MRI lower back without contrast at Trinity Health Grand Rapids. CPT 72148.
What Trinity Health Grand Rapids publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$1,546cash price (self-pay)
$2,379list price
$133–$2,379range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Complete - Mi | Blue Cross Complete Medicaid | $133 |
| Hap Medicaid | Hap Caresource Medicaid | $133 |
| Mclaren Health Medicaid | Mclaren Medicaid | $133 |
| Molina Medicaid | Molina Medicaid | $136 |
| Geha | Aetna PPO | $155 |
| Access Health | Access Health | $166 |
| Blue Cross - Ok | BCBS Trad / Trust | $199 |
| Blue Cross - Nc | BCBS Trad / Trust | $199 |
| Blue Cross - Pa (Capital) | BCBS Trad / Trust | $199 |
| Blue Cross - Pa (Independence) | BCBS Trad / Trust | $199 |
| Blue Care Network Advantage | Bcn Medicare Advantage | $233 |
| Priority Health Medicare Advantage | Priority Health Medicare Advantag | $233 |
| Hap Medicare Advantage | Hap Medicare Advantage | $233 |
| Blue Cross - Mi Medicare Advantage | BCBS Medicare Advantage | $233 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $233 |
| Molina Medicare Advantage | Molina Medicare Advantage | $233 |
| Correctional Recovery | Correctional Recovery | $238 |
| Hospice Faith | Hospice Faith | $238 |
| Align Senior Care | Align Senior Care Medicare Advantage | $238 |
| Hospice Of Holland | Hospice Of Holland | $238 |
| United Healthcare Medicare | United Healthcare Medicare Advantage | $245 |
| Longevity Ipa Of Michigan LLC Health Plan Isnp | Longevity Ipa Medicar | $268 |
| Oscar | Oscar EPO | $304 |
| Molina Marketplace | Molina HMO Marketplace | $309 |
| Wellpath | Wellpath | $369 |
| Vitalcore | Vitalcore Physicians Group | $369 |
| Allied Benefit Systems | Cofinity Advantage Business | $1,368 |
| Asr Health Benefits | Asr | $1,513 |
| Christian Care Ministry | Multiplan | $1,737 |
| Dean Health | Multiplan | $1,737 |
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