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 February 28, 2026.

Outpatient / ER

$1,653cash price (self-pay)

$3,845list price

$240–$4,227range insurers pay

Insurance plan	Negotiated rate
Noble IPA \| Medicaid\|< 21	$240
Noble IPA \| Medicaid\|> 21	$240
HCLA \| Medicaid\|Preferred IPA < 21	$267
HCLA \| Medicaid\|Preferred IPA > 21	$267
Inland Empire Health Plan \| Medicaid\|All Plans	$267
Partnership Health Plan \| Medicaid\|< 21	$267
Partnership Health Plan \| Medicaid\|> 21	$267
Preferred IPA \| Medicaid\|Risk	$267
Angeles IPA \| Medicare\|All Plans	$267
BCBS - Anthem \| Medicare\|All Plans	$307
Blue Shield CA \| Medicare\|All Other Plans	$307
Health Net \| Medicaid\|< 21	$356
Health Net \| Medicaid\|> 21	$356
Molina \| Medicaid\|All Plans	$374
HCLA \| Commercial\|Preferred IPA	$384
LA Care \| Commercial\|All Plans	$384
Kaiser \| Medicaid\|< 21	$400
Kaiser \| Medicaid\|> 21	$400
United \| Commercial\|All Other Plans	$518
United \| Commercial\|HMO	$518
United \| Commercial\|Non-Options PPO	$518
United \| Commercial\|Options PPO	$518
Healthcare Partners \| Commercial\|All Plans	$787
Blue Shield CA \| Medicare\|BlueShield Promise	$799
BCBS - Anthem \| Medicaid\|All Plans	$826
DHR \| Medicaid\|< 21	$961
DHR \| Medicaid\|> 21	$961
LA Care \| Medicaid\|All Plans	$1,099
Blue Shield CA \| Medicaid\|All Plans	$1,334
Care 1st \| Medicaid\|All Plans	$1,334

$1,653cash price (self-pay)

$3,845list price

$799–$3,845range insurers pay

Insurance plan	Negotiated rate
Blue Shield CA \| Medicare\|BlueShield Promise	$799
Healthcare Partners \| Medicare\|All Plans	$927
Healthcare Partners \| Commercial\|All Plans	$1,090
Kaiser \| Commercial\|All Plans	$2,692
MultiPlan \| Commercial\|All Plans	$3,076
SMIPA \| Medicare\|All Plans	$3,845

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