MRI lower back without contrast at The Queen's Medical Center West O'ahu. CPT 72148.
What The Queen's Medical Center West O'ahu publishes for this service, straight from its standard-charges file, last updated March 11, 2026.
Outpatient / ER
$1,532cash price (self-pay)
$2,188list price
$140–$1,319range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Hawaii Community Health Alliance | Commercial | $223 |
| Hawaii Mainland Administrators | UFCW | $223 |
| AlohaCare | Medicaid | $258 |
| AlohaCare | Medicare | $280 |
| HMSA | Medicare | $280 |
| Kaiser | Medicare Advantage | $280 |
| Ohana Care | Medicare | $280 |
| United Healthcare | Medicare | $280 |
| Hawaii Western Management Group | Commercial | $324 |
| Hawaii Laborers | Commercial | $405 |
| HMSA | Medicaid | $462 |
| Seven Corners | Commercial | $519 |
| United Healthcare | Medicaid | $531 |
| Kaiser | Commercial | $785 |
| HMSA | Commercial | $818 |
| HMSA | PHC Commercial | $818 |
| Hawaii Mainland Administrators | Non Trust Local | $1,319 |
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All common services at The Queen's Medical Center West O'ahu