MRI lower back without contrast at Adair County Memorial Hospital. CPT 72148.
What Adair County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 2, 2026.
Outpatient / ER
$2,756cash price (self-pay)
$3,675list price
$806–$3,565range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellmark PPO - All Other Plans | Wellmark PPO - All Other Plans | $806 |
| Wellmark HMO | Wellmark HMO | $806 |
| UHC Mcr Adv | UHC Mcr Adv | $2,058 |
| UHC Va Ccn | UHC Va Ccn | $2,058 |
| Iowa Total Care-All Plans | Iowa Total Care-All Plans | $2,137 |
| Aetna Whole Health - All Plans | Aetna Whole Health - All Plans | $2,389 |
| Mahp-All Plans | Mahp-All Plans | $2,756 |
| UHC-All Other Plans | UHC-All Other Plans | $2,940 |
| Centivo-All Plans | Centivo-All Plans | $3,087 |
| Geha-All Plans | Geha-All Plans | $3,491 |
| Midlands Choice-All Plans | Midlands Choice-All Plans | $3,565 |
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