MRI lower back without contrast at MemorialCare Orange Coast Medical Center. CPT 72148.
What MemorialCare Orange Coast Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$7,633cash price (self-pay)
$7,633list price
$276–$4,891range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Seoul Medical Group | Ipa Medicare Managed Care Plan | $276 |
| Unitedhealthcare | All Payer Other Commercial Plan | $280 |
| Unitedhealthcare | Non-Preferred Hmo | $280 |
| Unitedhealthcare | Preferred Hmo | $280 |
| Blue Shield | Senior Medicare Managed Care Plan | $301 |
| Blue Cross | Senior Medicare Managed Care Plan | $307 |
| Molina | Senior Medicare Managed Care Plan | $316 |
| Blue Cross | Anthem Vivity City Other Commercial Plan | $322 |
| Universal Care | Senior Medicare Managed Care Plan | $322 |
| Central Health | Senior Medicare Managed Care Plan | $338 |
| Blue Cross | Anthem Vivity Non-City Other Commercial Plan | $362 |
| Clever Care | Medicare Managed Care Plan | $368 |
| Healthcare Partners | Senior/Dual Eligible Medicare Managed Care Plan | $384 |
| Select Health | Hmo | $414 |
| Blue Cross | Anthem Hmo Exchange | $454 |
| Monarch Health Plan | Covered California Other Commercial Plan | $528 |
| Cigna | Select Hmo | $652 |
| Centivo | Ppo | $690 |
| Blue Cross | Anthem Non-Mcs Other Commercial Plan | $698 |
| Monarch Health Plan | Other Commercial Plan | $712 |
| Cigna | Value Hmo | $743 |
| Healthcare Partners | All Commercial Plans | $796 |
| Blue Cross | Anthem Mcs Other Commercial Plan | $838 |
| Cigna | All Commercial Plans | $977 |
| Blue Shield | Epn/Covered Ca Other Commercial Plan | $3,638 |
| Blue Shield | Trio Other Commercial Plan | $3,726 |
| Blue Shield | Tandem Ppo Other Commercial Plan | $4,058 |
| Blue Shield | Hmo/Pos | $4,258 |
| Blue Shield | Ppo/Epo | $4,891 |
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All common services at MemorialCare Orange Coast Medical Center