MRI lower back without contrast at cleveland clinic main campus. CPT 72148.
What cleveland clinic main campus publishes for this service, straight from its standard-charges file, last updated June 16, 2026.
Outpatient / ER
$385cash price (self-pay)
$1,668list price
$1.10–$2,260range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Zing Health | Medicare Advantage | $1.10 |
| Aetna | ALL PRODUCTS | $3.22 |
| Devoted Health | Medicare Advantage | $110 |
| Aetna | Medicare Advantage | $113 |
| Aetna | Medicare Advantage Transplant | $113 |
| Anthem | Medicare Advantage | $113 |
| Humana | Medicare Advantage HMO | $113 |
| Optum | Medicare Advantage Transplant | $113 |
| Cigna | Medicare Advantage | $117 |
| CommuniCare | Medicare Advantage | $119 |
| PPHP | All Products | $122 |
| Anthem | All Products Mid-Level Facility | $162 |
| Anthem | All Products Mid-Level Non-Facility | $162 |
| CC EHP | All Products | $209 |
| MMO | Medicare HMO | $217 |
| MMO | Medicare PPO | $224 |
| Summacare | Preferred | $288 |
| Aetna | Acop | $332 |
| Anthem | All Products Physician Non-Facility | $413 |
| Anthem | All Products Physician | $413 |
| Anthem | All Products Physician Facility | $413 |
| OHCP | All Products | $649 |
| Ohio Healthy | Transplant | $667 |
| MMO | SuperMed | $713 |
| Aultcare | PPO/HMO | $731 |
| Amish Community Aid Plan | All Products | $751 |
| Optum | Commercial CRS Care Solutions | $782 |
| OMAS | All Products | $834 |
| Healthsmart | All Products | $917 |
| Optum | All Products Transplant | $972 |
Inpatient
$1,084cash price (self-pay)
$1,668list price
$464–$1,668range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oscar | All Products | $602 |
| Summacare | Preferred | $759 |
| Summacare | PREMIER | $826 |
| Amish Community Aid Plan | ALL PRODUCTS | $834 |
| Healthsmart | All Products | $1,001 |
| Anthem | Traditional | $1,379 |
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