MRI lower back without contrast at Dukes Memorial Hospital. CPT 72148.
What Dukes Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,112cash price (self-pay)
$4,351list price
$222–$4,351range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Caresource | Caresource IN Medicaid | $352 |
| Anthem Blue Cross Blue Shield | Anthem IN Medicaid | $458 |
| CareSource | CareSource HHW IN Medicaid | $458 |
| Caresource | Caresource IN HIP | $458 |
| Humana PathWays IN Medicaid | Humana PathWays IN Medicaid | $458 |
| Medicaid IN | IN Medicaid | $458 |
| Medicaid Non Par | IN Medicaid Non-Par | $458 |
| Three Rivers Preferred Plus | Lutheran Preferred Three Rivers Plus | $656 |
| Lutheran Preferred | Lutheran Preferred Exclusive Plus | $690 |
| Lutheran Preferred | Lutheran Preferred Inclusive | $690 |
| Lutheran Preferred | Lutheran Preferred Exclusive | $725 |
| Healthy Indiana Program-Anthem | Anthem IN HIP | $870 |
| IN Dept of Correction | IN DOC | $905 |
| Lutheran Advanced Network | Lutheran Advanced Network | $1,305 |
| NODE Lutheran Preferred Fixed 2 | Lutheran Preferred Fixed 2 | $1,305 |
| Lutheran Three Rivers Preferred Plus 150 | Lutheran Three Rivers Prefe | $1,305 |
| Align Network | Align IN Work Comp | $1,392 |
| Anthem Blue Cross Blue Shield | Anthem IN Work Comp | $1,392 |
| Lutheran Three Rivers Preferred Plus 175 | Lutheran Three Rivers Prefe | $1,523 |
| Aetna | Aetna NBD | $1,566 |
| Aetna PSSD J&J | Aetna PSSD JJ | $1,566 |
| Encore Work Comp IN | Encore Work Comp IN | $1,566 |
| Work Comp | IN Work Comp | $1,740 |
| Lutheran Northwest Health Preferred | Lutheran Northwest Health Prefer | $1,740 |
| CIGNA | Cigna All | $1,845 |
| Lutheran Preferred | Lutheran Preferred Fixed | $1,958 |
| Three Rivers Preferred | Lutheran Preferred Three Rivers | $1,958 |
| Aetna | Aetna All | $2,071 |
| Encore KBA EPO | Encore KBA EPO | $2,088 |
| Amish Aid | Amish Aid | $2,176 |
Inpatient
$2,323cash price (self-pay)
$4,351list price
$1,343–$3,916range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Lutheran Preferred | NODE Lutheran Preferred CHS Employees | $1,384 |
| Aetna | Aetna NBD | $1,566 |
| Aetna PSSD J&J | Aetna PSSD JJ | $1,566 |
| Physicians Health Plan | PHP Platinum | $1,750 |
| Physicians Health Plan | PHP Options | $1,811 |
| Lutheran Preferred | Lutheran Preferred Fixed | $1,958 |
| PHP Freedom | PHP Freedom Network | $2,009 |
| Physicians Health Plan | PHP Classic | $2,028 |
| Node Va | Node Va | $2,102 |
| United Healthcare | UHC APA | $2,141 |
| Self Pay | Self Pay | $2,393 |
| Sagamore Health Network | Sagamore | $2,410 |
| Consumer Life | Consumer Life/MMO | $2,698 |
| Lutheran Preferred | Lutheran Preferred Inclusive | $2,698 |
| Lutheran Preferred | Lutheran Preferred Choice | $2,828 |
| Lutheran Preferred | Lutheran Preferred Exclusive | $2,828 |
| Prime Health Services | Prime Health Services | $3,263 |
| Prime Health Services | Prime Health Services Auto | $3,263 |
| First Health | First Health | $3,481 |
| Lutheran Preferred | Lutheran Preferred CCSI | $3,481 |
| Multiplan | Multiplan Complementary | $3,524 |
| MultiPlan | Multiplan Primary | $3,524 |
| Encore Health Network | Encore PPO Fully Insured | $3,568 |
| Advantage Health Solutions | Advantage Health Solutions | $3,611 |
| Encore | Encore PPO Self Insured | $3,916 |
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