MRI lower back without contrast at Northern Light AR Gould Hospital. CPT 72148.
What Northern Light AR Gould Hospital publishes for this service, straight from its standard-charges file, last updated March 30, 2026.
Outpatient / ER
$63.00cash price (self-pay)
$1,049list price
$65.29–$1,455range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | MCR Advantage | $110 |
| Martin's Point | MCR Advantage | $112 |
| UHC | MCR Advantage | $112 |
| Wellcare | MCR Advantage | $112 |
| Aetna | Commercial | $192 |
| Anthem | Commercial | $234 |
| Anthem | Enhanced Pathways | $234 |
| UHC | Commercial | $239 |
| Aetna | MCR Advantage | $239 |
| Harvard | Commercial | $245 |
| Cigna | Commercial | $292 |
| CHO | Commercial | $307 |
Inpatient
$63.00cash price (self-pay)
$1,049list price
$195–$1,341range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Commercial | $682 |
| Anthem | Enhanced Pathways | $682 |
| CHO | Commercial | $682 |
| UHC | Commercial | $730 |
| Aetna | Commercial | $779 |
| Cigna | Commercial | $783 |
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