MRI lower back without contrast at Springfield Hospital. CPT 72148.
What Springfield Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$1,067cash price (self-pay)
$2,290list price
$540–$3,283range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Anthem Exchange | $870 |
| Anthem | Medicare Advantage | $870 |
| MVP Health Plan | Medicare Advantage | $870 |
| United Healthcare | Medicare Advantage | $870 |
| Wellsense | Medicare Advantage | $870 |
| Harvard Pilgrim Health Care | Medicare Advantage | $879 |
| WellCare | Medicare Advantage | $897 |
| Tufts Health Plan | Commercial | $1,407 |
| Anthem | Commercial | $1,535 |
| Cigna | Commercial | $1,607 |
| MVP Health Plan | Commercial | $1,763 |
| Harvard Pilgrim Health Care | Commercial | $1,895 |
| MultiPlan | Commercial | $1,900 |
| United Healthcare | Commercial | $2,061 |
| Aetna | Commercial | $2,175 |
| Coventry | Commercial | $2,175 |
| Beacon Health | Commercial | $2,290 |
| Blue Cross Blue Shield | Medicare Advantage | $2,290 |
| Manage Behavioral Health | Commercial | $2,290 |
| Martin's Point Healthcare | Tricare | $2,290 |
| Wellsense | Commercial | $2,290 |
| Cigna | Medicare Advantage | $2,381 |
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