MRI lower back without contrast at St. Luke's Wood River Standard Charges. CPT 72148.
What St. Luke's Wood River 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
$1,058–$1,801range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Commercial [1028] | Hb Wr Va Ccn | $1,058 |
| Medicare Advantage Generic [1019] | Hb Wr Medicare Advantage | $1,058 |
| Medicare Advantage Generic [1019] | Hb Wr Molina Mmcp | $1,058 |
| Medicare Advantage Molina [1053] | Hb Wr Molina Mmcp | $1,058 |
| Medicare Advantage Pacificsource [1039] | Hb Wr Pacificsource HMO PPO | $1,058 |
| Medicare Advantage Pacificsource [1039] | Hb Wr Slhp Pacificsource Med | $1,058 |
| Medicare Advantage Regence [1016] | Hb Wr Medicare Advantage | $1,058 |
| Veterans Affairs [1056] | Hb Wr Va Ccn | $1,058 |
| Blue Cross/Medicare Advantage [1009] | Hb Wr Bci True & Secure Med Adv | $1,069 |
| Medicare Advantage Generic [1019] | Hb Wr Molina Med Adv | $1,080 |
| Medicare Advantage Molina [1053] | Hb Wr Molina Med Adv | $1,080 |
| Medicare Advantage UHC [1013] | Hb Wr Aarp Med Adv | $1,111 |
| Medicare Advantage Aetna [1017] | Hb Wr Aetna Med Adv | $1,164 |
| Blue Cross Federal [1008] | Hb Wr Bci PPO Fep | $1,423 |
| Blue Cross Idaho [1007] | Hb Wr Bci PPO Fep | $1,423 |
| Blue Cross Out Of State [1041] | Hb Wr Bci PPO Fep | $1,423 |
| Commercial [1028] | Hb Wr Multiplan Primary Network | $1,486 |
| Commercial [1028] | Hb Wr Amps | $1,578 |
| Commercial [1028] | Hb Wr Christian Health Aid | $1,578 |
| Commercial [1028] | Hb Wr Moda Commercial | $1,634 |
| Moda [1055] | Hb Wr Moda Commercial | $1,634 |
| Aetna [1021] | Hb Wr Aetna Trinity Health (St Al'S) | $1,671 |
| Commercial [1028] | Hb Wr Northern Nevada Laborers Trust | $1,671 |
| Commercial [1028] | Hb Wr United Healthcare | $1,681 |
| Geha [1065] | Hb Wr United Healthcare | $1,681 |
| United Health Care [1025] | Hb Wr United Healthcare | $1,681 |
| United Medical Resources [1051] | Hb Wr United Healthcare | $1,681 |
| Cigna [1062] | Hb Wr Cigna | $1,727 |
| Commercial [1028] | Hb Wr Cigna | $1,727 |
| Providence [1022] | Hb Wr Cigna | $1,727 |
Inpatient
$3,087cash price (self-pay)
$3,087list price
$1,760–$2,994range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Commercial [1028] | Hb Wr Va Ccn | $1,760 |
| Medicare Advantage Generic [1019] | Hb Wr Medicare Advantage | $1,760 |
| Medicare Advantage Generic [1019] | Hb Wr Molina Mmcp | $1,760 |
| Medicare Advantage Molina [1053] | Hb Wr Molina Mmcp | $1,760 |
| Medicare Advantage Pacificsource [1039] | Hb Wr Pacificsource HMO PPO | $1,760 |
| Medicare Advantage Pacificsource [1039] | Hb Wr Slhp Pacificsource Med | $1,760 |
| Medicare Advantage Regence [1016] | Hb Wr Medicare Advantage | $1,760 |
| Veterans Affairs [1056] | Hb Wr Va Ccn | $1,760 |
| Blue Cross/Medicare Advantage [1009] | Hb Wr Bci True & Secure Med Adv | $1,777 |
| Medicare Advantage Generic [1019] | Hb Wr Molina Med Adv | $1,795 |
| Medicare Advantage Molina [1053] | Hb Wr Molina Med Adv | $1,795 |
| Medicare Advantage UHC [1013] | Hb Wr Aarp Med Adv | $1,848 |
| Medicare Advantage Aetna [1017] | Hb Wr Aetna Med Adv | $1,936 |
| Commercial [1028] | Hb Wr Multiplan Primary Network | $2,470 |
| Commercial [1028] | Hb Wr Amps | $2,624 |
| Commercial [1028] | Hb Wr Christian Health Aid | $2,624 |
| Blue Cross Federal [1008] | Hb Wr Bci PPO Fep | $2,639 |
| Blue Cross Idaho [1007] | Hb Wr Bci PPO Fep | $2,639 |
| Blue Cross Out Of State [1041] | Hb Wr Bci PPO Fep | $2,639 |
| Commercial [1028] | Hb Wr Moda Commercial | $2,717 |
| Moda [1055] | Hb Wr Moda Commercial | $2,717 |
| Aetna [1021] | Hb Wr Aetna Trinity Health (St Al'S) | $2,778 |
| Commercial [1028] | Hb Wr Northern Nevada Laborers Trust | $2,778 |
| Commercial [1028] | Hb Wr United Healthcare | $2,794 |
| Geha [1065] | Hb Wr United Healthcare | $2,794 |
| United Health Care [1025] | Hb Wr United Healthcare | $2,794 |
| United Medical Resources [1051] | Hb Wr United Healthcare | $2,794 |
| Cigna [1062] | Hb Wr Cigna | $2,871 |
| Commercial [1028] | Hb Wr Cigna | $2,871 |
| Providence [1022] | Hb Wr Cigna | $2,871 |
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All common services at St. Luke's Wood River Standard Charges