MRI lower back without contrast at Northwest Health - Starke. CPT 72148.
What Northwest Health - Starke publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,041cash price (self-pay)
$3,857list price
$239–$3,625range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| NODE Tricare | NODE Tricare | $240 |
| NODE ChampVA | NODE ChampVA | $252 |
| Anthem | Anthem IN HIP | $270 |
| CareSource | CareSource Medicaid | $352 |
| Anthem IN Work Comp | Anthem IN Work Comp | $433 |
| Anthem | Anthem IN Medicaid | $458 |
| CareSource | Caresource HHW IN Medicaid | $458 |
| CareSource | Caresource IN HIP | $458 |
| Humana PathWays IN Medicaid | Humana PathWays IN Medicaid | $458 |
| Indiana Medicaid | IN Medicaid | $458 |
| IN Medicaid | IN Medicaid Non-Par | $458 |
| MHS | MHS HCC IN Medicaid | $458 |
| MHS | MHS HHW IN Medicaid | $458 |
| Managed Health Services | MHS IN HIP | $458 |
| UHC | UHC HCC IN Medicaid | $458 |
| UHC PathWays IN Medicaid | UHC PathWays IN Medicaid | $458 |
| One Call | One Call Care Diagnostics WC | $500 |
| Anthem | Anthem IN Marketplace STLD | $812 |
| Anthem IN Healthsync | Anthem IN Healthsync | $833 |
| Anthem | Anthem IN HMO PPO TRAD | $1,015 |
| Lutheran | Lutheran Preferred | $1,041 |
| Self Pay | Self Pay | $1,041 |
| MedPartners | Lutheran Preferred CHS Employees | $1,292 |
| Physicians Health Plan | PHP Options | $1,593 |
| Alpha Baking | Alpha Baking | $1,736 |
| PHP | PHP Freedom Network | $2,321 |
| Encore | Encore Combined PPO | $2,507 |
| UHC Apa | UHC Apa | $2,704 |
| United Healthcare | UHC Core | $2,731 |
| MultiPlan Inc | MultiPlan Complementary | $3,085 |
Inpatient
$2,121cash price (self-pay)
$3,857list price
$1,292–$3,625range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| MedPartners | Lutheran Preferred CHS Employees | $1,292 |
| Self Pay | Self Pay | $2,121 |
| Encore | Encore Combined PPO | $2,507 |
| Cigna All | Cigna All | $3,201 |
| MultiPlan Inc | MultiPlan Complementary | $3,278 |
| Aetna | Aetna NAP | $3,336 |
| Coventry First Health | Coventry First Health | $3,336 |
| Encore | Encore | $3,355 |
| Lutheran Network | Lutheran Preferred Choice | $3,394 |
| Sagamore Health Network | Sagamore | $3,394 |
| Community Health Alliance | Community Health Alliance | $3,471 |
| MultiPlan Inc | MultiPlan Primary | $3,471 |
| PPOM | Cofinity | $3,625 |
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