MRI lower back without contrast at Dominican Hospital. CPT 72148.
What Dominican Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$2,507cash price (self-pay)
$5,570list price
$267–$5,570range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS - Anthem | Medicaid|All Plans | $267 |
| COSC Psych | Medicaid|All Plans | $267 |
| Central California Alliance for Health | Medicaid|All Plans | $267 |
| Blue Shield CA | Medicare|All Plans | $332 |
| Health Net | Medicare|All Plans | $332 |
| Kaiser | Medicare|All Plans | $332 |
| United | Medicare|All Plans | $332 |
| Blue Shield CA | Commercial|DHMF | $379 |
| 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 |
| Sutter Health | Commercial|All Plans | $1,039 |
| Aetna | Commercial|HMO | $3,350 |
| Aetna | Commercial|PPO | $3,350 |
| Kaiser | Commercial|All Plans | $3,621 |
| Cigna | Commercial|LocalPlus | $3,703 |
| Western Growers | Commercial|All Plans | $3,899 |
| Cigna | Commercial|All Other Plans | $3,939 |
| Healthsmart | Commercial|All Plans | $4,456 |
| BCBS - Anthem | Commercial|All Other Plans | $4,623 |
| First Health | Commercial|All Plans | $4,735 |
| Multiplan | Commercial|All Plans | $4,735 |
| BCBS - Anthem | Commercial|MCS | $5,570 |
Inpatient
$2,507cash price (self-pay)
$5,570list price
$4,456–$4,735range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Healthsmart | Commercial|All Plans | $4,456 |
| First Health | Commercial|All Plans | $4,735 |
| Multiplan | Commercial|All Plans | $4,735 |
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