MRI lower back without contrast at Valley Children's Hospital. CPT 72148.
What Valley Children's Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
—cash price (self-pay)
$6,732list price
$826–$6,441range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AllCare IPA | All Commercial Products | $826 |
| Kaiser | Managed Medicaid | $835 |
| Dignity IPA_Formerly IMG | Managed Medicaid | $1,156 |
| La Salle IPA | Managed Medicaid | $1,156 |
| Sante IPA | All Commercial Products | $1,156 |
| Central Valley Medical Providers IPA | Managed Medicaid | $1,239 |
| Sequoia Health IPA | Managed Medicaid | $1,239 |
| Univseral Healthcare IPA | Managed Medicaid | $1,239 |
| Community Care IPA | Managed Medicaid | $1,305 |
| Adventist | Managed Medicaid | $1,457 |
| Blue Cross | Managed Medicaid | $1,496 |
| United Health Care | All Commercial Products | $1,549 |
| United Health Care | Commercial HMO | $1,549 |
| CenCal Health | Managed Medicaid | $1,633 |
| Kern Family Health Care | Managed Medicaid | $1,650 |
| Central California Alliance for Health | Managed Medicaid | $1,680 |
| Health Net | Managed Medicaid | $2,369 |
| Blue Cross | All Commercial Products | $3,222 |
| Dignity Health Central Coast | All Commercial Products | $3,336 |
| Central Valley Medical Providers IPA | All Commercial Products | $3,366 |
| Community Health | All Commercial Products | $3,703 |
| Stanislaus Partners in Health | All Commercial Products | $3,703 |
| Physicians Choice Medical Group | All Commercial Products | $3,770 |
| Health Plan of San Joaquin | Managed Medicaid | $4,039 |
| Fowler Packing | All Commercial Products | $4,174 |
| Dignity (formerly Managed Care Systems) | All Commercial Products | $4,241 |
| Kaiser | All Commercial Products | $4,376 |
| Kern Legacy | All Commercial Products | $4,376 |
| Health Net | All Commercial Products | $4,408 |
| Blue Shield | Value Network | $4,496 |
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