MRI lower back without contrast at Holy Redeemer Hospital. CPT 72148.
What Holy Redeemer Hospital publishes for this service, straight from its standard-charges file, last updated September 21, 2026.
Outpatient / ER
$1,229cash price (self-pay)
$2,048list price
$239–$1,577range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Keystone Family Health Plan | Managed Medicaid | $239 |
| Health Partners | Medicaid & CHIP | $240 |
| Independence Blue Cross | Medicare Advantage | $242 |
| Health Partners | Medicare Advantage | $251 |
| Aetna | Medicare Advantage | $254 |
| Cigna HealthSpring | Medicare Advantage | $254 |
| Highmark | Wholecare | $255 |
| Jefferson Health Plan | HMO/PPO | $359 |
| United Healthcare | Commercial | $798 |
| Independence Blue Cross | HMO PPACA | $1,247 |
| Independence Blue Cross | HMO | $1,364 |
| Independence Blue Cross | PPO | $1,364 |
| Aetna | Commercial | $1,478 |
| Cigna | Commercial | $1,577 |
Inpatient
$1,229cash price (self-pay)
$2,048list price
—range insurers pay
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