MRI lower back without contrast at Jefferson Lansdale Hospital. CPT 72148.
What Jefferson Lansdale Hospital publishes for this service, straight from its standard-charges file, last updated September 15, 2026.
Outpatient / ER
$275cash price (self-pay)
$3,194list price
$186–$5,739range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Jefferson Health Plan Medicaid | JAB002 Caid MCO CHIP | $187 |
| Jefferson Health Plan ACA QHP Exchange | JAB002 Commercial Exchange | $205 |
| St Agnes | Medicare | $211 |
| Provider Partners Health Plan | JAB002 Medicare | $215 |
| Optum VA CCN | JAB002 VA CCN | $215 |
| Point of Comfort Refugee Resettlement | Commercial | $215 |
| VA_Champus_Tricare | JAB002 Military | $215 |
| Horizon Medicare Blue | JAB002 Medicare | $215 |
| IBC Medicare | JAB002 Medicare | $215 |
| Inspira Life | JAB002 Medicare | $215 |
| Innovage | JAB002 Medicare | $215 |
| Jefferson Health Plan Medicare | JAB002 Medicare | $220 |
| United Healthcare Medicare | JAB002 AARP | $220 |
| United Healthcare Medicare | Medicare ISNP | $220 |
| Humana Medicare | JAB002 Medicare | $220 |
| Cigna HealthSpring Medicare Adv | JAB002 Medicare | $224 |
| Devoted Health Participation | JAB002 Medicare | $226 |
| Highmark Medicare Advantage | JAB002 Medicare | $226 |
| Aetna Medicare Adv | JAB002 Medicare | $228 |
| Keystone First VIP Choice | JAB002 Medicare | $230 |
| United Healthcare Medicare | Medicare Group Retiree | $233 |
| PA Health and Wellness Medicare | JAB002 Medicare | $237 |
| UPMC Medicare Advantage | JAB002 Medicare | $237 |
| Geisinger Medicare Advantage | JAB002 Medicare | $248 |
| Perennial | JAB002 Medicare | $250 |
| Highmark Wholecare Gateway | JAB002 Medicare | $252 |
| IBC Employee Benefit | JAB002 Commercial | $269 |
| IBC Main Line Health | JAB002 Commercial | $269 |
| Keystone First | JAB002 Caid MCO | $273 |
| Keystone First | JAB002 Caid CHIP | $273 |
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