MRI lower back without contrast at Jefferson Frankford Hospital. CPT 72148.
What Jefferson Frankford Hospital publishes for this service, straight from its standard-charges file, last updated September 15, 2026.
Outpatient / ER
$282cash price (self-pay)
$2,415list price
$186–$1,649range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Jefferson Health Plan Medicaid | JNE001_JNE002_JNE003 Caid MCO CHIP | $187 |
| IBC Medicare | JNE002_JNE003 Medicare Focus | $210 |
| Jefferson Health Plan ACA QHP Exchange | JNE002 JNE003 Commercial Exch | $210 |
| Highmark Medicare Advantage | JNE002_JNE003 Medicare | $221 |
| Provider Partners Health Plan | JNE002_JNE003 Medicare | $221 |
| VA_Champus_Tricare | JNE002_JNE003 Military | $221 |
| Horizon Medicare Blue | JNE002_JNE003 Medicare | $221 |
| Innovage | JNE002_JNE003 Medicare | $221 |
| Optum VA CCN | JNE002_JNE003 VA CCN | $221 |
| Point of Comfort Refugee Resettlement | Commercial | $221 |
| St Agnes | Medicare | $221 |
| IBC Medicare | JNE002_JNE003 Medicare | $221 |
| Inspira Life | JNE002_JNE003 Medicare | $221 |
| United Healthcare Medicare | Medicare ISNP | $225 |
| Humana Medicare | Medicare | $225 |
| United Healthcare Medicare | JNE002_JNE003 AARP | $225 |
| Jefferson Health Plan Medicare | JNE002_JNE003 Medicare | $225 |
| Cigna HealthSpring Medicare Adv | JNE002_JNE003 Medicare | $229 |
| Devoted Health Participation | JNE002_JNE003 Medicare | $232 |
| Aetna Medicare Adv | JNE002_JNE003 Medicare | $234 |
| Keystone First VIP Choice | JNE002_JNE003 Medicare | $235 |
| United Healthcare Medicare | Medicare Group Retiree | $238 |
| PA Health and Wellness Medicare | JNE002_JNE003 Medicare | $243 |
| UPMC Medicare Advantage | JNE002_JNE003 Medicare | $243 |
| Geisinger Medicare Advantage | JNE002_JNE003 Medicare | $254 |
| Perennial | JNE002_JNE003 Medicare | $256 |
| Highmark Wholecare Gateway | JNE002_JNE003 Medicare | $258 |
| IBC Employee Benefit | JNE002_JNE003 Commercial | $276 |
| IBC Main Line Health | JNE002_JNE003 Commercial | $276 |
| PA Health and Wellness CHC | JNE001_JNE002_JNE003 CHC | $288 |
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