MRI lower back without contrast at Victor Valley Global Medical Center. CPT 72148.
What Victor Valley Global Medical Center publishes for this service, straight from its standard-charges file, last updated May 13, 2026.
Outpatient / ER
$3,563cash price (self-pay)
$3,563list price
$165–$3,563range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Shield | Blue Shield EPN | $165 |
| Blue Shield | Blue Shield | $195 |
| LaSalle Medical Assoc | LaSalle Medical Assoc (Ancillary) MCAL HMO | $219 |
| Tricare | Tricare | $246 |
| Aetna Healthcare | Aetna SR | $255 |
| Central Health Plan | Central Health Plan SR | $255 |
| Desert View Correctional | Desert View Correctional | $255 |
| Epic Medical Network | Epic Medical Network SR | $255 |
| Health Net | Health Net SR | $255 |
| IEHP | IEHP Medicare Advantage | $255 |
| Inter Valley | Inter Valley Health Plan SR | $255 |
| Other Medicare Senior | Other Medicare Senior | $255 |
| United Healthcare | United Healthcare SR | $255 |
| US Dept of Labor | US Dept of Labor/Workers Comp | $255 |
| Hardship Program | AB774 Hardship Program | $256 |
| Alignment Health Plan | Alignment Health Plan MCare Adv | $256 |
| Cigna Healthcare | Cigna HMO/PPO | $274 |
| Prime Health Services | Prime Health Services SR | $294 |
| Aetna Healthcare | Aetna | $731 |
| Health Net | Health Net Medi-Cal HMO | $826 |
| Heritage Provider Network | Heritage Provider Network Med-Cal | $826 |
| Inland Faculty Medical Group | Inland Faculty Med Grp MCAL HMO | $826 |
| Kaiser | Kaiser Medi-cal HMO | $826 |
| Molina Healthcare | Molina Medi-Cal HMO | $975 |
| AltaMed | AltaMed Health Services MCAL HMO | $1,156 |
| AltaMed | AltaMed MCAL/PACE | $1,156 |
| IEHP | IEHP Direct | $1,239 |
| First Health/CCN | First Health/CCN | $1,871 |
| Brand New Day | Brand New Day Medi-Cal | $1,893 |
| AltaMed | AltaMed Ancillary Services | $1,934 |
Inpatient
$3,563cash price (self-pay)
$3,563list price
$1,871–$3,563range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| First Health/CCN | First Health/CCN | $1,871 |
| Kaiser | Kaiser Commercial HMO | $2,167 |
| MultiPlan | MultiPlan | $2,494 |
| MultiPlan | MultiPlan WCOMP | $2,494 |
| Provider Network of America | PNOA-Provider Network of America | $2,850 |
| Prime Health Services | Prime Health Services PPO | $2,850 |
| Other Commercial Non-Contract | Other Commercial Non-Contract | $3,563 |
| Private Pay | Private Pay | $3,563 |
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