MRI lower back without contrast at Penn Presbyterian Medical Center. CPT 72148.
What Penn Presbyterian Medical Center publishes for this service, straight from its standard-charges file, last updated March 19, 2026.
Outpatient / ER
$6,802cash price (self-pay)
$6,802list price
$187–$6,802range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Managed Medicaid Other | Managed Medicaid Other | $187 |
| PA Health and Wellness Medicaid | PA Health and Wellness Medicaid | $215 |
| Keystone Mercy Health Plan | Keystone Mercy Health Plan | $240 |
| TriCare | TriCare | $251 |
| PA Medical Assistance | Medicaid | $256 |
| UPMC | UPMC Medicaid | $280 |
| US Family Health Plan | US Family Health Plan | $288 |
| UnitedHealthcare Community (fka AmeriChoice MA) | UnitedHealthcare Com | $369 |
| Keystone HMO Proactive | Keystone HMO Proactive | $522 |
| Independence Blue Cross | Keystone Health Plan East-IBC HMO | $522 |
| IBC Commercial HPN | IBC Commercial HPN | $539 |
| Independence Blue Cross | Personal Choice-IBC PPO | $1,031 |
| Horizon NJ Health | Horizon NJ Health | $1,196 |
| UnitedHealthcare New Business | UnitedHealthcare New Business | $1,391 |
| UnitedHealthcare Non Options | UnitedHealthcare Non Options | $1,441 |
| PGM - Regie de l'assurance Maladie Quebec | PGM - Regie de lassurance | $1,564 |
| Preferred Health Care Eliance | Preferred Health Care Eliance | $1,701 |
| Horizon Blue Cross of New Jersey | Horizon Blue Cross of NJ-PPO | $1,949 |
| Horizon Blue Cross of New Jersey | Horizon Blue Cross of NJ-Indemnity | $1,949 |
| PGM - Kuwait Defense | PGM - Kuwait Defense | $2,381 |
| Qualcare | Qualcare | $2,585 |
| Wissahickon Hospice | Wissahickon Hospice | $2,721 |
| Pgm - Chop | Pgm - Chop | $2,721 |
| Olympus | Olympus | $3,224 |
| URN-Cancer Resource Services | URN-Cancer Resource Services | $3,401 |
| PGM - Royal Embassy of Saudi Arabia | PGM - Royal Embassy of Saudi Ara | $4,081 |
| PGM - Ontario Ministry of Health and Long-Term Care (OHIP) | PGM - Ont | $4,421 |
| PGM - Embassy of Qatar | PGM - Embassy of Qatar | $4,421 |
| PGM - Embassy of the United Emirates/IPC | PGM - Embassy of the United | $4,761 |
| Preferred Care | Preferred Care | $5,442 |
Inpatient
$6,802cash price (self-pay)
$6,802list price
$1,150–$6,802range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Horizon NJ Health | Horizon NJ Health | $1,150 |
| PGM - Regie de l'assurance Maladie Quebec | PGM - Regie de lassurance | $1,564 |
| Preferred Health Care Eliance | Preferred Health Care Eliance | $1,701 |
| Devon | Devon Premier | $2,585 |
| Pgm - Chop | Pgm - Chop | $2,721 |
| Coventry | HealthAmerica/Coventry SEPA | $2,721 |
| PGM - Kuwait Defense | PGM - Kuwait Defense | $3,061 |
| HealthAmerica/Coventry | HealthAmerica/HealthAssurance | $3,333 |
| URN-Cancer Resource Services | URN-Cancer Resource Services | $3,401 |
| First Health Global | First Health Global | $3,401 |
| Coventry | Coventry of Delaware | $3,469 |
| PGM - Royal Embassy of Saudi Arabia | PGM - Royal Embassy of Saudi Ara | $4,081 |
| Health Net | Health Net | $4,081 |
| PGM - Ontario Ministry of Health and Long-Term Care (OHIP) | PGM - Ont | $4,421 |
| Preferred Care | Preferred Care | $5,442 |
| PGM - Kuwait Oil | PGM - Kuwait Oil | $5,442 |
| PGM - Kuwait Health Division | PGM - Kuwait Health Division | $5,442 |
| Intergroup | Intergroup | $5,442 |
| Humana Choice Care | Humana Choice Care | $5,442 |
| Health America/CCN | First Health / Coventry National | $5,442 |
| Devon Health Services Inc | Devon Health Services | $5,442 |
| UPMC | UPMC Medicaid | $6,802 |
| UnitedHealthcare Community (fka AmeriChoice MA) | UnitedHealthcare Com | $6,802 |
| United Behavioral Health | United Behavioral Health | $6,802 |
| Quest Behavioral Health | Quest Behavioral Health | $6,802 |
| Managed Medicaid Other | Managed Medicaid Other | $6,802 |
| Keystone Mercy Health Plan | Keystone Mercy Health Plan | $6,802 |
| International PFS | International PFS | $6,802 |
| Horizon Blue Cross of New Jersey | Horizon Blue Cross of NJ-PPO | $6,802 |
| Horizon Blue Cross of New Jersey | Horizon Blue Cross of NJ-Indemnity | $6,802 |
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