MRI lower back without contrast at Carle Foundation Hospital. CPT 72148.
What Carle Foundation Hospital publishes for this service, straight from its standard-charges file, last updated April 15, 2026.
Outpatient / ER
$5,292cash price (self-pay)
$5,292list price
$235–$4,498range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | Medicare-Medicaid (D-SNP) | $235 |
| Aetna Better Health | Medicare-Medicaid (D-SNP) | $242 |
| Meridian | Medicare-Medicaid (MMAI/Dual) | $256 |
| Molina | Medicare-Medicaid (MMAI/Dual) | $256 |
| United Healthcare (UHC) | VA CCN/Optum | $256 |
| Aetna | Medicare Advantage HMO | $256 |
| Humana | Medicare Advantage | $256 |
| United Healthcare (UHC) | Medicare Advantage | $256 |
| Wellcare | Medicare Advantage HMO | $256 |
| Blue Cross Blue Shield | Medicare Advantage | $256 |
| Aetna | Medicare Advantage PPO | $261 |
| Meridian | Managed Medicaid | $529 |
| Molina | Managed Medicaid | $1,588 |
| Aetna | Commercial HMO | $2,540 |
| Community Partners Health Plan (CPHP) | PPO | $3,114 |
| United Healthcare (UHC) | PPO | $3,276 |
| Blue Cross Blue Shield | Blue Choice | $3,440 |
| Blue Cross Blue Shield | PPO | $3,440 |
| Aetna | Commercial PPO | $3,498 |
| Cigna | PPO | $4,128 |
| Multiplan/PHCS | PPO | $4,234 |
| Aetna (First Health) | PPO | $4,244 |
| HealthLink | PPO | $4,498 |
Inpatient
$5,292cash price (self-pay)
$5,292list price
$235–$4,498range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | Medicare-Medicaid (D-SNP) | $235 |
| Aetna Better Health | Medicare-Medicaid (D-SNP) | $242 |
| Meridian | Managed Medicaid | $529 |
| Meridian | Medicare-Medicaid (MMAI/Dual) | $529 |
| Molina | Managed Medicaid | $1,588 |
| Molina | Medicare-Medicaid (MMAI/Dual) | $1,588 |
| Aetna | Commercial HMO | $2,540 |
| Multiplan/PHCS | PPO | $4,234 |
| Aetna (First Health) | PPO | $4,244 |
| HealthLink | PPO | $4,498 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.