MRI lower back without contrast at UPMC St. Margaret. CPT 72148.
What UPMC St. Margaret publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$3,683cash price (self-pay)
$6,138list price
$199–$5,217range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | Managed Medicare | $199 |
| Aetna of PA | Medicare | $242 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $249 |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $282 |
| UPMC Health Plan | Managed Medicaid | $282 |
| Highmark Wholecare (prev Gateway) | Medicaid | $380 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $400 |
| PA Health & Wellness | PA Medicaid HMO | $437 |
| UPMC Health Plan | Commercial | $542 |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Me | $625 |
| Aetna | Medicare | $894 |
| 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 |
| Aetna | Neighborhood Network | $1,547 |
| Highmark Wholecare (prev Gateway) | Medicare | $1,659 |
| Aetna | Home Depot Employer Group | $1,682 |
| Aetna | NBR ASO/FI | $1,719 |
| Cigna | New Business ASO | $1,719 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,810 |
| Highmark BCBS of PA | Managed Care | $1,865 |
| Aetna | EBR FI | $2,332 |
| Highmark BCBS of PA | Commercial - Indemnity | $2,424 |
| Aetna | EBR ASO | $2,455 |
| Cigna | Commercial | $2,455 |
| Highmark BCBS of PA | UPMC Emergent | $3,730 |
| Coventry/First Health | Commercial | $4,297 |
| Private Health Care Systems | PPO | $4,910 |
| SelectCare | Commercial | $4,910 |
| Humana | Commercial | $5,217 |
Inpatient
$3,683cash price (self-pay)
$6,138list price
$1,602–$5,217range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Neighborhood Network | $1,602 |
| Aetna | Home Depot Employer Group | $1,743 |
| Aetna | NBR ASO/FI | $1,780 |
| Cigna | New Business ASO | $1,780 |
| Aetna | EBR FI | $2,332 |
| Aetna | EBR ASO | $2,455 |
| Cigna | Commercial | $2,455 |
| Coventry/First Health | Commercial | $4,297 |
| Private Health Care Systems | PPO | $4,910 |
| SelectCare | Commercial | $4,910 |
| Humana | Commercial | $5,217 |
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