MRI lower back without contrast at Parkridge West Hospital. CPT 72148.
What Parkridge West Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$10,890cash price (self-pay)
$10,890list price
$172–$9,583range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | AllPayerAppendix | $314 |
| United | Core | $314 |
| United | HeritageSelect | $314 |
| Aetna | COMM | $316 |
| Aetna | NewBusiness | $316 |
| Peach State (Ambetter) | HIX | $420 |
| Ambetter | CORE | $447 |
| Amerigroup | MCD | $1,655 |
| Apex Health | MCR | $2,069 |
| NHC Advantage, Inc. | MCRHMO | $2,069 |
| Pruitt Health (AllyAlign) | MCR | $2,069 |
| Wellcare | MCD | $2,178 |
| Humana | TRICARE | $2,723 |
| United | OptionsPPO | $3,626 |
| Cigna | PPO | $3,735 |
| United | GlobalBenefitPlan | $4,901 |
| Aetna | NAP | $5,445 |
| Multiplan | COMM | $6,534 |
| Health One Alliance | PPO | $7,079 |
| Cigna Evernorth Behavioral Health | COMM | $8,712 |
| ComPsych | COMM | $8,712 |
| Prime Health | COMMPPO | $9,583 |
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