MRI lower back without contrast at Methodist Hospitals Northlake Campus. CPT 72148.
What Methodist Hospitals Northlake Campus publishes for this service, straight from its standard-charges file, last updated April 16, 2026.
Outpatient / ER
$3,923cash price (self-pay)
$5,604list price
$251–$5,009range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare | Medicare | $251 |
| Anthem | Medicare Advantage | $251 |
| Aetna | Medicare Advantage | $251 |
| Humana | Medicare Advantage | $251 |
| United Heathcare | Medicare Advantage | $251 |
| Zing | Medicare Advantage | $256 |
| Anthem | Pathway Essentials | $377 |
| CareSource Maketplace | CareSource | $414 |
| Indiana Medicaid | Traditional | $458 |
| Anthem | Indiana HMO Medicaid | $458 |
| Managed Health Services | Indiana HMO Medicaid | $458 |
| CareSource | Indiana HMO Medicaid | $458 |
| United Healthcare | Indiana HMO Medicaid | $458 |
| Humana | Indiana HMO Medicaid | $458 |
| Aetna | HMO_and_PPO_Contracted_Plans | $497 |
| Ambetter | Ambetter HealthPlan | $502 |
| Anthem BCBS | Individual On Exchange | $669 |
| United Healthcare | Navigate and Core payer | $670 |
| United Healthcare | HMO_and_PPO_Contracted_Plans | $721 |
| Physicians Health Plan of Northern Indiana | PHP | $754 |
| MagnaCare | MagnaCare | $1,194 |
| Cigna | HMO | $2,152 |
| Cigna | PPO | $2,337 |
| Encore | Combined | $3,362 |
| Aetna | FirstHealth | $3,491 |
| Phcs | PPO | $3,811 |
| Siho | PPO | $3,923 |
| Sagamore | PPO | $4,035 |
| Multiplan | PPO | $4,091 |
| Aetna | Coventry | $4,147 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.