MRI lower back without contrast at Franklin Hospital District. CPT 72148.
What Franklin Hospital District publishes for this service, straight from its standard-charges file, last updated December 1, 2025.
Outpatient / ER
$2,629cash price (self-pay)
$3,505list price
$108–$3,155range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare B IL J6 | Default | $108 |
| Cigna | Medicare Advantage | $1,202 |
| Health Alliance Medical Plans MCR Adv | Medicare Advantage | $1,202 |
| Medicare A IL J6 | Default | $1,202 |
| United Healthcare | Medicare Advantage | $1,202 |
| Wellcare Health Plan Inc MCR Adv | Medicare Advantage | $1,202 |
| Aetna | Medicare Advantage | $1,227 |
| Alliance Coal Health Plan | Default | $1,840 |
| Humana | Default | $2,250 |
| United Healthcare | Default | $2,601 |
| Cigna | Default | $2,604 |
| Health Alliance Medical Plans | Default | $2,804 |
| Healthlink HMO DOS gt 06302021 | HMO | $2,804 |
| Great West Healthcare IL | Default | $2,944 |
| Aetna | Default | $3,155 |
| Meritain | Default | $3,155 |
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