MRI lower back without contrast at St Marys Sacred Heart Hospital. CPT 72148.
What St Marys Sacred Heart Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2025.
Outpatient / ER
$1,115cash price (self-pay)
$1,716list price
$1.00–$1,459range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Pathway Program | $1.00 |
| Centene | Medicaid | $1.03 |
| Caresource | Marketplace | $1.55 |
| Cigna | All products | $2.44 |
| ChoiceCare | PPO | $187 |
| Anthem BCBS | Medicare Advantage | $233 |
| Care Improvement Plus | Medicare Advantage | $233 |
| Kaiser Permanente | Medicare Advantage | $233 |
| UHC | Medicare Advantage | $233 |
| VACCN United | Veterans Affairs | $233 |
| Wellcare | Medicare Advantage | $233 |
| Peach State | Marketplace | $236 |
| Aetna | Medicare Advantage | $238 |
| Conventry | Medicare Advantage | $238 |
| Molina | Medicare Advantage | $238 |
| Humana | Medicare Advantage | $239 |
| Centene | Medicare Advantage | $240 |
| Cigna Healthspring | Medicare Advantage | $240 |
| Caresource | Medicare Advantage | $243 |
| Pruitthealth Premier | Medicare Advantage | $245 |
| Eon Health Plan | Medicare Advantage | $250 |
| Anthem | PPO | $258 |
| Friday Health Plan | Commercial | $409 |
| Peach State | Medicaid | $504 |
| Anthem | HMO | $940 |
| UHC | All Products | $1,007 |
| United Healthcare | All Products | $1,007 |
| Aetna | All Products | $1,009 |
| COVENTRY | All Products | $1,459 |
| First Health | All Products | $1,459 |
Inpatient
$1,115cash price (self-pay)
$1,716list price
$1,007–$1,459range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| COVENTRY | All Products | $1,201 |
| First Health | All Products | $1,201 |
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