MRI lower back without contrast at Petaluma Valley Hospital. CPT 72148.
What Petaluma Valley Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,894cash price (self-pay)
$8,263list price
$322–$4,120range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Healthnet | Medicare Managed Care Plan | $322 |
| Aetna | Medicare Managed Care Plan | $328 |
| Unitedhealthcare | All Commercial Plans | $373 |
| Unitedhealthcare | Select/Navigate Hmo | $373 |
| Aetna | All Commercial Plans | $1,996 |
| Blue Cross | Epo Exchange | $2,866 |
| Blue Cross | Nonmcs All Commercial Plans | $3,433 |
| Blue Cross | Mcs All Commercial Plans | $4,120 |
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