MRI lower back without contrast at Spencer Municipal Hospital. CPT 72148.
What Spencer Municipal Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$1,235cash price (self-pay)
$1,646list price
$227–$1,564range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellpoint | Medicare Advantage | $227 |
| Aetna | Medicare Advantage (HMO & PPO) | $227 |
| Wellmark | Medicare Advantage | $230 |
| Humana | Medicare Advantage (ALL) | $230 |
| Wellpoint | Medicaid | $231 |
| Iowa Total Care | Medicaid | $231 |
| Molina | Medicaid | $231 |
| UHC | Medicare Advantage | $296 |
| Wellmark | HMO | $720 |
| Wellmark | PPO | $791 |
| Health Partners | ALL | $1,317 |
| Aetna | Commercial HMO | $1,481 |
| UHC Commercial | ALL | $1,481 |
| Aetna | Commercial PPO | $1,564 |
| Humana | Commercial | $1,564 |
| Midlands Choice | All | $1,564 |
Inpatient
$1,235cash price (self-pay)
$1,646list price
$205–$1,564range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC | Medicare Advantage | $205 |
| Wellpoint | Medicare Advantage | $227 |
| Aetna | Medicare Advantage (HMO & PPO) | $227 |
| Wellmark | Medicare Advantage | $230 |
| Humana | Medicare Advantage (ALL) | $230 |
| Wellpoint | Medicaid | $231 |
| Iowa Total Care | Medicaid | $231 |
| Molina | Medicaid | $231 |
| Wellmark | HMO | $720 |
| Wellmark | PPO | $791 |
| Health Partners | ALL | $1,317 |
| Aetna | Commercial HMO | $1,481 |
| UHC Commercial | ALL | $1,481 |
| Aetna | Commercial PPO | $1,564 |
| Humana | Commercial | $1,564 |
| Midlands Choice | All | $1,564 |
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