CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Good Samaritan Hospital of Suffern

Billing Code: 72148 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$338
about 1.4× the $244 Medicare rate · typically $224–$682
modeled estimate · not a bill or quote
What this hospital charges insurers
$978
Well above the fair price
about $640 over the fair price · 4.0× Medicare
Medicare pays $244 Fair price $338 This hospital $978 Cash price $4,342 Hospital's list price $4,342

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $74 Priciest $978

Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a MRI, lower back (no contrast) is about $338 (about 1.4× the $244 Medicare rate). Good Samaritan Hospital of Suffern charges insurers about $978, or about $4,342 in cash — well above the fair price. Located in Suffern, NY.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $338. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $6,326 - $7,442 2595%
Blue Cross Blue Shieldmajor $2,379 - $14,689 976%
Aetnamajor $412 - $459 169%
Cignamajor $496 203%
CDPHP $2,171 891%
Geisinger $978 401%
MagnaCare $3,039 - $3,908 1247%
Molina $311 128%
MVP Health Care $296 - $48,731 121%
+ 8 smaller / regional plans $296 - $6,326
Government programs also on file: Medicare, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 255 Lafayette Avenue, Suffern, NY 10901
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals