MRI lower back without contrast at UPMC Wellsboro. CPT 72148.
What UPMC Wellsboro publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$2,514cash price (self-pay)
$3,995list price
$240–$3,981range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $240 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $282 |
| Geisinger | Medicaid/CHIP | $282 |
| UPMC Health Plan | CHIP | $282 |
| UPMC Health Plan | Managed Medicaid | $282 |
| Highmark Wholecare (prev Gateway) | Medicaid | $286 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $386 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $437 |
| Aetna | Medicare | $719 |
| Highmark BCBS of PA | Medicare | $799 |
| Highmark Wholecare (prev Gateway) | Medicare | $799 |
| UPMC Health Plan | Managed Medicare | $815 |
| Cigna | Medicare | $839 |
| United Healthcare | Medicare | $855 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $863 |
| UPMC Work Partners | Workers Comp | $1,228 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,715 |
| UPMC Health Plan | Commercial | $1,742 |
| Highmark BCBS of PA | Commercial | $2,020 |
| Wirerope Works | Commercial | $2,221 |
| Geisinger | Commercial | $2,677 |
| Aetna | PEBTF Custom Network | $2,931 |
| Multiplan | Auto | $3,116 |
| Multiplan | PPO (Includes PHCS as a Payer) | $3,116 |
| United Healthcare | Commercial | $3,396 |
| Aetna | Commercial | $3,448 |
| America's Choice | PPO | $3,596 |
| InterGroup | PPO | $3,596 |
| Multiplan | Worker's Compensation | $3,795 |
Inpatient
$2,514cash price (self-pay)
$3,995list price
$2,113–$3,981range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wirerope Works | Commercial | $2,221 |
| Aetna | PEBTF Custom Network | $2,931 |
| Multiplan | Auto | $3,116 |
| Multiplan | PPO (Includes PHCS as a Payer) | $3,116 |
| United Healthcare | Commercial | $3,396 |
| Aetna | Commercial | $3,448 |
| America's Choice | PPO | $3,596 |
| InterGroup | PPO | $3,596 |
| Multiplan | Worker's Compensation | $3,795 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.