MRI lower back without contrast at UnityPoint Health - St. Luke's Hospital. CPT 72148.
What UnityPoint Health - St. Luke's 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–$2,420range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage | $142 |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $145 |
| Molina | Medicare Advantage | $145 |
| Humana | Medicare Advantage | $149 |
| United Healthcare | Medicare Advantage | $149 |
| Amerivantage | Medicare Advantage | $149 |
| Amerigroup | Managed Medicaid | $213 |
| Iowa Total Care | Managed Medicaid | $213 |
| United Healthcare | PPO | $218 |
| United Healthcare | HMO | $218 |
| Wellmark Blue Cross and Blue Shield | HMO | $278 |
| Wellmark UHP Self-Funded | Commercial | $278 |
| Cigna/Midlands | Commercial | $307 |
| Wellmark Blue Cross and Blue Shield | PPO | $327 |
| Health Partners Open Network | Commercial | $374 |
| Aetna | HMO | $454 |
| Aetna | PPO | $505 |
| Medica Exchange Inspire | Commercial | $1,475 |
| Medica Exchange Insure | Commercial | $1,656 |
Inpatient
$3,534cash price (self-pay)
$4,417list price
$2,420–$2,420range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna/Midlands | Commercial | $2,420 |
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All common services at UnityPoint Health - St. Luke's Hospital