MRI lower back without contrast at Banner Boswell Medical Center. CPT 72148.
What Banner Boswell Medical Center publishes for this service, straight from its standard-charges file, last updated September 19, 2026.
Outpatient / ER
$227cash price (self-pay)
$1,953list price
$167–$1,618range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Arizona Physicians IPA | Medicaid | $167 |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $167 |
| Health Choice Arizona, Inc. | Medicaid | $167 |
| Health Net | Medicaid | $167 |
| Mercy Care | Mercy Medicaid | $167 |
| Banner Health | Medicare Advantage | $255 |
| Aetna | Medicare Advantage | $255 |
| Arizona Physicians IPA | Medicare Advantage | $255 |
| Banner University Health Plan | University Care Advantage | $255 |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $255 |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $255 |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $255 |
| Gila River Health Care Corporation | Managed Care Program | $255 |
| Health Choice Arizona, Inc. | Medicare Advantage | $255 |
| Health Net | Medicare | $255 |
| Kaiser Foundation Health Plan | Medicare Advantage | $255 |
| Mercy Care | Mercy Care Advantage | $255 |
| Humana | Medicare Advantage | $262 |
| Carekin | Medicare Advantage | $267 |
| Devoted Health Services | Medicare Advantage | $267 |
| Arizona Priority Care | Medicare Advantage | $280 |
| Gold Kidney Health Plan | Medicare Advantage | $280 |
| Health Choice Arizona, Inc. | ACA Health Plan | $382 |
| Health Net | Commerical Exchange Product | $384 |
| Oscar Health Plan | Commercial | $420 |
| Aetna | Banner Employee Plans | $511 |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $548 |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $584 |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $613 |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $730 |
Inpatient
$227cash price (self-pay)
$1,953list price
$879–$1,465range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Ins | $879 |
| Plotkin Health | Plotkin Health | $879 |
| Aetna | Medical Rental | $1,002 |
| Quiktrip Corporation | Commercial | $1,045 |
| Arizona Medical Network | Commercial | $1,377 |
| Provider Network of America | Commercial | $1,465 |
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