MRI lower back without contrast at Western Arizona Regional Medical Center. CPT 72148.
What Western Arizona Regional Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,247cash price (self-pay)
$18,727list price
$216–$16,854range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid | AZ Medicaid | $216 |
| Complete Health Medicaid AZ | Complete Health Medicaid AZ | $216 |
| NON PAR Medicaid AZ | NON PAR Medicaid AZ | $216 |
| UHCCP Medicaid AZ | UHCCP Medicaid AZ | $216 |
| Care1st | Care1st Medicaid AZ | $227 |
| Magellan | Magellan Medicaid AZ | $227 |
| Banner UFC Medicaid AZ | Banner UFC Medicaid AZ | $232 |
| Veterans Eval Services | Veterans Eval Services | $235 |
| Mercy Care | Mercy Care Medicaid AZ | $249 |
| NODE ChampVA | NODE ChampVA | $255 |
| NODE Tricare | NODE Tricare | $255 |
| Medicaid | NV Medicaid | $257 |
| NODE Health Choice MCR ADV | NODE Health Choice MCR ADV | $268 |
| Humana | NODE Humana MCR ADV | $268 |
| NODE Non Par Hospice Agree | NODE Hospice Non Par | $273 |
| Healthnet | NODE Healthnet Senior MCR ADV | $276 |
| NODE Aetna MCR ADV | NODE Aetna MCR ADV | $282 |
| NODE Banner MCR ADV | NODE Banner MCR ADV | $282 |
| NODE Devoted Health MCR ADV | NODE Devoted Health MCR ADV | $282 |
| NODE AZ Complete Health Exchange | NODE AZ Complete Health Exchange | $464 |
| NODE Health Choice Integrated Care | NODE Health Choice Integrated Car | $504 |
| BCBS Az | BCBS Az All | $533 |
| Sierra Health Plan | Sierra Option | $630 |
| NODE Health Choice Health Exchange | NODE Health Choice Health Exchang | $695 |
| BCBS AZ | BCBS Work Comp AZ | $841 |
| Health Direct Partners | Health Direct Partners | $1,151 |
| Laughlin Healthcare | Laughlin | $1,151 |
| Sierra Health Plan | Sierra Commercial | $1,847 |
| Self Pay | Self Pay | $2,247 |
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $3,745 |
Inpatient
$3,933cash price (self-pay)
$18,727list price
$3,745–$16,854range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $3,745 |
| Self Pay | Self Pay | $3,933 |
| Aetna | Aetna ASBAIT | $5,768 |
| Cigna | Cigna HMO | $8,090 |
| Coventry Work Comp AL | Coventry Work Comp AZ | $11,236 |
| Aetna | Aetna | $11,554 |
| Multiplan Primary | Multiplan Primary | $11,985 |
| Multiplan | Multiplan Complementary | $12,922 |
| United Healthcare | UHC APA | $13,165 |
| Three Rivers | Three Rivers PPO | $15,918 |
| Three Rivers | Three Rivers Work Comp AZ | $15,918 |
| First Health Coventry | First Health Coventry | $16,854 |
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All common services at Western Arizona Regional Medical Center