MRI lower back without contrast at UPMC Hamot. CPT 72148.
What UPMC Hamot publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$1,623cash price (self-pay)
$2,705list price
$184–$2,995range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Fidelis | Medicare | $266 |
| UPMC Health Plan | Partners/Select | $272 |
| Wellcare | Medicare Advantage | $274 |
| BCBS of Western NY | Medicare Advantage | $279 |
| UPMC Health Plan | Managed Medicaid | $282 |
| United Healthcare | Medicare | $285 |
| Cigna | Medicare | $287 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $287 |
| AmeriHealth Caritas | Medicare | $287 |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $295 |
| Aetna | Medicaid | $307 |
| Independent Health | Medicare Advantage | $346 |
| Geisinger | Medicaid/CHIP | $356 |
| BCBS of Western NY | Commercial | $358 |
| Highmark Wholecare (prev Gateway) | Medicaid | $380 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $386 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $400 |
| Univera | Univera_Medicare_Hamot_2024 | $406 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $437 |
| Independent Health | Commercial | $461 |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Me | $619 |
| Aetna | Commercial | $676 |
| Aetna | Medicare | $677 |
| Cigna | New Business ASO | $812 |
| Cigna | NBR ASO/FI | $812 |
| Highmark Wholecare (prev Gateway) | Medicare | $820 |
| UPMC Health Plan | Commercial | $973 |
| Cigna | Commercial | $1,082 |
| Cigna | EBR | $1,082 |
| Univera | Commercial | $1,190 |
Inpatient
$1,623cash price (self-pay)
$2,705list price
$730–$2,164range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial | $730 |
| Cigna | New Business ASO | $812 |
| Cigna | NBR ASO/FI | $812 |
| Univera | Commercial | $893 |
| Cigna | Commercial | $1,082 |
| Cigna | EBR | $1,082 |
| InterGroup | Health Coalition Partners/PPO | $1,758 |
| Aetna | AXA/MMO | $1,894 |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,894 |
| InterGroup | Beech Street | $2,164 |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $2,164 |
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