MRI lower back without contrast at Palo Alto County Health System. CPT 72148.
What Palo Alto County Health System publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$2,129cash price (self-pay)
$2,839list price
$660–$2,697range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | Medicare | $661 |
| Wellpoint | Medicare | $661 |
| Medigold | Medicare | $1,363 |
| UHC | Medicare | $1,363 |
| United Behavioral Health | Medicare | $1,363 |
| Wellpoint | Medicaid | $1,842 |
| Molina | Medicaid | $1,850 |
| Corvel | Work Comp | $2,555 |
| Midlands Choice | Commercial | $2,697 |
Inpatient
$2,129cash price (self-pay)
$2,839list price
$1,930–$2,839range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | HMO | $1,931 |
| Blue Cross | PPO | $1,931 |
| Corvel | Work Comp | $2,555 |
| Midlands Choice | Commercial | $2,697 |
| Blue Cross | Medicare | $2,839 |
| Humana | Medicare | $2,839 |
| Iowa Total Care | Medicaid | $2,839 |
| Medigold | Medicare | $2,839 |
| Molina | Medicaid | $2,839 |
| UHC | Medicare | $2,839 |
| United Behavioral Health | Medicare | $2,839 |
| Wellpoint | Medicaid | $2,839 |
| Wellpoint | Medicare | $2,839 |
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