MRI lower back without contrast at Washakie Medical Center. CPT 72148.
What Washakie Medical Center publishes for this service, straight from its standard-charges file, last updated September 21, 2026.
Outpatient / ER
$130cash price (self-pay)
$2,170list price
$84.48–$2,229range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Banner Health | Banner Choice Plus/Banner Select | $563 |
| Humana | Medicare Advantage | $563 |
| Medica | Medicare Advantage | $563 |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | $563 |
| United Healthcare | Nebraska Medicaid/CHIP | $563 |
| InterWest Health | Medicare Advantage | $574 |
| Prime Health Services | Medicare Advantage | $574 |
| WyoBlue Advantage | Medicare Advantage (PPO) | $574 |
| United Healthcare | Medicare Advantage | $1,042 |
| Blue Cross Blue Shield of Wyoming | Institutional | $1,074 |
| Medica | Commercial | $1,083 |
| First Health | Medical Rental | $1,091 |
| Imagine Health, LLC (wka WISE Provider Network) | WISE PPO | $1,091 |
| Multiplan | Commercial | $1,107 |
| Cigna Healthcare & Life Insurance Company – WY | Commercial | $1,110 |
| First Choice Health Network | Commerical | $1,114 |
| Hue Health, Inc | Commercial | $1,114 |
| Coventry | Commercial | $1,126 |
| Coventry | Workers Comp | $1,126 |
| InterWest Health | Auto & General Liability | $1,138 |
| InterWest Health | Group Health | $1,138 |
| Prime Health Services | Auto & General Liability | $1,138 |
| Prime Health Services | Group Health | $1,138 |
| InterWest Health | Workers' Comp | $1,150 |
| Prime Health Services | Worker's Comp | $1,150 |
| United Healthcare | Commercial | $2,229 |
Inpatient
$130cash price (self-pay)
$2,170list price
$161–$2,127range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of Wyoming | Institutional | $1,074 |
| First Health | Medical Rental | $1,091 |
| Imagine Health, LLC (wka WISE Provider Network) | WISE PPO | $1,091 |
| Multiplan | Commercial | $1,107 |
| Cigna Healthcare & Life Insurance Company – WY | Commercial | $1,110 |
| First Choice Health Network | Commerical | $1,114 |
| Hue Health, Inc | Commercial | $1,114 |
| Coventry | Commercial | $1,126 |
| Coventry | Workers Comp | $1,126 |
| InterWest Health | Auto & General Liability | $1,138 |
| InterWest Health | Group Health | $1,138 |
| Prime Health Services | Auto & General Liability | $1,138 |
| Prime Health Services | Group Health | $1,138 |
| InterWest Health | Workers' Comp | $1,150 |
| Prime Health Services | Worker's Comp | $1,150 |
| United Healthcare | Commercial | $1,990 |
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