MRI lower back without contrast at Providence St Peter Hospital. CPT 72148.
What Providence St Peter 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
$233–$1,305range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser | Medicare Managed Care Plan | $274 |
| Aetna | Gatekeeper Medicare Managed Care - Hmo | $283 |
| Aetna | Non-Gatekeeper Medicare Managed Care - Ppo | $285 |
| Unitedhealthcare | Medicare Managed Care Plan | $294 |
| Blue Shield | Regence Medicare Managed Care Plan | $296 |
| Humana | Medicare Managed Care Plan | $302 |
| Community Health Plan | Medicare Managed Care Plan | $439 |
| Molina | Exchange | $464 |
| Blue Cross | Premera Lifewise Exchange | $494 |
| Unitedhealthcare | Navigate Other Commercial Plan | $503 |
| Coordinated Care | Ambetter Exchange | $508 |
| Unitedhealthcare | Aco Tiered Other Commercial Plan | $624 |
| Blue Shield | Regence Uniform Medical Plan Other Commercial Plan | $641 |
| Blue Cross | Premera Heritage Signature Other Commercial Plan | $751 |
| Blue Cross | Premera All Commercial Plans | $768 |
| Blue Shield | Regence All Commercial Plans | $866 |
| Kaiser | All Commercial Plans | $873 |
| Cigna | All Commercial Plans | $890 |
| Providence Health Plan | Signature/Choice Network Other Commercial Pla | $896 |
| Aetna | All Commercial Plans | $1,007 |
| Unitedhealthcare | All Commercial Plans | $1,072 |
| First Choice | All Commercial Plans | $1,305 |
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