MRI lower back without contrast at Summit Pacific Medical Center. CPT 72148.
What Summit Pacific Medical Center publishes for this service, straight from its standard-charges file, last updated August 31, 2026.
Outpatient / ER
$1,785cash price (self-pay)
$3,306list price
$764–$2,975range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Chpw Healthy Options | Chpw Healthy Options | $764 |
| Chpw Basic Hp | Chpw Basic Hp | $764 |
| Chpw Chip | Chpw Chip | $764 |
| Regence Bs Mcr Adv - All Plans | Regence Bs Mcr Adv - All Plans | $827 |
| Triwest - All Plans | Triwest - All Plans | $827 |
| Amerigroup Mcaid - All Plans | Amerigroup Mcaid - All Plans | $840 |
| Chpw Mcr Adv | Chpw Mcr Adv | $851 |
| Wellcare Mcr Adv - All Plans | Wellcare Mcr Adv - All Plans | $876 |
| Chpw Pebb - All Other Plans | Chpw Pebb - All Other Plans | $2,314 |
| Cigna - All Plans | Cigna - All Plans | $2,645 |
| First Choice - All Plans | First Choice - All Plans | $2,645 |
| UHC All Payer - All Plans | UHC All Payer - All Plans | $2,810 |
| Aetna Comm - All Plans | Aetna Comm - All Plans | $2,975 |
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