MRI lower back without contrast at Trinity Health Livonia Hospital. CPT 72148.
What Trinity Health Livonia 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
$131–$4,569range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Medicaid | Molina Medicaid | $131 |
| Hap Medicaid | Hap Caresource Medicaid | $133 |
| Mclaren Health Medicaid | Mclaren Medicaid | $133 |
| Blue Cross Complete - Mi | Blue Cross Complete Medicaid | $133 |
| Blue Cross - Va (Carefirst) | BCBS Trad / Trust | $199 |
| Blue Cross - Mt | BCBS Trad / Trust | $199 |
| Blue Cross - Wa (Premera) | BCBS Trad / Trust | $199 |
| Blue Cross - Ms | BCBS Trad / Trust | $199 |
| Blue Cross - Wv (Highmark) | BCBS Trad / Trust | $199 |
| Blue Cross - Nv (Anthem) | BCBS Trad / Trust | $199 |
| Blue Shield - Wa (Regence) | BCBS Trad / Trust | $199 |
| Blue Cross - Nh (Anthem) | BCBS Trad / Trust | $199 |
| Blue Cross - Federal | BCBS Trad / Trust | $199 |
| BCBS Generic | BCBS Trad / Trust | $199 |
| Molina Medicare Advantage | Molina Medicare Advantage | $233 |
| Blue Cross - Mi Medicare Advantage | BCBS Medicare Advantage | $233 |
| Hap Medicare Advantage | Hap Medicare Advantage | $233 |
| Priority Health Medicare Advantage | Priority Health Medicare Advantag | $233 |
| Blue Care Network Advantage | Bcn Medicare Advantage | $233 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $233 |
| Hospice Of Michigan | Hospice Of Michigan | $233 |
| Angela Hospice | Angela Hospice | $238 |
| Align Senior Care | Align Senior Care Medicare Advantage | $238 |
| Php Medicare | Univ Of Michigan Health Medicare Adv | $238 |
| United Healthcare Medicare | United Healthcare Medicare Advantage | $245 |
| Total Comm Care Medicare Repl | Total Health Care Medicare Advantage | $250 |
| Cca - Zing Health | Reliance HMO Medicare Advantage | $252 |
| Longevity Ipa Of Michigan LLC Health Plan Isnp | Longevity Ipa Medicar | $268 |
| Molina Marketplace | Molina HMO Marketplace | $309 |
| Health Cost Solutions | Wellpath | $369 |
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