MRI lower back without contrast at Providence Centralia Hospital. CPT 72148.
What Providence Centralia Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,084cash price (self-pay)
$2,084list price
$276–$1,797range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser | Medicare Managed Care Plan | $276 |
| Aetna | Medicare Managed Care - Hmo | $285 |
| Aetna | Medicare Managed Care - Ppo | $287 |
| Unitedhealthcare | Medicare Managed Care Plan | $296 |
| Blue Shield | Regence Medicare Managed Care Plan | $298 |
| Amerigroup | Medicare Managed Care Plan | $304 |
| Community Health Plan | Medicare Managed Care Plan | $442 |
| Molina | Exchange | $467 |
| Blue Cross | Premera Lifewise Exchange | $497 |
| Coordinated Care | Ambetter Exchange | $511 |
| Blue Shield | Regence Uniform Medical Plan Other Commercial Plan | $929 |
| Kaiser | All Commercial Plans | $1,033 |
| Cigna | All Commercial Plans | $1,144 |
| Blue Cross | Premera Heritage Signature All Commercial Plans | $1,444 |
| First Choice | All Commercial Plans | $1,452 |
| Blue Cross | Premera All Commercial Plans | $1,496 |
| Aetna | All Commercial Plans | $1,743 |
| Blue Shield | Regence All Commercial Plans | $1,797 |
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