MRI lower back without contrast at Adams Memorial Hospital. CPT 72148.
What Adams Memorial Hospital publishes for this service, straight from its standard-charges file, last updated August 14, 2026.
Outpatient / ER
$2,079cash price (self-pay)
$2,079list price
$117–$2,079range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerihealth Caritas Medicaid - All Plans | Amerihealth Caritas Medicai | $117 |
| Mdwise Mcaid | Mdwise Mcaid | $117 |
| Mhs Hoosier | Mhs Hoosier | $117 |
| Buckeye Mcaid | Buckeye Mcaid | $117 |
| Caresource Hoosier | Caresource Hoosier | $117 |
| Humana Choicecare Mcaid | Humana Choicecare Mcaid | $117 |
| Caresource Oh Mcaid | Caresource Oh Mcaid | $222 |
| Anthem Pathway X/Healthsync | Anthem Pathway X/Healthsync | $746 |
| Humana Choicecare Mcr PPO | Humana Choicecare Mcr PPO | $800 |
| Aetna - All Other Plans | Aetna - All Other Plans | $832 |
| Tricare - All Plans | Tricare - All Plans | $842 |
| Anthem Trad/PPO/HMO/Path - All Others | Anthem Trad/PPO/HMO/Path - All | $933 |
| Anthem Mcr Adv | Anthem Mcr Adv | $936 |
| Caresource Hlthy In | Caresource Hlthy In | $936 |
| Caresource Oh Mcare | Caresource Oh Mcare | $936 |
| Mdwise Hip | Mdwise Hip | $936 |
| Paramount Comm - All Other Plans | Paramount Comm - All Other Plans | $936 |
| Paramount Mcare | Paramount Mcare | $936 |
| UHC Mcr Adv | UHC Mcr Adv | $936 |
| Anthem Hlthy In | Anthem Hlthy In | $936 |
| Buckeye Mcare - All Other Plans | Buckeye Mcare - All Other Plans | $936 |
| Caresource Mcr Adv | Caresource Mcr Adv | $936 |
| Caresource Oh Marketplace | Caresource Oh Marketplace | $936 |
| Mdwise Mcr Adv | Mdwise Mcr Adv | $936 |
| Aetna Mcr Adv | Aetna Mcr Adv | $954 |
| Valor Health Plan - All Plans | Valor Health Plan - All Plans | $964 |
| Caresource Comm - All Other Plans | Caresource Comm - All Other Plans | $1,029 |
| Gpa - All Plans | Gpa - All Plans | $1,048 |
| Iu Health Comm - All Other Plans | Iu Health Comm - All Other Plans | $1,123 |
| Iu Health Mcr | Iu Health Mcr | $1,123 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.