MRI lower back without contrast at Arroyo Grande Hospital. CPT 72148.
What Arroyo Grande Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$1,831cash price (self-pay)
$4,897list price
$267–$5,407range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Partnership Health Plan | Medicaid|< 21 | $267 |
| Partnership Health Plan | Medicaid|> 21 | $267 |
| CenCal | Medicaid|< 21 | $278 |
| CenCal | Medicaid|> 21 | $278 |
| MHS Hospice | Commercial|All Plans | $284 |
| Aetna | Medicare|All Plans | $307 |
| Alignment | Medicare|All Plans | $307 |
| BCBS - Anthem | Medicare|All Plans | $307 |
| Humana | Medicare|All Plans | $307 |
| Kaiser | Medicare|All Plans | $307 |
| Scan Health Plan | Medicare|All Plans | $307 |
| United | Medicare|All Plans | $307 |
| Health Net | Medicaid|< 21 | $404 |
| Health Net | Medicaid|> 21 | $404 |
| United | Commercial|All Other Plans | $518 |
| United | Commercial|HMO | $518 |
| United | Commercial|Non-Options PPO | $518 |
| United | Commercial|Options PPO | $518 |
| Aetna | Commercial|All Other Plans | $1,979 |
| Aetna | Commercial|HMO | $1,979 |
| Aetna | Commercial|PPO | $1,979 |
| BCBS - Anthem | Commercial|Non-MCS | $2,036 |
| Cigna | Commercial|All Other Plans | $2,096 |
| Cigna | Commercial|PPO | $2,096 |
| Western Growers | Commercial|All Plans | $2,449 |
| BCBS - Anthem | Commercial|MCS | $2,728 |
| Kaiser | Commercial|All Plans | $3,085 |
| First Health | Commercial|All Plans | $4,113 |
| Healthsmart | Commercial|All Plans | $4,505 |
| MultiPlan | Commercial|All Plans | $4,799 |
Inpatient
$2,197cash price (self-pay)
$5,517list price
$3,233–$5,533range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser | Commercial|All Plans | $3,476 |
| First Health | Commercial|All Plans | $4,634 |
| Healthsmart | Commercial|All Plans | $5,076 |
| MultiPlan | Commercial|All Plans | $5,407 |
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