MRI lower back without contrast at Thomas Jefferson University Hospital. CPT 72148.
What Thomas Jefferson University Hospital publishes for this service, straight from its standard-charges file, last updated September 15, 2026.
Outpatient / ER
$282cash price (self-pay)
$3,688list price
$186–$2,166range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Jefferson Health Plan Medicaid | JCC001_JCC002 Caid MCO CHIP | $187 |
| Jefferson Health Plan ACA QHP Exchange | JCC001_JCC002 Commercial Exch | $210 |
| Inspira Life | JCC001_JCC002 Medicare | $221 |
| St Agnes | Medicare | $221 |
| IBC Medicare | JCC001 Medicare | $221 |
| Point of Comfort Refugee Resettlement | Commercial | $221 |
| Optum VA CCN | JCC001_JCC002 VA CCN | $221 |
| Horizon Medicare Blue | JCC001_JCC002 Medicare | $221 |
| Innovage | JCC001_JCC002 Medicare | $221 |
| VA_Champus_Tricare | JCC001_JCC002 Military | $221 |
| United Healthcare Medicare | JCC001_JCC002 AARP | $225 |
| Keystone First VIP Choice | JCC001 Medicare | $225 |
| Jefferson Health Plan Medicare | JCC001_JCC002 Medicare | $225 |
| Humana Medicare | JCC001_JCC002 Medicare | $225 |
| United Healthcare Medicare | Medicare ISNP | $225 |
| Cigna HealthSpring Medicare Adv | JCC001_JCC002 Medicare | $229 |
| Devoted Health Participation | JCC001_JCC002 Medicare | $232 |
| Highmark Medicare Advantage | JCC001_JCC002 Medicare | $232 |
| UPMC Medicare Advantage | JCC001_JCC002 Medicare | $232 |
| Aetna Medicare Adv | JCC001_JCC002 Medicare | $234 |
| Provider Partners Health Plan | JCC001_JCC002 Medicare | $236 |
| United Healthcare Medicare | Medicare Group Retiree | $238 |
| PA Health and Wellness Medicare | JCC001_JCC002 Medicare | $243 |
| Geisinger Medicare Advantage | JCC001_JCC002 Medicare | $254 |
| Perennial | JCC001_JCC002 Medicare | $256 |
| Highmark Wholecare Gateway | JCC001_JCC002 Medicare | $258 |
| IBC Employee Benefit | JCC001_JCC002 Commercial | $276 |
| IBC Main Line Health | JCC001_JCC002 Commercial | $276 |
| PA Health and Wellness CHC | JCC001_JCC002 CHC | $288 |
| Geisinger Medicaid | JCC001 JCC002 Caid MCO | $300 |
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