MRI lower back without contrast at HSHS St. Mary's Hospital. CPT 72148.
What HSHS St. Mary's Hospital publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$4,450cash price (self-pay)
$6,181list price
$102–$6,181range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Healthcare | Molina Medicaid | $220 |
| Healthlink | All Commercial Healthlink | $230 |
| Healthlink | All Commercial Healthlink - PPO | $230 |
| Meridian Health Plan | Meridian HMO Mcd | $230 |
| Aetna | Aetna Medicare | $256 |
| Blue Cross Blue Shield Of Illinois | BCBS IL Medicare | $256 |
| Blue Cross Blue Shield Of Illinois | BCBS IL Mmai | $256 |
| Blue Cross Blue Shield Of Illinois | Blue Cross Blue Shield Of Illinoi | $256 |
| Clear Spring Health Of Illinois | Clear Spring Health Medicare Adv | $256 |
| Coventry | Coventry Medicare Advantra | $256 |
| Humana | Humana Medicare | $256 |
| Molina Healthcare | Molina Medicare | $268 |
| Celtic Insurance Company | All Commercial Exchange Ambetter | $563 |
| Claim Doc | All Commercial Claim Doc | $639 |
| Hopetrust | All Commercial Hopetrust | $639 |
| Caterpillar, Inc. | UHC Caterpillar Employer Group | $1,685 |
| United Healthcare | All Commercial United Healthcare | $1,685 |
| Amish Community | Amish Community Discount | $1,731 |
| Amish Community | Plain Church Medical Group | $1,731 |
| Cigna | All Commercial Cigna | $2,000 |
| Aetna | All Commercial Aetna | $2,250 |
| Aetna | Aetna Hshs | $3,400 |
| Current Health Solutions | All Commercial Current Health Solutions | $3,709 |
| Choicecare | All Commercial Choice Care | $4,327 |
| Consociate Group | All Commercial Consociate Group | $4,327 |
| First Health | All Commercial First Health Network | $4,568 |
| Cigna | Cigna Behavioral Health | $4,945 |
| Multiplan/Phcs | All Commercial Multiplan | $4,945 |
| Healthcare Finest Network (Hfn) | All Commercial Hfn | $5,254 |
| Provider Network Of America | All Commercial Provider Network Of Ameri | $5,563 |
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