MRI lower back without contrast at Central Vermont Medical Center. CPT 72148.
What Central Vermont Medical Center publishes for this service, straight from its standard-charges file, last updated April 28, 2026.
Outpatient / ER
$205cash price (self-pay)
$205list price
$65.06–$3,493range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BlueCross BlueShield Vermont | Indemnity/The Vermont Health Plan/Vermo | $93.21 |
| Humana Military | TRICARE | $148 |
| MVP | Medicare Advantage | $149 |
| Aetna | Medicare Advantage | $153 |
| Martins Point | TRICARE Prime/Department of Defense | $153 |
| United Healthcare | Medicare Advantage | $153 |
| Veterans Affairs Community Care Network | Veterans Administration | $153 |
| BlueCross BlueShield Vermont | Medicare Advantage | $156 |
| United Healthcare Empire Plan | Commercial PPO for NY State Employees | $179 |
| MVP | Commercial | $190 |
| Wellpath | Correctional Healthcare | $1,024 |
| Capital District Physicians' Health Plan | Commercial | $1,462 |
| Harvard Pilgrim | Commercial | $1,490 |
| Coventry | Commercial | $1,565 |
| Cigna | Commercial | $1,749 |
| United Healthcare | Commercial | $1,827 |
| BlueCross BlueShield Vermont | The Vermont Health Plan/Vermont Health | $2,890 |
| BlueCross BlueShield Vermont | Indemnity | $3,290 |
Inpatient
$3,521cash price (self-pay)
$3,521list price
$1,433–$3,500range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana Military | TRICARE | $1,433 |
| Wellpath | Correctional Healthcare | $1,936 |
| Martins Point | TRICARE Prime/Department of Defense | $2,253 |
| Capital District Physicians' Health Plan | Commercial | $2,817 |
| Harvard Pilgrim | Commercial | $2,817 |
| Coventry | Commercial | $3,063 |
| MVP | Commercial | $3,161 |
| United Healthcare | Commercial | $3,500 |
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