MRI lower back without contrast at Platte Valley Medical Center. CPT 72148.
What Platte Valley Medical Center publishes for this service, straight from its standard-charges file, last updated March 22, 2026.
Outpatient / ER
—cash price (self-pay)
$3,161list price
$243–$2,519range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Denv Hlth Med Plan | Denver Hlth Med Pl | $243 |
| Kaiser Perm PPO/POS | Kaiser Perm PPO/POS | $738 |
| Kaiser Perm PPO/POS | Kaiser PPO/POS Other | $738 |
| Cigna Scl Employees | Cigna Sclhs Cdhp | $1,128 |
| BCBS/Anthem | BCBS Co Exchange Plan | $1,214 |
| BCBS/Anthem | BCBS Co Federal | $1,214 |
| BCBS/Anthem | BCBS Co HMO | $1,214 |
| BCBS/Anthem | BCBS Co PPO | $1,214 |
| Choicecare Humana | Choicecare Humana HMO EPO | $1,327 |
| Choicecare Humana | Choicecare Humana PPO | $1,327 |
| United Healthcare | Selectcolorado | $1,751 |
| Cigna | Cigna HMO | $2,192 |
| Cigna | Cigna Indemnity | $2,192 |
| Cigna | Cigna Other | $2,192 |
| Cigna | Cigna POS/Qpos | $2,192 |
| Cigna | Cigna PPO | $2,192 |
| Cigna | Eighth Dist Elect Ben Pln | $2,192 |
| Cigna | Health-Partners | $2,192 |
| Geha | Geha | $2,336 |
| Geha | Geha Mcr Supplemental | $2,336 |
| United Healthcare | All Savers Alternative Funding | $2,336 |
| United Healthcare | Golden Rule Ins | $2,336 |
| United Healthcare | Healthscope | $2,336 |
| United Healthcare | Medica | $2,336 |
| United Healthcare | Surest | $2,336 |
| United Healthcare | UHC Charter/Navigate | $2,336 |
| United Healthcare | UHC Exchange Plan | $2,336 |
| United Healthcare | UHC Other/Supplemental | $2,336 |
| United Healthcare | Umr-United Med Resources | $2,336 |
| United Healthcare | United Healthcare | $2,336 |
Inpatient
—cash price (self-pay)
$3,161list price
$1,372–$2,460range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser Perm PPO/POS | Kaiser Perm PPO/POS | $1,372 |
| Kaiser Perm PPO/POS | Kaiser PPO/POS Other | $1,372 |
| Cigna | Cigna HMO | $2,192 |
| Cigna | Cigna Indemnity | $2,192 |
| Cigna | Cigna Other | $2,192 |
| Cigna | Cigna POS/Qpos | $2,192 |
| Cigna | Cigna PPO | $2,192 |
| Cigna | Eighth Dist Elect Ben Pln | $2,192 |
| Cigna | Health-Partners | $2,192 |
| BCBS/Anthem | BCBS Co Indemnity | $2,460 |
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