MRI lower back without contrast at HSHS St. Anthony's Memorial Hospital. CPT 72148.
What HSHS St. Anthony's Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 24, 2026.
Outpatient / ER
$3,633cash price (self-pay)
$5,046list price
$102–$5,046range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Healthcare | Molina Medicaid | $220 |
| Meridian Health Plan | Meridian HMO Mcd | $230 |
| Aetna | Aetna Medicare | $274 |
| Blue Cross Blue Shield Of Illinois | BCBS IL Medicare | $274 |
| Blue Cross Blue Shield Of Illinois | BCBS IL Mmai | $274 |
| Blue Cross Blue Shield Of Illinois | Blue Cross Blue Shield Of Illinoi | $274 |
| Clear Spring Health Of Illinois | Clear Spring Health Medicare Adv | $274 |
| Health Partners | Health Partners Medicare | $274 |
| Humana | Humana Medicare | $274 |
| Molina Healthcare | Molina Medicare | $287 |
| Celtic Insurance Company | All Commercial Exchange Ambetter | $563 |
| Naphcare | All Commerical Naphcare | $593 |
| Hopetrust | All Commercial Hopetrust | $657 |
| Claim Doc | All Commercial Claim Doc | $685 |
| Amish Community | Amish Community Discount | $1,413 |
| Amish Community | Plain Church Medical Group | $1,413 |
| Cigna | All Commercial Cigna | $2,862 |
| Aetna | Aetna Hshs | $3,305 |
| Aetna | All Commercial Aetna | $3,552 |
| First Health | All Commercial First Health Network | $3,754 |
| Healthlink | All Commercial Healthlink | $4,012 |
| Healthlink | All Commercial Healthlink - PPO | $4,012 |
| Healthlink | Healthlink Casino Queen | $4,012 |
| Caterpillar, Inc. | UHC Caterpillar Employer Group | $4,052 |
| Consociate Group | All Commercial Consociate Group | $4,440 |
| Choicecare | All Commercial Choice Care | $4,541 |
| Healthcare Finest Network (Hfn) | All Commercial Hfn | $4,541 |
| Multiplan/Phcs | All Commercial Multiplan | $4,541 |
| Cigna | Cigna Behavioral Health | $5,046 |
| City Of Springfield | City Of Springfield Workcomp | $5,046 |
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