Blue Shield of Vermont | Commercial | $3,040 |
| MVP Healthcare | Commercial | $3,040 |
| Cigna | Commercial | $3,208 |
| United Healthcare | Commercial | $3,208 |
| MultiPlan | All Plans | $3,276 |
| Aetna | All Plans | $3,276 |
| Coventry | All Plans | $3,276 |
Inpatient
$2,364cash price (self-pay)
$3,377list price
$1,966–$3,276range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Harvard Pilgrim Health Care | Exchange | $1,966 |
| Harvard Pilgrim Health Care | Elevate Health | $2,567 |
| Tufts Health Plan | Managed Medicaid | $2,595 |
| Harvard Pilgrim Health Care | Commercial | $2,938 |
| Tufts Health Plan | Medicare Advantage | $2,942 |
| Vermont Health Plan | All Plans | $3,023 |
| Blue Cross Blue Shield of Vermont | Commercial | $3,040 |
| MVP Healthcare | Commercial | $3,040 |
| Tufts Health Plan | All Commercial Plans | $3,069 |
| Cigna | Commercial | $3,208 |
| United Healthcare | Commercial | $3,208 |
| Aetna | All Plans | $3,276 |
| Coventry | All Plans | $3,276 |
| Health New England | All Plans | $3,276 |
| MultiPlan | All Plans | $3,276 |
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