MRI lower back without contrast at Mosaic Medical Center Albany. CPT 72148.
What Mosaic Medical Center Albany publishes for this service, straight from its standard-charges file, last updated September 26, 2025.
Outpatient / ER
$1,947cash price (self-pay)
$2,290list price
$71.54–$2,611range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross PCB | Commercial | $200 |
| Freedom Select Healthlink | Commercial | $200 |
| Blue Cross PC | Commercial | $200 |
| Sisco | Commercial | $200 |
| Amerigroup of Iowa | Managed Medicaid | $422 |
| Iowa Total Care | Managed Medicaid | $422 |
| Molina of Iowa | Managed Medicaid | $422 |
| Generic | Medicare Advantage | $955 |
| Blue Cross Blue Shield | Medicare Advantage | $955 |
| Aetna | Medicare Advantage | $955 |
| United Healthcare | Medicare Advantage | $955 |
| Aetna | Commercial | $1,067 |
| Ambetter | Commercial | $1,432 |
| Centurion | Commercial | $1,603 |
| Cigna | Commercial | $1,697 |
| Preferred Health Professional | Commercial | $1,712 |
| Humana | Medicare Advantage | $1,740 |
| Coventry | Commercial | $1,947 |
| Healthlink Open Access | Commercial | $1,947 |
| Multiplan | Commercial | $1,947 |
| GEHA Shared Services | Commercial | $1,983 |
| United Healthcare | Commercial | $1,983 |
| Healthy Blue of Missouri | Managed Medicaid | $2,519 |
| Home State of Missouri | Commercial | $2,519 |
| United Healthcare of Missouri | Managed Medicaid | $2,519 |
Inpatient
$1,947cash price (self-pay)
$2,290list price
$916–$2,061range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Centurion | Commercial | $916 |
| Cigna | Commercial | $1,697 |
| Sisco | Commercial | $1,697 |
| Blue Cross PCB | Commercial | $1,768 |
| Healthlink Open Access | Commercial | $1,947 |
| Multiplan | Commercial | $1,947 |
| Freedom Select Healthlink | Commercial | $1,947 |
| Blue Cross PC | Commercial | $1,947 |
| Preferred Health Professional | Commercial | $1,947 |
| Aetna | Commercial | $1,949 |
| GEHA Shared Services | Commercial | $1,983 |
| United Healthcare | Commercial | $1,983 |
| Coventry | Commercial | $2,061 |
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