MRI lower back without contrast at Penn State Health Holy Spirit Medical Center. CPT 72148.
What Penn State Health Holy Spirit Medical Center publishes for this service, straight from its standard-charges file, last updated March 27, 2026.
Outpatient / ER
$289cash price (self-pay)
$1,209list price
$198–$1,008range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| [Highmark Wholecare] | [MA] | $198 |
| [Geisinger] | [CHIP] | $210 |
| [Aetna Better Health] | [CHIP] | $215 |
| [Health Partners Plans] | [CHIP] | $217 |
| [PA Health & Wellness] | [MA] | $218 |
| [AmeriHealth Caritas] | [MA] | $219 |
| [Health Partners Plans] | [MA] | $224 |
| [Highmark] | [Medicare] | $231 |
| [Geisinger] | [Medicare] | $233 |
| [Highmark] | [CHIP] | $233 |
| [Highmark Wholecare] | [Medicare] | $233 |
| [UHC] | [Medicare] | $233 |
| [Aetna] | [Medicare] | $236 |
| [Humana] | [Medicare] | $236 |
| [Health Partners Plans] | [Medicare] | $238 |
| [UPMC] | [Medicare] | $238 |
| [CBC] | [Medicare] | $240 |
| [PA Health & Wellness] | [Medicare] | $240 |
| [HealthSpring] | [Medicare] | $245 |
| [Point Comfort Underwriters] | [Medicare] | $292 |
| [Cbc] | [Chip] | $436 |
| [Upmc] | [MA] | $436 |
| [UHC] | [Chip] | $459 |
| [Upmc] | [Chip] | $513 |
| [UHC] | [Comm] | $603 |
| [CBC] | [Comm] | $622 |
| [Aetna] | [Comm] | $626 |
| [Aetna Signature Administrators] | [Comm] | $635 |
| [Cigna] | [Comm] | $741 |
| [Highmark ACA] | [Comm] | $806 |
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All common services at Penn State Health Holy Spirit Medical Center