MRI lower back without contrast at WellSpan Waynesboro Hospital. CPT 72148.
What WellSpan Waynesboro 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
$125–$2,892range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health_Partners_Medicaid | All_Other_Plans | $125 |
| PA_Health_&_Wellness_Medicare | All_Plans | $257 |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $258 |
| Highmark | All_Other_Plans | $258 |
| Jefferson_Health_Medicare_Advantage | All_Plans | $258 |
| United_Medicaid | Community_Plan_For_Kids | $258 |
| Highmark_Medicare | All_Plans | $260 |
| Aetna_Advantra_Medicare | All_Plans | $265 |
| Aetna_Medicare | All_Plans | $265 |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $269 |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $269 |
| UPMC_Medicaid | All_Plans | $270 |
| Devoted_Medicare | All_Plans | $271 |
| United_Medicare | ISNP_DSNP_Plans | $271 |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $272 |
| Amerihealth_Medicare | All_Plans | $272 |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $320 |
| Geisinger_Medicaid | All_Plans | $320 |
| PA_Health_&_Wellness_Medicaid | All_Plans | $320 |
| Geisinger_Gold_Medicare | All_Plans | $322 |
| Amerihealth_Caritas_Medicaid | All_Plans | $364 |
| Highmark | Higmark_Healthy_Kids | $394 |
| Health_Partners_Medicaid | Kidz_Partners | $425 |
| WellSpan_Capital_Blue_Cross | All_Plans | $466 |
| Highmark | My_Direct_Blue | $869 |
| Highmark | Shared_Cost_Blue_PPO | $869 |
| Aetna_Better_Health_Kids | All_Plans | $876 |
| Highmark | Choice_Blue_PPO | $989 |
| Highmark | Performance_Blue | $989 |
| Highmark | Blue_Cross_High_Performance_Network | $989 |
Inpatient
$454cash price (self-pay)
$2,225list price
$1,335–$2,114range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC | UPMC_For_Kids | $1,335 |
| Cigna | All_Plans | $1,631 |
| Aetna | All_Plans | $1,642 |
| Geisinger | All_Plans | $1,647 |
| Cigna | PPO_Plan | $1,712 |
| First_Health_Network | All_Plans | $2,114 |
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