MRI lower back without contrast at University of Vermont Medical Center. CPT 72148.
What University of Vermont Medical Center publishes for this service, straight from its standard-charges file, last updated April 28, 2026.
Outpatient / ER
$318cash price (self-pay)
$909list price
$33.24–$5,283range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Managed Medicaid/Essential Plans | $126 |
| MVP | Essential Plans | $150 |
| MVP | Managed Medicaid | $150 |
| Aetna | Medicare Advantage | $186 |
| Capital District Physicians' Health Plan | Managed Medicaid/Essential | $186 |
| Capital District Physicians' Health Plan | Medicare Advantage | $186 |
| Humana Military | TRICARE | $186 |
| Martins Point | TRICARE Prime/Department of Defense | $186 |
| St. Regis | HMO | $186 |
| United Healthcare | Medicare Advantage | $186 |
| Veterans Affairs Community Care Network | Veterans Administration | $186 |
| BlueCross BlueShield Vermont | Medicare Advantage | $190 |
| MVP | Medicare Advantage | $190 |
| Excellus BlueCross BlueShield | Medicare Advantage | $206 |
| Fidelis Care | Essential Plans | $214 |
| Fidelis Care | Managed Medicaid | $214 |
| Fidelis Care | Medicare Advantage | $214 |
| Wellpath | FCI Ray Brook | $260 |
| Excellus BlueCross BlueShield | Managed Medicaid/Essential Plans | $288 |
| United Healthcare Empire Plan | Commercial PPO for NY State Employees | $332 |
| Capital District Physicians' Health Plan | Commercial | $368 |
| Wellpath | Correctional Healthcare | $500 |
| Excellus BlueCross BlueShield | Commercial | $537 |
| Empire BlueCross BlueShield | HMO | $689 |
| EBPA | ERISA Welfare Plans | $700 |
| Harvard Pilgrim | Commercial | $727 |
| MagnaCare | Commercial | $727 |
| Coventry | Commercial | $773 |
| NPPN | Commercial | $818 |
| BlueCross BlueShield Vermont | Indemnity | $846 |
Inpatient
$5,367cash price (self-pay)
$5,367list price
$1,503–$4,830range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana Military | TRICARE | $1,503 |
| Excellus BlueCross BlueShield | Managed Medicaid/Essential Plans | $2,576 |
| Capital District Physicians' Health Plan | Managed Medicaid/Essential | $2,684 |
| Wellpath | Correctional Healthcare | $2,952 |
| Excellus BlueCross BlueShield | Commercial | $4,012 |
| Empire BlueCross BlueShield | HMO | $4,186 |
| Harvard Pilgrim | Commercial | $4,294 |
| MagnaCare | Commercial | $4,294 |
| Coventry | Commercial | $4,562 |
| EBPA | ERISA Welfare Plans | $4,616 |
| Cigna | Behavioral Health | $4,830 |
| NPPN | Commercial | $4,830 |
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