MRI lower back without contrast at WellSpan Gettysburg Hospital. CPT 72148.
What WellSpan Gettysburg 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–$2,114range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC_Medicaid | All_Plans | $234 |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $248 |
| Johns_Hopkins_HealthCare_Plan | Johns_Hopkins_US_Family_Health | $248 |
| Highmark_Medicare | All_Plans | $250 |
| Aetna_Advantra_Medicare | All_Plans | $255 |
| Aetna_Medicare | All_Plans | $255 |
| Geisinger_Gold_Medicare | All_Plans | $260 |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $261 |
| Amerihealth_Medicare | All_Plans | $261 |
| Jefferson_Health_Medicare_Advantage | All_Plans | $267 |
| PA_Health_&_Wellness_Medicare | All_Plans | $267 |
| Health_Partners_Medicaid | Kidz_Partners | $272 |
| UPMC_for_Life_Community_HealthChoices | UPMC_for_Life_Complete_Care | $298 |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $298 |
| 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 |
| Amerihealth_Caritas_Medicaid | All_Plans | $364 |
| Highmark | Higmark_Healthy_Kids | $371 |
| United_Medicaid | Community_Plan_For_Kids | $433 |
| WellSpan_Capital_Blue_Cross | All_Plans | $466 |
| Blue_Cross | Capital_Blue_Performance_PPO | $468 |
| Highmark | My_Direct_Blue | $868 |
| Highmark | My_Priority_Blue_Flex | $868 |
| Aetna_Better_Health_Kids | All_Plans | $871 |
| Highmark | Choice_Blue_PPO | $1,157 |
| Highmark | Performance_Blue | $1,157 |
| Highmark | Blue_Cross_High_Performance_Network | $1,157 |
| Blue_Cross | Capital_Cares_4_kids | $1,347 |
Inpatient
$454cash price (self-pay)
$2,225list price
$1,248–$2,114range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue_Cross | Capital_Blue_Performance_PPO | $1,248 |
| Blue_Cross | Capital_Cares_4_kids | $1,249 |
| PHC | All_Plans | $1,780 |
| UPMC | Employees_And_Dependents | $1,780 |
| UPMC | UPMC_For_Kids | $1,780 |
| Blue_Cross | All_Other_Plans | $1,784 |
| Cigna | All_Plans | $2,001 |
| Aetna | All_Plans | $2,011 |
| First_Health_Network | All_Plans | $2,034 |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $2,069 |
| Geisinger | All_Plans | $2,114 |
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