MRI lower back without contrast at Ochsner American Legion Hospital. CPT 72148.
What Ochsner American Legion Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$424cash price (self-pay)
$1,247list price
$220–$1,060range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Health Inc. - Medicare Advantage | All Payor | $220 |
| Blue Cross Blue Shield Of Louisiana Medicare Advantage Product(S) | Al | $220 |
| Healthy Blue Dual Advantage (HMO-D-Snp) | All Payor | $220 |
| Humana � Medicare Advantage | All Payor | $220 |
| Ochsner Health Plan | All Payor | $220 |
| Optum Va Ccn | All Payor | $220 |
| Peoples Health Network � Medicare Advantage | All Payor | $220 |
| Triwest Military - Tricare | All Payor | $220 |
| United Healthcare - Medicare Advantage | All Payor | $220 |
| Wellcare Of Louisiana | All Payor | $220 |
| American Health Advantage Of Louisiana (Formerly Dignity Health Plan) | $226 |
| Verity Commercial And First Choice Network | All Payor | $229 |
| United Healthcare - Commercial HMO PPO | All Payor | $368 |
| Aetna Health Inc. PPO/POS Aetna Coushatta | All Payor | $459 |
| Blue Cross Blue Shield Of Louisiana- Blue High-Performance Network | | $494 |
| Blue Cross Blue Shield Of Louisiana Blue Connect | All Payor | $494 |
| Blue Cross Blue Shield Of Louisiana HMO | All Payor | $494 |
| Blue Cross Blue Shield Of Louisiana PPO | All Payor | $494 |
| Provider Network Of America | All Payor | $500 |
| Aetna Better Health (Healthy Louisiana) | All Payor | $589 |
| Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $589 |
| Healthy Blue (Healthy Louisiana) | All Payor | $589 |
| Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $589 |
| Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $589 |
| United Healthcare Community Plan (Healthy Louisiana) | All Payor | $589 |
| Cigna Healthcare | All Payor | $625 |
| Aetna Health Inc. PPO/POS | All Payor | $873 |
| Zelis | All Payor | $935 |
| Louisiana Workers' Compensation Corporation (Lwcc) | All Payor | $1,010 |
| Healthcomp & Personify Health (Formerly Gilsbar) | All Payor | $1,060 |
Inpatient
$424cash price (self-pay)
$1,247list price
$908–$908range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Louisiana Workers' Compensation Corporation (Lwcc) | All Payor | $908 |
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