MRI lower back without contrast at UPMC Chautauqua. CPT 72148.
What UPMC Chautauqua publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$682cash price (self-pay)
$1,137list price
$210–$1,023range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Univera | Medicare Advantage | $210 |
| Beacon | Medicare Advantage | $295 |
| Humana | Medicare | $295 |
| United Healthcare | Medicare | $295 |
| United Behavioral Health | Medicare | $295 |
| Fidelis | Medicare | $295 |
| UPMC Health Plan | Managed Medicare | $295 |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $301 |
| Wellcare | Medicare | $304 |
| Aetna | Medicare | $307 |
| UPMC Health Plan | CHIP | $320 |
| UPMC Health Plan | Managed Medicaid | $320 |
| Geisinger | Medicaid/CHIP | $356 |
| Independent Health | Medicare Advantage | $366 |
| Beacon | Commercial | $369 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $386 |
| Independent Health | Commercial | $465 |
| MagnaCare | No Fault | $593 |
| MagnaCare | Workers Compensation | $593 |
| UPMC Health Plan | Commercial | $682 |
| United Healthcare | Commercial | $728 |
| Aetna | Commercial | $739 |
| BCBS of Western NY | Commercial | $741 |
| MagnaCare | Direct Plus | $853 |
| MagnaCare | PPO | $853 |
| Multiplan | PPO (Includes PHCS as a Payer) | $853 |
| GHI/Emblem Health | Commercial | $910 |
| Humana | Commercial | $910 |
| Statewide Independent PPO | PPO | $1,001 |
| Affordable First Health | PPO | $1,023 |
Inpatient
$682cash price (self-pay)
$1,137list price
$739–$853range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial | $739 |
| United Healthcare | Commercial | $739 |
| Humana | Commercial | $853 |
| MagnaCare | Direct Plus | $853 |
| MagnaCare | PPO | $853 |
| MagnaCare | No Fault | $853 |
| MagnaCare | Workers Compensation | $853 |
| Multiplan | PPO (Includes PHCS as a Payer) | $853 |
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