MRI lower back without contrast at Lafayette Surgical Specialty Hospital. CPT 72148.
What Lafayette Surgical Specialty Hospital publishes for this service, straight from its standard-charges file, last updated February 27, 2026.
Outpatient / ER
$1,847cash price (self-pay)
$1,847list price
$215–$1,452range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage | $215 |
| Community Care/Healthy Blue | Medicare | $215 |
| Humana | Medicare Advantage | $215 |
| Peoples Health Network | Medicare Advantage | $215 |
| United Healthcare | Medicare Advantage | $215 |
| Vantage Health Plan | Medicare Advantage | $215 |
| WellCare of LA | Medicare Advantage | $215 |
| Blue Cross Blue Shield of LA | HMO | $246 |
| Blue Cross Blue Shield of LA | PPO | $246 |
| Aetna | Commercial | $390 |
| HealthScope | Commercial | $398 |
| Vantage Health Plan | Exchange Plans | $398 |
| Vantage Health Plan | Commercial | $419 |
| Diagnostic Management Affiliates | Commercial | $450 |
| Cigna | Commercial | $1,452 |
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All common services at Lafayette Surgical Specialty Hospital