MRI lower back without contrast at UPMC Memorial. CPT 72148.
What UPMC Memorial 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
$242–$2,346range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare | $242 |
| Cigna | Medicare | $243 |
| Geisinger | Medicare | $243 |
| United Healthcare Community Plan for Families | PA Medicaid | $245 |
| United Healthcare | Medicare | $248 |
| 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 | $371 |
| Geisinger | Medicaid/CHIP | $373 |
| OneCall | Worker's Comp | $400 |
| Premier Comp Solutions | Worker's Comp | $425 |
| Highmark BCBS of PA | Medicare | $505 |
| Capital Blue Cross | Medicare Advantage | $552 |
| Keystone Health Plan | Medicare Advantage | $552 |
| Prime Net | Managed Medicare | $562 |
| Highmark BCBS of PA | Medicaid | $768 |
| Highmark BCBS of PA | Commercial | $817 |
| Prime Net | ACO/Legacy Commercial | $1,132 |
| Aetna | ACO | $1,140 |
| Cigna | Commercial | $1,225 |
| UPMC Work Partners | Workers Comp | $1,305 |
| Prime Net | GateKeeper/NonGateKeeper | $1,317 |
| Aetna | Commercial | $1,325 |
| Geisinger | Commercial | $1,807 |
| UPMC Health Plan | Commercial | $1,932 |
| Wellspan Population Health | Commercial | $1,932 |
| UPMC Health Plan | CHIP | $1,949 |
| United Healthcare | Commercial | $2,031 |
Inpatient
$1,656cash price (self-pay)
$2,760list price
$1,339–$2,346range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Prime Net | ACO/Legacy Commercial | $1,339 |
| Aetna | ACO | $1,347 |
| Prime Net | GateKeeper/NonGateKeeper | $1,557 |
| Aetna | Commercial | $1,568 |
| Geisinger | Commercial | $1,994 |
| Prime Net | FH-Medical Rental | $2,056 |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,346 |
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