MRI lower back without contrast at Banner Page Hospital. CPT 72148.
What Banner Page Hospital publishes for this service, straight from its standard-charges file, last updated September 22, 2026.
Outpatient / ER
$93.24cash price (self-pay)
$3,625list price
$94.50–$3,444range 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 |
| Aetna | Banner Employee Plans | $511 |
| Plotkin Health | Plotkin Health | $863 |
| Banner Health | Medicare Advantage | $1,016 |
| Aetna | Medicare Advantage | $1,016 |
| Arizona Physicians IPA | Medicare Advantage | $1,016 |
| Banner University Health Plan | Medicare Advantage | $1,016 |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $1,016 |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plan/PPO Me | $1,016 |
| Gila River Health Care Corporation | Managed Care Program | $1,016 |
| Health Choice Arizona, Inc. | Medicare Advantage | $1,016 |
| Health Net | Medicare | $1,016 |
| Kaiser Foundation Health Plan | Medicare Advantage | $1,016 |
| Mercy Care | Mercy Care Advantage | $1,016 |
| Carekin | Medicare Advantage | $1,067 |
| Humana | Medicare Advantage | $1,077 |
| Arizona Priority Care | Medicare Advantage | $1,118 |
| Devoted Health Services | Medicare Advantage | $1,118 |
| Gold Kidney Health Plan | Medicare Advantage | $1,118 |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $1,184 |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance/BXBSAZ Blue HPN | $1,262 |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $1,326 |
| Aetna | Joint Venture | $1,392 |
| Coconino County Sheriff's Department | Commercial | $1,400 |
| Health Choice Arizona, Inc. | ACA Health Plan | $1,524 |
| Health Net | Commerical Exchange Product | $1,535 |
Inpatient
$93.24cash price (self-pay)
$1,918list price
$94.50–$3,444range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Plotkin Health | Plotkin Health | $863 |
| Quiktrip Corporation | Commercial | $1,342 |
| Coconino County Sheriff's Department | Commercial | $1,400 |
| Aetna | Medical Rental | $1,709 |
| Provider Network of America | Commercial | $1,726 |
| Cigna Healthcare of Arizona, Inc. | Commerical/HMO Benefit Plan/Local | $1,766 |
| Arizona Medical Network | Commercial | $1,801 |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Ins | $1,822 |
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