MRI lower back without contrast at UPMC Hanover. CPT 72148.
What UPMC Hanover 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–$3,211range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Highmark BCBS of PA | Medicare | $229 |
| Humana | Medicare | $231 |
| Aetna | Medicare | $241 |
| Cigna | Medicare | $242 |
| Geisinger | Medicare | $242 |
| United Healthcare Community Plan for Families | PA Medicaid | $245 |
| United Healthcare | Medicare | $247 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $249 |
| 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 | $369 |
| Geisinger | Medicaid/CHIP | $373 |
| OneCall | Worker's Comp | $400 |
| Premier Comp Solutions | Worker's Comp | $425 |
| PA Health & Wellness | PA Medicaid HMO | $437 |
| Capital Blue Cross | Medicare Advantage | $524 |
| Keystone Health Plan | Medicare Advantage | $524 |
| Prime Net | Managed Medicare | $765 |
| Highmark BCBS of PA | Medicaid | $766 |
| Highmark BCBS of PA | Commercial | $821 |
| Cigna | Commercial | $1,225 |
| UPMC Work Partners | Workers Comp | $1,305 |
| Geisinger | Commercial | $1,807 |
| Capital Blue Cross | CHIP | $1,876 |
| Capital Blue Cross | Commercial | $1,876 |
| Keystone Health Plan | Commercial | $1,876 |
| UPMC Health Plan | Commercial | $1,932 |
| UPMC Health Plan | CHIP | $1,949 |
Inpatient
$1,656cash price (self-pay)
$2,760list price
$1,994–$2,401range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Geisinger | Commercial | $1,994 |
| CareFirst | Commercial | $2,346 |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,346 |
| Wellspan Population Health | Commercial | $2,401 |
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