MRI lower back without contrast at Carle Richland Memorial Hospital. CPT 72148.
What Carle Richland Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 15, 2026.
Outpatient / ER
$5,219cash price (self-pay)
$5,219list price
$1,096–$4,436range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Meridian | Medicare-Medicaid (D-SNP) | $1,096 |
| Molina | Medicare-Medicaid (D-SNP) | $1,096 |
| United Healthcare (UHC) | Medicare Advantage | $1,096 |
| Aetna | Medicare Advantage PPO | $1,096 |
| Aetna | Medicare Advantage HMO | $1,096 |
| Aetna Better Health | Medicare-Medicaid (D-SNP) | $1,096 |
| Blue Cross Blue Shield | Medicare Advantage | $1,096 |
| Wellcare | Medicare Advantage HMO | $1,096 |
| Humana | Medicare-Medicaid (D-SNP) | $1,096 |
| Humana | Medicare Advantage | $1,096 |
| Cigna | PPO | $1,200 |
| Molina | Managed Medicaid | $1,566 |
| Aetna | Commercial HMO | $2,505 |
| HealthLink | HMO | $3,392 |
| Blue Cross Blue Shield | PPO | $3,653 |
| HealthLink | PPO | $3,653 |
| Aetna | Commercial | $3,653 |
| United Healthcare (UHC) | PPO | $3,987 |
| Aetna First Health PPO | PPO | $4,353 |
| Multiplan/PHCS | PPO | $4,436 |
Inpatient
$5,219cash price (self-pay)
$5,219list price
$1,566–$4,541range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina | Managed Medicaid | $1,566 |
| Aetna | Commercial HMO | $2,505 |
| United Healthcare (UHC) | PPO | $3,987 |
| Aetna First Health PPO | PPO | $4,353 |
| Multiplan/PHCS | PPO | $4,541 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.