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MRI lower back without contrast at SBL Fayette County Hospital. CPT 72148.

What SBL Fayette County Hospital publishes for this service, straight from its standard-charges file, last updated June 12, 2026.

Outpatient / ER

$402cash price (self-pay)
$5,054list price
$68.44–$4,296range insurers pay
Insurance planNegotiated rate
Blue Cross Community Care-All Plans | Blue Cross Community Care-All Pl$273
Health Alliance Medicaid | Health Alliance Medicaid$273
Illinicare - All Plans | Illinicare - All Plans$273
Molina Medicaid-All Plans | Molina Medicaid-All Plans$273
Aetna Better Health | Aetna Better Health$273
Meridian-All Plans | Meridian-All Plans$273
Healthlink Mcr Adv | Healthlink Mcr Adv$843
Health Alliance Mcare | Health Alliance Mcare$843
Humana Choicecare - All Plans | Humana Choicecare - All Plans$1,617
Coventry/Ghp-All Plans | Coventry/Ghp-All Plans$1,689
Aetna Health Inc - All Other Plans | Aetna Health Inc - All Other Plan$1,711
Aetna Coventry | Aetna Coventry$1,790
Cigna - All Plans | Cigna - All Plans$1,935
Healthlink HMO | Healthlink HMO$1,942
Health Alliance - All Other Plans | Health Alliance - All Other Plans$2,156
Healthlink PPO - All Other Plans | Healthlink PPO - All Other Plans$2,194
BCBS Illinois - All Plans | BCBS Illinois - All Plans$2,196
Multiplan - All Plans | Multiplan - All Plans$2,211
United Healthcare - All Plans | United Healthcare - All Plans$2,264
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All common services at SBL Fayette County Hospital