MRI lower back without contrast at Tricities Hospital. CPT 72148.
What Tricities Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$7,811cash price (self-pay)
$7,811list price
$190–$7,030range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | HIX | $358 |
| Anthem | HPN | $454 |
| Anthem | HMO | $492 |
| Anthem | PPO | $492 |
| UNITED | AllPayerAppendix | $518 |
| UNITED | NavigateCorePayer | $518 |
| UNITED | NewBusiness | $518 |
| UNITED | SmallBusiness | $518 |
| Aetna | SharedSavings | $1,442 |
| Lifeworks | MCR | $1,484 |
| United | OptionsPPO | $1,625 |
| Universal Healthcare Group | MCR | $1,718 |
| Aetna | Broad | $1,941 |
| Virginia Health Network | ULTRA | $2,734 |
| United | GlobalBenefitPlan | $3,515 |
| Value Options | COMM | $4,687 |
| Virginia Health Network | COMM | $5,077 |
| Virginia Health Network | WC | $5,077 |
| CorVel | WorkersComp | $5,624 |
| OccuNet Workers Comp | WorkersComp | $6,249 |
| 4Most Health Nework | COMM | $7,030 |
| Multiplan | PHCS | $7,030 |
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