MRI lower back without contrast at Providence St Luke's Rehabilitation Medical Center. CPT 72148.
What Providence St Luke's Rehabilitation Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,401cash price (self-pay)
$2,002list price
$244–$727range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | Premera All Commercial Plans | $266 |
| Aetna | Medicare Managed Care - Hmo | $274 |
| Aetna | Medicare Managed Care - Ppo | $277 |
| Unitedhealthcare | Medicare Managed Care Plan | $279 |
| Blue Shield | Regence Medicare Managed Care Plan | $287 |
| Community Health Plan | Medicare Managed Care Plan | $292 |
| Blue Cross | Premera - Lifewise Primary Other Commercial Plan | $479 |
| Aetna | All Commercial Plans | $490 |
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All common services at Providence St Luke's Rehabilitation Medical Center