MRI lower back without contrast at Memorial Hospital Shiloh. CPT 72148.
What Memorial Hospital Shiloh publishes for this service, straight from its standard-charges file, last updated December 15, 2025.
Outpatient / ER
$1,423cash price (self-pay)
$2,371list price
$239–$3,826range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Medicare [211] | Bjc Hb Medicare Advantra Bsp | $239 |
| Aetna Medicare [211] | Bjc Hb Medicare Gold Advantage Bsp | $239 |
| BCBS Medicare Alt [649] | Bjc Hb Medicare Anthem Advantage Bsp | $239 |
| BCBS Medicare Oos [611] | Bjc Hb Medicare Anthem Advantage Bsp | $239 |
| BCBS Medicare Oos IL [612] | Bjc Hb Medicare Anthem Advantage Bsp | $239 |
| Humana Medicare Alt [672] | Bjc Hb Medicare Humana Bsp | $239 |
| Blue Cross Blue Shield Medicare [263] | Bjc Hb Medicare Anthem Advanta | $239 |
| Essence Healthcare [221] | Bjc Hb Medicare Essence Bsp | $239 |
| Humana Medicare [228] | Bjc Hb Medicare Humana Bsp | $239 |
| United Healthcare Medicare [251] | Bjc Hb Medicare UHC Bsp | $239 |
| Devoted Health Plan [847] | Bjc Hb Medicare Devoted Bsp | $251 |
| Cox Health [757] | Bjc Hb Medicare Coxhealth Bsp | $251 |
| Medica [662] | Bjc Hb Medicare Wellfirst Bsp | $251 |
| BCBS Oos [607] | Bjc Hb Anthem Choice Community | $252 |
| Blue Cross Blue Shield [205] | Bjc Hb Anthem Choice Community | $252 |
| BCBS Oos [607] | Bjc Hb Anthem Access Community | $253 |
| Blue Cross Blue Shield [205] | Bjc Hb Anthem Access Community | $253 |
| Cigna [202] | Bjc Hb Cigna Local Plus Community | $644 |
| Allied Benefits [498] | Bjc Hb Aetna Commercial Community | $958 |
| Aetna [200] | Bjc Hb Aetna Commercial Community | $958 |
| Cigna [202] | Bjc Hb Cigna HMO/PPO Community | $989 |
| Cigna [202] | Bjc Hb Cigna Special Community | $993 |
| Consociate [478] | Bjc Hb Consociate Care Coe Community | $1,024 |
| Consociate [478] | Bjc Hb Consociate Care D2e Community | $1,024 |
| Cox Health Systems Insurance Company [220] | Bjc Hb Cox Health Aca | $1,304 |
| Allied Benefits [498] | Bjc Hb Hope Trust | $1,375 |
| Cox Health Systems Insurance Company [220] | Bjc Hb Cox Health Network | $1,411 |
| Med-Pay [480] | Bjc Hb Healthlink HMO Community | $1,541 |
| Humana [203] | Bjc Hb Humana Choicecare Community | $1,663 |
| Allied Benefits [498] | Bjc Hb First Health | $1,762 |
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