CMS Price Transparency Data
MRI, lower back (no contrast)
Facility: Ellenville Regional Hospital
Billing Code: 72148 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$500
about 2.0× the $244 Medicare rate · typically $245–$989
modeled estimate · not a bill or quote
Medicare pays $244 Fair price $500 Cash price $974 Hospital's list price $1,299
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✓ Humana CignaKaiser 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 | $33 - $2,328 | 14% |
| Blue Cross Blue Shieldmajor | $87 - $952 | 36% |
| Aetnamajor | $100 - $1,750 | 41% |
| Humanamajor | $87 - $952 | 36% |
| CDPHP | $80 - $881 | 33% |
| EmblemHealth | $74 - $1,905 | 30% |
| Fidelis Care | $87 - $952 | 36% |
| MVP Health Care | $91 - $1,334 | 37% |
| WellCare | $119 - $1,310 | 49% |
| + 3 smaller / regional plans | $87 - $2,328 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Ellenville Regional Hospital
Compare: MRI, lower back (no contrast) at other NY hospitals
- Maimonides Medical Center · Brooklyn $74
- Saratoga Hospital · Saratoga Springs $76
- Columbia Memorial Hospital · Hudson $77
- The University of Vermont Health Network-Alice Hy · Malone $79
- The University of Vermont Health Network - Champl · Plattsburgh $98
- St Barnabas Hospital · Bronx $145
- Niagara Falls Memorial Medical Center · Niagara Falls $149
- Geneva General Hospital · Geneva $161
Insurance negotiated median for the same procedure, sorted lowest first.