MRI lower back without contrast at St. Mary Medical Center. CPT 72148.
What St. Mary Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$2,143cash price (self-pay)
$3,297list price
$206–$3,132range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Jefferson Health Plans Medicaid | Health Partners Medicaid | $206 |
| Blue Cross - Pa (Independence) Medicare Advantage | Independence Blue | $257 |
| Cigna Medicare Advantage | Cigna Healthspring Medicare Advantage | $260 |
| Devoted Health Medicare Advantage | Devoted Health Medicare Advantage | $264 |
| Keystone First Chc Medicare Advantage | Keystone First Medicare Advant | $265 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $272 |
| Health Partners Medicare Advantage | Health Partners Medicare Advantag | $273 |
| Jefferson Health Plans Medicare | Health Partners Medicare Advantage | $273 |
| Allwell Medicare Advantage | Pa Health & Wellness Medicare Advantage | $278 |
| Allwell Pa Health & Wellness Medicare Advantage | Pa Health & Wellness | $278 |
| Highmark Wholecare Medicaid | Gateway Health Medicaid | $295 |
| Highmark Wholecare Medicare Advantage | Highmark Wholecare Medicare Ad | $296 |
| Upmc Medicare Advantage | Upmc Health Plan Medicare Advantage | $296 |
| United Healthcare Medicaid | UHC Community Plan Medicaid | $307 |
| Coventry Medicare Advantage | Coventry Advantra Medicare Advantage | $309 |
| Pace-Trinity Health | Trinity Health Pace | $363 |
| Aetna Medicaid | Aetna Better Health Medicaid | $371 |
| Ambetter | Ambetter Marketplace | $459 |
| Oscar Medicare Advantage | Oscar Medicare Advantage | $463 |
| Prime Healthcare | Prime Healthcare | $463 |
| Oscar | Oscar Medicare Advantage | $463 |
| Jefferson Health Plan Commercial | Jefferson Health Plan | $468 |
| Homestead Health Plans Woods Center | Homestead Health Plan Medicare A | $502 |
| Reedman Toll | Reedman Toll Management Group | $579 |
| Group Pension Administrators | Reedman Toll Management Group | $579 |
| Keystone First Chip | Keystone Medicaid | $615 |
| Keystone First | Keystone Medicaid | $615 |
| Blue Shield - Pa (Highmark) | Highmark Health Plan | $696 |
| Cigna | Cigna Exchange | $1,281 |
| United Healthcare | United Healthcare | $1,345 |
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