MRI lower back without contrast at Otto Kaiser Memorial Hospital. CPT 72148.
What Otto Kaiser Memorial Hospital publishes for this service, straight from its standard-charges file, last updated June 9, 2026.
Outpatient / ER
$2,093cash price (self-pay)
$2,093list price
$294–$1,988range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Superior STAR | Managed Medicaid | $294 |
| Superior CHIP | Managed Medicaid | $294 |
| Superior Foster Kids | Managed Medicaid | $294 |
| Superior Perinate | Managed Medicaid | $294 |
| Superior Star+Plus | Managed Medicaid | $294 |
| United HealthCare | Managed Medicaid | $309 |
| Humana | PPO | $900 |
| Aetna Health Inc. | Medicare Advantage | $1,235 |
| Christus Exchange | Commercial | $1,235 |
| Multiplan | Workers Compensation | $1,235 |
| Sedgewick | Workers Compensation | $1,235 |
| Triwest Va | Commercial | $1,235 |
| United HealthCare | Medicare Advantage | $1,235 |
| Humana | Medicare Advantage | $1,247 |
| AllWell | Medicare Advantage | $1,297 |
| Provider Partners Health | Medicare Advantage | $1,420 |
| Texas Independence Health | Medicare Advantage | $1,420 |
| Cigna HealthCare | Commercial | $1,444 |
| CorCare Healthcare | Commercial | $1,465 |
| United HealthCare | Commercial | $1,633 |
| IMS | Commercial | $1,884 |
| Multiplan PHCS | Commercial | $1,884 |
| Blue Cross Blue Shield | Traditional Indemnity | $1,988 |
| Blue Cross Blue Shield | PPO/POS Network | $1,988 |
| Blue Cross Blue Shield | Essentials Network | $1,988 |
| Coventry | Commercial | $1,988 |
| Coventry | Workers Compensation | $1,988 |
| Galaxy Health Network | Commercial | $1,988 |
| HealthSmart | Commercial | $1,988 |
| Omni | Commercial | $1,988 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.