MRI lower back without contrast at UCLA West Valley Medical Center. CPT 72148.
What UCLA West Valley Medical Center publishes for this service, straight from its standard-charges file, last updated March 29, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$186–$737range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| LA Care Medi-Cal | MEDI-CAL | $186 |
| HealthCare Partners HMO | HMO-Medicare | $307 |
| TriWest Healthcare Alliance | Other Government | $307 |
| UCLA Health Medicare Advantage Plan | Medicare Advantage | $307 |
| Aetna Medicare Advantage | MEDICARE ADVANTAGE | $307 |
| Anthem Medicare Advantage | MEDICARE ADVANTAGE | $307 |
| Blue Shield of California | Medicare Advantage | $307 |
| LA Care Medicare_DSNP | MEDICARE ADVANTAGE_DSNP | $307 |
| UHC Medicare | MEDICARE ADVANTAGE | $307 |
| Health Net Medicare | MEDICARE ADVANTAGE | $310 |
| LA Care Commercial | PASC | $362 |
| LA Care Commercial | Covered CA | $384 |
| Anthem Workers Comp | WORKERS COMP | $415 |
| Anthem Vivity, Anthem HMO | HMO-City of LA | $416 |
| Anthem Vivity, Anthem HMO | HMO-NonCity of LA | $468 |
| Centivo | PPO | $737 |
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