MRI lower back without contrast at Good Samaritan Hospital. CPT 72148.
What Good Samaritan Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$495cash price (self-pay)
$660list price
$233–$715range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Managed Care Plan | $233 |
| Medical Mutual of Ohio | Medicare Managed Care Plan | $237 |
| Buckeye | Advantage Medicare Managed Care Plan | $240 |
| BCBS | Anthem KY Pathway Transition HMO Exchange | $291 |
| Buckeye | Ambetter Exchange | $337 |
| Aetna | All Commercial Plans | $347 |
| Oscar | All Commercial Plans | $349 |
| BCBS | Anthem OH I and OH II PPO | $528 |
| Imagine Health | All Commercial Plans | $558 |
| Custom Design Benefits | Exclusive Other Commercial Plan | $572 |
| Custom Design Benefits | TruCost Other Commercial Plan | $598 |
| BCBS | Anthem Blue Connection HMO | $624 |
| MedBen | Tier 1 Other Commercial Plan | $637 |
| MedBen | Tier 2 Other Commercial Plan | $670 |
| BCBS | Anthem Blue Access PPO | $715 |
Inpatient
$495cash price (self-pay)
$660list price
—range insurers pay
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