MRI lower back without contrast at St. Mary's Medical Center. CPT 72148.
What St. Mary's Medical Center publishes for this service, straight from its standard-charges file, last updated March 22, 2026.
Outpatient / ER
—cash price (self-pay)
$3,032list price
$243–$2,941range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS/Anthem | BCBS Co Pathway | $1,054 |
| BCBS/Anthem | BCBS Co Exchange Plan | $1,149 |
| BCBS/Anthem | BCBS Co Federal | $1,149 |
| BCBS/Anthem | BCBS Co HMO | $1,149 |
| BCBS/Anthem | BCBS Co Indemnity | $1,149 |
| BCBS/Anthem | BCBS Co PPO | $1,149 |
| Monument Health | UHC Rocky Monument Exchange HMO | $1,518 |
| Monument Health | UHC Rocky Monument Exchange HMO HDHP | $1,518 |
| Monument Health | UHC Rocky Monument Ind HMO | $1,518 |
| Monument Health | UHC Rocky Monument Ind HMO HDHP | $1,518 |
| Cigna | Cigna Local Plus | $1,871 |
| Cigna | Cigna HMO | $2,082 |
| Cigna | Cigna Indemnity | $2,082 |
| Cigna | Cigna Other | $2,082 |
| Cigna | Cigna POS/Qpos | $2,082 |
| Cigna | Cigna PPO | $2,082 |
| Cigna | Eighth Dist Elect Ben Pln | $2,082 |
| Cigna | Health-Partners | $2,082 |
| Allegiance | Cigna Sclhs Employees | $2,168 |
| Cigna Scl Employees | Cigna Sclhs Cdhp | $2,168 |
| Aetna | Aetna Colorado Preferred | $2,286 |
| Kaiser Perm PPO/POS | Kaiser Perm PPO/POS | $2,460 |
| Kaiser Perm PPO/POS | Kaiser PPO/POS Other | $2,460 |
| Aetna | Aetna HMO/EPO | $2,537 |
| Aetna | Aetna Indemnity | $2,537 |
| Aetna | Aetna POS/Qpos | $2,537 |
| Aetna | Aetna PPO | $2,537 |
| Aetna | Aetna Src | $2,537 |
| Geha | Geha-Asa | $2,537 |
| Meritain Health | Meritain Health | $2,537 |
Inpatient
—cash price (self-pay)
$3,032list price
$1,214–$2,941range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | UHC Rocky Mountain HMO | $1,214 |
| Umr United Med Resources | Umr Mesa Cnty Valley School Dist 51 | $1,455 |
| Monument Health | UHC Rocky Monument Exchange HMO | $1,518 |
| Monument Health | UHC Rocky Monument Exchange HMO HDHP | $1,518 |
| Monument Health | UHC Rocky Monument Ind HMO | $1,518 |
| Monument Health | UHC Rocky Monument Ind HMO HDHP | $1,518 |
| Monument Health | Umr Monument Health Network | $1,518 |
| Cigna | Cigna Local Plus | $1,871 |
| Cigna | Cigna HMO | $2,082 |
| Cigna | Cigna Indemnity | $2,082 |
| Cigna | Cigna Other | $2,082 |
| Cigna | Cigna POS/Qpos | $2,082 |
| Cigna | Cigna PPO | $2,082 |
| Cigna | Eighth Dist Elect Ben Pln | $2,082 |
| Cigna | Health-Partners | $2,082 |
| Allegiance | Cigna Sclhs Employees | $2,168 |
| Cigna Scl Employees | Cigna Sclhs Cdhp | $2,168 |
| Aetna | Aetna Colorado Preferred | $2,286 |
| Kaiser Perm PPO/POS | Kaiser Perm PPO/POS | $2,460 |
| Kaiser Perm PPO/POS | Kaiser PPO/POS Other | $2,460 |
| Aetna | Aetna HMO/EPO | $2,537 |
| Aetna | Aetna Indemnity | $2,537 |
| Aetna | Aetna POS/Qpos | $2,537 |
| Aetna | Aetna PPO | $2,537 |
| Aetna | Aetna Src | $2,537 |
| Geha | Geha-Asa | $2,537 |
| Meritain Health | Meritain Health | $2,537 |
| Choicecare Humana | Choicecare Humana HMO EPO | $2,668 |
| Choicecare Humana | Choicecare Humana PPO | $2,668 |
| Choicecare Humana | Choicecare Humana Secondary Other | $2,668 |
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