MRI lower back without contrast at Carle BroMenn Medical Center. CPT 72148.
What Carle BroMenn Medical Center publishes for this service, straight from its standard-charges file, last updated April 15, 2026.
Outpatient / ER
$4,579cash price (self-pay)
$4,579list price
$235–$3,434range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | Medicare-Medicaid (D-SNP) | $235 |
| Aetna Better Health | Medicare-Medicaid (D-SNP) | $242 |
| United Healthcare (UHC) | Medicare Advantage | $256 |
| Aetna | Medicare Advantage | $256 |
| Meridian | Medicare-Medicaid (D-SNP) | $256 |
| United Healthcare (UHC) | VA CCN/Optum | $256 |
| Humana | Medicare Advantage | $256 |
| Blue Cross Blue Shield | Medicare Advantage | $256 |
| Molina | Medicare-Medicaid (D-SNP) | $256 |
| Wellcare | Medicare Advantage HMO | $256 |
| Molina | Managed Medicaid | $916 |
| Cigna | PPO | $1,200 |
| Aetna | Commercial | $1,507 |
| United Healthcare (UHC) | PPO | $2,200 |
| Community Partners Health Plan (CPHP) | PPO | $2,747 |
| Blue Cross Blue Shield | Blue Choice/Options/PPO | $2,816 |
| Blue Cross Blue Shield | HMO | $2,839 |
| HealthLink | PPO | $2,976 |
| Aetna First Health PPO | PPO | $3,027 |
| Multiplan/PHCS | PPO | $3,434 |
Inpatient
$4,579cash price (self-pay)
$4,579list price
$235–$3,027range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | Medicare-Medicaid (D-SNP) | $235 |
| Aetna Better Health | Medicare-Medicaid (D-SNP) | $242 |
| Meridian | Medicare-Medicaid (D-SNP) | $458 |
| Molina | Managed Medicaid | $916 |
| Molina | Medicare-Medicaid (D-SNP) | $916 |
| HealthLink | PPO | $2,976 |
| Aetna First Health PPO | PPO | $3,027 |
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