MRI lower back without contrast at MercyOne New Hampton Medical Center. CPT 72148.
What MercyOne New Hampton Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$2,599cash price (self-pay)
$3,998list price
$1,583–$3,998range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross - Ia (Wellmark) Medicare Advantage | Wellmark Medicare Adva | $1,583 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $1,599 |
| Health Partners Medicare Advantage | Unitypoint Health Partners Medica | $1,615 |
| Wellpoint Medicare Advantage | Wellpoint Medicare Advantage | $1,631 |
| Medicare Medical Associates Health Plans | Medical Associates Medicare | $1,685 |
| United Healthcare Medicare | United Healthcare Medicare Advantage | $1,695 |
| Medigold Medicare Advantage | Mercyone Health Plan Medicare Advantage | $1,786 |
| Medical Associates | Medical Associates | $2,019 |
| Health Choices | Medical Associates | $2,019 |
| Amish Hospital Aid | Amish Hospital Aid | $2,127 |
| Oscar | Oscar | $2,351 |
| Geha | United Healthcare | $2,399 |
| United Healthcare | United Healthcare | $2,399 |
| Ambetter | Ambetter Marketplace | $2,687 |
| Iowa Total Care | Iowa Total Care Medicaid | $2,732 |
| Molina Medicaid | Molina Medicaid | $2,772 |
| Wellpoint Medicaid | Wellpoint Medicaid | $2,786 |
| Claimdoc | Claimdoc | $3,214 |
| 1199 National Benefit Fund | Aetna | $3,778 |
| Trustmark Small Business Benefits | Aetna | $3,778 |
| Medical Mutual | Aetna | $3,778 |
| Webtpa | Aetna | $3,778 |
| First Health | Aetna | $3,778 |
| Meritain | Aetna | $3,778 |
| Coventry | Aetna | $3,778 |
| Asr Health Benefits | Aetna | $3,778 |
| Luminare Health | Aetna | $3,778 |
| Aetna | Aetna | $3,778 |
| Allied Benefit Systems | Aetna | $3,778 |
| Aetna Domestic | Aetna | $3,778 |
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