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MRI lower back without contrast at Cache Valley Hospital. CPT 72148.

What Cache Valley Hospital publishes for this service, straight from its standard-charges file, last updated October 1, 2024.

Outpatient / ER

$5,564cash price (self-pay)
$5,564list price
$299–$1,612range insurers pay
Insurance planNegotiated rate
Regence | FocalPointPlus$299
Regence | FocalPoint$332
Regence | Individual$395
Regence | Preferred$395
Regence | RealValue$395
Regence | Participating$486
Regence | Traditional$486
Cigna | IFPLP$541
Cigna | OAPNBN$612
Cigna | Exclusive$703
Aetna | PeakPreference$970
Aetna | StandardNetwork$1,271
Aetna | AetnaSignatureAdministrators$1,570
Aetna | UtahConnectedNetwork$1,612
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All common services at Cache Valley Hospital