MRI lower back without contrast at Hamilton Memorial Hospital District. CPT 72148.
What Hamilton Memorial Hospital District publishes for this service, straight from its standard-charges file, last updated June 11, 2026.
Outpatient / ER
$2,375cash price (self-pay)
$2,639list price
$181–$2,507range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of Illinois | Blue Cross Community DSNP | $592 |
| Blue Cross Blue Shield of Illinois | Medicare Advantage HMO and PPO | $618 |
| Health Alliance | Medicare Advantage | $618 |
| WellCare | Medicare Advantage HMO and PPO | $618 |
| Wellfirst (SSMHIC) Medicare Advantage | Medicare Advantage | $618 |
| United Healthcare VA CCN | VA Community Care Network | $618 |
| Aetna | Medicare Advantage | $624 |
| Meridian Medicare-Medicaid | MeridianComplete DSNP | $982 |
| Aetna Better Health | Dual Medicare/Medicaid Premier Plan DSNP | $1,055 |
| Alliance Coal | Alliance Coal Group Health | $1,055 |
| Humana | Medicare Advantage | $1,055 |
| Humana Medicare Medicaid | Humana Gold Integrated Plus DSNP | $1,055 |
| Molina Medicare Medicaid | Molina Dual Options DSNP | $1,055 |
| HealthLink | HMO | $1,180 |
| HealthLink | PPO | $1,360 |
| Healthscope | Commercial | $1,847 |
| WellFirst (SSMHIC) | Commercial | $1,847 |
| UnitedHealthcare | HMO and PPO | $1,889 |
| HOPE Trust | Commercial | $1,979 |
| Cigna | HMO and PPO | $2,071 |
| Health Alliance | HMO,PPO, and Exchange | $2,111 |
| HFN, Inc | HFN-20 | $2,111 |
| Multiplan | PPO | $2,243 |
| Blue Cross Blue Shield of Illinois | Blue Choice | $2,269 |
| Aetna | HMO, PPO | $2,375 |
| Aetna | First Health PPO | $2,375 |
| HFN, Inc | HFN-10 | $2,375 |
| Siho | PPO | $2,375 |
| Three Rivers Provider | PPO | $2,375 |
| Blue Cross Blue Shield of Illinois | Traditional and PPO | $2,401 |
Inpatient
$2,111cash price (self-pay)
$2,639list price
$1,847–$2,507range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| WellFirst (SSMHIC) | Commercial | $1,847 |
| HOPE Trust | Commercial | $1,979 |
| HFN, Inc | HFN-20 | $2,111 |
| Aetna | HMO, PPO | $2,243 |
| Multiplan | PPO | $2,243 |
| Blue Cross Blue Shield of Illinois | Blue Choice | $2,269 |
| Aetna | First Health PPO | $2,375 |
| HFN, Inc | HFN-10 | $2,375 |
| Siho | PPO | $2,375 |
| Three Rivers Provider | PPO | $2,375 |
| Blue Cross Blue Shield of Illinois | Traditional and PPO | $2,401 |
| Healthsmart | PPO | $2,507 |
| Stratose | PPO | $2,507 |
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