MRI lower back without contrast at Sierra Nevada Memorial Hospital. CPT 72148.

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

Outpatient / ER

$771cash price (self-pay)

$3,170list price

$267–$4,827range insurers pay

Insurance plan	Negotiated rate
Partnership Health Plan \| Medicaid\|< 21	$267
Partnership Health Plan \| Medicaid\|> 21	$267
Hill Physicians \| Commercial\|All Plans	$318
Humana \| Commercial\|All Plans	$318
Aetna \| Medicare\|All Plans	$318
BCBS - Anthem \| Medicare\|All Plans	$318
Blue Shield CA \| Medicare\|All Plans	$318
Health Net \| Medicare\|All Plans	$318
Humana \| Medicare\|All Plans	$318
Kaiser \| Medicare\|All Plans	$318
United \| Medicare\|All Plans	$318
United \| Commercial\|All Other Plans	$518
United \| Commercial\|HMO	$518
California Health & Wellness \| Medicaid\|All Plans	$603
Health Net \| Medicaid\|All Plans	$603
BCBS - Anthem \| Medicaid\|All Plans	$1,131
Aetna \| Commercial\|All Other Plans	$1,648
Aetna \| Commercial\|HMO	$1,648
Aetna \| Commercial\|PPO	$1,648
United \| Commercial\|Non-Options PPO	$2,124
BCBS - Anthem \| Commercial\|Exchange	$2,165
Kaiser \| Commercial\|All Plans	$2,441
BCBS - Anthem \| Commercial\|All Other Plans	$2,488
Cigna \| Commercial\|All Other Plans	$2,757
Cigna \| Commercial\|PPO	$2,757
First Health \| Commercial\|All Plans	$3,011
Healthsmart \| Commercial\|All Plans	$3,106
MultiPlan \| Commercial\|All Plans	$3,106
BCBS - Anthem \| Commercial\|MCS	$3,110

$2,684cash price (self-pay)

$4,925list price

$3,792–$4,827range insurers pay

Insurance plan	Negotiated rate
Kaiser \| Commercial\|All Plans	$3,792
Cigna \| Commercial\|All Other Plans	$4,285
Cigna \| Commercial\|PPO	$4,285
First Health \| Commercial\|All Plans	$4,679
Healthsmart \| Commercial\|All Plans	$4,827
MultiPlan \| Commercial\|All Plans	$4,827

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