MRI lower back without contrast at Doylestown Hospital. CPT 72148.
What Doylestown Hospital publishes for this service, straight from its standard-charges file, last updated August 27, 2026.
Outpatient / ER
$2,618cash price (self-pay)
$6,009list price
$183–$6,009range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Cigna | $183 |
| Medicare | Medicare | $235 |
| OTHER BLUE CROSS (100 Percent POM) | OTHER BLUE CROSS (100 Percent POM | $235 |
| Other Blue Cross Med Adv | Other Blue Cross Med Adv | $239 |
| Tricare | Tricare | $243 |
| Cigna Medicare Advantage | Cigna Medicare Advantage | $244 |
| Ambetter | Ambetter | $246 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $249 |
| Highmark-Bc Central | Highmark-Bc Central | $446 |
| Highmark Indemnity/Managed Care | Highmark Indemnity/Managed Care | $500 |
| United Healthcare | United Healthcare | $588 |
| Aetna Pebtf | Aetna Pebtf | $1,130 |
| Independence Blue Cross HMO Tiered | Independence Blue Cross HMO Tiere | $1,184 |
| Aetna | Aetna | $1,190 |
| Independence Blue Cross HMO PPO | Independence Blue Cross HMO PPO | $1,287 |
| Independence Blue Cross Traditional | Independence Blue Cross Traditio | $1,416 |
| OTHER BLUE CROSS (100 Percent POM) | OTHER BLUE CROSS | $1,622 |
| Medigap | Medigap | $6,009 |
| Self-Pay | Self-Pay | $6,009 |
Inpatient
$2,618cash price (self-pay)
$6,009list price
$707–$6,009range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| OTHER BLUE CROSS (100 Percent POM) | OTHER BLUE CROSS | $1,622 |
| Medigap | Medigap | $6,009 |
| Self-Pay | Self-Pay | $6,009 |
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