MRI lower back without contrast at UPMC Muncy. CPT 72148.
What UPMC Muncy publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$2,514cash price (self-pay)
$4,190list price
$240–$3,981range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $240 |
| Geisinger | Medicaid/CHIP | $282 |
| UPMC Health Plan | CHIP | $282 |
| UPMC Health Plan | Managed Medicaid | $282 |
| Highmark Wholecare (prev Gateway) | Medicaid | $286 |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $289 |
| AmeriHealth Caritas | Medicaid | $289 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $437 |
| Highmark Wholecare (prev Gateway) | Medicare | $629 |
| UPMC Health Plan | Managed Medicare | $629 |
| AmeriHealth Caritas | Medicare | $647 |
| Cigna | Medicare | $660 |
| United Healthcare | Medicare | $673 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $679 |
| UPMC Work Partners | Workers Comp | $1,345 |
| Three Rivers Provider Network | All | $1,439 |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $1,643 |
| Aetna | PEBTF Custom Network | $1,699 |
| UPMC Health Plan | Commercial | $1,827 |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,935 |
| Aetna | Commercial | $1,999 |
| Coventry/First Health | Commercial | $2,099 |
| Wirerope Works | Commercial | $2,330 |
| Aetna | First Health | $2,765 |
| Geisinger | Commercial | $2,807 |
| Coventry/First Health | FH-Medical Rental | $2,820 |
| United Healthcare | Commercial | $2,866 |
| Cigna | Commercial | $2,870 |
| Multiplan | Auto | $3,268 |
| Multiplan | PPO (Includes PHCS as a Payer) | $3,268 |
Inpatient
$2,514cash price (self-pay)
$4,190list price
$1,795–$3,981range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | PEBTF Custom Network | $1,795 |
| Aetna | Commercial | $2,112 |
| AmeriHealth Caritas | Medicare | $2,208 |
| Coventry/First Health | Commercial | $2,217 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $2,316 |
| Wirerope Works | Commercial | $2,330 |
| Aetna | First Health | $2,765 |
| Coventry/First Health | FH-Medical Rental | $2,820 |
| United Healthcare | Commercial | $2,866 |
| Cigna | Commercial | $2,870 |
| Multiplan | Auto | $3,268 |
| Multiplan | PPO (Includes PHCS as a Payer) | $3,268 |
| America's Choice | PPO | $3,352 |
| InterGroup | PPO | $3,352 |
| Three Rivers Provider Network | All | $3,771 |
| Multiplan | Worker's Compensation | $3,981 |
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