MRI lower back without contrast at Guttenberg Municipal Hospital. CPT 72148.
What Guttenberg Municipal Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$2,726cash price (self-pay)
$3,407list price
$1,771–$2,930range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AETNA | Medicare | $1,772 |
| AETNA | Medicare HMO | $1,772 |
| AETNA | Medicare PPO | $1,772 |
| MEDICAL ASSOCIATES | Medicare | $1,772 |
| MOLINA | Medicare | $1,852 |
| HUMANA | Medicare | $1,879 |
| IOWA TOTAL CARE | Medicaid | $2,042 |
| HEALTH PARTNERS | Commercial | $2,385 |
| Medical Associates | HMO | $2,555 |
| QUARTZ | Commercial | $2,726 |
| HEALTH CHOICES | Commercial | $2,930 |
Inpatient
$2,726cash price (self-pay)
$3,407list price
$2,282–$3,407range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellmark | HMO | $2,283 |
| Wellmark | PPO | $2,283 |
| HEALTH PARTNERS | Commercial | $2,385 |
| MIDLANDS CHOICE | Commercial | $2,385 |
| Medical Associates | HMO | $2,555 |
| QUARTZ | Commercial | $2,726 |
| HEALTH CHOICES | Commercial | $2,930 |
| UHC | Commercial | $3,134 |
| AETNA | Medicare | $3,407 |
| AETNA | Medicare HMO | $3,407 |
| AETNA | Medicare PPO | $3,407 |
| HUMANA | Medicare | $3,407 |
| IOWA TOTAL CARE | Medicaid | $3,407 |
| MEDICAL ASSOCIATES | Medicare | $3,407 |
| MOLINA | Medicare | $3,407 |
| UHC | Medicare | $3,407 |
| WELLMARK | Medicare | $3,407 |
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