MRI lower back without contrast at Banner Lassen Medical Center. CPT 72148.
What Banner Lassen Medical Center publishes for this service, straight from its standard-charges file, last updated September 12, 2026.
Outpatient / ER
$2,059cash price (self-pay)
$3,625list price
$48.75–$3,516range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Blue Cross California | Medicare Advantage | $48.75 |
| Partnership HealthPlan of CA | Partnership Medi-Cal | $307 |
| Banner Health | Banner Choice Plus/Banner Select | $1,486 |
| United Healthcare | UHC Medicare Advantage | $1,486 |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | $1,921 |
| Network Providers, LLC | California Prison Health Care Services (CPHCS | $1,932 |
| Imperial Health Plan of California, Inc | Medi-Medi/Medicare Advantage | $2,006 |
| Blue Shield of California | CalPERS PPO | $3,154 |
| Multiplan | Commercial | $3,263 |
| United Healthcare | Commercial | $3,371 |
| Cigna Healthcare & Life Insurance Company – WY | Commercial | $3,444 |
| Coventry | Commercial | $3,480 |
| Coventry | Workers Comp | $3,480 |
| First Health | Medical Rental | $3,480 |
| Health Net | Commercial Exchange | $3,516 |
| Health Net | Medicare | $3,516 |
Inpatient
$2,059cash price (self-pay)
$3,625list price
$3,154–$3,516range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Shield of California | CalPERS PPO | $3,154 |
| Multiplan | Commercial | $3,263 |
| United Healthcare | Commercial | $3,371 |
| Cigna Healthcare & Life Insurance Company – WY | Commercial | $3,444 |
| Coventry | Commercial | $3,480 |
| Coventry | Workers Comp | $3,480 |
| First Health | Medical Rental | $3,480 |
| Health Net | Commercial Exchange | $3,516 |
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