MRI lower back without contrast at lodi hospital. CPT 72148.
What lodi hospital publishes for this service, straight from its standard-charges file, last updated June 15, 2026.
Outpatient / ER
$1,084cash price (self-pay)
$1,668list price
$242–$1,668range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| OPTUM | All Products VA | $242 |
| OPTUM | Medicare Advantage Transplant | $242 |
| Anthem | Medicare Advantage | $244 |
| OPTUM | Managed Medicaid Transplant | $340 |
| Buckeye | Managed Medicaid | $358 |
| CARESOURCE | Managed Medicaid | $358 |
| ANTHEM | Managed Medicaid | $376 |
| MOLINA | Managed Medicaid | $376 |
| AMERIHEALTH | Managed Medicaid | $394 |
| Oscar | All Products | $472 |
| HUMANA | Medicare Advantage HMO | $500 |
| MMO | Medicare Advantage HMO & PPO | $500 |
| Aetna | Medicare Advantage | $534 |
| Php | All Products | $534 |
| Phphi | All Products | $534 |
| Summacare | MEDICARE ADVANTAGE | $534 |
| Amish Community Aid Plan | ALL PRODUCTS | $751 |
| Aultcare | PPO/HMO | $802 |
| Ohcp | All Products | $811 |
| Omas | All Products | $834 |
| Mmo | Traditional | $869 |
| Ohio Healthy | TRANSPLANT | $901 |
| OPTUM | All Products Transplant | $944 |
| AETNA | Acop | $947 |
| Anthem | Hpn | $1,010 |
| Summacare | PREMIER | $1,044 |
| Cigna | All Products | $1,059 |
| Anthem | Traditional | $1,105 |
| Cc Ehp | All Products | $1,121 |
| AETNA | Asa_Whirlpool_Peia | $1,146 |
Inpatient
$1,084cash price (self-pay)
$1,668list price
$472–$1,668range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oscar | All Products | $602 |
| Amish Community Aid Plan | ALL PRODUCTS | $834 |
| Anthem | Hpn | $911 |
| Anthem | PPO/HMO | $1,072 |
| Anthem | Traditional | $1,127 |
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