MRI lower back without contrast at Lehigh Valley Hospital - Pocono. CPT 72148.
What Lehigh Valley Hospital - Pocono publishes for this service, straight from its standard-charges file, last updated July 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$212–$1,519range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Healthspring | $212 |
| Jefferson Health Partners | All Products | $250 |
| Highmark Blue Shield | Medicare Advantage | $255 |
| Aetna | Medicare Advantage | $262 |
| Amerihealth | Medicare Advantage | $262 |
| Devoted Health | Medicare Advantage | $262 |
| Geisinger | Medicare Advantage | $262 |
| Humana | Medicare Advantage | $262 |
| Jefferson Health Partners | Medicare Advantage | $262 |
| Upmc | Medicare Advantage | $265 |
| Emblem | Medicare Advantage | $270 |
| Gateway | Medicare Advantage | $272 |
| Pa Health & Wellness (Allwell) | Medicare Advantage | $275 |
| Geisinger | Managed Medicaid | $282 |
| United Healthcare | Chip | $295 |
| United Healthcare | Managed Medicaid | $295 |
| Upmc | Snp | $315 |
| 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 | $513 |
| Cigna | All Products | $597 |
| Highmark Blue Shield | Tiered Products (Coalition) | $603 |
| Geisinger | All Products | $623 |
| Highmark Blue Shield | All Products | $670 |
| Meshoppen Stone | All Products | $699 |
| Highmark Blue Shield | Chip | $725 |
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