MRI lower back without contrast at University of Michigan Health-Sparrow St. Lawrence. CPT 72148.
What University of Michigan Health-Sparrow St. Lawrence 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–$938range 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 | $130 |
| Priority Health Medicaid | HMO | $130 |
| Blue Cross Complete Medicaid | HMO | $130 |
| McLaren Medicaid | HMO | $130 |
| Aetna Medicaid | HMO | $135 |
| Molina Medicaid | HMO | $143 |
| Priority | PPO | $160 |
| McLaren Commercial | PPO | $183 |
| United Health Care | PPO | $199 |
| Health Alliance Plan | PPO | $218 |
| Health Alliance Plan | HMO | $218 |
| Medicare | Part A & B | $242 |
| Covenant Advantage | HMO | $242 |
| MediGold | HMO | $242 |
| Senior Community Care | HMO | $242 |
| BCN Medicare Advantage | HMO | $242 |
| Medicare Plus Blue | HMO | $242 |
| Aetna Medicare Advantage | HMO | $242 |
| Humana Medicare Advantage | HMO | $254 |
| Priority Health Medicare Advantage | HMO | $254 |
| HAP Medicare Advantage | HMO | $254 |
| McLaren Medicare Advantage | HMO | $254 |
| Aetna | PPO | $270 |
| Asr | PPO | $299 |
| Cigna | PPO | $345 |
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All common services at University of Michigan Health-Sparrow St. Lawrence