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MRI lower back without contrast at Providence St Joseph Hospital Orange. CPT 72148.

What Providence St Joseph Hospital Orange publishes for this service, straight from its standard-charges file, last updated April 1, 2026.

Outpatient / ER

$2,196cash price (self-pay)
$8,695list price
$261–$5,100range insurers pay
Insurance planNegotiated rate
Providence | Oscar All Commercial Plans$261
Aetna | Medicare Managed Care Plan$307
Blue Cross | Anthem Vivity City Of La Other Commercial Plan$322
Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan$362
Unitedhealthcare | All Commercial Plans$373
Unitedhealthcare | Select/Navigate Hmo$373
Healthnet | Ambetter Hmo$568
Aetna | Gatekeeper Hmo$1,802
Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans$4,250
Blue Cross | Anthem Mcs (Indx) All Commercial Plans$5,100
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All common services at Providence St Joseph Hospital Orange