MRI lower back without contrast at Hammond-henry Hospital. CPT 72148.
What Hammond-henry Hospital publishes for this service, straight from its standard-charges file, last updated January 22, 2026.
Outpatient / ER
$3,409cash price (self-pay)
$3,788list price
$137–$3,409range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quad City Community Hc-All Plans | Quad City Community Hc-All Plans | $137 |
| BCBS Medicaid | BCBS Medicaid | $576 |
| Meridian Health Plan-All Plans | Meridian Health Plan-All Plans | $576 |
| Aetna Better Health Mcaid | Aetna Better Health Mcaid | $576 |
| Cigna-All Plans | Cigna-All Plans | $800 |
| Geneseo Good Samaritan Village Op Only-All Plans | Geneseo Good Samari | $824 |
| Tricare-All Plans | Tricare-All Plans | $989 |
| Aetna Mcare Advan | Aetna Mcare Advan | $1,099 |
| Health Alliance Mcare Adv | Health Alliance Mcare Adv | $1,099 |
| United Healthcare Mcare Adv | United Healthcare Mcare Adv | $1,099 |
| Humana Mcare Adv | Humana Mcare Adv | $1,110 |
| Wellmark Of Ia-All Plans | Wellmark Of Ia-All Plans | $1,894 |
| Humana Choice Care Adult-All Other Plans | Humana Choice Care Adult-Al | $1,930 |
| Humana Choice Care Pediatric | Humana Choice Care Pediatric | $1,930 |
| BCBS Blue Choice | BCBS Blue Choice | $2,083 |
| BCBS PPO | BCBS PPO | $2,273 |
| BCBS Traditional-All Other Plans | BCBS Traditional-All Other Plans | $2,273 |
| Springfield Armory-All Plans | Springfield Armory-All Plans | $2,462 |
| Aetna-All Other Plans | Aetna-All Other Plans | $2,652 |
| Ambetter-All Plans | Ambetter-All Plans | $2,652 |
| United Healthcare-All Other Plans | United Healthcare-All Other Plans | $2,799 |
| Aetna First Health | Aetna First Health | $2,841 |
| Health Alliance-All Other Plans | Health Alliance-All Other Plans | $2,841 |
| Multiplan Integrated Hp | Multiplan Integrated Hp | $2,841 |
| OSF Direct Access Network-All Plans | OSF Direct Access Network-All Pl | $3,030 |
| Multiplan Pponext | Multiplan Pponext | $3,030 |
| Multiplan-All Other Plans | Multiplan-All Other Plans | $3,220 |
| Corvel-All Plans | Corvel-All Plans | $3,409 |
| Healthsmart Pediatric | Healthsmart Pediatric | $3,409 |
| Multiplan Beech Street | Multiplan Beech Street | $3,409 |
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