MRI lower back without contrast at Lehigh Valley Hospital - Dickson City. CPT 72148.
What Lehigh Valley Hospital - Dickson City publishes for this service, straight from its standard-charges file, last updated July 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$198–$1,414range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Healthspring | $198 |
| Jefferson Health Partners | All Products | $232 |
| Highmark Blue Shield | Medicare Advantage | $237 |
| Aetna | Medicare Advantage | $244 |
| Amerihealth | Medicare Advantage | $244 |
| Devoted Health | Medicare Advantage | $244 |
| Geisinger | Medicare Advantage | $244 |
| Humana | Medicare Advantage | $244 |
| Jefferson Health Partners | Medicare Advantage | $244 |
| Upmc | Medicare Advantage | $246 |
| Emblem | Medicare Advantage | $251 |
| Gateway | Medicare Advantage | $253 |
| Pa Health & Wellness (Allwell) | Medicare Advantage | $256 |
| Geisinger | Managed Medicaid | $282 |
| Upmc | Snp | $293 |
| United Healthcare | Managed Medicaid | $295 |
| United Healthcare | Chip | $295 |
| Aetna | Managed Medicaid | $333 |
| Jefferson Health Partners | Managed Medicaid | $346 |
| Pa Health & Wellness | Managed Medicaid | $346 |
| Highmark Wholecare/Gateway | Managed Medicaid | $348 |
| Amerihealth Caritas | Managed Medicaid | $371 |
| Upmc | Managed Medicaid | $430 |
| Highmark Blue Shield | Aca Narrow Network | $447 |
| Highmark Blue Shield | Tiered Products (Coalition) | $526 |
| Geisinger | All Products | $550 |
| Highmark Blue Shield | All Products | $585 |
| Cigna | All Products | $597 |
| Highmark Blue Shield | Chip | $633 |
| Meshoppen Stone | All Products | $651 |
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All common services at Lehigh Valley Hospital - Dickson City