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MRI lower back without contrast at Trinity Health Livingston Hospital. CPT 72148.

What Trinity Health Livingston Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.

Outpatient / ER

$2,970cash price (self-pay)
$4,569list price
$133–$4,569range insurers pay
Insurance planNegotiated rate
Blue Cross Complete - Mi | Blue Cross Complete Medicaid$133
Meritain | Aetna PPO$155
Blue Cross - Al | BCBS Trad / Trust$199
Blue Cross - Ne | BCBS Trad / Trust$199
Blue Cross - Dc (Carefirst) | BCBS Trad / Trust$199
Blue Cross - Nj (Horizon) | BCBS Trad / Trust$199
Molina Medicare Advantage | Molina Medicare Advantage$233
Priority Health Medicare Advantage | Priority Health Medicare Advantag$233
Hap Medicare Advantage | Hap Medicare Advantage$233
Cca - Zing Health | Reliance HMO Medicare Advantage$252
U Of M Health Plan | University Of Michigan Health Plan PPO$425
Priority Health | Priority Health HMO Narrow Network$560
Priority Health | Priority Health HMO PPO$622
Hap | Hap Ahlic$757
Hap | Hap HMO$757
Wc Walmart | Workers Comp$999
Wc Pma | Workers Comp$999
Wc Aig | Workers Comp$999
Wc Travelers | Workers Comp$999
Wc Sentry | Workers Comp$999
Consociate | Cofinity Advantage Business$2,155
The Health Plan | Cofinity Advantage Business$2,155
Forest County Potawatomi | Cofinity Advantage Business$2,155
Unified Group Services | Cofinity Advantage Business$2,155
United Healthcare | United Healthcare PPO$3,345
Phcs | Multiplan$3,518
Ghc Scw | Multiplan$3,518
Hap | Hap Hpi$3,535
Tufts Health Plan | Hap Hpi$3,535
Ncas | Cofinity PPO$3,721
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All common services at Trinity Health Livingston Hospital