MRI lower back without contrast at Northwest Medical Center. CPT 72148.
What Northwest Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,676cash price (self-pay)
$11,151list price
$157–$10,036range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna QHP | Aetna QHP | $157 |
| APIPA Medicaid AZ | APIPA Medicaid AZ | $165 |
| Medicaid | AZ Medicaid | $165 |
| Complete Health Medicaid AZ | Complete Health Medicaid AZ | $165 |
| Health Choice Medicaid AZ | Health Choice Medicaid AZ | $165 |
| Mercy Care Medicaid AZ | Mercy Care Medicaid AZ | $165 |
| NON PAR Medicaid AZ | NON PAR Medicaid AZ | $165 |
| Magellan | Magellan Medicaid AZ | $173 |
| Aetna Performance | Aetna Performance | $176 |
| Banner UFC Medicaid AZ | Banner UFC Medicaid AZ | $177 |
| Aetna | Aetna ALL | $185 |
| Veterans Eval Services | Veterans Eval Services | $235 |
| NODE Aetna MCR ADV | NODE Aetna MCR ADV | $251 |
| NODE APIPA UHC Community Plan MCR ADV | NODE APIPA UHC Community Plan | $251 |
| NODE CareMore MCR ADV | NODE CareMore MCR ADV | $251 |
| Department of Veterans Affairs | NODE ChampVA | $255 |
| NODE Tricare | NODE Tricare | $255 |
| Bcbsaz Mcr Adv | Node BCBS Az Mcr Adv | $255 |
| NODE Banner MCR ADV | NODE Banner MCR ADV | $263 |
| NODE AZ Complete Health Ambetter Exchange | NODE AZ Complete Health Am | $359 |
| Health Net | Health Net Commercial | $404 |
| UHC Health Exchange | UHC HIX | $420 |
| United Healthcare | UHC Navigate | $444 |
| BCBS PimaConnect | BCBS PimaConnect | $524 |
| United Healthcare | UHC APA | $525 |
| BCBS Az PPO HMO Nbr | BCBS Az PPO HMO Nbr | $551 |
| BCBS AZ | BCBS AZ Work Comp | $746 |
| Cigna LocalFlex | Cigna LocalFlex | $1,080 |
| Cigna | Cigna LocalPlus | $1,080 |
| Cigna | Cigna HMO | $1,125 |
Inpatient
$4,014cash price (self-pay)
$11,151list price
$1,673–$10,036range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $1,673 |
| Aetna | Aetna ASBAIT | $2,007 |
| Self Pay | Self Pay | $4,014 |
| Aetna | Aetna IHS | $5,018 |
| First Health Coventry | First Health Coventry | $5,854 |
| Coventry Medical Center | Coventry Work Comp AZ | $6,691 |
| Multiplan | Multiplan Complementary | $9,255 |
| Prime Health | Prime Health | $9,478 |
| HealthSmart | HealthSmart HPO | $10,036 |
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