MRI lower back without contrast at Jefferson Einstein Montgomery Hospital. CPT 72148.
What Jefferson Einstein Montgomery Hospital publishes for this service, straight from its standard-charges file, last updated September 15, 2026.
Outpatient / ER
$283cash price (self-pay)
—list price
$186–$1,768range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health | Partners | $215 |
| Jefferson | Health | $227 |
| US | Family | $234 |
| IBC | Medicare | $239 |
| Humana | Medicare | $239 |
| Trinity | Health | $239 |
| Devoted | Health | $239 |
| PA | Health | $243 |
| United | Medicare | $248 |
| Cigna | Medicare | $249 |
| UPMC | Medicare | $251 |
| Provider | Partners | $251 |
| Highmark | Medicare | $251 |
| Geisinger | Medicaid | $253 |
| Aetna | Medicare | $254 |
| Advantra | Medicare | $254 |
| Highmark | Wholecare | $258 |
| United | Group | $258 |
| Wellcare | Medicare | $263 |
| Geisinger | Medicare | $275 |
| United | Healthcare | $279 |
| Keystone | First | $306 |
| IBC | Proactive | $335 |
| Ambetter | Commercial | $347 |
| Cigna | Commercial | $378 |
| UPMC | Medicaid | $445 |
| Cigna | PPO | $454 |
| United | Commercial | $502 |
| Highmark | ACA | $527 |
| Highmark | Blue | $620 |
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All common services at Jefferson Einstein Montgomery Hospital