MRI lower back without contrast at UPMC Carlisle. CPT 72148.
What UPMC Carlisle publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$1,656cash price (self-pay)
$2,760list price
$229–$2,346range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue | $229 |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $229 |
| Humana | Medicare | $231 |
| Aetna | Medicare | $241 |
| Cigna | Medicare | $243 |
| Geisinger | Medicare | $243 |
| United Healthcare Community Plan for Families | PA Medicaid | $245 |
| United Healthcare | Medicare | $247 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $250 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $325 |
| Highmark Wholecare (prev Gateway) | Medicaid | $325 |
| UPMC Health Plan | Managed Medicaid | $333 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $349 |
| Keystone Autism Services | ACAP | $370 |
| Geisinger | Medicaid/CHIP | $373 |
| OneCall | Worker's Comp | $400 |
| Premier Comp Solutions | Worker's Comp | $425 |
| PA Health & Wellness | PA Medicaid HMO | $437 |
| Prime Net | Managed Medicare | $523 |
| Capital Blue Cross | Medicare Advantage | $552 |
| Keystone Health Plan | Medicare Advantage | $552 |
| Highmark BCBS of PA | Community Blue PPO | $650 |
| Highmark BCBS of PA | CHIP - Managed Care | $678 |
| Highmark BCBS of PA | Commercial | $723 |
| Prime Net | Legacy Commercial | $1,076 |
| Aetna | ACO | $1,085 |
| Prime Net | ACO | $1,085 |
| Cigna | Commercial | $1,225 |
| Prime Net | NonGateKeeper | $1,283 |
| Aetna | Commercial | $1,292 |
Inpatient
$1,656cash price (self-pay)
$2,760list price
$1,126–$2,346range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Prime Net | Legacy Commercial | $1,126 |
| Aetna | ACO | $1,134 |
| Prime Net | ACO | $1,134 |
| Prime Net | NonGateKeeper | $1,341 |
| Aetna | Commercial | $1,350 |
| Prime Net | GateKeeper | $1,350 |
| Geisinger | Commercial | $1,994 |
| Prime Net | FH-Medical Rental | $2,087 |
| Wellspan Population Health | PPO | $2,208 |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,346 |
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