MRI lower back without contrast at Lourdes Counseling Center. CPT 72148.
What Lourdes Counseling Center publishes for this service, straight from its standard-charges file, last updated July 10, 2026.
Outpatient / ER
$1,051cash price (self-pay)
$2,629list price
$221–$2,036range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Triton Healthcare Partners | PPO | $221 |
| COORDINATED CARE OF WASHINGTON INC | Medicaid | $514 |
| Molina Healthcare of Washington | Medicaid | $518 |
| WELLPOINT WASHINGTON, INC. | Medicaid | $518 |
| Premera Blue Cross | HMO | $592 |
| Molina Healthcare of Washington | HMO | $609 |
| Humana Inc. | HMO | $690 |
| United Healthcare Insurance Company | HMO | $697 |
| Unitedhealthcare Of Washington Inc | HMO | $697 |
| Unitedhealthcare Of Washington Inc | PPO | $697 |
| Community Health Plan Of Washington | PPO | $704 |
| Premera Blue Cross | PPO | $1,237 |
| Cigna Health and Life Insurance Company | POS | $1,876 |
| Cigna Health and Life Insurance Company | PPO | $1,912 |
| Aetna | POS | $1,971 |
| Aetna | PPO | $1,971 |
| United Healthcare Insurance Company | POS | $2,036 |
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