MRI lower back without contrast at Clarke County Hospital. CPT 72148.
What Clarke County Hospital publishes for this service, straight from its standard-charges file, last updated June 4, 2026.
Outpatient / ER
$2,288cash price (self-pay)
$3,252list price
$71.54–$3,384range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage | $164 |
| Blue Cross Medicare Blue | Medicare Advantage | $164 |
| Health Partners | Medicare Advantage | $164 |
| Humana Choice | Medicare Advantage | $164 |
| United Healthcare Medicare Solutions | Medicare Advantage | $164 |
| Wellpoint | Medicare Advantage | $164 |
| Wellmark | Commercial | $342 |
| Iowa Total Care | Managed Medicaid | $493 |
| Molina Healthcare | Managed Medicaid | $493 |
| Wellpoint | Managed Medicaid | $493 |
| United Healthcare | Commercial | $3,349 |
| Aetna Coventry | Commercial | $3,384 |
| Cigna | Commercial | $3,384 |
| Health Partners | Commercial/Self-Funded | $3,384 |
| Midlands Choice | Commercial | $3,384 |
Inpatient
$2,590cash price (self-pay)
$3,453list price
$3,142–$3,384range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellmark | Commercial | $3,142 |
| United Healthcare | Commercial | $3,349 |
| Aetna Coventry | Commercial | $3,384 |
| Cigna | Commercial | $3,384 |
| Health Partners | Commercial/Self-Funded | $3,384 |
| Midlands Choice | Commercial | $3,384 |
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