MRI lower back without contrast at Nemours Children's Hospital. CPT 72148.
What Nemours Children's Hospital publishes for this service, straight from its standard-charges file, last updated March 10, 2026.
Outpatient / ER
$1,482cash price (self-pay)
$1,482list price
$75.88–$1,408range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Us Family Health Plan | Tricare | $75.88 |
| Tricare | Tricare | $253 |
| Keystone First Hlth Plan | Medicaid HMO | $296 |
| Celtic Transplant For De First Health | Commercial | $519 |
| UHC Community Plan Of Pa | Medicaid HMO | $544 |
| Wellpoint Maryland | Medicaid HMO | $548 |
| Kidz Partners | Chip | $560 |
| Health Partners | Medicaid HMO | $575 |
| Upmc | Medicaid HMO/Chip | $587 |
| Aetna Better Health Pennsylvania | Chip | $629 |
| Keystone First Hlth Plan | Chip | $641 |
| Independence Blue Cross | Commercial | $650 |
| Highmark BCBS Of Delaware | Commercial | $663 |
| Priority Partners John Hopkins | Commercial | $727 |
| Six Degrees Health Transplant | Commercial | $741 |
| Cigna Lifesource Transplant | Commercial | $830 |
| Aetna | HMO | $845 |
| Celtic Transplant For Ambetter Exchange | Commercial | $845 |
| Amerihealth Caritas Delaware | Commercial | $845 |
| Ambetter Health Of De | Commercial | $845 |
| Aetna | PPO | $845 |
| Aetna | Indemnity | $860 |
| Geisinger Health Plan | Commercial | $889 |
| Integra Administrative Group | Commercial | $889 |
| UHC Of Mid-Atlantic | Commercial | $925 |
| Cigna Healthcare | All | $934 |
| Great West-One Health Plan | Commercial | $934 |
| National Transplant Network (Ntn) | Commercial | $963 |
| Star Healthcare Network | Commercial | $963 |
| Six Degrees Health | Commercial | $963 |
Inpatient
$1,482cash price (self-pay)
$1,482list price
$656–$1,482range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Keystone First Hlth Plan | Chip | $656 |
| Aetna Better Health Pennsylvania | Chip | $663 |
| Independence Blue Cross | Commercial | $665 |
| Cigna Healthcare | All | $815 |
| Great West-One Health Plan | Commercial | $815 |
| Highmark BCBS Of Delaware | Commercial | $819 |
| Aetna | HMO | $860 |
| Aetna | PPO | $860 |
| Celtic Transplant | Commercial | $1,482 |
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