MRI lower back without contrast at Ochsner LSU Health Shreveport - St. Mary Medical Center. CPT 72148.
What Ochsner LSU Health Shreveport - St. Mary Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$412cash price (self-pay)
$1,473list price
$215–$1,544range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana Military � Tricare | All Payor | $215 |
| (Healthy Louisiana) And Healthy Blue Dual Advantage (HMO-D-Snp) | All | $223 |
| Aetna Health Inc. - Medicare Advantage | All Payor | $223 |
| Blue Cross Blue Shield Of Louisiana Medicare Advantage Product(S) | Al | $223 |
| Humana � Medicare Advantage | All Payor | $223 |
| Optum Va Ccn | All Payor | $223 |
| Peoples Health Network � Medicare Advantage | All Payor | $223 |
| United Healthcare - Medicare Advantage | All Payor | $223 |
| United Healthcare D-Snp (Dual Eligible Special Needs Plan) | All Payor | $223 |
| Vantage Health Plan - Commercial | All Payor | $245 |
| Aetna Better Health (Healthy Louisiana) | All Payor | $297 |
| Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $297 |
| Healthy Blue (Formerly Amerigroup Louisiana Inc.) | All Payor | $297 |
| Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $297 |
| Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $297 |
| United Healthcare Community Plan (Healthy Louisiana) | All Payor | $297 |
| Zelis | All Payor | $387 |
| Verity Health Network � Lsu First Choice | All Payor | $481 |
| Healthcomp PPO (Formerly Gilsbar 360 | All Payor | $557 |
| Blue Cross Blue Shield Of Louisiana- Blue High-Performance Network | | $684 |
| Blue Cross Blue Shield Of Louisiana Blue Connect | All Payor | $684 |
| Blue Cross Blue Shield Of Louisiana HMO | All Payor | $684 |
| Blue Cross Blue Shield Of Louisiana PPO | All Payor | $793 |
| Multiplan/Phcs/American Lifecare | All Payor | $1,031 |
| Aetna Health Inc. PPO/POS | All Payor | $1,038 |
| First Health Network | All Payor | $1,038 |
| Cigna Healthcare | All Payor | $1,055 |
| United Healthcare - Commercial HMO PPO | All Payor | $1,490 |
| United Healthcare - Commercial Heritage | All Payor | $1,544 |
Inpatient
$412cash price (self-pay)
$1,473list price
—range insurers pay
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All common services at Ochsner LSU Health Shreveport - St. Mary Medical Center