MRI lower back without contrast at Banner Wyoming Medical Center. CPT 72148.
What Banner Wyoming Medical Center publishes for this service, straight from its standard-charges file, last updated September 22, 2026.
Outpatient / ER
$801cash price (self-pay)
$1,906list price
$244–$1,868range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | UHC Medicare Advantage | $244 |
| Humana | Medicare Advantage | $249 |
| InterWest Health | Medicare Advantage | $249 |
| Prime Health Services | Medicare Advantage | $249 |
| WyoBlue Advantage | Medicare Advantage (PPO) | $251 |
| NaphCare, Inc. | Federal Prison System | $329 |
| NaphCare, Inc. | Medicare | $353 |
| Banner Health | Banner Choice Plus/Banner Select | $515 |
| Blue Cross Blue Shield of Wyoming | Blue Select PPO | $1,245 |
| Blue Cross Blue Shield of Wyoming | Institutional | $1,273 |
| Imagine Health, LLC (wka WISE Provider Network) | WISE PPO | $1,563 |
| United Healthcare | Commercial | $1,572 |
| Hue Health, Inc | Commercial | $1,620 |
| Cigna Healthcare & Life Insurance Company – WY | Commercial | $1,658 |
| Medica | Commercial | $1,715 |
| First Choice Health Network | Commerical | $1,811 |
| Multiplan | Commercial | $1,811 |
| Coventry | Commercial | $1,830 |
| First Health | Medical Rental | $1,830 |
| InterWest Health | Auto & General Liability | $1,849 |
| InterWest Health | Group Health | $1,849 |
| Prime Health Services | Auto & General Liability | $1,849 |
| Prime Health Services | Group Health | $1,849 |
| InterWest Health | Workers' Comp | $1,868 |
| Prime Health Services | Worker's Comp | $1,868 |
Inpatient
$801cash price (self-pay)
$1,906list price
$1,620–$1,868range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Hue Health, Inc | Commercial | $1,620 |
| Cigna Healthcare & Life Insurance Company – WY | Commercial | $1,658 |
| First Choice Health Network | Commerical | $1,811 |
| Multiplan | Commercial | $1,811 |
| Coventry | Commercial | $1,830 |
| First Health | Medical Rental | $1,830 |
| InterWest Health | Auto & General Liability | $1,849 |
| InterWest Health | Group Health | $1,849 |
| Prime Health Services | Auto & General Liability | $1,849 |
| Prime Health Services | Group Health | $1,849 |
| InterWest Health | Workers' Comp | $1,868 |
| Prime Health Services | Worker's Comp | $1,868 |
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