MRI lower back without contrast at Cibola General Hospital. CPT 72148.
What Cibola General Hospital publishes for this service, straight from its standard-charges file, last updated March 11, 2026.
Outpatient / ER
$685cash price (self-pay)
$3,543list price
$302–$3,189range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Cigna | $302 |
| Bcbs_nm_turquoise | BCBS Turquoise Care | $419 |
| Presby_turquoise | Presbyterian Turquoise Care | $419 |
| Molina_turquoise | Molina Turquoise Care | $587 |
| Uhc_turquoise | UHC Turquoise Care | $742 |
| Tricare | Tricare | $976 |
| Medicare | Medicare | $1,594 |
| Presbyterian_srcare | Presbyterian Senior Care | $1,594 |
| Uhc_mcradv | United Healthcare Medicare Advantage | $1,594 |
| Bcbsnm_community_hmo | BCBS New Mexico Community HMO | $1,599 |
| Core_civic | Core Civic | $1,610 |
| Humana_mcradv | Humana Medicare Advantage | $1,610 |
| Selfpay | Self Pay | $1,760 |
| Bcbsnm_bav | BCBS New Mexico Blue Advantage HMO | $1,870 |
| Bcbs_nm | Blue Cross Blue Shield New Mexico | $1,870 |
| Presbyterian_health | Presbyterian Health Commercial | $1,870 |
| Zelis | Zelis | $1,870 |
| First_health | Aetna - Coventry - First Health | $1,936 |
| Humana | Humana | $1,980 |
| UHC | United Healthcare Commercial | $1,980 |
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