MRI lower back without contrast at HSHS Good Shepherd Hospital. CPT 72148.
What HSHS Good Shepherd Hospital publishes for this service, straight from its standard-charges file, last updated March 24, 2026.
Outpatient / ER
$2,881cash price (self-pay)
$4,002list price
$382–$4,002range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wexford | Wexford Health Sources | $764 |
| Molina Healthcare | Molina Medicaid | $803 |
| Meridian Health Plan | Meridian HMO Mcd | $841 |
| Aetna | Aetna Medicare | $1,001 |
| Blue Cross Blue Shield Of Illinois | BCBS IL Mmai | $1,001 |
| Blue Cross Blue Shield Of Illinois | Blue Cross Blue Shield Of Illinoi | $1,001 |
| Clear Spring Health Of Illinois | Clear Spring Health Medicare Adv | $1,001 |
| Humana | Humana Medicare | $1,001 |
| Humana | Humana Medicare Advantage | $1,001 |
| United Healthcare | United Health Care Medicare | $1,001 |
| Molina Healthcare | Molina Medicare | $1,051 |
| Amish Community | Amish Community Discount | $1,121 |
| Amish Community | Plain Church Medical Group | $1,121 |
| Celtic Insurance Company | All Commercial Exchange Ambetter | $2,201 |
| Claim Doc | All Commercial Claim Doc | $2,501 |
| Hopetrust | All Commercial Hopetrust | $2,501 |
| Wellfirst | All Commercial Wellfirst | $2,560 |
| Aetna | All Commercial Aetna | $2,797 |
| Cigna | All Commercial Cigna | $2,862 |
| First Health | All Commercial First Health Network | $2,953 |
| Caterpillar, Inc. | UHC Caterpillar Employer Group | $3,190 |
| United Healthcare | All Commercial United Healthcare | $3,190 |
| Healthlink | All Commercial Healthlink | $3,338 |
| Healthlink | All Commercial Healthlink - PPO | $3,338 |
| Healthlink | Healthlink Casino Queen | $3,338 |
| Multiplan/Phcs | All Commercial Multiplan | $3,402 |
| Healthcare Finest Network (Hfn) | All Commercial Hfn | $3,602 |
| Provider Network Of America | All Commercial Provider Network Of Ameri | $3,602 |
| Consociate Group | All Commercial Consociate Group | $4,002 |
| Health Alliance Medical Plans | Health Alliance Kingery | $4,002 |
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