MRI lower back without contrast at WellSpan Chambersburg Hospital. CPT 72148.
What WellSpan Chambersburg Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$454cash price (self-pay)
$2,225list price
$234–$3,044range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC_Medicaid | All_Plans | $234 |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $250 |
| United_Medicaid | Community_Plan_For_Kids | $250 |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $252 |
| Highmark_Medicare | All_Plans | $252 |
| Aetna_Advantra_Medicare | All_Plans | $257 |
| Aetna_Medicare | All_Plans | $257 |
| Devoted_Medicare | All_Plans | $262 |
| Amerihealth_Medicare | All_Plans | $264 |
| Geisinger_Gold_Medicare | All_Plans | $267 |
| Jefferson_Health_Medicare_Advantage | All_Plans | $270 |
| PA_Health_&_Wellness_Medicare | All_Plans | $270 |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $320 |
| Geisinger_Medicaid | All_Plans | $320 |
| Health_Partners_Medicaid | All_Other_Plans | $320 |
| PA_Health_&_Wellness_Medicaid | All_Plans | $320 |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $325 |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $325 |
| Amerihealth_Caritas_Medicaid | All_Plans | $364 |
| Highmark | Higmark_Healthy_Kids | $377 |
| Health_Partners_Medicaid | Kidz_Partners | $412 |
| WellSpan_Capital_Blue_Cross | All_Plans | $466 |
| Blue_Cross | Capital_Blue_Performance_PPO | $499 |
| Aetna_Better_Health_Kids | All_Plans | $850 |
| Highmark | My_Direct_Blue | $1,112 |
| Highmark | Shared_Cost_Blue_PPO | $1,112 |
| Highmark | Choice_Blue_PPO | $1,112 |
| Performance_Blue | Blue_Cross_High_Performance_Network | $1,112 |
| Highmark | Blue_Cross_High_Performance_Network | $1,112 |
| Highmark | All_Other_Plans | $1,112 |
Inpatient
$454cash price (self-pay)
$2,225list price
$1,493–$2,114range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | All_Plans | $1,493 |
| Geisinger | All_Plans | $1,647 |
| Cigna | All_Plans | $1,657 |
| Aetna | PPO_Plan | $1,693 |
| Cigna | PPO_Plan | $1,740 |
| UPMC | UPMC_For_Kids | $1,891 |
| First_Health_Network | All_Plans | $2,114 |
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