MRI lower back without contrast at Banner University Medical Center South. CPT 72148.
What Banner University Medical Center South publishes for this service, straight from its standard-charges file, last updated March 2, 2026.
Outpatient / ER
$405cash price (self-pay)
$2,956list price
$167–$2,365range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Arizona Physicians IPA | Medicaid | $167 |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $167 |
| Banner University Health Plan | University Family Plan | $167 |
| Health Choice Arizona, Inc. | Medicaid | $167 |
| Health Net | Medicaid | $167 |
| Mercy Care | Medicaid | $167 |
| Banner Health | Medicare Advantage | $258 |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $258 |
| Aetna | Medicare Advantage | $258 |
| Arizona Physicians IPA | Medicare Advantage | $258 |
| Banner University Health Plan | Medicare Advantage | $258 |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plan | $258 |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $258 |
| Gila River Health Care Corporation | Managed Care Program | $258 |
| Health Choice Arizona, Inc. | Medicare Advantage | $258 |
| Health Net | Medicare | $258 |
| Kaiser Foundation Health Plan | Medicare Advantage | $258 |
| Mercy Care | Mercy Care Advantage | $258 |
| Humana | Medicare Advantage | $265 |
| Devoted Health Services | Medicare Advantage | $271 |
| Carelon | Medicare Advantage | $271 |
| Aetna | Banner Employee Plans | $277 |
| Arizona Priority Care | Alignment Health Plans Medicare Advantage/Eter | $283 |
| Gold Kidney Health Plan | Medicare Advantage | $283 |
| NaphCare | Federal | $348 |
| Aetna | Qualified Health Plan | $350 |
| Health Net | Commerical Exchange Product | $381 |
| Health Choice Arizona, Inc. | ACA Health Plan | $386 |
| Blue Cross Blue Shield of Arizona | Medicare Supplemental Senior Prefe | $407 |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $578 |
Inpatient
$405cash price (self-pay)
$2,956list price
$1,330–$2,365range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Ins | $1,330 |
| Plotkin Health | Plotkin Health | $1,330 |
| Aetna | Medical Rental | $1,558 |
| Quiktrip Corporation | Commercial | $1,596 |
| Provider Network of America | Commercial | $2,217 |
| Arizona Medical Network | Commercial | $2,365 |
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All common services at Banner University Medical Center South