MRI lower back without contrast at Cypress Pointe Surgical Hospital. CPT 72148.
What Cypress Pointe Surgical Hospital publishes for this service, straight from its standard-charges file, last updated July 17, 2026.
Outpatient / ER
$433cash price (self-pay)
$2,147list price
$212–$1,074range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | Medicare Advantage | $212 |
| Aetna | Medicare Advantage | $217 |
| Blue Cross | Medicare Advantage | $217 |
| Coventry | Medicare Advantage | $217 |
| Peoples Health | Medicare Advantage | $217 |
| United Health | Medicare Advantage | $217 |
| Blue Cross | HMO | $226 |
| Blue Cross | PPO Fed POS | $239 |
| TriWest | TriWest | $242 |
| United Health | Commercial UMR | $261 |
| Humana | Commercial | $262 |
| Aetna | Commercial | $271 |
| Coventry | Commercial | $292 |
| Aetna Better Health | Medicaid | $320 |
| Healthy Blue | Medicaid | $320 |
| Humana Healthy Horizons | Medicaid | $320 |
| LA Healthcare Connections | Medicaid | $320 |
| PPO Plus | Commercial | $346 |
| LWCC | Workers Comp | $731 |
| Prove Partners | Prove Partners | $966 |
| HMR Funding | HMR Funding | $966 |
| LUBA | Workers Comp | $1,020 |
| DMA Funding | DMA Funding | $1,074 |
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