MRI lower back without contrast at Mercy Hospital of Folsom. CPT 72148.

What Mercy Hospital of Folsom publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$2,025cash price (self-pay)

$5,206list price

$139–$10,294range insurers pay

Insurance plan	Negotiated rate
Hill Physicians \| Commercial\|All Plans	$139
Hill Physicians \| Medicare\|All Plans	$230
United \| Medicaid\|< 21	$267
United \| Medicaid\|> 21	$267
Hill Physicians \| Medicaid\|All Plans	$293
BCBS - Anthem \| Medicare\|All Other Plans	$300
Humana \| Commercial\|All Plans	$318
Aetna \| Medicare\|All Plans	$318
Blue Shield CA \| Medicare\|HMO	$318
Blue Shield CA \| Medicare\|PPO	$318
Kaiser \| Medicare\|All Plans	$318
United \| Medicare\|All Plans	$318
BCBS - Anthem \| Medicare\|Imperial	$327
Molina \| Medicaid\|All Plans	$502
United \| Commercial\|All Other Plans	$518
United \| Commercial\|HMO	$518
United \| Commercial\|Non-Options PPO	$518
WCMG \| Commercial\|All Plans	$573
California Health & Wellness \| Medicaid\|All Plans	$630
Health Net \| Medicaid\|All Plans	$630
Partnership Health Plan \| Medicaid\|All Plans	$1,147
Aetna \| Commercial\|All Other Plans	$1,156
Aetna \| Commercial\|HMO	$1,156
Aetna \| Commercial\|PPO	$1,156
BCBS - Anthem \| Medicaid\|All Plans	$1,569
Western Health Advantage \| Commercial\|All Plans	$1,822
Kaiser \| Medicaid\|All Plans	$2,134
First Health \| Commercial\|All Plans	$3,905
Healthsmart \| Commercial\|All Plans	$3,905
Kaiser \| Commercial\|All Plans	$4,113

$2,025cash price (self-pay)

$5,206list price

$573–$4,269range insurers pay

Insurance plan	Negotiated rate
WCMG \| Commercial\|All Plans	$573
First Health \| Commercial\|All Plans	$3,905
Healthsmart \| Commercial\|All Plans	$3,905
Sutter Health \| Commercial\|All Plans	$4,165
MultiPlan \| Commercial\|All Plans	$4,269

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