MRI lower back without contrast at WellSpan Surgery & Rehabilitation Hospital. CPT 72148.
What WellSpan Surgery & Rehabilitation 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–$2,158range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue_Cross_BlueJourney_Medicare | All_Plans | $234 |
| Johns_Hopkins_HealthCare_Plan | Johns_Hopkins_US_Family_Health | $234 |
| UPMC_Medicaid | All_Plans | $234 |
| Highmark_Medicare | All_Plans | $236 |
| Aetna_Advantra_Medicare | All_Plans | $241 |
| Aetna_Medicare | All_Plans | $241 |
| Geisinger_Gold_Medicare | All_Plans | $246 |
| Devoted_Medicare | All_Plans | $246 |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $247 |
| Amerihealth_Medicare | All_Plans | $247 |
| Jefferson_Health_Medicare_Advantage | All_Plans | $253 |
| PA_Health_&_Wellness_Medicare | All_Plans | $253 |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $282 |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $282 |
| 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 | $358 |
| Amerihealth_Caritas_Medicaid | All_Plans | $364 |
| Health_Partners_Medicaid | Kidz_Partners | $386 |
| United_Medicaid | Community_Plan_For_Kids | $410 |
| WellSpan_Capital_Blue_Cross | All_Plans | $466 |
| Aetna_Better_Health_Kids | All_Plans | $871 |
| Highmark | Choice_Blue_PPO | $916 |
| Highmark | Performance_Blue | $916 |
| Highmark | Blue_Cross_High_Performance_Network | $916 |
| Highmark | All_Other_Plans | $1,166 |
| Blue_Cross | Capital_Cares_4_kids | $1,249 |
| United_Healthcare | All_Plans | $1,342 |
Inpatient
$454cash price (self-pay)
$2,225list price
$1,288–$2,114range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue_Cross | Capital_Blue_Performance_PPO | $1,288 |
| Blue_Cross | Capital_Cares_4_kids | $1,314 |
| Aetna | All_Plans | $1,969 |
| First_Health_Network | All_Plans | $1,969 |
| Cigna | All_Plans | $1,994 |
| Blue_Cross | All_Other_Plans | $1,994 |
| UPMC | UPMC_For_Kids | $2,069 |
| UPMC | All_Plans | $2,069 |
| Geisinger | All_Plans | $2,084 |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $2,114 |
| PHC | All_Plans | $2,114 |
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All common services at WellSpan Surgery & Rehabilitation Hospital