MRI lower back without contrast at Annie Penn Hospital. CPT 72148.
What Annie Penn Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$994cash price (self-pay)
$2,617list price
$581–$2,890range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Carolina Complete Health | Managed Medicaid | $581 |
| Health Choice | Managed Medicaid | $581 |
| Modivcare | Managed Medicaid | $581 |
| Vaya Health | Managed Medicaid | $590 |
| Vaya Health | Tailored Plan | $590 |
| Vaya Health | Three Way | $590 |
| Partners Health | Managed Medicaid | $593 |
| Partners Health | Tailored Plan | $593 |
| Trillium Health | Managed Medicaid | $593 |
| Trillium Health | Tailored Plan | $593 |
| Humana | Choicecare | $1,662 |
| Beacon Health | Value Options | $2,094 |
| Beach Street | Medicare Advantage | $2,565 |
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