MRI lower back without contrast at Portland Adventist Medical Center. CPT 72148.
What Portland Adventist Medical Center publishes for this service, straight from its standard-charges file, last updated May 26, 2026.
Outpatient / ER
$1,040cash price (self-pay)
$3,249list price
$202–$5,848range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Pacific Source Comm - All Plans | Pacific Source Comm - All Plans | $202 |
| Ods - All Plans | Ods - All Plans | $212 |
| Care Oregon - All Plans | Care Oregon - All Plans | $225 |
| Kaiser Mcr Adv | Kaiser Mcr Adv | $265 |
| Humana Mcr Adv HMO - All Other Plans | Humana Mcr Adv HMO - All Other | $271 |
| Humana Mcr Adv PPO | Humana Mcr Adv PPO | $281 |
| Moda Mcr Adv | Moda Mcr Adv | $281 |
| UHC Mcr Adv | UHC Mcr Adv | $281 |
| Healthnet Mcr Adv | Healthnet Mcr Adv | $305 |
| Ah Employee Health Plan - All Plans | Ah Employee Health Plan - All Pl | $477 |
| Moda Conn Oebb/Syn Pebb | Moda Conn Oebb/Syn Pebb | $530 |
| Regence Ohsu Plus | Regence Ohsu Plus | $550 |
| Moda Affinity - All Other Plans | Moda Affinity - All Other Plans | $610 |
| Regence - All Other Plans | Regence - All Other Plans | $611 |
| Providence Hp - All Plans | Providence Hp - All Plans | $643 |
| Kaiser - All Other Plans | Kaiser - All Other Plans | $692 |
| Healthcare Resources - All Plans | Healthcare Resources - All Plans | $730 |
| Regence Preferred Mcr Adv | Regence Preferred Mcr Adv | $787 |
| Moda Select | Moda Select | $830 |
| Moda Connexus | Moda Connexus | $939 |
| Moda Synergy | Moda Synergy | $993 |
| Regence Mcr Adv | Regence Mcr Adv | $995 |
| Workers Comp | Workers Comp | $1,124 |
| Bc Premera First - All Plans | Bc Premera First - All Plans | $1,625 |
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $1,949 |
| Worldventure - All Plans | Worldventure - All Plans | $1,949 |
| Cigna - All Plans | Cigna - All Plans | $2,100 |
| First Choice - All Plans | First Choice - All Plans | $2,252 |
| Multiplan - All Plans | Multiplan - All Plans | $2,437 |
| Phcs - All Plans | Phcs - All Plans | $2,437 |
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