MRI lower back without contrast at Ochsner Lafayette General Medical Center (This file encompasses multiple facilities, including Ochsner Lafayette General Medical Center, Ochsner Lafayette General Surgery Hospital & Ochsner Lafayette General Orthopedic Hospital). CPT 72148.
What Ochsner Lafayette General Medical Center (This file encompasses multiple facilities, including Ochsner Lafayette General Medical Center, Ochsner Lafayette General Surgery Hospital & Ochsner Lafayette General Orthopedic Hospital) publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$561cash price (self-pay)
$2,671list price
$220–$1,603range 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 |
| Evernorth Behavioral Health (Formerly Cigna Behavioral Health)- Mcr | | $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 |
| American Health Advantage Of Louisiana (Formerly Dignity Health Plan) | $226 |
| Wellcare Of Louisiana | All Payor | $231 |
| Aetna Better Health (Healthy Louisiana) | All Payor | $326 |
| Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $326 |
| Healthy Blue (Healthy Louisiana) | All Payor | $326 |
| Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $326 |
| Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $326 |
| United Healthcare Community Plan (Healthy Louisiana) | All Payor | $326 |
| Blue Cross Blue Shield Of Louisiana- Blue High-Performance Network | | $828 |
| Blue Cross Blue Shield Of Louisiana Blue Connect 2 | All Payor | $828 |
| Blue Cross Blue Shield Of Louisiana HMO | All Payor | $903 |
| Blue Cross Blue Shield Of Louisiana PPO | All Payor | $903 |
| Aetna Health Inc. PPO/POS | All Payor | $1,221 |
| Verity Commercial And First Choice Network | All Payor | $1,442 |
| Cigna Healthcare | All Payor | $1,553 |
| Zelis | All Payor | $1,603 |
Inpatient
$561cash price (self-pay)
$2,671list price
—range insurers pay
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