MRI lower back without contrast at Elkhart General Hospital. CPT 72148.
What Elkhart General Hospital 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
$136–$2,642range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Exchange | $253 |
| Anthem | Medicare Advantage | $253 |
| Humana | Medicare Advantage | $253 |
| Caresource | Exchange | $405 |
| Devoted Healthcare | Medicare Advantage | $406 |
| Anthem | HealthSync | $425 |
| Anthem | IN Medicaid HCC | $458 |
| Anthem | IN Medicaid HHW | $458 |
| Anthem | IN Medicaid HIP | $458 |
| Anthem | Pathways for Aging | $458 |
| Caresource | IN Medicaid HHW | $458 |
| Humana | Pathways for Aging | $458 |
| MHS | IN Medicaid HCC | $458 |
| MHS | IN Medicaid HCC BH | $458 |
| MHS | IN Medicaid HHW | $458 |
| Anthem | Workers Compensation | $481 |
| Anthem | Commercial | $500 |
| Aetna | Medicare Advantage | $914 |
| CHA | Employer Group 4 | $1,219 |
| Immergrun | Commercial | $1,219 |
| CHA | Employer Group 1 | $1,300 |
| MHS | Exchange | $1,321 |
| PHP | Commercial Select | $1,321 |
| CHA | Employer Group 2 | $1,341 |
| UHC | Commercial | $1,366 |
| Aetna | Commercial | $1,376 |
| Humana | Commercial | $1,422 |
| PHP | Commercial | $1,422 |
| Cigna | OAP | $1,463 |
| Multiplan | Commercial | $1,463 |
Inpatient
$1,321cash price (self-pay)
$2,032list price
$406–$2,642range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Devoted Healthcare | Medicare Advantage | $406 |
| CHA | Employer Group 1 | $1,300 |
| PHP | Commercial Select | $1,321 |
| CHA | Employer Group 2 | $1,341 |
| Aetna | Commercial | $1,376 |
| Humana | Commercial | $1,395 |
| PHP | Commercial | $1,422 |
| Cigna | OAP | $1,463 |
| Multiplan | Commercial | $1,463 |
| Signature | Commercial | $1,483 |
| Encore | Commercial | $1,504 |
| Cigna Sagamore | PPO | $1,544 |
| CHA | Employer Group 3 | $1,585 |
| Immergrun | Commercial | $1,626 |
| Plain Church | Commercial | $1,626 |
| Caresource | IN Medicaid HIP | $2,642 |
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