MRI lower back without contrast at Summit Surgical. CPT 72148.
What Summit Surgical publishes for this service, straight from its standard-charges file, last updated August 19, 2026.
Outpatient / ER
$560cash price (self-pay)
$1,350list price
$44.72–$2,000range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial | $44.72 |
| Sunflower State (KanCare) | Medicaid MCO | $131 |
| TRICARE | Default | $217 |
| VA Community Care Network | Optum Region 2 | $219 |
| Humana | Medicare Advantage | $224 |
| BCBS Kansas | Commercial / BlueCard | $555 |
| Medicare | Traditional Medicare (OPPS) | $2,000 |
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