MRI lower back without contrast at St. Elizabeth Hospital. CPT 72148.
What St. Elizabeth Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$2,417cash price (self-pay)
$6,839list price
$504–$6,155range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial|AWH | $504 |
| Cigna | Commercial|All Plans | $519 |
| Aetna | Commercial|All Other Plans | $593 |
| Uniform Medical Plan | Commercial|All Plans | $606 |
| Kaiser | Commercial|HMO | $635 |
| BCBS - Regence | Commercial|All Plans | $694 |
| Kaiser | Commercial|PPO | $699 |
| BCBS - Premera | Commercial|All Plans | $1,037 |
| CHPW | Medicaid|All Plans | $1,163 |
| Coordinated Care | Medicaid|All Plans | $1,186 |
| Amerigroup | Medicare|All Plans | $1,231 |
| Kaiser | Medicare|All Plans | $1,231 |
| SoundPath | Medicare|All Plans | $1,231 |
| United | Medicaid|All Plans | $1,232 |
| Molina | Medicaid|All Plans | $1,239 |
| Optum | Medicare|All Plans | $1,243 |
| BCBS - Premera | Medicare|All Plans | $1,268 |
| BCBS - Regence | Medicare|All Plans | $1,268 |
| CHPW | Medicare|All Plans | $1,293 |
| Humana | Medicare|All Plans | $1,317 |
| Molina | Medicare|All Plans | $1,330 |
| United | Medicare|All Plans | $1,330 |
| WellPoint | Medicaid|All Plans | $1,416 |
| Seattle Medical Group | Medicare|All Plans | $1,416 |
| Aetna | Medicare|All Plans | $1,505 |
| United | Commercial|Navigate | $1,725 |
| United | Commercial|Cascade Care | $1,748 |
| First Choice | Commercial|All Plans | $1,773 |
| United | Commercial|All Other Plans | $1,816 |
| Coordinated Care | Commercial|Ambetter Exchange | $2,278 |
Inpatient
$2,417cash price (self-pay)
$6,839list price
$1,915–$6,155range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CHPW | Medicaid|All Plans | $1,915 |
| Coordinated Care | Medicaid|All Plans | $1,953 |
| United | Medicaid|All Plans | $2,030 |
| Molina | Medicaid|All Plans | $2,040 |
| WellPoint | Medicaid|All Plans | $2,269 |
| Aetna | Commercial|AWH | $2,736 |
| Aetna | Commercial|All Other Plans | $3,283 |
| Aetna | Commercial|Rental | $4,924 |
| First Choice | Commercial|All Plans | $5,130 |
| MultiPlan | Commercial|All Plans | $6,155 |
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