MRI lower back without contrast at Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.). CPT 72148.
What Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$583cash price (self-pay)
$971list price
$35.16–$700range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Care Connect | 8255_anthem Connect Medicaid Replacement Outpat | $114 |
| Anthem Care Connect | 8879_anthem Connect Medicaid Replacement Asc Out | $114 |
| Anthem Medicaid | 7373_anthem Medicaid Replacement Outpatient 20230101 | $114 |
| Mdwise Hoosier Alliance Medicaid | 8256_mdwise Medicaid Replacement Ou | $114 |
| Mdwise Hoosier Alliance Medicaid | 9347_mdwise Medicaid Replacement As | $114 |
| Medicaid Advantage | 8723_medicaid Replacement Outpatient 20240401 | $114 |
| Medicaid Replacement Asc Outpatient 20250101 | 9365_medicaid Replaceme | $114 |
| Mhs Care Connect | 8257_mhs Connect Medicaid Replacement Outpatient 2 | $114 |
| Mhs Care Connect | 8877_mhs Connect Medicaid Replacement Asc Outpatien | $114 |
| UHC | 9393_united Healthcare Vkin 20250101 | $126 |
| Aetna Mcr | 8946_aetna Medicare Replacement Asc Outpatient Asin, Ecin, | $168 |
| Aetna Mcr Choice | 8955_aetna Choice Medicare Replacement Asc Outpatie | $168 |
| Anthem Mcr | 8964_anthem Medicare Replacement Asc Outpatient Asin, Eci | $168 |
| Ascension Complete Mcr | 9108_ascension Complete Medicare Replacement | $168 |
| Caresource HMO Medicare Advantage | 8973_caresource HMO Medicare Repla | $168 |
| Caresource Marketplace | 9054_caresource Marketplace Medicare Replacem | $168 |
| Corizon | 9072_corizon Medicare Replacement Asc Outpatient Asin, Ecin, | $168 |
| Humana Gold Mcr | 9000_humana Gold Choice Medicare Replacement Asc Out | $168 |
| Humana Mcr Choice | 8991_humana Choice Medicare Replacement Asc Outpat | $168 |
| Humana PPO Mcr Replacement | 8982_humana PPO Medicare Replacement Asc | $168 |
| Immergrun | 9081_immergrun Medicare Replacement Asc Outpatient Asin, E | $168 |
| Mdwise Medicare | 9090_mdwise Medicare Replacement Asc Outpatient Asin | $168 |
| Medicare Replacement | 9063_medicare Replacement Asc Outpatient Asin, | $168 |
| Mhs Cenpatico Ambetter | 9036_mhs Cenpatico Ambetter Medicare Replacem | $168 |
| UHC | 9470_united Healthcare Vein 20250101 | $244 |
| UHC Self | 6575_united Health Care Self Funded Non-Contracted Vein 202 | $244 |
| Anthem Healthsync HMO | 9399_anthem Healthsync HMO Vein 20250101 | $308 |
| Anthem Healthsync POS | 9401_anthem Healthsync POS Vein 20250101 | $308 |
| Anthem HMO/POS | 9403_anthem HMO POS Vein 20250101 | $308 |
| Anthem Pathway | 9404_anthem Pathway Vein 20250101 | $308 |
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All common services at Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.)