MRI lower back without contrast at Peterson Regional Medical Center. CPT 72148.
What Peterson Regional Medical Center publishes for this service, straight from its standard-charges file, last updated August 17, 2026.
Outpatient / ER
$1,690cash price (self-pay)
$3,875list price
$233–$4,893range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield | Blue Essential | $233 |
| Blue Cross Blue Shield | Indemnity/Traditional | $233 |
| Blue Cross Blue Shield | Medicare Advantage | $233 |
| Blue Cross Blue Shield | POS/PPO | $233 |
| Humana ChoiceCare | Medicare Advantage | $240 |
| Aetna | Medicare Advantage | $244 |
| Devoted Health | Medicare Advantage | $259 |
| Ambetter/Superior Health | Commercial/Exchange | $288 |
| Superior HealthPlan | STAR/STAR+PLUS | $309 |
| Blue Cross Blue Shield | Managed Medicaid | $338 |
| Superior HealthPlan | CHIP | $338 |
| United Healthcare | STAR+PLUS | $959 |
| Aetna | Commercial | $3,100 |
| Humana ChoiceCare | PPO | $3,681 |
| United Healthcare | Commercial | $3,681 |
Inpatient
$1,690cash price (self-pay)
$3,875list price
$1,690–$4,893range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Devoted Health | Medicare Advantage | $2,519 |
| Aetna | Commercial | $3,100 |
| Blue Cross Blue Shield | Blue Essential | $3,565 |
| Blue Cross Blue Shield | Indemnity/Traditional | $3,565 |
| Blue Cross Blue Shield | Medicare Advantage | $3,565 |
| Blue Cross Blue Shield | POS/PPO | $3,565 |
| Humana ChoiceCare | PPO | $3,681 |
| United Healthcare | Commercial | $3,681 |
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