MRI lower back without contrast at Decatur Memorial Hospital. CPT 72148.
What Decatur Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 17, 2026.
Outpatient / ER
$6,550cash price (self-pay)
$6,550list price
$15.66–$6,550range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield | Blue Cross Community MMAI/Dual Eligible | $206 |
| Aetna | Aetna Medicare Advantage | $215 |
| Blue Cross Blue Shield | BCBS Medicare Advantage | $215 |
| Coventry | Coventry Advantra Medicare Advantage | $215 |
| Health Alliance | Health Alliance Medicare Advantage | $215 |
| Humana | Humana Medicare Advantage | $215 |
| Medicare | Medicare | $215 |
| United HealthCare | United HealthCare Medicare Advantage | $215 |
| Veterans Administration | Veterans Administration | $215 |
| Tricare/Champus | Tricare/Champus | $219 |
| WellCare | WellCare Medicare Advantage PPO | $252 |
| UHC Va Ccn | UHC Va Ccn | $256 |
| Medicaid | Illinois Medicaid | $303 |
| Caterpillar | Caterpillar | $575 |
| HFN | HFN Workers Compensation | $797 |
| Commercial Workers Compensation | Commercial Workers Compensation | $806 |
| Humana | Humana PPO | $1,561 |
| BCBS Phai | BCBS Phai | $1,592 |
| Plain Church Medical Group | Plain Church Medical Group | $1,613 |
| Illinois Workers Compensation | Illinois Workers Compensation | $1,623 |
| Mennonite Churches | Mennonite Churches | $2,293 |
| Cigna | Cigna PPO | $2,453 |
| Health Alliance MH Employee Plan | Health Alliance MH Employee Plan | $3,013 |
| Coventry | First Health | $3,321 |
| Health Alliance | Health Alliance Public Exchange | $3,691 |
| 6 Degrees Health | 6 Degrees Health | $3,930 |
| HopeTrust | HopeTrust | $3,930 |
| Hst | Hst | $3,930 |
| Health Alliance | Health Alliance | $4,169 |
| PHCS Savility | PHCS Savility | $4,258 |
Inpatient
$6,550cash price (self-pay)
$6,550list price
$3,013–$6,550range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Alliance MH Employee Plan | Health Alliance MH Employee Plan | $3,013 |
| 6 Degrees Health | 6 Degrees Health | $3,930 |
| HopeTrust | HopeTrust | $3,930 |
| Hst | Hst | $3,930 |
| PHCS MultiPlan PPO | PHCS MultiPlan PPO | $4,454 |
| BCBS Phai | BCBS Phai | $6,550 |
| Blue Cross Blue Shield | BCBS PPO/HMO/Employee | $6,550 |
| Liability | Liability | $6,550 |
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