MRI lower back without contrast at Sequoia Hospital. CPT 72148.

What Sequoia Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$3,077cash price (self-pay)

$8,454list price

$267–$6,932range insurers pay

Insurance plan	Negotiated rate
BCBS - Anthem \| Medicaid\|< 21	$267
BCBS - Anthem \| Medicaid\|> 21	$267
Kaiser \| Medicaid\|< 21	$267
Kaiser \| Medicaid\|> 21	$267
Partnership Health Plan \| Medicaid\|< 21	$267
Partnership Health Plan \| Medicaid\|> 21	$267
Brown Toland \| Medicare\|All Plans	$272
Health Net \| Medicaid\|< 21	$328
Health Net \| Medicaid\|> 21	$328
Health Plan San Mateo \| Medicaid\|< 21	$328
Health Plan San Mateo \| Medicaid\|> 21	$328
Health Net \| Commercial\|Canopy Health	$354
Humana \| Commercial\|All Plans	$354
Aetna \| Medicare\|All Plans	$354
BCBS - Anthem \| Medicare\|All Plans	$354
Blue Shield CA \| Medicare\|All Plans	$354
Chinese Community \| Medicare\|All Plans	$354
Health Net \| Medicare\|All Plans	$354
Health Plan San Mateo \| Medicare\|All Plans	$354
Humana \| Medicare\|All Plans	$354
Kaiser \| Medicare\|All Plans	$354
United \| Medicare\|All Plans	$354
Brown Toland \| Commercial\|All Plans	$390
United \| Commercial\|All Other Plans	$518
United \| Commercial\|HMO	$518
United \| Commercial\|Options PPO	$518
Sutter Health \| Commercial\|All Plans	$1,110
Aetna \| Commercial\|All Plans	$1,552
BCBS - Anthem \| Commercial\|All Other Plans	$2,228
Connected Care \| Commercial\|Intel	$3,635

$3,077cash price (self-pay)

$8,454list price

$3,635–$6,932range insurers pay

Insurance plan	Negotiated rate
Connected Care \| Commercial\|Intel	$3,635
Healthsmart \| Commercial\|All Plans	$5,749
Kaiser \| Commercial\|All Plans	$6,510
Multiplan \| Commercial\|All Plans	$6,932

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