MRI lower back without contrast at St. Charles Bend. CPT 72148.
What St. Charles Bend publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,703cash price (self-pay)
$3,378list price
$222–$3,311range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| HEALTH SHARE OHSU OHP [552] | Health Share CCO | $222 |
| YAMHILL COUNTY COORDINATED CARE ORG [550] | Oregon Medicaid CCO | $222 |
| HEALTH SHARE PROVIDENCE [548] | Health Share CCO | $222 |
| COLUMBIA PACIFIC COORDINATED CARE LLC [539] | Oregon Medicaid CCO | $222 |
| HEALTH SHARE [537] | Health Share CCO | $222 |
| INTERCOMMUNITY HEALTH [530] | Oregon Medicaid CCO | $222 |
| MODA MEDICAID [528] | Eastern Oregon CCO | $227 |
| OREGON MEDICAID [500] | Oregon Medicaid | $280 |
| VETERANS [706] | Veteran Affairs | $284 |
| Law Enforcement [701] | Schs Sbh/Srh Hb Law Enforcement | $284 |
| KAISER PERMANENTE MED ADV [136] | Medicare - Non Contracted | $284 |
| INDIAN HEALTH [704] | Medicare - Non Contracted | $284 |
| MEDICARE AB REBILL ALT PAYER [175] | Medicare | $284 |
| HEALTH NET MED ADV [135] | Medicare - Non Contracted | $284 |
| CHAMP VA [700] | Veteran Affairs | $284 |
| COVID-19 MEDICARE ALT PAYOR [805] | Medicare | $284 |
| HUMANA MEDICARE [130] | Medicare - Non Contracted | $284 |
| MEDICARE VACCINE [999100100] | PacificSource Medicare | $299 |
| KAISER PERMANENTE [334] | OEBB PEBB Non-Contracted | $525 |
| OTJ PENSER NO AMERICAN [663] | Oregon Workers Compensation | $711 |
| GENERIC WORKERS COMP [699] | Oregon Workers Compensation | $711 |
| AUTO USAA [611] | Auto Insurance | $711 |
| OTJ TRISTAR [673] | Oregon Workers Compensation | $711 |
| AUTO GEICO CLAIMS OREGON [606] | Auto Insurance | $711 |
| AUTO MUTUAL OF ENUMCLAW [610] | Auto Insurance | $711 |
| AUTO SAFECO CONCENTRA [600] | Auto Insurance | $711 |
| AUTO OREGON MUTUAL [614] | Auto Insurance | $711 |
| AUTO PROGRESSIVE [608] | Auto Insurance | $711 |
| OTJ CORVEL [676] | Oregon Workers Compensation | $711 |
| OTJ ESIS WEST WC CLAIMS [653] | Oregon Workers Compensation | $711 |
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