MRI lower back without contrast at Prosser Memorial Hospital. CPT 72148.
What Prosser Memorial Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2025.
Outpatient / ER
$165cash price (self-pay)
$2,093list price
$39.72–$3,497range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Community Health Plan of Washington | All Medicaid and Exchange Plans | $434 |
| Coordinated Care | All Medicaid Plans | $434 |
| Kaiser Permanente | All Medicaid Plans | $434 |
| United Healthcare | All Medicaid Plans | $434 |
| Molina | All Medicaid Plans | $455 |
| Amerigroup | All Medicaid Plans | $460 |
| Community Health Plan of Washington | All Medicare Plans | $525 |
| Health Alliance Northwest | All Medicare Plans | $525 |
| Kaiser Permanente | All Medicare Plans | $525 |
| Molina | All Medicare & Marketplace Plans | $525 |
| United Healthcare | All Medicare Plans | $525 |
| Wellcare | All Medicare Plans | $525 |
| Humana | All Medicare Plans | $530 |
| Kaiser Permanente | All Commercial Plans | $625 |
| Aetna | All Medicare Plans | $629 |
| Ambetter | All Commercial Plans | $1,430 |
| United Healthcare | All Commercial Plans | $1,590 |
| Premera | All Commercial Plans | $1,602 |
| Asuris | PPO, POS Commercial Plans | $1,607 |
| Health Management Adminstrators | PPO, POS Commercial Plans | $1,607 |
| Regence | PPO, POS & RegenceCare Commercial Plans | $1,607 |
| Cigna | All Commercial Plans | $1,637 |
| Humana | All Commercial Plans | $1,690 |
| Aetna | All Commercial Plans | $1,691 |
| MultiPlan | All Commercial Plans | $1,779 |
| Asuris | All Other Commercial Plans | $1,801 |
| Health Management Adminstrators | All Other Commercial Plans | $1,801 |
| Regence | All Other Commercial Plans | $1,801 |
| First Choice | All Commercial Plans | $3,302 |
Inpatient
$165cash price (self-pay)
$2,093list price
$39.72–$3,535range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Community Health Plan of Washington | All Medicare Plans | $78.42 |
| Health Alliance Northwest | All Medicare Plans | $78.42 |
| Humana | All Medicare Plans | $78.42 |
| Kaiser Permanente | All Medicare Plans | $78.42 |
| Molina | All Medicare & Marketplace Plans | $78.42 |
| United Healthcare | All Medicare Plans | $78.42 |
| Wellcare | All Medicare Plans | $78.42 |
| Aetna | All Medicare Plans | $92.54 |
| Community Health Plan of Washington | All Medicaid and Exchange Plans | $806 |
| Coordinated Care | All Medicaid Plans | $806 |
| Kaiser Permanente | All Medicaid Plans | $806 |
| United Healthcare | All Medicaid Plans | $806 |
| Molina | All Medicaid Plans | $807 |
| Amerigroup | All Medicaid Plans | $855 |
| Ambetter | All Commercial Plans | $1,566 |
| Aetna | All Commercial Plans | $1,594 |
| Premera | All Commercial Plans | $1,602 |
| Asuris | PPO, POS Commercial Plans | $1,607 |
| Health Management Adminstrators | PPO, POS Commercial Plans | $1,607 |
| Regence | PPO, POS & RegenceCare Commercial Plans | $1,607 |
| Cigna | All Commercial Plans | $1,637 |
| Humana | All Commercial Plans | $1,690 |
| Asuris | All Other Commercial Plans | $1,801 |
| Health Management Adminstrators | All Other Commercial Plans | $1,801 |
| Regence | All Other Commercial Plans | $1,801 |
| Kaiser Permanente | All Commercial Plans | $1,843 |
| MultiPlan | All Commercial Plans | $1,876 |
| First Choice | All Commercial Plans | $3,302 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.