MRI lower back without contrast at Franciscan Health Michigan City. CPT 72148.
What Franciscan Health Michigan City publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$1,005cash price (self-pay)
$4,830list price
$228–$4,830range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare [1099] | Medicare-Nir-Michigan City | $247 |
| Medicare Replacement [2003] | Medicare-Nir-Michigan City | $247 |
| Blue Cross [1014] | Anthem Blue Access PPO-Cid | $313 |
| Unicare [1150] | Anthem Blue Access PPO-Cid | $313 |
| Blue Cross Out Of State [1211] | Anthem Blue Access PPO-Cid | $313 |
| Alt Payer Indiana Blue Cross [121003] | Anthem Blue Access PPO-Cid | $313 |
| Medicaid Illinois [1091] | In Mcd-Nir-Michigan City | $458 |
| Medicaid [1092] | In Mcd-Nir-Michigan City | $458 |
| Mdwise [1175] | In Mcd-Nir-Michigan City | $458 |
| Alt Traditional Medicaid Secondary [109200] | In Mcd-Nir-Michigan City | $458 |
| Managed Health Services [1302] | In Mcd Michigan City Mhs 112% Of In M | $472 |
| Workers Comp [1172] | Workers Comp - Nir - Michigan City | $493 |
| Aetna [1005] | Aetna-Nid-Dyer-Munster-Crn Point | $529 |
| Managed Care [2000] | Aetna-Nid-Dyer-Munster-Crn Point | $529 |
| Medicaid [1092] | In Mdc Mi City Caresource 120% Of In Mcd | $549 |
| Managed Care [2000] | Siho - Cid & Nid & Wid Locations | $1,051 |
| Cigna [1037] | Cigna Localplus-Nid | $1,150 |
| Blue Cross Illinois [1210] | St Anthony Health-Nir-Stmar&Fhm&Stant Mc | $2,415 |
| Managed Care [2000] | First Health-Nid | $2,898 |
| Commercial [2001] | First Health-Nid | $2,898 |
| Managed Care [2000] | Lutheran Preferred-Nid & Wid & Cid-Carme | $2,898 |
| Cigna [1037] | Cigna HMO-Nid-Michigan City & Laporte | $2,917 |
| Great West Insurance [1055] | Cigna HMO-Nid-Michigan City & Laporte | $2,917 |
| Managed Care [2000] | Cigna HMO-Nid-Michigan City & Laporte | $2,917 |
| Commercial [2001] | Cigna HMO-Nid-Michigan City & Laporte | $2,917 |
| Cigna [1037] | Cigna PPO-Nid-Michigan City | $3,057 |
| United Healthcare [1156] | UHC All Payer-Nid-Michigan City | $3,066 |
| United Medical Resources [1158] | UHC All Payer-Nid-Michigan City | $3,066 |
| United Medical Resources [1301] | UHC All Payer-Nid-Michigan City | $3,066 |
| Managed Care [2000] | UHC All Payer-Nid-Michigan City | $3,066 |
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