MRI lower back without contrast at Wayne Memorial Hospital. CPT 72148.
What Wayne Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 24, 2026.
Outpatient / ER
$1,315cash price (self-pay)
$2,629list price
$1,617–$2,366range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross PAR PPO | PPO | $1,617 |
| Blue Cross Open Access HMO | HMO | $1,617 |
| CIGNA Healthgram City Employee | Contract | $1,761 |
| AETNA | Commercial | $1,928 |
| First Health | Commercial | $1,972 |
| CIGNA | Commercial | $2,003 |
| HUMANA ChoiceCare | Commercial | $2,103 |
| United Healthcare | Commercial | $2,208 |
| PHCS | Commercial | $2,366 |
| Super Med | Commercial | $2,366 |
Inpatient
$1,315cash price (self-pay)
$2,629list price
$1,761–$2,366range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CIGNA Healthgram City Employee | Contract | $1,761 |
| AETNA | Commercial | $1,928 |
| First Health | Commercial | $1,972 |
| CIGNA | Commercial | $2,003 |
| HUMANA ChoiceCare | Commercial | $2,103 |
| United Healthcare | Commercial | $2,208 |
| PHCS | Commercial | $2,366 |
| Super Med | Commercial | $2,366 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.