MRI lower back without contrast at UPMC Mercy. CPT 72148.
What UPMC Mercy publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$4,125cash price (self-pay)
$6,875list price
$192–$6,188range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | Managed Medicare | $192 |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $236 |
| Aetna of PA | Medicare | $242 |
| AmeriHealth Caritas | Medicare | $249 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $249 |
| UPMC Health Plan | Managed Medicaid | $282 |
| United Healthcare Community Plan for Families | PA Medicaid | $295 |
| Highmark Wholecare (prev Gateway) | Medicaid | $380 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $405 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $437 |
| UPMC Health Plan | Commercial | $538 |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Me | $619 |
| Aetna | Medicare | $986 |
| Premier Comp Solutions | Worker's Comp | $1,273 |
| UPMC Work Partners | Workers Comp | $1,369 |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,395 |
| Bravo | Medicare | $1,719 |
| Highmark Wholecare (prev Gateway) | Medicare | $1,843 |
| Highmark BCBS of PA | Managed Care | $1,868 |
| Aetna | Neighborhood Network | $1,918 |
| UPMC Health Plan | CHIP | $1,949 |
| Aetna | Home Depot Employer Group | $2,093 |
| Aetna | NBR ASO/FI | $2,131 |
| Aetna | EBR FI | $2,613 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,632 |
| Aetna | EBR ASO | $2,750 |
| Cigna | Commercial | $2,750 |
| Cigna | New Business ASO | $2,819 |
| Coventry/First Health | Commercial | $3,025 |
| Highmark BCBS of PA | Commercial - Indemnity | $3,524 |
Inpatient
$4,125cash price (self-pay)
$6,875list price
$2,104–$6,188range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Neighborhood Network | $2,104 |
| Aetna | Home Depot Employer Group | $2,289 |
| Aetna | NBR ASO/FI | $2,338 |
| Cigna | New Business ASO | $2,338 |
| Aetna | EBR FI | $2,613 |
| Aetna | EBR ASO | $2,750 |
| Cigna | Commercial | $2,750 |
| Coventry/First Health | Commercial | $3,025 |
| InterGroup | PPO | $4,125 |
| Cigna Behavioral Health | Commercial | $4,125 |
| InterGroup | Approved National Affiliated PPO Business | $5,500 |
| National Provider Network | PPO | $5,638 |
| Health Payors Organization | Commercial | $6,188 |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $6,188 |
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