MRI lower back without contrast at Boone County Hospital. CPT 72148.
What Boone County Hospital publishes for this service, straight from its standard-charges file, last updated July 27, 2026.
Outpatient / ER
$2,485cash price (self-pay)
$3,106list price
$244–$2,951range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Tricare - All Plans | Tricare - All Plans | $244 |
| Wellmark HMO | Wellmark HMO | $789 |
| Wellmark PPO - All Other Plans | Wellmark PPO - All Other Plans | $866 |
| Choice Care Mcr Adv - All Plans | Choice Care Mcr Adv - All Plans | $1,273 |
| Iowa Hlth Adv - All Plans | Iowa Hlth Adv - All Plans | $1,273 |
| UHC Mcr Adv | UHC Mcr Adv | $1,273 |
| Va Ccn-All Plans | Va Ccn-All Plans | $1,273 |
| Humana Mcr Adv | Humana Mcr Adv | $1,273 |
| Mt Carmel Hp - All Plans | Mt Carmel Hp - All Plans | $1,273 |
| Amerigroup Mcr Adv - All Other Plans | Amerigroup Mcr Adv - All Other | $1,286 |
| Aetna Mcr Adv | Aetna Mcr Adv | $1,302 |
| Meridian Mcaid - All Plans | Meridian Mcaid - All Plans | $1,305 |
| Iowa Total Care Mcaid - All Plans | Iowa Total Care Mcaid - All Plans | $1,331 |
| Amerigroup Medicaid | Amerigroup Medicaid | $1,344 |
| UHC All Payer-All Other Plans | UHC All Payer-All Other Plans | $1,823 |
| Healthsmart Accell Network | Healthsmart Accell Network | $2,174 |
| Medical Associates Hp-All Plans | Medical Associates Hp-All Plans | $2,330 |
| Aetna Comm-All Other Plans | Aetna Comm-All Other Plans | $2,423 |
| Healthsmart PPO - All Other Plans | Healthsmart PPO - All Other Plans | $2,485 |
| Health Alliance-All Plans | Health Alliance-All Plans | $2,795 |
| Humana/Choice Care-All Other Plans | Humana/Choice Care-All Other Plan | $2,795 |
| Midlands Choice-All Plans | Midlands Choice-All Plans | $2,858 |
| Mutually Preferred-All Plans | Mutually Preferred-All Plans | $2,951 |
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