MRI lower back without contrast at Mercy Medical Center Mt. Shasta. CPT 72148.
What Mercy Medical Center Mt. Shasta publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$2,648cash price (self-pay)
$3,404list price
$592–$3,336range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| California Health & Wellness | Medicaid|All Plans | $592 |
| Aetna | Medicare|All Plans | $817 |
| BCBS - Anthem | Medicare|All Plans | $817 |
| Blue Shield CA | Medicare|All Plans | $817 |
| Health Net | Medicare|All Plans | $817 |
| Humana | Medicare|All Plans | $817 |
| Kaiser | Medicare|All Plans | $817 |
| United | Medicare|All Plans | $817 |
| BCBS - Anthem | Medicaid|All Plans | $1,123 |
| Partnership Health Plan | Medicaid|All Plans | $1,147 |
| BCBS - Anthem | Commercial|Exchange | $2,315 |
| Cigna | Commercial|All Other Plans | $2,791 |
| Cigna | Commercial|PPO | $2,791 |
| BCBS - Anthem | Commercial|All Other Plans | $2,859 |
| United | Commercial|HMO | $2,927 |
| Aetna | Commercial|All Other Plans | $2,961 |
| Aetna | Commercial|HMO | $2,961 |
| Aetna | Commercial|PPO | $2,961 |
| United | Commercial|All Other Plans | $2,996 |
| Health Net | Commercial|All Plans | $3,166 |
| Coventry | Commercial|All Plans | $3,336 |
| MultiPlan | Commercial|All Plans | $3,336 |
Inpatient
$2,648cash price (self-pay)
$3,404list price
$1,770–$3,336range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| California Health & Wellness | Medicaid|All Plans | $1,770 |
| Cigna | Commercial|All Other Plans | $2,791 |
| Cigna | Commercial|PPO | $2,791 |
| United | Commercial|HMO | $2,927 |
| Aetna | Commercial|All Other Plans | $2,996 |
| Aetna | Commercial|HMO | $2,996 |
| Aetna | Commercial|PPO | $2,996 |
| United | Commercial|All Other Plans | $2,996 |
| Health Net | Commercial|All Plans | $3,166 |
| Coventry | Commercial|All Plans | $3,336 |
| MultiPlan | Commercial|All Plans | $3,336 |
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