MRI lower back without contrast at St. Charles Madras. CPT 72148.
What St. Charles Madras 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
$156–$3,311range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| MODA MEDICAID [528] | Eastern Oregon CCO | $156 |
| PACIFICSOURCE COMMUNITY SOLUTIONS [525] | PacificSource Central Oregon | $236 |
| PACIFICSOURCE COMMUNITY SOLUTIONS [525] | PacificSource Gorge & Lane C | $245 |
| PACIFICSOURCE COMMUNITY SOLUTIONS [525] | PacifcSource Healthier Orego | $261 |
| OTJ DEPT OF LABOR FEDERAL EMP [652] | US Dept of Labor | $355 |
| OTJ US DEPARTMENT OF LABOR [669] | US Dept of Labor | $355 |
| OTJ GALLAGHER BASSETT [654] | Oregon Workers Compensation | $711 |
| AUTO ALLSTATE INSURANCE [602] | Auto Insurance | $711 |
| OTJ SEDGWICK CMS [660] | Oregon Workers Compensation | $711 |
| OTJ PINNACLE RISK MGMT [661] | Oregon Workers Compensation | $711 |
| OTJ TRAVELERS INSURANCE [672] | Oregon Workers Compensation | $711 |
| OTJ LIBERTY MUTUAL WAUSAU UNDERWRITERS [671] | Oregon Workers Compensa | $711 |
| OTJ TRISTAR [673] | Oregon Workers Compensation | $711 |
| OTJ BROADSPIRE SERVICES [670] | Oregon Workers Compensation | $711 |
| AUTO MUTUAL OF ENUMCLAW [610] | Auto Insurance | $711 |
| CHAMP VA [700] | Veteran Affairs | $811 |
| UHC MEDICARE ADVANTAGE [127] | Medicare | $811 |
| UNICARE [133] | Medicare | $811 |
| MEDICARE ADVANTAGE GENERIC [199] | Medicare | $811 |
| WELLCARE [132] | Medicare | $811 |
| INDIAN HEALTH [704] | Medicare | $811 |
| PACIFICSOURCE MEDICARE ADVANTAGE [126] | PacificSource Medicare | $855 |
| BLUE CROSS MED ADV [125] | Blue Cross Medicare | $892 |
| PROVIDENCE MEDICARE ADV [137] | Providence Medicare | $940 |
| TRICARE [705] | Tricare | $1,054 |
| PACIFICSOURCE [345] | PacificSource Voyager | $1,351 |
| CASCADE HEALTH ALLIANCE [532] | Oregon Medicaid CCO | $1,385 |
| HEALTH SHARE [537] | Oregon Medicaid CCO | $1,385 |
| COLUMBIA PACIFIC COORDINATED CARE LLC [539] | Oregon Medicaid CCO | $1,385 |
| YAMHILL COUNTY COORDINATED CARE ORG [550] | Oregon Medicaid CCO | $1,385 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.