MRI lower back without contrast at Ashtabula Regional Medical Center. CPT 72148.
What Ashtabula Regional Medical Center publishes for this service, straight from its standard-charges file, last updated September 8, 2026.
Outpatient / ER
$3,828cash price (self-pay)
$5,469list price
$7.43–$5,141range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| SummaCare | Commercial | $7.97 |
| SummaCare | Medicare Advantage | $119 |
| Anthem Blue Cross Blue Shield | HIX | $141 |
| Anthem Blue Cross Blue Shield | Medicare Advantage | $147 |
| CareSource | Medicare Advantage | $147 |
| Medical Mutual | Medicare Advantage | $147 |
| Buckeye PACE | Medicare Advantage | $147 |
| Oscar Cleveland | Commercial | $153 |
| Valor | Medicare Advantage | $154 |
| Molina | Medicare Advantage | $157 |
| Ohio Health Choice | Commercial | $176 |
| United Healthcare | Medicare Advantage | $185 |
| United Healthcare | Commercial | $185 |
| Medical Mutual | Commercial | $219 |
| Aetna | Medicare Advantage | $220 |
| Aetna | Commercial | $235 |
| Anthem Blue Cross Blue Shield | HMO/PPO/Traditional | $250 |
| Molina Marketplace | Commercial | $324 |
| Cigna | Commercial | $1,252 |
Inpatient
$3,828cash price (self-pay)
$5,469list price
$2,352–$5,141range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Commercial | $2,352 |
| Medical Mutual | Commercial | $3,117 |
| Ohio Health Choice | Commercial | $5,141 |
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