MRI lower back without contrast at Seton Medical Center. CPT 72148.
What Seton Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$5,802cash price (self-pay)
$5,802list price
$58.43–$6,783range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross of California | Blue Cross Medi-Cal | $58.43 |
| Hill Physicians Medical Group Inc | Hill Physicians Medical Group Comm | $161 |
| Medi-Cal | Medi-Cal HMO Non-Contract | $186 |
| San Mateo County/San Mateo County General Hospital | San Mateo County | $229 |
| Jade Health Care MG | Jade Health Care Commercial | $259 |
| North East Medical Services | North East Medical Services Medi-Cal Man | $260 |
| San Francisco Health Plan | San Francisco Health Plan | $260 |
| Jade Health Care MG | Jade Health Care Medi-Cal | $279 |
| Hill Physicians Medical Group Inc | Hill Physicians Medical Group Medi | $503 |
| Health Plan of San Mateo Healthworx | Health Plan of San Mateo Healthw | $691 |
| Health Plan of San Mateo | Health Plan of San Mateo | $786 |
| Kaiser | Kaiser Medi-Cal | $826 |
| CMAC | Medi-Cal | $826 |
| Aetna US Healthcare of California Inc | Aetna HMO/PPO/EPO/MC/POS | $965 |
| Asian American Medical Group | All American Medical Group Medi-Cal | $991 |
| Brown and Toland Medical Group | Brown and Toland Medical Group Medi-C | $1,032 |
| Blue Shield of California | BLUE SHIELD COVERED CA | $1,287 |
| Self Pay | Self Pay | $1,973 |
| Chinese Community Health Plan | CCHP Commercial (Full-Risk) | $2,901 |
| Anthem Blue Cross | Anthem Blue Cross Priority Select HMO | $3,124 |
| Anthem Blue Cross | Anthem Blue Cross Select HMO | $3,346 |
| Interplan Corporation | Interplan | $3,481 |
| Blue Cross of California | Blue Cross Non-MCS | $3,764 |
| Blue Cross of California | Blue Cross Out of State | $3,764 |
| CIGNA Healthcare of California | CIGNA HMO | $4,061 |
| Cigna | Cigna PPO | $4,061 |
| Health Net | Health Net HMO/PPO/POS/EPO | $4,298 |
| The First Health Network | First Health/CCN | $4,352 |
| MultiPlan/BCE Emergis | Multiplan PPO Primary Network | $4,352 |
| Private Healthcare Sytems Inc | PHCS | $4,352 |
Inpatient
$3,481cash price (self-pay)
$5,802list price
$870–$5,802range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Self Pay | Self Pay | $870 |
| Kaiser | Kaiser Commercial | $4,758 |
| ChoiceCare Network | Choice Care Humana PPO | $4,932 |
| Multiplan | Multiplan PPO Complementary Network | $4,932 |
| Mills Peninsula Health Services | Mills Peninsula Commercial | $5,222 |
| Indemnity | Indemnity | $5,802 |
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