CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Montefiore St Luke's Cornwall

Billing Code: 72148 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$416

about 1.7× the $244 Medicare rate · typically $317–$1,437

modeled estimate · not a bill or quote

What this hospital charges insurers

$368

Below the fair price — a good deal

about $48 under the fair price · 1.5× Medicare

Medicare pays $244 Fair price $416 This hospital $368 Cash price $298 Hospital's list price $4,863

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 $368

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 $416 (about 1.7× the $244 Medicare rate). Montefiore St Luke's Cornwall charges insurers about $368, or about $298 in cash — below the fair price — a good deal. Located in Newburgh, NY.

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	$298 - $368	122%
Blue Cross Blue Shieldmajor	$298 - $1,811	122%
Aetnamajor	$226 - $1,370	93%
Cignamajor	$4,141 - $4,601	1699%
Humanamajor	$328	135%
CDPHP	$298 - $729	122%
Fidelis Care	$238 - $345	98%
GEHA	$252	103%
MVP Health Care	$774	318%
Oscar Health	$298 - $471	122%
WellCare	$307	126%
+ 13 smaller / regional plans	$289 - $3,890

Government programs also on file: Medicaid.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 298), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 72148.

Insurance Before you use insurance

Call your insurance company to confirm Montefiore St Luke's Cornwall is in-network.
Ask your insurer whether prior approval is required for CPT code 72148.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Montefiore St Luke's Cornwall

Compare: MRI, lower back (no contrast) at other NY hospitals

Insurance negotiated median for the same procedure, sorted lowest first.