MRI lower back without contrast at St Lukes Hospital Upper Bucks Campus. CPT 72148.
What St Lukes Hospital Upper Bucks Campus publishes for this service, straight from its standard-charges file, last updated February 26, 2026.
Outpatient / ER
$6,501cash price (self-pay)
$7,223list price
$247–$2,521range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Capital Blue Cross | Medicare | $247 |
| Highmark | Medicare Advantage | $247 |
| Horizon BCBS NJ | Medicare | $247 |
| Independence Blue Cross | Medicare Advantage | $247 |
| Highmark | Freedom Blue Medicare Advantage | $250 |
| Aetna | Medicare | $252 |
| Geisinger | Medicare | $252 |
| Keystone First | Medicaid | $256 |
| 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 | $855 |
| Independence Blue Cross | HMO | $1,229 |
| Independence Blue Cross | PPO | $1,229 |
| Independence Blue Cross | Indemnity | $1,229 |
| Capital Blue Cross | Commercial | $1,480 |
| Oscar | Commercial | $1,874 |
| Cigna | Commercial | $1,977 |
| UPMC Health Plan | Commercial | $1,980 |
| Geisinger | Commercial | $2,030 |
| United Healthcare | Commercial | $2,087 |
| Aetna | Medical Rental | $2,485 |
| Aetna | Commercial | $2,521 |
Inpatient
$6,501cash price (self-pay)
$7,223list price
$1,874–$2,031range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oscar | Commercial | $1,874 |
| UPMC Health Plan | Commercial | $1,975 |
| Geisinger | Commercial | $2,031 |
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