MRI lower back without contrast at Hilo Benioff Medical Center. CPT 72148.
What Hilo Benioff Medical Center publishes for this service, straight from its standard-charges file, last updated June 15, 2026.
Outpatient / ER
$722cash price (self-pay)
$1,203list price
$282–$1,167range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AlohaCare | Medicaid | $282 |
| AlohaCare | Medicare | $282 |
| Hawaii Medical Service Association | Medicare | $282 |
| Humana | Medicare | $282 |
| Hawaii Western Management Group | Commercial | $282 |
| Kaiser Permanente | Medicare | $282 |
| Ohana Health Plan | Medicare | $282 |
| UnitedHealthcare | Medicare | $282 |
| Devoted Health | Medicare | $310 |
| Ohana Health Plan | Medicaid | $310 |
| Hawaii Medical Service Association | Commercial | $352 |
| Hawaii Medical Service Association | ABD | $440 |
| UnitedHealthcare | Medicaid | $440 |
| Hawaii Medical Service Association | Non-ABD | $462 |
| Kaiser Permanente | Medicaid | $614 |
| Kaiser Permanente | Commercial | $758 |
| University Health Alliance | Commercial | $845 |
| Health Management Network | Commercial | $1,023 |
| MDX Hawaii | PPO | $1,167 |
Inpatient
$722cash price (self-pay)
$1,203list price
$1,023–$1,167range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Management Network | Commercial | $1,023 |
| MDX Hawaii | PPO | $1,167 |
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