MRI lower back without contrast at UPMC Childrens. CPT 72148.
What UPMC Childrens publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$3,092cash price (self-pay)
$5,153list price
$218–$4,638range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Plan of Upper Ohio Valley | Medicare | $230 |
| AmeriHealth Caritas | Medicare | $249 |
| Cigna | Medicare | $249 |
| UPMC Health Plan | Managed Medicaid | $591 |
| Aetna | Medicaid | $610 |
| United Healthcare Community Plan for Families | PA Medicaid | $743 |
| Aetna | Medicare | $771 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $959 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $991 |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,034 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,038 |
| Geisinger | Medicaid/CHIP | $1,053 |
| Highmark BCBS of PA | Medicare | $1,411 |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,764 |
| UPMC Health Plan | CHIP | $1,949 |
| United Healthcare | Compass Exchange | $2,061 |
| Highmark BCBS of PA | Managed Care | $2,076 |
| Aetna | Narrow Network | $2,180 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,254 |
| Geisinger | Commercial | $2,316 |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $2,418 |
| UPMC Health Plan | Managed Medicare | $2,418 |
| Aetna | Fully Insured | $2,422 |
| Cigna | New Business ASO | $2,422 |
| Cigna | NBR ASO/FI | $2,422 |
| United Healthcare | All Business | $2,422 |
| Highmark BCBS of PA | Commercial - Indemnity | $2,652 |
| Aetna | Commercial | $2,834 |
| Cigna | Commercial | $2,834 |
| Cigna | EBR | $2,834 |
Inpatient
$3,092cash price (self-pay)
$5,153list price
$2,061–$4,638range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Compass Exchange | $2,061 |
| Aetna | Narrow Network | $2,180 |
| Geisinger | Commercial | $2,316 |
| Aetna | Fully Insured | $2,422 |
| Cigna | New Business ASO | $2,422 |
| Cigna | NBR ASO/FI | $2,422 |
| United Healthcare | All Business | $2,422 |
| Aetna | Commercial | $2,834 |
| Cigna | Commercial | $2,834 |
| Cigna | EBR | $2,834 |
| InterGroup | PPO | $3,865 |
| Coventry/First Health | Childrens Coventry FirstHealth Commercial | $4,122 |
| Saudi Armed Forces | Commercial | $4,122 |
| Health Payors Organization | Commercial | $4,380 |
| Multiplan | Commercial/Worker's Compensation | $4,380 |
| National Provider Network | PPO | $4,638 |
| Private Health Care Systems | PPO | $4,638 |
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