MRI lower back without contrast at WellSpan Ephrata Community Hospital. CPT 72148.
What WellSpan Ephrata Community 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–$1,624range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC_Medicaid | All_Plans | $234 |
| Highmark_Medicare | All_Plans | $236 |
| Aetna_Advantra_Medicare | All_Plans | $240 |
| Aetna_Medicare | All_Plans | $240 |
| Geisinger_Gold_Medicare | All_Plans | $245 |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $245 |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $245 |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $246 |
| Amerihealth_Medicare | All_Plans | $246 |
| Jefferson_Health_Medicare_Advantage | All_Plans | $252 |
| PA_Health_&_Wellness_Medicare | All_Plans | $252 |
| 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 |
| Highmark | Higmark_Healthy_Kids | $362 |
| Amerihealth_Caritas_Medicaid | All_Plans | $364 |
| Health_Partners_Medicaid | Kidz_Partners | $385 |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $392 |
| United_Medicaid | Community_Plan_For_Kids | $409 |
| WellSpan_Capital_Blue_Cross | All_Plans | $466 |
| Blue_Cross | Capital_Blue_Performance_PPO | $468 |
| Highmark | My_Direct_Blue | $856 |
| Highmark | My_Priority_Blue_Flex | $856 |
| Aetna_Better_Health_Kids | All_Plans | $871 |
| Highmark | Choice_Blue_PPO | $889 |
| Highmark | Performance_Blue | $889 |
| Highmark | Blue_Cross_High_Performance_Network | $889 |
| Blue_Cross | Capital_Cares_4_kids | $1,003 |
| Highmark | All_Other_Plans | $1,071 |
Inpatient
$454cash price (self-pay)
$2,225list price
$1,420–$1,780range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | All_Plans | $1,420 |
| Independence_Blue_Cross | All_Plans | $1,446 |
| Tower Health | All_Plans | $1,524 |
| PHC | All_Plans | $1,580 |
| UPMC | Employees_And_Dependents | $1,780 |
| UPMC | UPMC_For_Kids | $1,780 |
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