MRI lower back without contrast at Norton Scott Hospital. CPT 72148.
What Norton Scott Hospital publishes for this service, straight from its standard-charges file, last updated June 3, 2026.
Outpatient / ER
$893cash price (self-pay)
$4,467list price
$117–$4,020range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare of Indiana | Managed Medicaid | $117 |
| CareSource Indiana Healthy Indiana Plan (HIP) | Managed Medicaid | $117 |
| Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $117 |
| Managed Health Services (MHS) | Managed Medicaid | $117 |
| CareSource Indiana Hoosier Healthwise (HHW) | Managed Medicaid | $119 |
| MDwise Hoosier Healthwise (HHW) | Managed Medicaid | $123 |
| United Healthcare | VACCN | $242 |
| Molina Healthcare | Dual Medicare-Medicaid | $249 |
| Molina Healthcare | Medicare Advantage | $249 |
| Molina Healthcare | Managed Medicaid | $256 |
| Aetna | Commercial | $450 |
| Anthem Blue Cross Blue Shield | Medicare Advantage | $983 |
| United Healthcare | Medicare Advantage | $1,048 |
| MDwise Healthy Indiana Plan (HIP) | Managed Medicaid | $1,072 |
| Managed Health Services (MHS) Healthy Indiana Plan (HIP) | Managed Med | $1,072 |
| Managed Health Services (MHS) | Medicare Advantage | $1,072 |
| CommuniCare Advantage | Medicare Advantage | $1,104 |
| Anthem Blue Cross Blue Shield of Indiana | Exchange/Pathway Essentials | $1,300 |
| Anthem Blue Cross Blue Shield | HMO/PPO/Traditional | $1,300 |
| Cigna | Commercial | $1,600 |
| CareSource Indiana Just4Me | Commercial | $1,608 |
| Anthem Blue Cross Blue Shield | Medicare Select | $2,572 |
| United Healthcare | Commercial | $2,662 |
| MultiPlan | Commercial | $3,797 |
| Prime Health | Commercial | $3,797 |
| Encore Health Network | PPO | $3,797 |
| Ppom | PPO | $3,931 |
| InterCommunity Health Network (IHN) | Commercial | $4,020 |
Inpatient
$893cash price (self-pay)
$4,467list price
$2,512–$4,020range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Blue Cross Blue Shield | HMO/PPO/Traditional | $2,512 |
| Anthem Blue Cross Blue Shield of Indiana | Exchange/Pathway Essentials | $2,512 |
| Anthem Blue Cross Blue Shield | Medicare Select | $2,622 |
| United Healthcare | Commercial | $2,662 |
| MultiPlan | Commercial | $3,574 |
| Encore Health Network | PPO | $3,797 |
| Prime Health | Commercial | $3,797 |
| Ppom | PPO | $3,931 |
| InterCommunity Health Network (IHN) | Commercial | $4,020 |
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