MRI lower back without contrast at Humboldt County Memorial Hospital. CPT 72148.
What Humboldt County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 30, 2026.
Outpatient / ER
$1,719cash price (self-pay)
$1,910list price
$1,336–$1,910range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| GREAT WEST | Plans | $1,337 |
| AETNA | Medicare | $1,356 |
| HEALTH PARTNERS | Medicare | $1,356 |
| PHYSICIANS MUTUAL | Plans | $1,375 |
| AETNA | Commercial | $1,432 |
| CIGNA | Commercial | $1,432 |
| PHCS | Plans | $1,432 |
| HUMANA | Medicare | $1,486 |
| IOWA HEALTH | Medicare | $1,486 |
| Molina | Medicare | $1,486 |
| DEANHEALTH | Plan | $1,528 |
| HUMANA | Commercial | $1,623 |
| Wellpoint | Medicare | $1,833 |
| IOWA TOTAL CARE | Medicaid | $1,910 |
| Wellpoint | Medicaid | $1,910 |
Inpatient
$1,719cash price (self-pay)
$1,910list price
$1,336–$1,910range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| GREAT WEST | Plans | $1,337 |
| AETNA | Medicare | $1,356 |
| HEALTH PARTNERS | Medicare | $1,356 |
| PHYSICIANS MUTUAL | Plans | $1,375 |
| AETNA | Commercial | $1,432 |
| CIGNA | Commercial | $1,432 |
| PHCS | Plans | $1,432 |
| BLUE CROSS | Medicare | $1,486 |
| HUMANA | Medicare | $1,486 |
| IOWA HEALTH | Medicare | $1,486 |
| Molina | Medicare | $1,486 |
| DEANHEALTH | Plan | $1,528 |
| HEALTH PARTNERS | Commercial | $1,528 |
| HUMANA | Commercial | $1,623 |
| BLUE CROSS | Commercial | $1,661 |
| UHC | Commercial | $1,833 |
| UHC | Medicare | $1,833 |
| Wellpoint | Medicare | $1,833 |
| IOWA TOTAL CARE | Medicaid | $1,910 |
| Molina | Medicaid | $1,910 |
| Wellpoint | Medicaid | $1,910 |
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