MRI lower back without contrast at UnityPoint Health - Iowa Lutheran Hospital. CPT 72148.
What UnityPoint Health - Iowa Lutheran Hospital publishes for this service, straight from its standard-charges file, last updated January 28, 2026.
Outpatient / ER
$175cash price (self-pay)
$541list price
$64.86–$2,219range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage | $142 |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $145 |
| Molina | Medicare Advantage | $145 |
| Amerivantage | Medicare Advantage | $149 |
| United Healthcare | Medicare Advantage | $149 |
| Humana | Medicare Advantage | $149 |
| United Healthcare | HMO | $218 |
| United Healthcare | PPO | $218 |
| Amerigroup | Managed Medicaid | $233 |
| Iowa Total Care | Managed Medicaid | $233 |
| Wellmark Blue Cross and Blue Shield | HMO | $278 |
| Wellmark UPH Self-Funded | Commercial | $278 |
| Cigna/Midlands | Commercial | $307 |
| Wellmark Blue Cross and Blue Shield | PPO | $327 |
| Health Partners Open Network | Commercial | $368 |
| Aetna | HMO | $460 |
| Aetna | PPO | $537 |
| Medica Exchange Inspire | Commercial | $1,706 |
| Medica Exchange Insure | Commercial | $1,911 |
Inpatient
$4,099cash price (self-pay)
$5,124list price
$2,219–$2,219range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna/Midlands | Commercial | $2,219 |
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All common services at UnityPoint Health - Iowa Lutheran Hospital