MRI lower back without contrast at Prisma Health Hillcrest Hospital. CPT 72148.
What Prisma Health Hillcrest Hospital publishes for this service, straight from its standard-charges file, last updated March 1, 2026.
Outpatient / ER
$2,325cash price (self-pay)
$3,577list price
$225–$3,327range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Alternate Medicare Covid [20102] | Phu Hb 100% Of Medicare - Hmh | $227 |
| Alternate Medicare [201] | Phu Hb 100% Of Medicare - Hmh | $227 |
| Champva [3049] | Phu Hb 100% Of Medicare - Hmh | $227 |
| Covid19 Hrsa Uninsured Testing & Treatment Fund [904] | Phu Hb Medicar | $227 |
| Deseret Mutual Ins Co [3066] | Phu Hb 100% Of Medicare - Hmh | $227 |
| Forethought Medicare Supplement [3075] | Phu Hb 100% Of Medicare - Hmh | $227 |
| Generic Skilled Nursing [3196] | Phu Hb 100% Of Medicare - Hmh | $227 |
| Healthspring/Cigna Medicare Supplement [3051] | Phu Hb 100% Of Medicar | $227 |
| Hop Medicare Supplement [3089] | Phu Hb 100% Of Medicare - Hmh | $227 |
| Hospice Contracted [1500] | Phu Hb 100% Of Medicare - Hmh | $227 |
| Hospice Non Contracted [3190] | Phu Hb 100% Of Medicare - Hmh | $227 |
| Healthy Conn Prime-Wellcare Prime By Atc [5310] | Phu Hb 105% Of Medic | $239 |
| Healthy Conn Prime-First Choice Vip Care [5300] | Phu Hb Select Health | $241 |
| Healthy Conn Prime-Molina Healthcare [5330] | Phu Hb Molina Dual Eligi | $250 |
| Ambetter Exchange-All States Contracted [4121] | Phu Hb Ambetter Hix A | $418 |
| BCBS [800] | Phu Hb BCBS State Hmh | $660 |
| BCBS [800] | Phu Hb Upstate Blue Exchange Reedy - Hmh | $727 |
| Celtic Life Medicare Supplement [3045] | Phu Hb 100% Of Medicaid - Hmh | $830 |
| First Choice Benefits Mgmt [3074] | Phu Hb 100% Of Medicaid - Hmh | $830 |
| BCBS [800] | Phu Hb Blues Exchange Hmh | $867 |
| Bluechoice [810] | Phu Hb Blues Exchange Hmh | $867 |
| Medicaid Absolute Total Care [410] | Phu Hb Absolute Total Care Medica | $872 |
| BOB JONES UNIV-PAI [821] | GHS HB MyHFN BOB JONES PAI | $1,131 |
| All Savers - UHC [2980] | Phu Hb United Healthcare | $1,157 |
| Bind-Surest Benefits On Demand-UHC [2972] | Phu Hb United Healthcare | $1,157 |
| Golden Rule Insurance Company [2991] | Phu Hb United Healthcare | $1,157 |
| Medica United Healthcare [2987] | Phu Hb United Healthcare | $1,157 |
| BCBS [800] | Phu Hb BCBS Ppc Hmh | $1,513 |
| Bluechoice [810] | Phu Hb Bluechoice Hmh | $1,597 |
| Aetna [2000] | Phu Hb Aetna Sc Preferred | $2,289 |
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