MRI lower back without contrast at BSA Hospital. CPT 72148.
What BSA Hospital publishes for this service, straight from its standard-charges file, last updated February 12, 2026.
Outpatient / ER
$767cash price (self-pay)
$7,665list price
$197–$6,515range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Healthscope Benefits [2290] | Healthscope Ardent [229001] | $2,555 |
| Black Lung [6055] | Black Lung [605500] | $2,989 |
| Oncology Patient Assistance Programs [2295] | Bccs Family Circle Of CA | $2,989 |
| Scott And White Medicaid Replacement [3730] | Scott And White Health P | $2,989 |
| Umr [2035] | Umr Oon Potter Co [203506] | $2,989 |
| Midland Pace Mcaid [3715] | Midland Pace Mcaid [371500] | $2,989 |
| Horizon Nj Health [3635] | Horizon Nj Health [363500] | $2,989 |
| Fidelis Care Of Nj Medicaid [3770] | Wellcare Medicaid [377500] | $2,989 |
| Sana Benefits [5005] | Sana Benefits [500500] | $3,833 |
| Texas Rehabilitation [1970] | Texas Workforce Commission [197000] | $4,369 |
| Nreca [1735] | Nreca [173500] | $4,699 |
| Northamerica Administrators [1725] | Northamerica Administrators [1725 | $5,366 |
| Phoenix Home Life [1785] | Phoenix Home Life [178500] | $5,366 |
| Pan American Life Insurance Co [1770] | Pan American Life [177000] | $5,366 |
| Rh Administrators [1885] | Rh Administrators [188500] | $5,366 |
| Phcs [1780] | Phcs Multiplan [178000] | $5,366 |
| Phcs [1780] | Freedom Life [178009] | $5,366 |
| Principal Mutual Life [1845] | Principal Colorado Claims [184500] | $5,366 |
| Cbsa [1215] | Cbsa [121500] | $5,366 |
| Americas Choice Health Plans [1090] | Americas Choice Health Plans [10 | $5,366 |
| Comcar Industries [1280] | Comcar Industries [128000] | $5,366 |
| Beech Street [1170] | Beech Street/Cappcare Misc [117000] | $5,366 |
| Celtic Life [1220] | Celtic Life [122000] | $5,366 |
| Mega Life And Health [1650] | Mega Life Heatlh [165001] | $5,366 |
| Cherokee Insurance [1245] | Cherokee Insurance [124500] | $5,366 |
| Lewer Agency [1565] | Lewer Agency [156500] | $5,366 |
| Alieracare [2935] | Trinity Healthshare [293500] | $5,366 |
| Federated Mutual [1365] | Federated Mutual [136500] | $5,366 |
| National Association Of Letter Carriers [1695] | Nalc [169500] | $5,565 |
| Cigna [1260] | Cigna [126008] | $5,565 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.