MRI lower back without contrast at UPMC Passavant-McCandless. CPT 72148.
What UPMC Passavant-McCandless publishes for this service, straight from its standard-charges file, last updated March 7, 2026.
Outpatient / ER
$3,802cash price (self-pay)
$6,336list price
$214–$5,386range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | Managed Medicare | $214 |
| Health Plan of Upper Ohio Valley | Medicare | $230 |
| Health Plan of Upper Ohio Valley | Medicaid | $230 |
| United Healthcare | Unison Advantage Non Special Needs | $242 |
| Aetna of PA | Medicare | $242 |
| Highmark Wholecare (prev Gateway) | Medicare | $249 |
| AmeriHealth Caritas | Medicare | $249 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $249 |
| United Healthcare | Unison Advantage Special Needs | $254 |
| Aetna | Medicare | $254 |
| UPMC Health Plan | Managed Medicaid | $282 |
| United Healthcare Community Plan for Families | Unison Kids | $295 |
| Highmark Wholecare (prev Gateway) | Medicaid | $380 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $400 |
| PA Health & Wellness | PA Medicaid HMO | $437 |
| UPMC Health Plan | Commercial | $541 |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Me | $625 |
| Premier Comp Solutions | Worker's Comp | $1,252 |
| UPMC Work Partners | Workers Comp | $1,345 |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,392 |
| Private Health Care Systems | Workers' Comp | $1,564 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,736 |
| Highmark BCBS of PA | Managed Care | $1,865 |
| Cigna | New Business ASO | $2,154 |
| Highmark BCBS of PA | Commercial - Indemnity | $2,325 |
| Cigna | Commercial | $2,534 |
| Health Plan of Upper Ohio Valley | Commercial | $2,927 |
| Highmark BCBS of PA | UPMC Emergent | $3,730 |
| Coventry/First Health | Commercial | $4,435 |
| InterGroup | PPO | $5,259 |
Inpatient
$3,802cash price (self-pay)
$6,336list price
$2,281–$5,892range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | New Business ASO | $2,281 |
| Cigna | Commercial | $2,534 |
| Coventry/First Health | Commercial | $4,435 |
| InterGroup | PPO | $5,702 |
| Humana | Commercial | $5,892 |
| Multiplan | PPO (Includes Workers' Comp) | $5,892 |
| Private Health Care Systems | PPO | $5,892 |
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