MRI lower back without contrast at Northwestern Medicine Palos Hospital. CPT 72148.
What Northwestern Medicine Palos Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$3,837cash price (self-pay)
$5,482list price
$877–$5,482range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield [1401] | Ph BCBS Bluechoice Options | $877 |
| Blue Cross Blue Shield [1401] | Ph BCBS Bluechoice Preferred | $877 |
| Blue Cross Blue Shield [1401] | Ph BCBS Bluechoice Options Select | $877 |
| Blue Cross Blue Shield [1401] | Ph BCBS PPO | $1,053 |
| Alternate Blue Cross [1402] | Ph BCBS PPO | $1,053 |
| Aetna Health Plan [171] | Ph Aetna Nm Employees | $1,179 |
| Aetna Health Plan [171] | Ph Aetna IL Preferred | $1,858 |
| Alternate Blue Cross [1402] | Ph BCBS HMO | $2,145 |
| Blue Cross Blue Shield [1401] | Ph BCBS HMO | $2,145 |
| Healthlink [125] | Ph Seiu Healthlink | $2,741 |
| Carelon Behavioral Health [159] | Ph Value Options Bho | $2,741 |
| Magellan Behavioral Hlth [136] | Ph Magellan Bhs | $3,289 |
| The Alliance [1703] | Ph The Alliance | $3,521 |
| Compsych [112] | Ph Compsych | $4,112 |
| First Health Plan [6034] | Ph First Health | $4,112 |
| Cigna Health Plan [178] | Ph Cigna Behavioral Bhs | $4,386 |
| Beechstreet [176] | Ph Beechstreet | $4,386 |
| Health'S Finest Network [126] | Ph Hfn | $4,660 |
| Galaxy Health Network [220] | Ph Non-Contracted Payors | $5,482 |
| United Healthcare [158] | Ph Non-Contracted Payors | $5,482 |
| Cigna Health Plan [178] | Ph Non-Contracted Payors | $5,482 |
| Global Excel [1712] | Ph Non-Contracted Payors | $5,482 |
| Multiplan/Phcs [142] | Ph Non-Contracted Payors | $5,482 |
| Health Alliance [181] | Ph Non-Contracted Payors | $5,482 |
| Healthlink [125] | Ph Non-Contracted Payors | $5,482 |
| Blue Cross Blue Shield [1401] | Ph BCBS Par/Indemnity Adp | $5,482 |
| United Healthcare [158] | Ph UHC Non-Contracted Oon - Ed Only | $5,482 |
| Aetna Health Plan [171] | Ph Non-Contracted Payors | $5,482 |
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