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MRI lower back without contrast at Springfield Memorial Hospital. CPT 72148.

What Springfield Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 17, 2026.

Outpatient / ER

$6,922cash price (self-pay)
$6,922list price
$179–$6,922range insurers pay
Insurance planNegotiated rate
BCBS Medicare Advantage | BCBS Medicare Advantage$215
Blue Cross Community MMAI/Dual Eligible | Blue Cross Community MMAI/Du$234
Aetna | Aetna Medicare Advantage$252
HealthLink | HealthLink EPO$1,080
Blue Cross Blue Shield | BCBS HMO/PHAI$1,557
Commercial Workers Compensation | Commercial Workers Compensation$1,705
Illinois Workers Compensation | Illinois Workers Compensation$1,794
Cigna | Cigna PPO$1,838
Health Alliance | Health Alliance ACA$2,215
Current Health Network PPO | Current Health Network PPO$3,115
Aetna | Aetna PPO$3,170
Health Alliance | Health Alliance MHS Employee Health Plan HMO$3,184
Health Alliance | Health Alliance Coordinated Care Plan (CCP)$3,599
PHCS/MultiPlan | PHCS Savility PPO$3,738
HealthLink | HealthLink HMO$3,946
Health Alliance | Health Alliance Self Funded$4,008
6 Degrees Health | 6 Degrees Health$4,153
Hst | Hst$4,153
HopeTrust | HopeTrust$4,153
Humana | Humana PPO$4,153
Magellan | Magellan PPO$4,153
PHCS/MultiPlan | PHCS/MultiPlan PPO$4,153
UnitedHealthCare | UnitedHealthCare PPO$4,292
HealthLink | HealthLink PPO$4,361
Consociate | Consociate PPO$4,499
Health Alliance | Health Alliance Gated PPO$4,499
HFN | HFN Platinum PPO$4,499
Hfn | Hfn PPO$4,499
Preferred Plan | Preferred Plan PPO$5,192
SOI McFarland | SOI McFarland PPO$5,192

Inpatient

$6,922cash price (self-pay)
$6,922list price
$2,769–$6,922range insurers pay
Insurance planNegotiated rate
Health Alliance | Health Alliance ACA$2,769
Health Alliance | Health Alliance MHS Employee Health Plan HMO$3,184
PHCS/MultiPlan | PHCS Savility PPO$3,738
Health Alliance | Health Alliance Gated PPO$3,807
Health Alliance | Health Alliance Self Funded$4,008
6 Degrees Health | 6 Degrees Health$4,153
HopeTrust | HopeTrust$4,153
Hst | Hst$4,153
Humana | Humana PPO$4,153
Magellan | Magellan PPO$4,153
PHCS/MultiPlan | PHCS/MultiPlan PPO$4,153
HFN | HFN Platinum PPO$4,499
Hfn | Hfn PPO$4,499
Preferred Plan | Preferred Plan PPO$5,192
SOI McFarland | SOI McFarland PPO$5,192
SOI Rushville | SOI Rushville PPO$5,192
Methodist First Choice | Methodist First Choice PPO$5,538
Mutual Medical Plans | Mutual Medical Plans PPO$5,884
Blue Cross Blue Shield | BCBS HMO/PHAI$6,922
Blue Cross Blue Shield | BCBS PPO/Indemnity/ACA$6,922
BCBS | Blue Cross Memorial Health System$6,922
Liability | Liability$6,922
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All common services at Springfield Memorial Hospital