MRI lower back without contrast at Mercy San Juan Medical Center. CPT 72148.
What Mercy San Juan Medical Center publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$1,426cash price (self-pay)
$5,206list price
$139–$7,195range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Hill Physicians | Commercial|All Plans | $139 |
| 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 |
| Humana | Medicare|All Plans | $318 |
| Kaiser | Medicare|All Plans | $318 |
| BCBS - Anthem | Medicare|Imperial | $327 |
| BrightHealth | Commercial|All Plans | $349 |
| Molina | Medicaid|All Plans | $350 |
| BlueShield | Medicare|Trauma | $397 |
| Prison Healthcare | Medicaid|All Plans | $476 |
| United | Commercial|All Other Plans | $518 |
| United | Commercial|HMO | $518 |
| United | Commercial|Non-Options PPO | $518 |
| United | Commercial|Options PPO | $518 |
| WCMG | Commercial|All Plans | $573 |
| California Health & Wellness | Medicaid|All Plans | $611 |
| Health Net | Medicaid|All Plans | $611 |
| Partnership Health Plan | Medicaid|All Plans | $1,147 |
| Aetna | Commercial|All Other Plans | $1,264 |
| Aetna | Commercial|HMO | $1,264 |
| Aetna | Commercial|PPO | $1,264 |
| BCBS - Anthem | Medicaid|All Plans | $1,569 |
| Western Health Advantage | Commercial|All Plans | $1,822 |
| Kaiser | Medicaid|All Plans | $2,134 |
Inpatient
$1,426cash price (self-pay)
$5,206list price
$573–$4,321range 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 | $4,321 |
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