MRI lower back without contrast at Holy Cross Hospital. CPT 72148.
What Holy Cross Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$3,335cash price (self-pay)
$5,131list price
$161–$5,131range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Catholic Hospice | Catholic Hospice | $249 |
| Vitas Healthcare Corp | Vitas Healthcare | $249 |
| Positive Healthcare Partners Medicare | Positive Health Partners Medic | $249 |
| Careplus Health Plans | Careplus Medicare Advantage | $250 |
| Avmed Medicare | Avmed Medicare Advantage | $262 |
| First Health | First Health International | $2,047 |
| Blue Cross - Wy | BCBS Ppc | $2,137 |
| Blue Cross - Federal | BCBS Ppc | $2,137 |
| BCBS Generic | BCBS Ppc | $2,137 |
| Blue Shield - CA | BCBS Ppc | $2,137 |
| Blue Cross - CA (Anthem) | BCBS Ppc | $2,137 |
| Blue Cross - Mi | BCBS Ppc | $2,137 |
| Blue Cross - Mo (Anthem) | BCBS Ppc | $2,137 |
| Blue Cross - Nd | BCBS Ppc | $2,137 |
| Blue Cross - Ks | BCBS Ppc | $2,137 |
| Blue Cross - Mn | BCBS Ppc | $2,137 |
| Blue Cross - IL Alternate | BCBS Ppc | $2,137 |
| Blue Cross - Id | BCBS Ppc | $2,137 |
| Bcn Domestic | BCBS Ppc | $2,137 |
| Blue Cross Domestic | BCBS Ppc | $2,137 |
| Kaiser Domestic | BCBS Ppc | $2,137 |
| Bridge Health | Bridge Health Medical | $2,566 |
| Community Care Plan | Memorial Health System | $2,767 |
| First Health | First Health | $3,012 |
| Guardian | International | $3,079 |
| Sanus Healthcare | Sanus Health Maintenance Administrators | $3,079 |
| National Healthcare Solutions | International | $3,079 |
| Desjardins Financial Security Life Assurance | International | $3,079 |
| Morgan White Administrators | Morgan White Administrators | $3,079 |
| Olympus Managed Health Care | International | $3,079 |
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