MRI lower back without contrast at Mt. Ascutney Hospital and Health Center. CPT 72148.
What Mt. Ascutney Hospital and Health Center publishes for this service, straight from its standard-charges file.
Outpatient / ER
$3,919cash price (self-pay)
$4,899list price
$3,456–$4,654range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Health Plans of NH | Commercial | $3,456 |
| The Vermont Health Plan | Commercial | $3,552 |
| Blue Cross and Blue Shield of Vermont | Commercial | $4,360 |
| MVP Health Plan, Inc. | Commercial | $4,458 |
| Cigna Health and Life Insurance Company | Commercial | $4,556 |
| HPHC Insurance Company, Inc. | Commercial | $4,556 |
| Aetna | Commercial | $4,654 |
| United Healthcare Insurance Company | Commercial | $4,654 |
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All common services at Mt. Ascutney Hospital and Health Center