MRI lower back without contrast at Mission Hospital. CPT 72148.
What Mission Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$5,327cash price (self-pay)
$5,913list price
$518–$5,322range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | AllPayerAppendix | $518 |
| BCBS | Mgmcd | $1,086 |
| United | BHMGMCD | $1,103 |
| WellCare | MGMCD | $1,119 |
| AmeriHealth | MGMCD | $1,129 |
| Partners Health Management | MGMCD | $1,141 |
| Vaya Health | MedicaidDirect | $1,141 |
| Vaya Health | MedicaidTailoredPlan | $1,141 |
| Apex Health | MCR | $1,183 |
| Cigna | Hix | $2,034 |
| Cigna | Ifp | $2,034 |
| CIGNA | NewBusiness | $2,135 |
| Caresource | Hix | $2,602 |
| United | GlobalBenefitPlanAppendix | $2,661 |
| CIGNA | ExistingBusiness | $2,726 |
| MedCost | ULTRARATE | $3,331 |
| United | OptionsPPO | $3,495 |
| Aetna | COMM | $4,157 |
| Multiplan | COMM | $4,731 |
| Avalon Administrative Services | COMM | $5,026 |
| MedCost | STANDARD | $5,026 |
| Prime Health | COMM | $5,204 |
| Prime Health | WCOMP | $5,204 |
| Prime Health | INDIGENTCARE | $5,322 |
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