MRI lower back without contrast at St Helena Hospital. CPT 72148.
What St Helena Hospital publishes for this service, straight from its standard-charges file, last updated July 15, 2026.
Outpatient / ER
$45.90cash price (self-pay)
$5,985list price
$10.81–$7,541range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medi-Cal | Medi-Cal | $186 |
| Blue Shield Bh Mcr Adv | Blue Shield Bh Mcr Adv | $317 |
| Blue Shield Mcr Adv | Blue Shield Mcr Adv | $317 |
| Tricare Blue Shield | Tricare Blue Shield | $317 |
| Kaiser Mcr Adv | Kaiser Mcr Adv | $317 |
| UHC Mcr Adv | UHC Mcr Adv | $317 |
| Va Mcr - All Other Plans | Va Mcr - All Other Plans | $317 |
| Va Medi-Cal | Va Medi-Cal | $390 |
| Ah Employee Health Plan - All Plans | Ah Employee Health Plan - All Pl | $571 |
| Healthnet-All Plans | Healthnet-All Plans | $1,725 |
| Blue Cross Exchange | Blue Cross Exchange | $1,740 |
| Blue Cross Non Mcs | Blue Cross Non Mcs | $1,933 |
| Aetna-All Plans | Aetna-All Plans | $2,030 |
| Blue Cross Mcs - All Other Plans | Blue Cross Mcs - All Other Plans | $2,319 |
| UHC Select/Select Plus | UHC Select/Select Plus | $2,653 |
| Blue Shield Non-Epn | Blue Shield Non-Epn | $2,777 |
| Blue Shield Epn-All Other Plans | Blue Shield Epn-All Other Plans | $2,819 |
| UHC Jll | UHC Jll | $2,858 |
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $3,008 |
| Western Growers-All Plans | Western Growers-All Plans | $3,172 |
| Phcs-All Plans | Phcs-All Plans | $3,292 |
| Interplan-All Plans | Interplan-All Plans | $3,591 |
| Blue Shield Behav Hlth | Blue Shield Behav Hlth | $3,771 |
| UHC Options PPO | UHC Options PPO | $3,815 |
| Cigna-All Other Plans | Cigna-All Other Plans | $4,788 |
| Kaiser-All Other Plans | Kaiser-All Other Plans | $4,908 |
| Health Management Network-All Plans | Health Management Network-All Pl | $5,087 |
| Umr UHC PPO | Umr UHC PPO | $5,333 |
| Three Rivers-All Plans | Three Rivers-All Plans | $5,387 |
| Choicecare-All Plans | Choicecare-All Plans | $5,865 |
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