MRI lower back without contrast at Lehigh Valley Hospital - Schuylkill S. Jackson Street. CPT 72148.
What Lehigh Valley Hospital - Schuylkill S. Jackson Street publishes for this service, straight from its standard-charges file, last updated July 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$207–$2,190range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Healthspring | $207 |
| Capital Blue Cross | Medicare Advantage | $244 |
| Jefferson Health Partners | All Products | $244 |
| Geisinger | Medicare Advantage | $249 |
| Highmark Blue Shield | Medicare Advantage | $249 |
| Aetna | Medicare Advantage | $256 |
| Amerihealth | Medicare Advantage | $256 |
| Devoted Health | Medicare Advantage | $256 |
| Humana | Medicare Advantage | $256 |
| Jefferson Health Partners | Medicare Advantage | $256 |
| Upmc | Medicare Advantage | $259 |
| Emblem | Medicare Advantage | $264 |
| Gateway | Medicare Advantage | $266 |
| Pa Health & Wellness (Allwell) | Medicare Advantage | $268 |
| Aetna | Managed Medicaid | $292 |
| United Healthcare | Managed Medicaid | $302 |
| United Healthcare | Chip | $302 |
| Geisinger | Managed Medicaid | $305 |
| Upmc | Snp | $308 |
| 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 | Chip | $582 |
| Cigna | All Products | $597 |
| Geisinger | All Products | $618 |
| Meshoppen Stone | All Products | $683 |
| Highmark Blue Shield | Aca Narrow Network | $706 |
| Highmark Blue Shield | Tiered Products (Coalition) | $708 |
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All common services at Lehigh Valley Hospital - Schuylkill S. Jackson Street