MRI lower back without contrast at Community Hospital of Bremen. CPT 72148.
What Community Hospital of Bremen publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$1,321cash price (self-pay)
$2,032list price
$458–$2,642range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | IN Medicaid HCC | $458 |
| Anthem | IN Medicaid HIP | $458 |
| Humana | Pathways for Aging | $458 |
| MHS | IN Medicaid HHW | $458 |
| MHS | IN Medicaid HIP | $458 |
| MdWise | IN Medicaid HHW | $458 |
| MdWise | IN Medicaid HIP | $458 |
| UHC | Pathways for Aging | $458 |
| Anthem | Exchange | $630 |
| Aetna | Medicare Advantage | $630 |
| Anthem | Medicare Advantage | $630 |
| Anthem | Workers Compensation | $630 |
| Caresource | Exchange | $630 |
| Humana | Medicare Advantage | $630 |
| MHS | Exchange | $630 |
| UHC | Medicare Advantage | $630 |
| VA Optum | VA | $630 |
| Anthem | Pathway Essentials | $813 |
| Plain Church | Commercial | $813 |
| Immergrun | Commercial | $1,016 |
| Anthem | Commercial PPO | $1,114 |
| Anthem | Commercial Trad | $1,223 |
| Cigna Sagamore | Commercial | $1,412 |
| Cigna Sagamore | PPO | $1,412 |
| CHA | Employer Group 4 | $1,422 |
| Medishare Multiplan | Commercial | $1,524 |
| PHP | Commercial | $1,524 |
| Priority Health | Commercial | $1,524 |
| Aetna | Commercial | $1,536 |
| Allied Benefit | Commercial | $1,536 |
Inpatient
$1,321cash price (self-pay)
$2,032list price
$1,016–$2,642range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Immergrun | Commercial | $1,016 |
| Anthem | Commercial PPO | $1,080 |
| Anthem | Commercial Trad | $1,224 |
| Cigna Sagamore | Commercial | $1,412 |
| Cigna Sagamore | PPO | $1,412 |
| CHA | Employer Group 4 | $1,422 |
| Medishare Multiplan | Commercial | $1,524 |
| PHP | Commercial | $1,524 |
| Priority Health | Commercial | $1,524 |
| Aetna | Commercial | $1,536 |
| Allied Benefit | Commercial | $1,536 |
| CHA | Commercial | $1,565 |
| Multiplan | Commercial | $1,626 |
| Plain Church | Commercial | $1,626 |
| Cigna Prof Benefit | Commercial | $1,666 |
| Caresource | IN Medicaid HIP | $2,642 |
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