MRI lower back without contrast at Franciscan Health Carmel. CPT 72148.
What Franciscan Health Carmel publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$553cash price (self-pay)
$2,393list price
$247–$2,817range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare [1099] | Medicare | $247 |
| Medicare Replacement [2003] | Medicare | $247 |
| Medicaid Illinois [1091] | In Mcd-Cir-Carmel | $458 |
| Medicaid [1092] | In Mcd-Cir-Carmel | $458 |
| Mdwise [1175] | In Mcd-Cir-Carmel | $458 |
| Alt Traditional Medicaid Secondary [109200] | In Mcd-Cir-Carmel | $458 |
| Managed Health Services [1302] | In Mcd Ind-Carmel-Car Ort 112% Of In | $472 |
| WORKERS COMP [1172] | Workers Comp - CIR - INDIANAPOLIS | $493 |
| Medicaid [1092] | In Mcd-Indianapol Caresource 120% In Mcd | $549 |
| Blue Cross [1014] | Anthem Franciscan Employee Copps- All Locations | $610 |
| Blue Cross [1014] | Anthem Healthsync HMO With Copps - Indianapolis & | $784 |
| Blue Cross [1014] | Anthem Healthsync POS With Copps - Indianapolis & | $888 |
| Blue Cross [1014] | Anthem Blue Access PPO With Copps - Indianapolis & | $993 |
| Blue Cross [1014] | Anthem Blue Traditional With Copps - Indianapolis | $993 |
| Unicare [1150] | Anthem Blue Access PPO With Copps - Indianapolis & CA | $993 |
| Blue Cross Illinois [1210] | Anthem Blue Access PPO With Copps - India | $993 |
| Blue Cross Out Of State [1211] | Anthem Blue Access PPO With Copps - I | $993 |
| Alt Payer Illinois Blue Cross [121002] | Anthem Blue Access PPO With C | $993 |
| Alt Payer Indiana Blue Cross [121003] | Anthem Blue Access PPO With Co | $993 |
| Managed Care [2000] | Siho - Cid & Nid & Wid Locations | $1,051 |
| Managed Care [2000] | Unified Group Services-Cir | $1,675 |
| Commercial [2001] | Indiana Bone Marrow Transplant-Cir | $1,675 |
| Commercial [2001] | Unified Group Services-Cir | $1,675 |
| Managed Care [2000] | Ccn/First Health-Cir | $1,845 |
| Commercial [2001] | Ccn/First Health-Cir | $1,845 |
| Managed Care [2000] | Sagamore Plus PPO-Cir | $1,953 |
| Managed Care [2000] | Multiplan/Phcs-Cir | $2,154 |
| United Healthcare [1156] | United Healthcare Charter-Cid | $2,761 |
| United Healthcare [1156] | United Healthcare-Cid | $2,817 |
| United Medical Resources [1158] | United Healthcare-Cid | $2,817 |
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