MRI lower back without contrast at Eastern Idaho Rmc. CPT 72148.
What Eastern Idaho Rmc publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$2,004cash price (self-pay)
$2,358list price
$56.73–$2,712range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | MLTSS | $97.71 |
| Blue Cross | MMCP | $97.71 |
| Magellan | MGMCD | $97.71 |
| Molina | MCD | $97.71 |
| United | AllPayerAppendix | $518 |
| Select Health ICHN Brightpath | COMM | $688 |
| Select Health Idaho (EIRMC only) | SelectMed | $752 |
| Aetna | IdahoEnvironmentalCoalition | $929 |
| Doug Andrus Distributing | COMM | $943 |
| University of Utah | HIX | $990 |
| Aetna | CWI | $1,061 |
| United | GlobalBenefitPlan | $1,061 |
| Aetna | PEAKPERFERENCE | $1,148 |
| Mountain Health Co-Op | Individual | $1,179 |
| PacificSource Health | PPO | $1,264 |
| Cigna | PPO | $1,297 |
| United | OptionsPPO | $1,363 |
| First Choice Health Of Washington | WCOMP | $1,415 |
| Moda | Connexus | $1,441 |
| Moda | ModaSelect | $1,441 |
| Dmba | HMO | $1,518 |
| Dmba | PPO | $1,518 |
| Mountain Health Co-Op | Group | $1,768 |
| Prime Health | INDIGENTCARE | $1,768 |
| EverNorth BH | COMM | $1,886 |
| Geha PPO Usa | Comm | $1,886 |
| Multiplan | PRIMARY | $1,980 |
| Prime Health | GROUPHEALTH | $2,004 |
| Prime Health | WCOMP | $2,004 |
| First Choice of the Midwest | COMM | $2,122 |
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