MRI lower back without contrast at Providence Medical Center. CPT 72148.
What Providence Medical Center publishes for this service, straight from its standard-charges file, last updated March 17, 2026.
Outpatient / ER
$224cash price (self-pay)
$5,342list price
$131–$4,936range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Traditional Medicaid | Traditional Medicaid | $131 |
| COMP ALLIANCE - FKA COMPRESULTS Worker Compensation | COMP ALLIANCE - | $221 |
| Aetna | Aetna Medicare | $225 |
| Cigna | Cigna Healthspring | $225 |
| Health Net Federal Services - Tricare | Health Net Federal Services - | $225 |
| Midland Care Connection | Midland Care Connection | $225 |
| Traditional Medicare | Traditional Medicare | $225 |
| Tricare | Tricare | $225 |
| UHC | UHC Medicare | $225 |
| UHC | UHC Va Ccn | $225 |
| UHC | UHC Medicaid | $234 |
| Celtic | Celtic Medicare | $236 |
| Healthy Blue | Healthy Blue Medicare | $236 |
| Kansas Superior Select | Kansas Superior Select | $236 |
| Celtic | Celtic Medicaid | $238 |
| Healthy Blue | Healthy Blue Medicaid (01/01/2025 to 12/31/2026) | $238 |
| OHA Networks | OHA NETWORKS WC | $238 |
| Worker Compensation | Worker Compensation | $246 |
| Corizon | Corizon | $292 |
| Celtic | Home State Health Plan Ins Exchange | $303 |
| Employer Direct Healthcare | Employer Direct Healthcare Commercial | $315 |
| UHC | UHC Commercial Exchange | $315 |
| Well Path Prison | Well Path Prison | $315 |
| Centurion | Centurion | $337 |
| Naphcare | Naphcare | $348 |
| Aetna | Aetna Commercial | $349 |
| BCBS | BCBS Exchange | $360 |
| Celtic | Celtic Ins Exchange | $360 |
| BCBS | BCBS Select | $416 |
| UHC | UHC Commercial | $472 |
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