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CPT 72148
Imaging

MRI of the lumbar spine, without contrast

What it means

An MRI of your lower back — commonly ordered for back pain or sciatica.

Typical price range
$400 – $2,500

Based on typical US negotiated and cash-pay rates. Hospital charges can run significantly higher — often 2–10x these numbers. If your bill is well above this range, it's worth questioning.

Common billing errors to watch for
  • Hospital bill 5x+ higher than outpatient imaging center cash rates.
  • Contrast MRI (72149) billed when no contrast was actually used.
What to do

Outpatient imaging centers commonly charge $400–$700 cash. Hospital MRIs are highly negotiable.

Frequently asked questions

What does CPT code 72148 mean?

An MRI of your lower back — commonly ordered for back pain or sciatica. In billing terms it's categorized as "MRI of the lumbar spine, without contrast" under Imaging.

How much should CPT 72148 cost?

Typical negotiated and cash-pay rates run about $400–$2,500. Hospital list prices are often 2–10× higher, but insurers rarely pay those. If your bill is well above the top of this range, ask for an itemized bill and compare.

Is CPT 72148 covered by insurance?

Most commercial plans and Medicare cover mri of the lumbar spine, without contrast when it's medically necessary and coded correctly. Denials usually come from missing prior authorization, incorrect modifiers, or the payer disputing medical necessity — all of which can be appealed.

What should I do if CPT 72148 looks wrong on my bill?

Outpatient imaging centers commonly charge $400–$700 cash. Hospital MRIs are highly negotiable.

Can I dispute a charge for CPT 72148?

Yes. You have the right to request an itemized bill, dispute the coding with the provider's billing office, and appeal the insurer's decision. Federal rules (including the No Surprises Act for emergency and out-of-network ancillary services) protect you from many surprise charges. BillCheck can generate the appeal or negotiation letter for you.

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BillCheck provides informational analysis only and is not legal, medical, or financial advice. Verify all details before submitting any correspondence to insurers or providers. Prices shown are typical ranges and vary by region, payer, and facility.