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MRI lower back without contrast at Lehigh Valley Hospital. CPT 72148.

What Lehigh Valley Hospital publishes for this service, straight from its standard-charges file, last updated July 1, 2026.

Outpatient / ER

—cash price (self-pay)
—list price
$212–$12,569range insurers pay
Insurance planNegotiated rate
Cigna | Healthspring$212
Capital Blue Cross | Medicare Advantage$250
Ibc | Medicare Advantage$250
Jefferson Health Partners | All Products$250
Optum Health | Medicare Advantage$250
Highmark Blue Shield | Medicare Advantage$255
Geisinger | Medicare Advantage$257
Aetna | Medicare Advantage$262
Amerihealth | Medicare Advantage$262
Devoted Health | Medicare Advantage$262
Humana | Medicare Advantage$262
Jefferson Health Partners | Medicare Advantage$262
Emblem | Medicare Advantage$270
Jefferson Employees | All Products$312
Geisinger | Managed Medicaid$320
Jefferson Health Partners | Managed Medicaid$346
Pa Health & Wellness | Managed Medicaid$346
Highmark Wholecare/Gateway | Managed Medicaid$369
Aetna | Managed Medicaid$371
Keystone First | Managed Medicaid$371
Amerihealth Caritas | Managed Medicaid$416
Highmark Blue Shield | Chip$490
Optum Health | All Products$499
Geisinger | Marketplace$606
Highmark Blue Shield | Aca Narrow Network$616
Cigna | PPO$633
Cigna | HMO$633
Meshoppen Stone | All Products$699
Ambetter | All Products$757
Highmark Blue Shield | Tiered Products (Coalition)$765
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All common services at Lehigh Valley Hospital