MRI lower back without contrast at UnityPoint Health - St. Lukes Downtown. CPT 72148.
What UnityPoint Health - St. Lukes Downtown publishes for this service, straight from its standard-charges file, last updated January 28, 2026.
Outpatient / ER
$175cash price (self-pay)
$541list price
$56.94–$881range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Nebraska Total Care | Managed Medicaid | $141 |
| Aetna | Medicare Advantage | $142 |
| Molina | Medicare Advantage | $145 |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $145 |
| Humana | Medicare Advantage | $149 |
| United Healthcare | Medicare Advantage | $149 |
| Amerivantage | Medicare Advantage | $149 |
| Avera Health Plan | Commercial | $213 |
| Amerigroup | Managed Medicaid | $214 |
| Iowa Total Care | Managed Medicaid | $214 |
| United Healthcare | PPO | $218 |
| United Healthcare | HMO | $218 |
| 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 | $362 |
| Aetna | HMO | $475 |
| Aetna | PPO | $555 |
| Medica Exchange Inspire | Commercial | $699 |
| Medica Exchange Insure | Commercial | $783 |
Inpatient
$1,084cash price (self-pay)
$1,355list price
$852–$852range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna/Midlands | Commercial | $852 |
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All common services at UnityPoint Health - St. Lukes Downtown