MRI lower back without contrast at CHOC at Mission Hospital. CPT 72148.
What CHOC at Mission Hospital publishes for this service, straight from its standard-charges file, last updated March 18, 2026.
Outpatient / ER
$5,399cash price (self-pay)
$6,931list price
$186–$8,462range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Shield-TriWest-TriCare Programs | Blue Shield-TriWest-TriCare Pro | $307 |
| Health Net Federal Services | Health Net Federal Services-Tricare Prog | $307 |
| MemorialCare MG (formerly Bristol Park MG) HMO/POS In Net | MemorialCa | $325 |
| Arta Health Network | Arta Health Network HMO/POS In Net | $500 |
| Heritage Provider Network | Heritage Provider Network-Medi-Cal | $826 |
| Medi-Cal Out of County | Medi-Cal Out of County Medi-Cal | $826 |
| Molina Medical Centers - Medi-Cal | Molina Medical Centers - Medi-Cal | $826 |
| Monarch Health Plan | Monarch Health Plan/Medi-Cal/Cal Optima | $826 |
| Blue Cross of California | Blue Cross of California VIVITY HMO In Net | $926 |
| Medi-Cal Out of County-LA Care | LA Care Medi-Cal Out of County | $1,074 |
| CALOPTIMA Direct | CalOPTIMA Direct | $1,156 |
| Medi-Cal Kaiser | Medi-Cal Kaiser | $1,239 |
| Blue Cross of California | Blue Cross of California HMO/POS In Net | $1,561 |
| Blue Cross of California | Blue Cross of California PPO/POS Out Net | $1,561 |
| Inland Empire Health Plan | IEHP Medi-Cal Out of County-Inland Empire | $2,040 |
| Hoag Clinic aka Hoag Affilated Physicians | Hoag Clinic aka Hoag Medic | $2,660 |
| Aetna US Healthcare | Aetna US Healthcare HMO/POS In Net | $2,842 |
| Aetna US Healthcare | Aetna US Healthcare PPO/POS Out Net | $2,842 |
| Heritage Provider Network | Heritage Provider Network-HMO | $3,620 |
| Monarch Health Plan | Monarch Health Plan | $3,985 |
| Cigna Healthcare of California | Cigna EPO/PPO | $4,138 |
| CIGNA HealthCare of California | Cigna Healthcare HMO/POS In Net | $4,138 |
| Anaheim Memorial Medical Center | Anaheim Memorial Medical Center | $4,158 |
| Family Choice Health Network (Fountain Valley Regional Hospital) | Fam | $4,158 |
| Kaiser Foundation Hospitals | Kaiser Foundation Hospitals HMO | $4,158 |
| Blue Cross of California | Blue Cross of California Select PPO Out Net | $4,191 |
| Affiliated Doctors of Orange County | Affiliated Doctors of Orange Cou | $4,505 |
| Bright Medical Group | Bright Medical Group HMO/POS In Net | $4,505 |
| Greater Newport Physicians | Greater Newport Physicians HMO/POS In Net | $4,505 |
| Health Net | Health Net HMO/POS In Net | $4,630 |
Inpatient
$5,399cash price (self-pay)
$6,931list price
$2,430–$8,462range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Office of Refugee Resettlement-Point Comfort | Point Comfort Underwrit | $3,119 |
| Anaheim Memorial Medical Center | Anaheim Memorial Medical Center | $4,158 |
| Affiliated Health Funds | Affiliated Health Funds PPO | $5,544 |
| PPO Next | PPO Next PPO | $5,544 |
| MultiPlan | MultiPlan PPO | $6,237 |
| Other Payor | Other Payor | $6,931 |
| Self Pay | Self Pay | $6,931 |
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