MRI lower back without contrast at Cass County Memorial Hospital. CPT 72148.
What Cass County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated June 1, 2026.
Outpatient / ER
$1,966cash price (self-pay)
$2,809list price
$315–$2,669range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC All Payer -All Other Plans | UHC All Payer -All Other Plans | $315 |
| Midlands Choice Medica Mcr | Midlands Choice Medica Mcr | $562 |
| Wellmark HMO | Wellmark HMO | $763 |
| Wellmark PPO - All Other Plans | Wellmark PPO - All Other Plans | $839 |
| Triwest - All Plans | Triwest - All Plans | $1,144 |
| Medica Mcr Adv | Medica Mcr Adv | $1,180 |
| Tricare - All Plans | Tricare - All Plans | $1,180 |
| Va Ccn - All Plans | Va Ccn - All Plans | $1,180 |
| Aetna Coventry Mcr Adv | Aetna Coventry Mcr Adv | $1,180 |
| Amerigroup Mcr Adv - All Other Plans | Amerigroup Mcr Adv - All Other | $1,180 |
| UHC Mcr Adv | UHC Mcr Adv | $1,180 |
| Wellmark Mcr Adv | Wellmark Mcr Adv | $1,192 |
| Iowa Total Care Mcaid | Iowa Total Care Mcaid | $1,203 |
| Molina Mcaid - All Plans | Molina Mcaid - All Plans | $1,203 |
| Iowa Total Care Mcr | Iowa Total Care Mcr | $1,203 |
| American Hlth Mcr Adv - All Plans | American Hlth Mcr Adv - All Plans | $1,215 |
| Amerigroup Medicaid | Amerigroup Medicaid | $1,215 |
| Iowa Total Care Comm - All Other Plans | Iowa Total Care Comm - All Ot | $1,298 |
| Midlands Choice New Bus | Midlands Choice New Bus | $1,826 |
| Medica Comm - All Other Plans | Medica Comm - All Other Plans | $2,472 |
| Midlands Choice Pho (PPO) - All Other Plans | Midlands Choice Pho (PPO | $2,528 |
| Aetna Coventry-All Other Plans | Aetna Coventry-All Other Plans | $2,669 |
| Multiplan - All Plans | Multiplan - All Plans | $2,669 |
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