MRI lower back without contrast at Brigham City Community Hospital. CPT 72148.
What Brigham City Community Hospital publishes for this service, straight from its standard-charges file, last updated October 1, 2024.
Outpatient / ER
$6,388cash price (self-pay)
$6,388list price
$369–$3,430range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Regence | FocalPointPlus | $369 |
| Regence | FocalPoint | $411 |
| Regence | Individual | $488 |
| Regence | Preferred | $488 |
| Regence | RealValue | $488 |
| Cigna | IFPLP | $541 |
| Regence | Participating | $600 |
| Regence | Traditional | $600 |
| Cigna | OAPNBN | $612 |
| Cigna | Exclusive | $703 |
| Aetna | PeakPreference | $2,064 |
| Aetna | StandardNetwork | $2,705 |
| Aetna | AetnaSignatureAdministrators | $3,341 |
| Aetna | UtahConnectedNetwork | $3,430 |
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