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MRI lower back without contrast at Shriners Children's Honolulu. CPT 72148.

What Shriners Children's Honolulu publishes for this service, straight from its standard-charges file, last updated March 19, 2026.

Outpatient / ER

$6,406cash price (self-pay)
$6,406list price
$130–$423range insurers pay
Insurance planNegotiated rate
Hawaii Medical Service Association | Quest Abd Mem$130
Hawaii Medical Service Association | Quest NonAbd$130
United Healthcare | Community Care$197
United Healthcare | Nat$233
Cigna | Commercial$282
Providence Health Plan | Commercial$296
Sana Benefits | Commercial$395
University Health Alliance | HON Commercial$423
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All common services at Shriners Children's Honolulu