MRI lower back without contrast at Penobscot Valley Hospital. CPT 72148.
What Penobscot Valley Hospital publishes for this service, straight from its standard-charges file, last updated April 24, 2026.
Outpatient / ER
$2,197cash price (self-pay)
$2,746list price
$176–$2,636range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare B ME JK | Default | $176 |
| Medicare A ME JK | Default | $1,265 |
| United Healthcare | Medicare Advantage | $1,265 |
| Humana | Medicare Advantage | $1,277 |
| Wellcare Health Plan Inc MCR Adv | Default | $1,277 |
| Aetna Medicare Advantage | Medicare Advantage | $1,291 |
| VA Community Care Network VACCN Region 1-3 Optum | Default | $1,291 |
| Blue Cross Blue Shield of ME Anthem | Medicare Advantage | $1,303 |
| Blue Cross Blue Shield of ME Anthem | Default | $2,036 |
| United Healthcare | Default | $2,197 |
| Cigna | Default | $2,581 |
| Harvard Pilgrim HealthCare | Default | $2,622 |
| Aetna | Default | $2,636 |
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