MRI lower back without contrast at St Mary Medical Center. CPT 72148.
What St Mary Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$996cash price (self-pay)
$2,076list price
$307–$4,991range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Managed Care Plan | $307 |
| Heritage Provider Network | All Commercial Plans | $345 |
| Unitedhealthcare | All Commercial Plans | $373 |
| Unitedhealthcare | Select/Navigate Hmo | $373 |
| Kaiser | All Commercial Plans | $778 |
| Aetna | All Commercial Plans | $1,802 |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx1, Ncx3) All Commercial Plans | $4,159 |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $4,991 |
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