MRI lower back without contrast at Westfields Hospital. CPT 72148.
What Westfields Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$1,685cash price (self-pay)
$3,203list price
$578–$3,203range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Medicaid Replacement [950295] | BCBS Pmap [95296] | $578 |
| Healthpartners [900713] | Hp Self Insured [91021] | $645 |
| Hp Medicaid Replacement [950307] | Hp Care Pmap [50327] | $645 |
| Ucare Medicaid Replacement [950289] | Ucare Pmap [50283] | $1,272 |
| Hp Medicare Replacement [950306] | Hp Medicare Advantage [95307] | $1,313 |
| BCBS Medicare Replacement [950296] | BCBS Medicare Advantage [50299] | $1,332 |
| UHC Medicare Replacement [950281] | UHC Medicare Advantage PPO [50275] | $1,358 |
| Medica Medicare Replacement [950299] | Medica Government Advantage [50 | $1,371 |
| Medica [900156] | Medica Choice [90156] | $2,610 |
| First Health Network [950334] | First Health Network [95334] | $2,626 |
| Unitedhealthcare [900444] | UHC [50131] | $2,839 |
| MA Wisconsin Replacement [950271] | Ghc Of Eau Claire MA HMO [50261] | $3,203 |
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