MRI lower back without contrast at UCHealth Memorial Hospital Central. CPT 72148.
What UCHealth Memorial Hospital Central publishes for this service, straight from its standard-charges file, last updated November 1, 2025.
Outpatient / ER
$1,567cash price (self-pay)
$3,482list price
$243–$2,472range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CMS | Medicare | $243 |
| Kaiser | Medicare Advantage | $243 |
| Cigna | Medicare Advantage | $243 |
| Humana | Medicare Advantage | $243 |
| Select Health | Medicare Advantage | $243 |
| Aetna | Medicare Advantage | $243 |
| United Healthcare | Medicare Advantage | $243 |
| Anthem | Medicare Advantage | $243 |
| Devoted Health | Medicare Advantage | $243 |
| Cigna | Connect Colorado Option | $460 |
| Select Health | Individual Colorado Option | $461 |
| Cigna | Colorado Rockies | $485 |
| Anthem Pathway Standard | Commercial | $505 |
| Select Health | Individual ACA | $511 |
| Cigna | Local Plus/SureFit/Connect | $594 |
| Anthem Employee | HMO/PPO | $612 |
| Simplified Benefits Administration | Narrow Network Exclusive Plan (EP | $650 |
| Simplified Benefits Administration | Tiered Benefits | $650 |
| Anthem Pathway Individual/Small Group | Commercial | $654 |
| Cigna | Broad Networks | $732 |
| Anthem Pathway | Commercial | $744 |
| Kaiser Public Option | Commercial | $746 |
| Aetna ASA | Commercial | $750 |
| Denver Health Medical Plan | HighPoint | $800 |
| Anthem Employee High Deductible Health Plan | PPO | $885 |
| United Healthcare | Select Colorado | $913 |
| Anthem City of Colorado Springs Employer Group | Commercial | $915 |
| Anthem | HMO/PPO | $979 |
| United Healthcare | Broad Networks | $1,058 |
| Kaiser KP Select | Commercial | $1,102 |
Inpatient
$1,567cash price (self-pay)
$3,482list price
$1,118–$2,472range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Simplified Benefits Administration | Narrow Network Exclusive Plan (EP | $1,118 |
| Anthem CU Trust | Commercial | $1,322 |
| Simplified Benefits Administration | Tiered Benefits | $1,334 |
| Denver Health Medical Plan | HighPoint | $1,741 |
| Aetna ASA | Commercial | $1,783 |
| Rocky Mountain Health Plan | Private/HCO | $1,880 |
| First Health | Commercial | $2,054 |
| Multiplan | Commercial | $2,472 |
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