CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: St Charles Hospital

Billing Code: 72148 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$347
about 1.4× the $244 Medicare rate · typically $234–$503
modeled estimate · not a bill or quote
What this hospital charges insurers
$505
Above the fair price
about $158 over the fair price · 2.1× Medicare
Medicare pays $244 Fair price $347 This hospital $505 Hospital's list price $4,232

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 $505

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

A fair price for a MRI, lower back (no contrast) is about $347 (about 1.4× the $244 Medicare rate). St Charles Hospital charges insurers about $505 — above the fair price. Located in Port Jefferson, 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 $347. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $286 - $2,751 117%
Blue Cross Blue Shieldmajor $280 - $552 115%
Aetnamajor $286 - $3,597 117%
Cignamajor $1,968 - $2,751 807%
Humanamajor $292 120%
AmeriHealth $644 264%
Cigna HealthSpring $286 117%
Fidelis Care $286 - $1,136 117%
Independent Health $286 - $505 117%
MVP Health Care $286 - $1,968 117%
Oscar Health $1,735 712%
UniCare $2,751 1129%
WellCare $315 129%
+ 44 smaller / regional plans $286 - $4,877
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 7 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: 200 Belle Terre Road, Port Jefferson, NY 11777
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals