MRI lower back without contrast at SSM Health Good Samaritan Hospital - Mt. Vernon. CPT 72148.
What SSM Health Good Samaritan Hospital - Mt. Vernon publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,292cash price (self-pay)
$4,719list price
$256–$268range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina | Dual Eligible Medicare/Medicaid | $256 |
| UnitedHealthCare | Medicare Managed Care Plan | $266 |
| Essence Healthcare | Medicare Managed Care Plan | $268 |
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All common services at SSM Health Good Samaritan Hospital - Mt. Vernon