MRI lower back without contrast at University of Michigan Health-Sparrow Clinton. CPT 72148.
What University of Michigan Health-Sparrow Clinton publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$69.50cash price (self-pay)
$139list price
$44.52–$2,311range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid | Professional | $44.52 |
| Medicaid | Professional Facility | $44.52 |
| Medicare | Professional | $66.44 |
| BCBS | Professional | $111 |
| BCBS | Professional Facility | $111 |
| Medicaid | CAID | $172 |
| Priority Health Medicaid | HMO | $172 |
| Blue Cross CompleteMedicaid | HMO | $172 |
| MclarenMedicaid | HMO | $172 |
| AetnaMedicaid | HMO | $179 |
| MolinaMedicaid | HMO | $189 |
| Medicare | Part A & B | $628 |
| Covenant Advantage | HMO | $628 |
| Medigold | HMO | $628 |
| Senior Community Health | HMO | $628 |
| BCN Medicare Advantage | HMO | $628 |
| Medicare Plus Blue | HMO | $628 |
| Aetna Medicare Advantage | HMO | $628 |
| Humana Medicare Advantage | HMO | $659 |
| HAP Medicare Advantage | HMO | $659 |
| Mclaren Medicare Advantage | HMO | $659 |
| Priority Health Medicare Advantage | HMO | $666 |
| Blue Cross Blue Shield | PPO | $1,254 |
| Aetna | PPO | $1,884 |
| Priority | PPO | $1,902 |
| United Health | PPO | $1,927 |
| Humana | PPO | $1,959 |
| Cigna | PPO | $1,990 |
| Great West Health | PPO | $1,990 |
| Cofinity | PPO | $2,035 |
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All common services at University of Michigan Health-Sparrow Clinton