MRI lower back without contrast at IU Health Ball Memorial Hospital. CPT 72148.
What IU Health Ball Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$275cash price (self-pay)
$1,296list price
$254–$1,166range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | All Managed Medicare | $254 |
| Health Alliance | HMO/PPO Managed Medicare | $254 |
| Humana | All Managed Medicare HMO | $254 |
| United Healthcare | All Managed Medicare | $254 |
| Indiana University Health | All Managed Medicare | $254 |
| Elevance Health | All Managed Medicare - Out of network | $254 |
| Elevance Health | All Managed Medicare - In network | $254 |
| Zing Health | All Managed Medicare | $254 |
| Wellcare by Allwell | All Managed Medicare | $259 |
| Elevance Health | HMO - Anthem Pathway Essentials | $279 |
| United Healthcare | ASO | $343 |
| Caresource | All Marketplace Plans | $381 |
| Ambetter | All HMO Marketplace Plans | $419 |
| Managed Health Services | All Government Medicaid HIP | $458 |
| Caresource | All Government Medicaid HIP | $458 |
| Managed Health Services | All Government Medicaid | $458 |
| United Healthcare | All Managed Medicaid | $458 |
| Caresource | All Managed Medicaid | $458 |
| Elevance Health | All Government Medicaid HIP | $458 |
| Elevance Health | All Managed Medicaid | $458 |
| Aetna | PPO - IN Preferred | $925 |
| Cigna | HMO/POS - Arnett Hospital Plans | $925 |
| Sagamore Health Network/Cigna | PPO - NON-DRG | $925 |
| SIHO Insurance Services | All PPO Plans | $925 |
| Aetna | HMO - Coventry Plans | $925 |
| Cigna | HMO | $925 |
| Encore Health Network | PPO/HMO/EPO - Combined/Encircle | $925 |
| Cigna | HMO - Open Access | $925 |
| Sagamore Health Network/Cigna | PPO - DRG Plans | $925 |
| SIHO Insurance Services | PPO - Union Health | $925 |
Inpatient
$420cash price (self-pay)
$1,981list price
$420–$1,783range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Self-Pay | Other - Self-Pay | $420 |
| SIHO Insurance Services | PPO - Union Health | $812 |
| Aetna | POS - Cox Medical Plans | $909 |
| Aetna | PPO - IN Preferred | $909 |
| Cigna | PPO - New Business | $911 |
| Community Health Direct | HMO - LaPorte Regional Plans | $1,169 |
| Parkview Health | HMO - Employee Plans | $1,224 |
| Unified Group Services | HMO | $1,228 |
| Sagamore Health Network/Cigna | PPO - NON-DRG | $1,234 |
| Aetna | PPO/POS | $1,236 |
| Aetna | HMO - Coventry Plans | $1,236 |
| Community Health Direct | HMO - ProHealth Plans | $1,387 |
| Lutheran Health Network | All Managed Care | $1,387 |
| Parkview Health | EPO | $1,428 |
| Aetna | PPO - First Health | $1,541 |
| Aetna | PPO - NAP | $1,541 |
| Indiana Health Network (IHN) | All Managed Care | $1,559 |
| SIHO Insurance Services | HMO/POS Plans | $1,565 |
| Lutheran Preferred | All PPO Plans | $1,585 |
| Encore Health Network | PPO | $1,585 |
| Parkview Health | PPO | $1,632 |
| SIHO Insurance Services | All PPO Plans | $1,664 |
| Multiplan | PPO - PHCS Private Healthcare Plans | $1,684 |
| Multiplan | PPO - Multiplan Plans | $1,783 |
| Community Health Alliance | PPO | $1,783 |
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