MRI lower back without contrast at Santa Rosa Memorial Hospital. CPT 72148.
What Santa Rosa Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,468cash price (self-pay)
$7,092list price
$332–$4,421range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Healthnet | Medicare Managed Care Plan | $332 |
| Aetna | Medicare Managed Care Plan | $339 |
| Unitedhealthcare | All Commercial Plans | $373 |
| Unitedhealthcare | Select/Navigate Hmo | $373 |
| Aetna | All Commercial Plans | $2,564 |
| Blue Cross | Epo Exchange | $3,082 |
| Blue Cross | Nonmcs All Commercial Plans | $3,684 |
| Blue Cross | Mcs All Commercial Plans | $4,421 |
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