MRI lower back without contrast at Gottlieb Memorial Hospital. CPT 72148.
What Gottlieb Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$783cash price (self-pay)
$4,123list price
$234–$3,010range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS IL | MMP/Duals | $234 |
| Meridian | Medicaid | $236 |
| Molina | Medicaid | $236 |
| Aetna | Medicare Advantage | $252 |
| VACCN United | Veterans Affairs | $252 |
| Humana | Medicare Advantage | $258 |
| Cigna | Medicare Advantage | $260 |
| Centene | Medicare Advantage | $265 |
| Molina | Medicare Advantage | $265 |
| Wellcare | Medicare Advantage | $265 |
| Oscar IFP | Health Exchange | $277 |
| Meridian | MMP/Duals | $292 |
| Molina Marketplace IFP | Health Exchange | $315 |
| Humana | All Products | $752 |
| Cigna | HMO | $761 |
| UHC | Navigate Core | $1,858 |
| BCBS IL | Blue Choice | $1,905 |
| UHC | All Products | $2,026 |
| Cigna | PPO | $2,106 |
| BCBS IL | PPO | $2,371 |
| Aetna | All Products | $2,544 |
| BCBS IL | HMO | $2,762 |
| BCBS IL | Blue Precision | $2,870 |
| Aetna | FH-Medical Rental | $3,010 |
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