MRI lower back without contrast at St. Luke's McCall Standard Charges. CPT 72148.
What St. Luke's McCall Standard Charges publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$1,857cash price (self-pay)
$1,857list price
$1,077–$1,783range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Commercial [1028] | Hb Mccall Va Ccn | $1,077 |
| Medicare Advantage Generic [1019] | Hb Mccall Medicare Advantage | $1,077 |
| Medicare Advantage Generic [1019] | Hb Mccall Molina Mmcp | $1,077 |
| Medicare Advantage Molina [1053] | Hb Mccall Molina Mmcp | $1,077 |
| Medicare Advantage Pacificsource [1039] | Hb Mccall Pacificsource HMO | $1,077 |
| Medicare Advantage Pacificsource [1039] | Hb Mccall Slhp Pacificsource | $1,077 |
| Medicare Advantage Regence [1016] | Hb Mccall Medicare Advantage | $1,077 |
| Veterans Affairs [1056] | Hb Mccall Va Ccn | $1,077 |
| Blue Cross/Medicare Advantage [1009] | Hb Mccall Bci True & Secure Med | $1,088 |
| Medicare Advantage Generic [1019] | Hb Mccall Molina Med Adv | $1,099 |
| Medicare Advantage Molina [1053] | Hb Mccall Molina Med Adv | $1,099 |
| Medicare Advantage Aetna [1017] | Hb Mccall Aetna Med Adv | $1,185 |
| Commercial [1028] | Hb Mccall Multiplan Primary Network | $1,486 |
| Commercial [1028] | Hb Mccall Amps | $1,578 |
| Commercial [1028] | Hb Mccall Christian Health Aid | $1,578 |
| Blue Cross Federal [1008] | Hb Mccall Bci | $1,634 |
| Blue Cross Idaho [1007] | Hb Mccall Bci | $1,634 |
| Blue Cross Out Of State [1041] | Hb Mccall Bci | $1,634 |
| Commercial [1028] | Hb Mccall Moda Commercial | $1,634 |
| Moda [1055] | Hb Mccall Moda Commercial | $1,634 |
| Aetna [1021] | Hb Mccall Aetna Trinity Health (St Al'S) | $1,671 |
| Commercial [1028] | Hb Mccall Northern Nevada Laborers Trust | $1,671 |
| Cigna [1062] | Hb Mccall Cigna | $1,727 |
| Commercial [1028] | Hb Mccall Cigna | $1,727 |
| Providence [1022] | Hb Mccall Cigna | $1,727 |
| Pacificsource [1020] | Hb Mccall Pacificsource PPO Voyager | $1,746 |
| Aetna [1021] | Hb Mccall Bp Aetna | $1,764 |
| Commercial [1028] | Hb Mccall Bp Aetna | $1,764 |
| Commercial [1028] | Hb Mccall First Choice Health | $1,764 |
| First Health [1064] | Hb Mccall First Choice Health | $1,764 |
Inpatient
$3,087cash price (self-pay)
$3,087list price
$1,790–$2,964range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Commercial [1028] | Hb Mccall Va Ccn | $1,790 |
| Medicare Advantage Generic [1019] | Hb Mccall Medicare Advantage | $1,790 |
| Medicare Advantage Generic [1019] | Hb Mccall Molina Mmcp | $1,790 |
| Medicare Advantage Molina [1053] | Hb Mccall Molina Mmcp | $1,790 |
| Medicare Advantage Pacificsource [1039] | Hb Mccall Pacificsource HMO | $1,790 |
| Medicare Advantage Pacificsource [1039] | Hb Mccall Slhp Pacificsource | $1,790 |
| Medicare Advantage Regence [1016] | Hb Mccall Medicare Advantage | $1,790 |
| Veterans Affairs [1056] | Hb Mccall Va Ccn | $1,790 |
| Blue Cross/Medicare Advantage [1009] | Hb Mccall Bci True & Secure Med | $1,808 |
| Medicare Advantage Generic [1019] | Hb Mccall Molina Med Adv | $1,826 |
| Medicare Advantage Molina [1053] | Hb Mccall Molina Med Adv | $1,826 |
| Medicare Advantage Aetna [1017] | Hb Mccall Aetna Med Adv | $1,970 |
| Commercial [1028] | Hb Mccall Multiplan Primary Network | $2,470 |
| Commercial [1028] | Hb Mccall Amps | $2,624 |
| Commercial [1028] | Hb Mccall Christian Health Aid | $2,624 |
| Blue Cross Federal [1008] | Hb Mccall Bci | $2,717 |
| Blue Cross Idaho [1007] | Hb Mccall Bci | $2,717 |
| Blue Cross Out Of State [1041] | Hb Mccall Bci | $2,717 |
| Commercial [1028] | Hb Mccall Moda Commercial | $2,717 |
| Moda [1055] | Hb Mccall Moda Commercial | $2,717 |
| Aetna [1021] | Hb Mccall Aetna Trinity Health (St Al'S) | $2,778 |
| Commercial [1028] | Hb Mccall Northern Nevada Laborers Trust | $2,778 |
| Cigna [1062] | Hb Mccall Cigna | $2,871 |
| Commercial [1028] | Hb Mccall Cigna | $2,871 |
| Providence [1022] | Hb Mccall Cigna | $2,871 |
| Pacificsource [1020] | Hb Mccall Pacificsource PPO Voyager | $2,902 |
| Aetna [1021] | Hb Mccall Bp Aetna | $2,933 |
| Commercial [1028] | Hb Mccall Bp Aetna | $2,933 |
| Commercial [1028] | Hb Mccall First Choice Health | $2,933 |
| First Health [1064] | Hb Mccall First Choice Health | $2,933 |
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