MRI lower back without contrast at Ukiah Adventist Hospital. CPT 72148.
What Ukiah Adventist Hospital publishes for this service, straight from its standard-charges file, last updated May 24, 2026.
Outpatient / ER
$55.20cash price (self-pay)
$276list price
$38.80–$4,478range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna-All Plans | Cigna-All Plans | $38.80 |
| Blue Shield Mcr Adv | Blue Shield Mcr Adv | $69.75 |
| Tricare Blue Shield-All Plans | Tricare Blue Shield-All Plans | $69.75 |
| Kaiser Mcr Adv | Kaiser Mcr Adv | $69.75 |
| Ah Employee Health Plan - All Plans | Ah Employee Health Plan - All Pl | $76.73 |
| UHC Jll Csp 1/1/25 | UHC Jll Csp 1/1/25 | $92.51 |
| Healthnet-All Plans | Healthnet-All Plans | $102 |
| Western Growers-All Plans | Western Growers-All Plans | $103 |
| Blue Shield Epn-All Other Plans | Blue Shield Epn-All Other Plans | $128 |
| Blue Shield Non-Epn | Blue Shield Non-Epn | $135 |
| Mendocino Lcc District-All Plans | Mendocino Lcc District-All Plans | $179 |
| Kaiser Medi-Cal | Kaiser Medi-Cal | $186 |
| Medi-Cal | Medi-Cal | $186 |
| Kaiser-All Other Plans | Kaiser-All Other Plans | $221 |
| Three Rivers-All Plans | Three Rivers-All Plans | $248 |
| UHC All Payer-All Other Plans | UHC All Payer-All Other Plans | $279 |
| UHC Mcr Adv | UHC Mcr Adv | $329 |
| Aetna-All Plans | Aetna-All Plans | $335 |
| Blue Cross Exchange | Blue Cross Exchange | $1,707 |
| Blue Cross Non-Mcs | Blue Cross Non-Mcs | $1,896 |
| Blue Cross Mcs-All Other Plans | Blue Cross Mcs-All Other Plans | $2,276 |
| Foundation For Medical Care-All Plans | Foundation For Medical Care-Al | $3,732 |
| Phcs Multiplan-All Plans | Phcs Multiplan-All Plans | $3,981 |
| Networks By Design-All Plans | Networks By Design-All Plans | $3,981 |
| Interplan-All Plans | Interplan-All Plans | $4,080 |
| Beech Street-All Plans | Beech Street-All Plans | $4,230 |
| Choice Care-All Plans | Choice Care-All Plans | $4,230 |
| Health Mgmt Network-All Plans | Health Mgmt Network-All Plans | $4,230 |
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