MRI lower back without contrast at Clallam County Public Hospital District #2 DBA Olympic Medical Center. CPT 72148.
What Clallam County Public Hospital District #2 DBA Olympic Medical Center publishes for this service, straight from its standard-charges file, last updated June 24, 2026.
Outpatient / ER
$2,013cash price (self-pay)
$2,516list price
$222–$2,516range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Coordinated Care Apple Health | Medicaid Advantage | $222 |
| Molina | Medicaid Advantage | $222 |
| Wellpoint | Medicaid Advantage | $233 |
| Community Healthplan of WA | Medicaid Advantage | $244 |
| United Healthcare | Medicaid Advantage | $244 |
| Regence | Medicare Advantage | $299 |
| Community Healthplan of Washington | Medicare Advantage | $327 |
| United Healthcare | Medicare Advantage | $327 |
| Wellcare | Medicare Advantage | $327 |
| Molina | Medicare Advantage | $384 |
| Regence | Uniform Medical | $1,406 |
| Community Healthplan of Washington | Cascade Select | $2,013 |
| Ambetter | Cascade Select | $2,264 |
| Ambetter | All Other Plans | $2,390 |
| Cigna | All Plans | $2,451 |
| Aetna | All Plans | $2,516 |
| First Choice Network | All Plans | $2,516 |
| HMA | All Plans | $2,516 |
| Lifewise | All Plans | $2,516 |
| Premera | All Plans | $2,516 |
| Regence | All Other Plans | $2,516 |
| United Healthcare | All Other Plans | $2,516 |
Inpatient
$2,013cash price (self-pay)
$2,516list price
$222–$2,516range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Coordinated Care Apple Health | Medicaid Advantage | $222 |
| Molina | Medicaid Advantage | $222 |
| Wellpoint | Medicaid Advantage | $233 |
| Community Healthplan of WA | Medicaid Advantage | $244 |
| United Healthcare | Medicaid Advantage | $244 |
| Regence | Medicare Advantage | $299 |
| Community Healthplan of Washington | Medicare Advantage | $327 |
| United Healthcare | Medicare Advantage | $327 |
| Wellcare | Medicare Advantage | $327 |
| Molina | Medicare Advantage | $384 |
| Regence | Uniform Medical | $1,406 |
| Community Healthplan of Washington | Cascade Select | $2,013 |
| Ambetter | Cascade Select | $2,264 |
| Ambetter | All Other Plans | $2,390 |
| Cigna | All Plans | $2,451 |
| Aetna | All Plans | $2,516 |
| First Choice Network | All Plans | $2,516 |
| HMA | All Plans | $2,516 |
| Lifewise | All Plans | $2,516 |
| Premera | All Plans | $2,516 |
| Regence | All Other Plans | $2,516 |
| United Healthcare | All Other Plans | $2,516 |
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All common services at Clallam County Public Hospital District #2 DBA Olympic Medical Center