MRI lower back without contrast at Horn Memorial Hospital. CPT 72148.
What Horn Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 9, 2026.
Outpatient / ER
$2,818cash price (self-pay)
$3,522list price
$74.12–$3,452range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Comm - All Other Plans | Aetna Comm - All Other Plans | $74.12 |
| Triwest - All Plans | Triwest - All Plans | $241 |
| Wellmark HMO - All Other Plans | Wellmark HMO - All Other Plans | $295 |
| Wellmark PPO | Wellmark PPO | $325 |
| Aetna Mcr Adv | Aetna Mcr Adv | $2,078 |
| UHC Mcare | UHC Mcare | $2,078 |
| UHC Va Ccn | UHC Va Ccn | $2,078 |
| Amerigroup Mcr Adv | Amerigroup Mcr Adv | $2,078 |
| Molina Mcr - All Other Plans | Molina Mcr - All Other Plans | $2,078 |
| UHC Mcaid | UHC Mcaid | $2,219 |
| Amerigroup Mcaid - All Other Plans | Amerigroup Mcaid - All Other Plan | $2,219 |
| Molina Medicaid | Molina Medicaid | $2,219 |
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $3,452 |
| UHC Options PPO | UHC Options PPO | $3,452 |
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