MRI lower back without contrast at Lodi Memorial Hospital Association. CPT 72148.
What Lodi Memorial Hospital Association publishes for this service, straight from its standard-charges file, last updated August 2, 2026.
Outpatient / ER
$19.32cash price (self-pay)
$276list price
$39.02–$11,465range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna- All Plans | Cigna- All Plans | $39.02 |
| Alignment Health Plan (Ahp)-All Plans | Alignment Health Plan (Ahp)-Al | $69.75 |
| Blue Shield Mcare Adv | Blue Shield Mcare Adv | $69.75 |
| Healthnet Mcare | Healthnet Mcare | $69.75 |
| Hp Of San Joaquin Mcr Adv | Hp Of San Joaquin Mcr Adv | $69.75 |
| Humana Mcr Adv - All Plans | Humana Mcr Adv - All Plans | $69.75 |
| Knnex Health - All Plans | Knnex Health - All Plans | $69.75 |
| Tricare Blue Shield - All Plans | Tricare Blue Shield - All Plans | $69.75 |
| UHC Mcr Adv | UHC Mcr Adv | $69.75 |
| Hp Healthy Kids Pro Fee | Hp Healthy Kids Pro Fee | $73.24 |
| Ah Employee Health Plan - All Plans | Ah Employee Health Plan - All Pl | $76.73 |
| First Health- All Plans | First Health- All Plans | $83.70 |
| Beech Street- All Plans | Beech Street- All Plans | $90.68 |
| Hp Of San Joaquin PPO - All Other Plans | Hp Of San Joaquin PPO - All | $90.68 |
| Multiplan- All Plans | Multiplan- All Plans | $90.68 |
| Kaiser Commercial - All Other Plans | Kaiser Commercial - All Other Pl | $94.16 |
| Kaiser Mcr Adv | Kaiser Mcr Adv | $94.16 |
| Networks By Design- All Plans | Networks By Design- All Plans | $94.16 |
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $97.87 |
| UHC HMO | UHC HMO | $97.87 |
| UHC Jll | UHC Jll | $97.87 |
| Healthnet- All Other Plans | Healthnet- All Other Plans | $102 |
| Western Growers- All Plans | Western Growers- All Plans | $107 |
| Blue Shield Epn - All Other Plans | Blue Shield Epn - All Other Plans | $128 |
| Blue Cross Non-Mcs - All Other Plans | Blue Cross Non-Mcs - All Other | $131 |
| Blue Shield Non-Epn | Blue Shield Non-Epn | $135 |
| Bc Mcal | Bc Mcal | $186 |
| Celtic Ins Company - All Plans | Celtic Ins Company - All Plans | $186 |
| Kaiser Mcal | Kaiser Mcal | $186 |
| Medi-Cal | Medi-Cal | $186 |
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