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MRI lower back without contrast at Straub Benioff Medical Center. CPT 72148.

What Straub Benioff Medical Center publishes for this service, straight from its standard-charges file, last updated February 12, 2026.

Outpatient / ER

$1,495cash price (self-pay)
$2,491list price
$134–$2,117range insurers pay
Insurance planNegotiated rate
Alohacare | Abd - Pediatric$134
Alohacare | Abd - Adult$134
Ohana | Quest - Abd$138
Mdx | All Products$187
Alohacare | Medicare Advantage$237
Hmsa | Medicare Advantage$237
Mdx | Humana Medicare$237
Mdx | UHC Medicare$237
Ohana | Medicare Advantage$242
Devoted | Medicare Advantage$249
Ohana | Quest - Non-Abd$287
Alohacare | Non-Abd - Adult$315
Alohacare | Non-Abd - Pediatric$315
Hwmg/Hmaa | All Products$364
Blended Rate UHC | All Products$440
Hmsa | Quest Abd$440
UHC | All Products$440
Hmsa | Quest Non-Abd$462
Hcha | All Products$550
Verdegard | Union Trust Fund$550
Pac Admin | All Products$670
Uha | All Products$729
Hmsa | All Products$818
Calvos | Select Care$1,868
Mimoh | All Products$1,868
Kaiser | All Products$1,993
Multiplan | All Products$2,117

Inpatient

$1,495cash price (self-pay)
$2,491list price
$1,868–$2,117range insurers pay
Insurance planNegotiated rate
Multiplan | All Products$1,993
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All common services at Straub Benioff Medical Center