MRI lower back without contrast at Golden Valley Memorial Hospital. CPT 72148.
What Golden Valley Memorial Hospital publishes for this service, straight from its standard-charges file, last updated July 1, 2026.
Outpatient / ER
$119cash price (self-pay)
$3,100list price
$219–$1,208range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Home State Health | Managed Medicaid | $219 |
| United Healthcare | Community Care Medicaid | $219 |
| Aetna | Medicare Advantage | $255 |
| Humana | Medicare Advantage | $255 |
| United Healthcare | Medicare Advantage | $255 |
| United Healthcare | VA CCN | $255 |
| Ambetter | Medicare Advantage | $306 |
| United Healthcare | Exchange Commercial | $433 |
| Medica | Individual/Family | $1,208 |
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