MRI lower back without contrast at St Lukes Hospital Monroe Campus. CPT 72148.
What St Lukes Hospital Monroe Campus publishes for this service, straight from its standard-charges file, last updated February 27, 2026.
Outpatient / ER
$6,378cash price (self-pay)
$7,684list price
$247–$2,682range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Capital Blue Cross | Medicare | $247 |
| Highmark | Medicare Advantage | $247 |
| Horizon BCBS NJ | Medicare | $247 |
| Highmark | Freedom Blue Medicare Advantage | $250 |
| Aetna | Medicare | $252 |
| Geisinger | Medicare | $252 |
| Humana | Medicare | $257 |
| UPMC Health Plan | Medicare Advantage | $260 |
| United Healthcare | Medicare Advantage | $267 |
| Highmark Wholecare | Medicaid | $295 |
| Geisinger | Medicaid/CHIP | $302 |
| AmeriHealth Caritas | Medicaid | $307 |
| UPMC Health Plan | Medicaid | $307 |
| Jefferson Health Plan | CHIP/Medicaid | $369 |
| Highmark | Commercial/Special Care | $600 |
| Independence Blue Cross | AmeriHealth | $1,618 |
| Oscar | Commercial | $1,994 |
| Cigna | Commercial | $2,103 |
| UPMC Health Plan | Commercial | $2,106 |
| Geisinger | Commercial | $2,160 |
| United Healthcare | Commercial | $2,221 |
| Capital Blue Cross | Commercial | $2,431 |
| Aetna | Medical Rental | $2,643 |
| Aetna | Commercial | $2,682 |
Inpatient
$6,378cash price (self-pay)
$7,684list price
$1,994–$2,161range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oscar | Commercial | $1,994 |
| UPMC Health Plan | Commercial | $2,101 |
| Geisinger | Commercial | $2,161 |
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