MRI lower back without contrast at UCHealth Poudre Valley Hospital. CPT 72148.
What UCHealth Poudre Valley Hospital publishes for this service, straight from its standard-charges file, last updated November 1, 2025.
Outpatient / ER
$2,157cash price (self-pay)
$3,081list price
$243–$2,989range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Select Health | Medicare Advantage | $243 |
| CMS | Medicare | $243 |
| United Healthcare | Medicare Advantage | $243 |
| Aetna | Medicare Advantage | $243 |
| Anthem | Medicare Advantage | $243 |
| Kaiser | Medicare Advantage | $243 |
| Cigna | Medicare Advantage | $243 |
| Devoted Health | Medicare Advantage | $243 |
| Humana | Medicare Advantage | $243 |
| Select Health | Individual Colorado Option | $440 |
| Anthem Employee | HMO/PPO | $459 |
| Cigna | Colorado Rockies | $485 |
| Select Health | Individual ACA | $488 |
| Anthem Pathway | Commercial | $490 |
| Anthem Pathway Standard | Commercial | $492 |
| Simplified Benefits Administration | Narrow Network Exclusive Plan (EP | $574 |
| Cigna | Connect Colorado Option | $583 |
| Anthem City of Colorado Springs Employer Group | Commercial | $809 |
| Anthem Employee High Deductible Health Plan | PPO | $818 |
| Cigna | Local Plus/SureFit/Connect | $846 |
| Simplified Benefits Administration | Tiered Benefits | $850 |
| Anthem | HMO/PPO | $852 |
| United Healthcare | Select Colorado | $904 |
| United Healthcare | Navigate Colorado Option | $987 |
| Cigna | Broad Networks | $1,187 |
| United Healthcare | Broad Networks | $1,274 |
| Aetna Core/Meritain | Commercial | $1,680 |
| Aetna ASA | Commercial | $1,725 |
| First Health | Commercial | $1,818 |
| Anthem CU Trust | Commercial | $1,915 |
Inpatient
$2,157cash price (self-pay)
$3,081list price
$1,190–$2,989range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Select Health | Individual Colorado Option | $1,190 |
| Select Health | Individual ACA | $1,312 |
| First Health | Commercial | $1,818 |
| Simplified Benefits Administration | Narrow Network Exclusive Plan (EP | $1,882 |
| Anthem CU Trust | Commercial | $1,915 |
| Aetna | New Business Discount | $1,972 |
| Aetna Core/Meritain | Commercial | $2,372 |
| Denver Health Medical Plan | HighPoint | $2,403 |
| Simplified Benefits Administration | Tiered Benefits | $2,434 |
| Aetna ASA | Commercial | $2,548 |
| Rocky Mountain Health Plans | Commercial | $2,773 |
| Midlands Choice | Commercial | $2,773 |
| Multiplan | Commercial | $2,804 |
| PHCS | Commercial | $2,804 |
| First Choice of the Midwest | Commercial | $2,989 |
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