MRI lower back without contrast at San Martin Hospital. CPT 72148.
What San Martin Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$1,960cash price (self-pay)
$9,563list price
$119–$6,885range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CareMore | Medicare|All Plans | $119 |
| BCBS - Anthem | Commercial|HMO | $207 |
| Sierra Health Plan NV | Medicaid|All Plans | $257 |
| Aetna | Medicare|All Plans | $267 |
| BCBS - Anthem | Medicare|All Plans | $267 |
| Humana | Medicare|All Plans | $267 |
| Intermountain | Medicare|All Plans | $272 |
| United | Medicare|All Plans | $272 |
| BCBS - Anthem | Commercial|PPO | $279 |
| United | Commercial|All Payer | $518 |
| Aetna | Commercial|All Other Plans | $928 |
| Aetna | Commercial|PPO | $928 |
| Cigna | Commercial|All Other Plans | $1,416 |
| Cigna | Commercial|PPO | $1,416 |
| Health Plan of NV | Commercial|All Plans | $1,593 |
| Sierra Health Options | Commercial|Prime | $1,912 |
| Sierra Health Options | Commercial|State of NV | $1,987 |
| Aetna | Commercial|HMO | $2,163 |
| United | Commercial|DH Employees | $2,869 |
| Health Services Coalition | Commercial|All Plans | $3,251 |
| Coventry | Commercial|All Plans | $4,782 |
| Teachers Health Trust | Commercial|All Plans | $5,833 |
| MultiPlan | Commercial|All Plans | $6,598 |
| United | Commercial|Options | $6,885 |
Inpatient
$1,960cash price (self-pay)
$9,563list price
$1,593–$6,885range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Plan of NV | Commercial|All Plans | $1,593 |
| Sierra Health Options | Commercial|Prime | $1,912 |
| Sierra Health Options | Commercial|State of NV | $1,987 |
| United | Commercial|DH Employees | $2,869 |
| Coventry | Commercial|All Plans | $4,782 |
| MultiPlan | Commercial|All Plans | $6,598 |
| United | Commercial|Options | $6,885 |
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