MRI lower back without contrast at Southern California Hospital at Hollywood. CPT 72148.
What Southern California Hospital at Hollywood publishes for this service, straight from its standard-charges file, last updated March 18, 2026.
Outpatient / ER
$6,505cash price (self-pay)
$6,505list price
$8.61–$5,594range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Shield of California | Covered California/IFP/PPO | $8.61 |
| Blue Shield of California | EPO/PPO/Out of State | $10.74 |
| Blue Shield Promise | Medi-Cal | $186 |
| Anthem Blue Cross | Managed Medi-Cal | $190 |
| Molina | Managed Medi-Cal | $195 |
| Health Net of California | Managed Medi-Cal | $205 |
| LA Care | Managed Medi-Cal for PASC-SEIU Members | $223 |
| Aetna | Medicare Advantage | $242 |
| Alignment Health Plan | Medicare Advantage | $242 |
| Central Health Plan | Medicare Advantage | $242 |
| Health Net of California | Medicare Advantage | $242 |
| Kaiser | Medicare Advantage/Medi-Cal | $242 |
| LA Care | Medicare Advantage/Covered California | $242 |
| Legacy Health Plan | Medicare Advantage | $242 |
| Molina | Medicare Advantage | $242 |
| Optum Health | Commercial HMO | $242 |
| United Healthcare | Medicare Advantage | $242 |
| Bright Health | Medicare Advantage | $247 |
| Aids Healthcare Foundation | Medicare Advantage | $247 |
| Easy Choice (WellCare) | Medicare Advantage | $247 |
| Imperial Health Plan | Medicare Advantage | $247 |
| Optum Health | Medicare Advantage | $247 |
| Patient Choice | Medicare Advantage | $254 |
| Aids Healthcare Foundation | Managed Medi-Cal | $260 |
| LA Care | Managed Medi-Cal | $260 |
| Bright Health | Covered California | $266 |
| Molina | Exchange | $266 |
| Aetna | Exchange | $314 |
| Naphcare | Commercial | $363 |
| Anthem Blue Cross | Covered California | $436 |
Inpatient
$6,505cash price (self-pay)
$6,505list price
$4,553–$5,594range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Prime Health Services | Commercial | $4,553 |
| PHCS Network | Commercial PPO | $4,619 |
| American Mental Health Network | Fed Med | $4,879 |
| Multiplan | Commercial | $5,594 |
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All common services at Southern California Hospital at Hollywood