MRI lower back without contrast at Providence Sacred Heart Medical Center and Children's Hospital. CPT 72148.
What Providence Sacred Heart Medical Center and Children's Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$925cash price (self-pay)
$1,780list price
$266–$1,523range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser | Medicare Managed Care Plan | $266 |
| Aetna | Medicare Managed Care - Hmo | $274 |
| Aetna | Medicare Managed Care - Ppo | $277 |
| Unitedhealthcare | Medicare Managed Care Plan | $279 |
| Blue Shield | Asuris Medicare Managed Care Plan | $287 |
| Community Health Plan | Medicare Managed Care Plan | $292 |
| Cigna | Medicare Managed Care Plan | $319 |
| Molina | Exchange | $449 |
| Blue Cross | Premera - Lifewise Health Plan Of Washington Affordable C | $479 |
| Coordinated Care | Exchange | $492 |
| Blue Cross | Premera Heritage Signature Exchange | $492 |
| Blue Cross | Premera All Commercial Plans | $636 |
| Blue Shield | Asuris All Commercial Plans | $646 |
| Kaiser | All Commercial Plans | $670 |
| Providence Health Plan | All Commercial Plans | $677 |
| Unitedhealthcare | Aco Tiered Other Commercial Plan | $717 |
| Unitedhealthcare | Navigate Exchange | $785 |
| First Choice | All Commercial Plans | $839 |
| Cigna | All Commercial Plans | $839 |
| Unitedhealthcare | All Commercial Plans | $882 |
| Aetna | All Commercial Plans | $1,523 |
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All common services at Providence Sacred Heart Medical Center and Children's Hospital