MRI lower back without contrast at Northwestern Medicine Valley West Hospital. CPT 72148.
What Northwestern Medicine Valley West Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$3,837cash price (self-pay)
$5,482list price
$1,042–$5,482range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Alternate Humana Medicare Adv [2409] | Vwh Medicare | $1,042 |
| Global Excel [1712] | Vwh Medicare | $1,042 |
| Alternate Blue Cross Medicare Adv [2304] | Vwh Blue Cross Medicare Adv | $1,042 |
| Aetna Health Plan [171] | Vwh Aetna Nm Employees | $1,392 |
| Aetna Health Plan [171] | Vwh Aetna IL Preferred | $1,908 |
| Health'S Finest Network [126] | Vwh Hfn Nmh Tier One | $2,467 |
| The Alliance [1703] | Vwh The Alliance | $2,979 |
| Blue Cross Blue Shield [1401] | Vwh BCBS Par/Indemnity Adp | $3,064 |
| Blue Cross Blue Shield [1401] | Vwh BCBS Bluechoice Options | $3,311 |
| Blue Cross Blue Shield [1401] | Vwh BCBS Bluechoice Select | $3,311 |
| Blue Cross Blue Shield [1401] | Vwh BCBS Bluechoice Preferred | $3,454 |
| Blue Cross Blue Shield [1401] | Vwh BCBS HMO | $3,572 |
| Alternate Blue Cross [1402] | Vwh BCBS HMO | $3,572 |
| Choicecare [177] | Vwh Choice Care | $3,695 |
| Aetna Health Plan [171] | Vwh Aetna Asa | $3,799 |
| Healthlink [125] | Vwh Seiu Healthlink | $4,112 |
| Multiplan/Phcs [142] | Vwh Phcs | $4,386 |
| Blue Cross Blue Shield [1401] | Vwh BCBS PPO | $4,479 |
| Alternate Blue Cross [1402] | Vwh BCBS PPO | $4,479 |
| Health'S Finest Network [126] | Vwh Hfn | $4,660 |
| Multiplan/Phcs [142] | Vwh Multiplan | $4,797 |
| First Health Plan [6034] | Vwh Non-Contracted Payors | $5,482 |
| Multiplan/Phcs [142] | Vwh Non-Contracted Payors | $5,482 |
| United Healthcare [158] | Vwh UHC Non-Contracted Oon - Ed Only | $5,482 |
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All common services at Northwestern Medicine Valley West Hospital