MRI lower back without contrast at Lake Surgical Hospital - Slidell. CPT 72148.
What Lake Surgical Hospital - Slidell publishes for this service, straight from its standard-charges file, last updated March 17, 2026.
Outpatient / ER
$265cash price (self-pay)
$1,663list price
$193–$1,580range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield Of Louisiana | FMOLAS Employee Group | $193 |
| Blue Cross Blue Shield Of Louisiana | PB | $193 |
| Blue Cross Blue Shield Of Louisiana | SB | $193 |
| Blue Cross Blue Shield Of Louisiana | HMO | $209 |
| TriWest | All Plans | $210 |
| Aetna | Medicare Advantage | $221 |
| Blue Cross Blue Shield Of Louisiana | Medicare Advantage | $221 |
| Healthy Blue | Medicare Advantage DSNP | $221 |
| Humana | Gold | $221 |
| Humana | Medicare Advantage | $221 |
| Humana | Tricare Military | $221 |
| LHC (Allwell) | Medicare Advantage | $221 |
| Peoples Health | Employee | $221 |
| United Healthcare | Medicare Advantage | $221 |
| United Healthcare | VA CCN | $221 |
| Vantage Health Plan Inc. | Medicare Advantage | $221 |
| Wellcare Health Plan Inc | All Plans | $221 |
| Blue Cross Blue Shield Of Louisiana | PPO | $238 |
| Blue Cross Blue Shield Of Louisiana | Traditional | $238 |
| Aetna | Better Health | $253 |
| Amerihealth Caritas | Medicaid | $253 |
| Louisiana Healthcare Connection | Medicaid | $253 |
| United Healthcare | Community Plan | $253 |
| United Healthcare | Community Coffee Group | $301 |
| United Healthcare | HMO | $310 |
| United Healthcare | Exchange Compass | $321 |
| Humana | All Plans | $334 |
| Vantage Health Plan Inc. | All Plans | $376 |
| Aetna | All Plans | $442 |
| Gilsbar 360 | All Plans | $509 |
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