MRI lower back without contrast at Carle Health Proctor Hospital. CPT 72148.
What Carle Health Proctor Hospital publishes for this service, straight from its standard-charges file, last updated April 15, 2026.
Outpatient / ER
$7,151cash price (self-pay)
$7,151list price
$242–$3,576range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Better Health | Medicare-Medicaid (D-SNP) | $242 |
| Aetna | Medicare Advantage | $256 |
| Humana | Medicare Advantage | $256 |
| Molina | Medicare-Medicaid (MMAI/Dual) | $256 |
| United Healthcare (UHC) | VA CCN | $256 |
| United Healthcare (UHC) | Medicare Advantage | $256 |
| Wellcare | Medicare Advantage HMO | $256 |
| Blue Cross Blue Shield | Medicare Advantage | $256 |
| Humana | Medicare-Medicaid (D-SNP) | $256 |
| Meridian | Medicare-Medicaid (MMAI/Dual) | $297 |
| Aetna | Commercial PPO | $575 |
| United Healthcare (UHC) | PPO | $767 |
| Cigna | PPO | $1,374 |
| Aetna Better Health | Managed Medicaid | $1,788 |
| Molina | Managed Medicaid | $2,145 |
| HealthLink | HMO | $2,682 |
| Blue Cross Blue Shield | Blue Choice | $2,789 |
| Blue Cross Blue Shield | Blue Choice Options | $2,789 |
| Blue Cross Blue Shield | PPO | $2,825 |
| HealthLink | PPO | $2,998 |
| Blue Cross Blue Shield | HMO | $3,447 |
| Multiplan/PHCS | PPO | $3,576 |
Inpatient
$7,151cash price (self-pay)
$7,151list price
$242–$3,576range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Better Health | Medicare-Medicaid (D-SNP) | $242 |
| Aetna Better Health | Managed Medicaid | $1,788 |
| Molina | Managed Medicaid | $2,145 |
| Molina | Medicare-Medicaid (MMAI/Dual) | $2,145 |
| Multiplan/PHCS | PPO | $3,576 |
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